scholarly journals Causes of primary tooth avulsion and replantation treatment

2021 ◽  
Author(s):  
Ameera Ibrahim Amer ◽  
Balges Mohammad Alrowili ◽  
Raghad Naif Aljohani ◽  
Mona Dabshi Alanazi ◽  
Basmah Mustafa Ageel ◽  
...  
Keyword(s):  
Traffic Accidents ◽  
Root Resorption ◽  
Case Reports ◽  
Current Evidence ◽  
Primary Tooth ◽  
Tooth Avulsion ◽  
Advantages And Disadvantages ◽  
Common Etiology ◽  
Sporting Activities ◽  
Dental Injuries

During primary dentition, the etiology changes by age group. For instance, traumas secondary to collisions and falls are attributable to early movement within the first six years, while accidents secondary to frequent playing are the main reason within the following nine years, and violence is the most common etiology until the age of 25 years old. Previous studies have estimated that traumas from falls, sporting activities, bicycling, traffic accidents, and violence were the most common causes of dental injuries in children. Iatrogenic causes also contribute to 0.04-12% of dental injuries, including avulsions. According to the current evidence, whether to use reimplantation or not is still controversial and further investigations are needed. Among the various case reports, damage to the permanent successors, root resorption, clot formation, and pulp necrosis were documented as potential complications and adverse events with intended reimplantation. However, many techniques were reported to overcome these problems. Besides, favorable outcomes following reimplantation could be hypothetically obtained as sound articulation, proper mastication, and proper dentition. Therefore, this encourages reimplantation, however, further evidence is still needed to validate the proposed advantages and disadvantages of the approach.

scholarly journals THE ROLE OF FISTULOCLYSIS IN THE TREATMENT OF PATIENTS WITH ENTEROATMOSPHERIC FISTULAS

2021 ◽  
Vol 34 (2) ◽  
Author(s):  
Marcelo Augusto Fontenelle RIBEIRO-JUNIOR ◽  
Daniel Dante YEH ◽  
Samara de Souza AUGUSTO ◽  
Yasmin Garcia Batista ELIAS ◽  
Paola Rezende NÉDER ◽  
...  
Keyword(s):  
Gastrointestinal Tract ◽  
Case Reports ◽  
Current Evidence ◽  
Narrative Synthesis ◽  
Reconstructive Procedure ◽  
Open Wound ◽  
Advantages And Disadvantages ◽  
Definitive Repair ◽  
High Output

ABSTRACT Background: Enterocutaneous fistulas represent a connection between the gastrointestinal tract and adjacent tissues. Among them, there is a subdivision - the enteroatmospheric fistulas, in which the origin is the gastrointestinal tract in connection with the external environment through an open wound in the abdomen. Due to the high output in enterocutaneous fistulas, the loss of fluids, electrolytes, minerals and proteins leads to complications such as sepsis, malnutrition and electrolyte derangements. The parenteral nutrition has its secondary risks, and the fistuloclysis, that consist in the infusion of enteral feeding and also the chyme through the distal fistula, represents an alternative to the management of these patients until the definitive surgical approach. Aim: To evaluate the current evidence on the fistuloclysis technique, its applicability, advantages and disadvantages for patients with high output fistulas. Method: A systematic literature search was conducted in May 2020 with the headings “fistuloclysis”, “chyme reinfusion” and “succus entericus reinfusion”, in the PubMed, Medline and SciELO databases. Results: There were 29 articles selected for the development of this narrative synthesis, from 2003 to 2020, including reviews and case reports. Conclusion: Fistuloclysis is a safe method which optimizes the clinical, nutritional, and immunological conditions of patients with enteroatmospheric fistulas, increasing the chances of success of the reconstructive procedure. In cases where the definitive repair is not possible, chances of reducing or even stopping the use of nutrition through the parental route are increased, thus representing a promising modality for the management of most challenging cases.

scholarly journals Avulsion and Replantation in Primary Dentition - A Review

2021 ◽  
Vol 10 (9) ◽  
pp. 619-623
Author(s):  
Viddyasagar Prabhakar Mopagar ◽  
Meghana Vasant Phadnis ◽  
Sourabh Ramesh Joshi ◽  
Vikranth Shetty ◽  
Gowri Swaminatham Pendyala
Keyword(s):  
Primary Teeth ◽  
Root Resorption ◽  
Case Reports ◽  
Traumatic Injury ◽  
Primary Root ◽  
Permanent Tooth ◽  
Permanent Teeth ◽  
Successful Outcome ◽  
Primary Tooth ◽  
Stage Of Development

