A biological conservative approach to complex traumatic dento-alveolar lesions

2004 ◽  
Vol 28 (1) ◽  
pp. 1-10 ◽  
Author(s):  
Enrico Spinas
Keyword(s):  
Plastic Surgery ◽  
Clinical Experience ◽  
Multidisciplinary Treatment ◽  
Conservative Approach ◽  
Dental Injury ◽  
Natural Position ◽  
Crown Root ◽  
Root Fractures ◽  
Periodontal Plastic Surgery

Of all the kinds of traumatic dental injury, luxation injuries associated with crown-root fractures deserve special attention due to the particular need for complex multidisciplinary treatment. Clinical experience has demonstrated the need for repositioning of luxated teeth and treatment of crown-root fractures by orthodontic or surgical extrusion and completed with periodontal plastic surgery (gingivoplasty). In many cases the outcome is good conservation and excellent esthetic results. This approach cannot however, always be recommended, for example because of the age of the patient. For this reason, a different protocol is proposed that involves, in addition to orthodontic repositioning of the luxated teeth, (as is required to return teeth to the physiological position), the extrusion, restoration and subsequent re-intrusion to the natural position (without the need for further surgery) of those teeth involved with associated crown-root fractures.Two cases illustrate the use of this proposed technique.

Multidisciplinary Treatment of Complicated Crown-Root Fractures: A Case Study

2016 ◽  
Vol 41 (6) ◽  
pp. e168-e173 ◽  
Author(s):  
IL Stojanac ◽  
BV Bajkin ◽  
MT Premovic ◽  
BD Ramic ◽  
LM Petrovic
Keyword(s):  
Multidisciplinary Approach ◽  
Multidisciplinary Treatment ◽  
Functional Rehabilitation ◽  
Crown Root ◽  
Reinforced Composite ◽  
Root Fractures ◽  
Traumatic Dental Injuries ◽  
Surgical Conditions ◽  
Dental Injuries

SUMMARY Traumatic dental injuries usually occur among children and adolescents, with maxillary central incisors as the most often affected teeth. Complicated crown-root fractures are particularly challenging for esthetic and functional rehabilitation and often require a multidisciplinary approach. A 21-year-old male patient came to the Dental Clinic due to fractured maxillary incisors caused by trauma during a sporting activity. Clinical examination revealed horizontal fractures of teeth 7, 8, and 9, initiating in the labial cervical third and extending subgingivally on the palate, with exposed pulp tissues. On provisional repositioning and splinting the fragments, root canal treatment was performed. Definitive repositioning was accomplished by raising a full-thickness gingival flap, using fiber-reinforced composite posts, by an endodontist and an oral surgeon. Reattachment was accomplished under surgical conditions to ensure precise positioning of fragments by exposing the palatal aspect of the fracture lines and providing a dry operating field. Definitive composite resin veneers were performed after seven days.

scholarly journals Management of Sub-gingival Fracture of Tooth by Multi-disciplinary Approach

2019 ◽  
Vol 3 (3) ◽  
pp. 165
Author(s):  
Atiquzzaman Khan ◽  
Shirin Sultana Chowdhury ◽  
Rubaba Ahmed ◽  
Mirza Md Arifur Rahman ◽  
SMA Quader
Keyword(s):  
Root Canal ◽  
Multidisciplinary Treatment ◽  
Dental Trauma ◽  
Young Male ◽  
Health Sciences ◽  
Maxillary Incisor ◽  
Elastic Band ◽  
Crown Root ◽  
Root Fractures ◽  
Wire Hook

Dental trauma is commonly occur in children and may involve adult person also. In permanent dentition crown fracture is common and it may be uncomplicated or complicated. Complicated crown-root fractures require a multidisciplinary treatment modality for longterm success. Here we presented multidisciplinary treatment of a traumatized permanent maxillary incisor of a young male patient where oblique tooth fracture involved coronal pulp. As more than 50% of the crown and palatal coronal part of the root had been fractured and the tooth could not be properly isolated during endodontic procedure which is essential for success of root canal treatment. An intra-canal wire hook was cemented in the root canal and attached to another wire fixed to the adjacent teeth. With the help of elastic band attached with hook the fractured tooth fragment was extruded to create clinical crown. Finally, gingival re-contouring was performed to establish optimum biological width. At last, porcelain fused to metal crown was placed and the patient was comfortable both esthetically and functionally.International Journal of Human and Health Sciences Vol. 03 No. 03 July’19. Page: 165-168

scholarly journals Managing a Colonoscopic Perforation in a Patient with No Abdominal Wall

