Chemo-Mechanical Removal of Caries in an Adolescent Patient Using a Papain Gel: Case Report

2008 ◽  
Vol 32 (3) ◽  
pp. 177-180 ◽  
Author(s):  
S Bussadori ◽  
C Guedes ◽  
M Hermida Bruno ◽  
D Ram

The chemo-mechanical model of caries removal has been introduced as an alternative method of caries removal and is indicated to overcome the inconvenience of using burs and local anesthesia, causing less discomfort to the patient, and preserving healthy dental structure. Papacarie® is a papain gel composed basically of papain, chloramines, and toluidine blue. Papain interacts with exposed collagen by the dissolution of dentin minerals through bacteria, making the infected dentin softer, and allowing its removal with non-cutting instruments without local anesthesia and burs. This paper proposes the use of a papain-based gel for the removal of active caries with infected tissue followed by a glass ionomer restoration in an adolescent patient. Removal of caries tissue with Papacarie® proved to be efficient, easy and comfortable for the patient.

Author(s):  
Frank Häßler ◽  
Olaf Reis ◽  
Steffen Weirich ◽  
Jacqueline Höppner ◽  
Birgit Pohl ◽  
...  

This article presents a case of a 14-year-old female twin with schizophrenia who developed severe catatonia following treatment with olanzapine. Under a combined treatment with amantadine, electroconvulsive therapy (ECT), and (currently) ziprasidone alone she improved markedly. Severity and course of catatonia including treatment response were evaluated with the Bush-Francis Catatonia Rating Scale (BFCRS). This case report emphasizes the benefit of ECT in the treatment of catatonic symptoms in an adolescent patient with schizophrenic illness.


2021 ◽  
pp. 190-194
Author(s):  
Sineida Berbert Ferreira ◽  
Rachel Berbert Ferreira ◽  
Afonso Cesar Neves Neto ◽  
Silvana Martins Caparroz Assef ◽  
Morton Scheinberg

Vitiligo is an autoimmune skin disease presenting with areas of depigmentation. Recent reports suggest that Janus kinase (JAK) inhibitors may be an effective therapy. In this case report, we show our experience with an adolescent patient with a long history of generalized and refractory vitiligo, for which treatment with topical tofacitinib, a JAK inhibitor, associated with phototherapy for 9 months, resulted in near complete repigmentation.


2021 ◽  
Vol 9 (7) ◽  
Author(s):  
Desdiani Desdiani ◽  
Nita Yulianti ◽  
Anindita Basuki

2021 ◽  
Vol 3 ◽  
pp. 67-69
Author(s):  
Shalini Agarwal ◽  
Jyoti Siwach ◽  
Ramneet Wadi ◽  
Nipun Gupta

We report a case of a 55-year-old male patient who presented with swelling over his right elbow of 5-year duration. An ultrasound examination revealed an echogenic mass within the olecranon bursa. On magnetic resonance imaging, the mass revealed the signal intensity of fat, and it was attached to the bursal lining by means of a pedicle. There was no restriction on diffusion-weighted images and no significant contrast enhancement. Excision was performed under local anesthesia. The excised specimen revealed mature fat cells on histopathology.


2009 ◽  
Vol 13 (4) ◽  
pp. 465-471 ◽  
Author(s):  
Cristiane Duque ◽  
Thais de Cássia Negrini ◽  
Nancy Tomoko Sacono ◽  
Denise Madalena Palomari Spolidorio ◽  
Carlos Alberto de Souza Costa ◽  
...  

2005 ◽  
Vol 29 (4) ◽  
pp. 293-298 ◽  
Author(s):  
Virginia Karapanou

This report demonstrates a simple endodontic solution to an interdisciplinary case of a patient with multiple gene deficiencies. An adolescent patient presented with an impacted premolar that could not be extracted due to high-risk conditions. A suspicious degree of radiolucency around the crown was clinically diagnosed as dentigerous cyst. The treatment dilemma and implementation are discussed. This case report offers a different treatment option for impacted teeth when significant differential diagnosis of a pericoronal lesion dictates treatment.


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