Avulsion of a primary tooth is a disturbing type of traumatic injury occurring in children. Paediatric dentists are likely to encounter a child with an avulsed primary tooth routinely in their clinical practice. Tooth avulsions are common in permanent teeth. However, avulsions can be seen even in primary teeth. The question of replantation of the avulsed tooth has been a focus of debate and controversy since years. The primary and most important factor in these injuries is to calculate the riskbenefit ratio keeping the underlying permanent tooth in mind. Utmost importance has to be given on the care of development and normal eruptive movements of the succedaneous tooth. This is mandatory if any treatment like replantation is to be done. The amount of primary root resorption, stage of development of the underlying permanent tooth, type of splinting to be done etc. needs a lot of attention. Many authors have given their opinions regarding the replantation of primary teeth based on the type of tooth avulsed. Moreover, the evidence might differ as to whether or not replantation might alter the difficulty levels for the eruption process of succedaneous tooth. There is not much evidence regarding the benefits and risks of replantation post avulsion of primary teeth. However, individual authors have reported a successful outcome in their case reports. This article reports a review on avulsed primary teeth replantation. This would enable the dentists to analyze the risks and benefits associated with replantation, thereby guiding them to arrive at the best clinical decision. KEY WORDS Primary Tooth, Avulsion, Replantation.

scholarly journals Vitamin C in the Treatment of COVID-19

Nutrients ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 1172
Author(s):  
Gregorio Paolo Milani ◽  
Marina Macchi ◽  
Anat Guz-Mark
Keyword(s):  
Clinical Trials ◽  
Vitamin C ◽  
Respiratory Infections ◽  
Medical Condition ◽  
Case Reports ◽  
Case Series ◽  
Theoretical Background ◽  
Current Evidence ◽  
Vitamin C Supplementation ◽  
Essential Nutrient

Vitamin C is an essential nutrient that serves as antioxidant and plays a major role as co-factor and modulator of various pathways of the immune system. Its therapeutic effect during infections has been a matter of debate, with conflicting results in studies of respiratory infections and in critically ill patients. This comprehensive review aimed to summarize the current evidence regarding the use of vitamin C in the prevention or treatment of patients with SARS-CoV2 infection, based on available publications between January 2020 and February 2021. Overall, 21 publications were included in this review, consisting of case-reports and case-series, observational studies, and some clinical trials. In many of the publications, data were incomplete, and in most clinical trials the results are still pending. No studies regarding prevention of COVID-19 with vitamin C supplementation were found. Although some clinical observations reported improved medical condition of patients with COVID-19 treated with vitamin C, available data from controlled studies are scarce and inconclusive. Based on the theoretical background presented in this article, and some preliminary encouraging studies, the role of vitamin C in the treatment of patients with SARS-CoV-2 infection should be further investigated.

Tooth Avulsion in the School Setting

2005 ◽  
Vol 21 (5) ◽  
pp. 279-282 ◽  
Author(s):  
Cheryl A. Krause-Parello
Keyword(s):  
Periodontal Ligament ◽  
School Setting ◽  
School Personnel ◽  
School Nurse ◽  
School Nurses ◽  
After School ◽  
Tooth Avulsion ◽  
Dental Emergency ◽  
Dental Injuries

Tooth avulsions occur when a tooth is displaced from its socket. Tooth avulsions are common dental injuries that may occur before, during, or after school. Therefore, it is essential that school nurses be well prepared to intervene when such a dental emergency arises. It is also imperative that school nurses and school personnel are fully equipped to manage a tooth avulsion. Time is of the essence when attempting to save an avulsed tooth. The goal is to successfully reinsert the avulsed tooth and to preserve the periodontal ligament. The school nurse is responsible for implementing the appropriate actions needed to save the avulsed tooth.

Upper Incisor Root Resorption during Stage II of the Begg Technique: Two Case Reports

1978 ◽  
Vol 5 (1) ◽  
pp. 47-50 ◽  
Author(s):  
A. M. Hall
Keyword(s):  
Root Resorption ◽  
Case Reports ◽  
Stage Ii ◽  
Fixed Appliance ◽  
Apical Root Resorption ◽  
Definite Factor

Two cases exhibiting upper incisor apical root resorption when using purely tipping movements with a fixed appliance technique are reported. Possible causes of resorption are discussed, but no definite factor was apparent in these cases.

scholarly journals Prevention of venous thromboembolism in hospitalized patients with chronic kidney disease

2013 ◽  
pp. 269-276
Author(s):  
Marcora Mandreoli ◽  
Antonio Santoro
Keyword(s):  
Renal Failure ◽  
Venous Thromboembolism ◽  
Renal Disease ◽  
Case Reports ◽  
Current Evidence ◽  
High Morbidity ◽  
Medical Patients ◽  
Medically Ill ◽  
Increased Risk ◽  
Therapeutic Doses