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Jayan George ◽  
Michael Peirson ◽  
Samuel Birks ◽  
Paul Skinner
Keyword(s):  
Abdominal Pain ◽  
Incisional Hernia ◽  
Plastic Surgery ◽  
Abdominal Wall ◽  
Abdominal Wall Defect ◽  
Colonic Perforation ◽  
Conservative Approach ◽  
Wall Defect ◽  
Surgical History ◽  
History Of

We describe the case of a 37-year-old gentleman with Crohn’s disease and a complex surgical history including a giant incisional hernia with no abdominal wall. He presented on a Sunday to the general surgical on-call with a four-day history of generalised abdominal pain, nausea, and decreased stoma output following colonoscopy. After CT imaging, he was diagnosed with a large colonic perforation. Initially, he was worked up for theatre but following early senior input, a conservative approach with antibiotics was adopted. The patient improved significantly and is currently awaiting plastic surgery input for the management of his abdominal wall defect.

scholarly journals TEKNIK BEDAH DENGAN SKALPEL PADA HIPERPIGMENTASI GINGIVA

2015 ◽  
Vol 1 (2) ◽  
pp. 40
Author(s):  
Ade Ismail Abdul Kodir
Keyword(s):  
Plastic Surgery ◽  
Genetic Factors ◽  
Medical Problems ◽  
Periodontal Plastic Surgery

Background: Gingival pigmentation is the coloring/staining of the gingiva in the form of a dark purplish color or irregular light brown spots. This staining is derived from melanin granules produced by cells melanoblas. Gingival hyperpigmentation caused by excessive melanin deposition . The cause of this gingival hyperpigmentation is multifactorial : genetic factors , local and systemic . The aims of this article is to overbear the gingival hyperpigmentation with simple techniques , does not require several equipments , but gives contentment results to the patient . Discussion : The gingival melanin hyperpigmentation is not cause medical problems , usually to the point the appearance especially when talking and smiling . Depigmentation is periodontal plastic surgery to remove or reduce gingival hyperpigmentation . There are many ways to eliminate gingival hyperpigmentation , one of them is a surgical using scalpel . Depigmentation surgery does not require any special tools but gives satisfactory results for the patient. Conclusion : Hyperpigmentation gingival surgery techniques can be overcome by using scalpel surgery.

scholarly journals Periodontal plastic surgery for treatment of gummy smile with cosmetic restauration treatment

RSBO ◽  
2017 ◽  
Vol 1 (1) ◽  
pp. 50
Author(s):  
Keith Jimmy Gonçalves ◽  
Gabrielle Gobbo Agnoletto ◽  
Leonardo Fernandes Da Cunha ◽  
Carmen Mueller Storrer ◽  
Tatiana Miranda Deliberador
Keyword(s):  
Mental Health ◽  
Case Report ◽  
Side Effects ◽  
Plastic Surgery ◽  
Treatment Option ◽  
Restorative Dentistry ◽  
Physical And Mental Health ◽  
Aesthetic Dentistry ◽  
Periodontal Plastic Surgery ◽  
Gummy Smile

Introduction: Today, the appreciation of aesthetic dentistry by society brought to the search for materials and techniques that improve the appearance of smile, which is essential in maintaining physical and mental health of the patient. Objective: This study aimed to report a case of gummy smile involving Periodontics and Restorative Dentistry. Case report: This case, despite other possible alternatives, was solved through periodontal surgery (clinical crown augmentation associated with osteotomy) and indirect restorations with porcelain crowns. Conclusion: In our experience this procedure is safe, predictable, with minimal risks or side effects, and it is a treatment option for these cases.

In Reply: Electromyography in Congenital Torticollis

PEDIATRICS ◽  
1962 ◽  
Vol 29 (2) ◽  
pp. 334-334
Author(s):  
Chadwick F. Baxter
Keyword(s):  
Clinical Experience ◽  
Conservative Approach ◽  
Severe Group ◽  
Congenital Torticollis

By all means, we agree with Dr. Chamberlain's observation that it would be most helpful to run controls on the severe category as we have in the minimal and moderately severe categories as reported in the paper. It is a little difficult for those of us who are acquainted with the occasional case that goes on to severe deformity to treat the child that falls in this severe group with the conservative approach. However, this is undoubtedly the result of biased clinical experience.

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