Despite the high morbidity and mortality associated with venous thromboembolism in hospitalized medical patients with a number of risk factors, and large evidence that prophylaxis is effective, prophylaxis rates remain elusive in medically ill patients. Furthermore, in patients with renal failure, prophylaxis often is omitted or sub-optimal, due to fear of provoking hemorrhage. Patients with end-stage renal disease often have platelet deficits. Low molecular weight heparin (LMWH) therapy may also be difficult to manage in these cases because LMWH clearance is largely dependent on the kidneys. Administration of LMWH to patients with some degree of renal failure may lead to bioaccumulation of anti-Xa activity with an increased risk of bleeding. In recent years, LMWH has largely replaced unfractionated heparin (UFH) for the treatment and prophylaxis of thromboembolic disease. LMWHs have been shown to be superior to UFH in the prevention of venous thromboembolism. They are also easier to administer and do not require laboratory monitoring. However, several case reports and a metaanalysis indicate that the use of LMWHs at therapeutic doses in patients with advanced renal failure can be associated with major bleeding with serious adverse effects. In this paper, we review recent evidence supporting the safety of LMWHs at prophylactic doses in patients with mild or moderate renal disease. Current evidence suggests that bioaccumulation of enoxaparin (the most widely used LMWH) can occur when the drug is used at standard therapeutic doses in patients with severely impaired renal function. This risk can be reduced by empiric dose reduction or monitoring of anti-Xa heparin levels.

External apical root resorption: two case reports

2008 ◽  
Vol 41 (11) ◽  
pp. 997-1004 ◽  
Author(s):  
J. M. Armas ◽  
L. Savarrio ◽  
L. M. Brocklebank
Keyword(s):  
Root Resorption ◽  
Case Reports ◽  
Apical Root Resorption ◽  
External Apical Root Resorption

scholarly journals Diagnosis and treatment of extraction sockets in preparation for implant placement: report of three cases

2008 ◽  
Vol 19 (2) ◽  
pp. 159-164 ◽  
Author(s):  
Márcio José Rodrigues Barcelos ◽  
Arthur Belém Novaes Júnior ◽  
Marcio Baltazar Conz ◽  
Nassin David Harari ◽  
Guaracilei Maciel Vidigal Júnior
Keyword(s):  
Bone Defect ◽  
Root Resorption ◽  
Case Reports ◽  
Receptor Site ◽  
Wall Defect ◽  
Implant Placement ◽  
Immediate Implants ◽  
Immediate Implant ◽  
Defect Morphology ◽  
Subsequent Intervention

This article addresses diagnostic parameters that should be assessed in the treatment of extraction sockets with dental implant placement by presenting three case reports that emphasize the relevance of the amount of remaining bone walls. Diagnosis was based on the analysis of clinical and radiographic parameters (e.g.: bone defect morphology, remaining bone volume, presence of infections on the receptor site). Case 1 presents a 5-wall defect in the maxillary right central incisor region with severe root resorption, which was treated with immediate implant placement. Cases 2 and 3 present, respectively, two- and three-wall bone defects that did not have indication for immediate implants. These cases were first submitted to a guided bone regeneration (GBR) procedure with bone graft biomaterial and membrane barriers, and the implants were installed in a second surgical procedure. The analysis of the preoperative periodontal condition of the adjacent teeth and bone defect morphology is extremely important because these factors determine the choice between immediate implant or GBR treatment followed by implant installation in a subsequent intervention.

scholarly journals Reimplantation of avulsed maxillary central incisors – case report of an 8-year follow-up

2015 ◽  
Vol 26 (1) ◽  
pp. 68-70
Keyword(s):  
Case Report ◽  
Oral Cavity ◽  
Children And Adolescents ◽  
Dental Trauma ◽  
Permanent Teeth ◽  
Tooth Avulsion ◽  
Complete Rupture ◽  
Major Complications ◽  
Dental Injuries

Dental trauma is very common, especially in children and adolescents. Tooth avulsion (exarticulation), which is a result of complete rupture of periodontal ligaments is one of the most severe dental injuries. The treatment of choice in avulsion of permanent teeth is reimplantation. Survival of reimplanted teeth depends greatly on the time and conditions in which teeth were stored outside the oral cavity. This report presents a case of 18-year old male with avulsion of central maxillary incisors. The teeth were reimplanted 14 hours after injury. During 8-year follow up no major complications occurred and the teeth still maintain their function, although signs of mild replacement resorption are visible on the follow-up radiographs.

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