scholarly journals UNILATERAL BIJAW PREMOLAR EXTRACTIONS FOR CORRECTION OF CROWDING, BUCCALLY PLACED CANINES AND ASYMMETRIC DENTAL MIDLINE - A CASE REPORT

2021 ◽  
Vol 9 (4) ◽  
pp. 876-883
Author(s):  
Bhushan Jawale ◽  
◽  
Lishoy Rodrigues ◽  
RK Suryavanshi ◽  
Pushkar Gawande ◽  
...  

This case report is of a 22 year old male patient who presented with irregularly placed and crowded teeth in bothmaxillary and mandibular arch on the right side with both upper and lower dental midlines shifted to the patients right. This case was corrected non surgically merely by employing simple mechanics with the help of Fixed Orthodontic Mechanotherapy by extracting a single maxillary and mandibular 1st premolar of right side followed by retraction and closure of spaces with the help of Elastomeric chains. The case ended in a Class I Molar and canine relationship bilaterally. The case report emphasizes on the need for extracting 1st premolars only on 1 side in the upper and lower arch for the purpose of correcting the shifted dental midlines. The extractions also favour correction of crowding and buccally placed upper and lower canines on the right side. Following fixed orthodontic treatment, marked improvement in patients smile was achieved and there was a remarkable increase in the patients confidence and quality of lifeThe profile changes and treatment results were demonstrated with proper case selection and good patient cooperation with Fixed appliance therapy. The patient was extremely satisfied with the results at the end of treatment.

Author(s):  
Hayder Abdallah Hashim ◽  
Mohamed Hayder A. Hashim Mohamed

A twelve-year-old Filipino female presented to the Orthodontic Clinic with fused mandibular central and lateral incisors and an impacted canine, all on the right side, and severe crowding in both arches.  Fixed appliance therapy was employed to align the buccally located maxillary right and left permanent canines and the mandibular right canine, and to close the space created by the extraction of the fused mandibular incisors.  Various treatment options were presented and discussed.


2021 ◽  
Vol 12 (1) ◽  
pp. e12-e12
Author(s):  
Marcelo Vieira da Costa Almeida ◽  
Antonio C. Moura ◽  
Lúcia Santos ◽  
Luciana Gominho ◽  
Ully Dias Nascimento Távora Cavalcanti ◽  
...  

Introduction: Medication-related osteonecrosis of the jaw (MRONJ) corresponds to an adverse effect of the use of drugs such as bisphosphonates and denosumab. This condition is often associated with pain, infection, purulent secretion, paraesthesia, tooth mobility and halitosis, decreasing the patient’s quality of life. The management of MRONJ tends to be conservative, through the guidance of oral hygiene, antibiotic therapy and mouthwashes. However, the use of antimicrobial photodynamic therapy (aPDT) has shown promise in the treatment of these injuries. The purpose of this article is to report a case of MRONJ treatment associated with aPDT. Case Report: A 75-year-old patient, with a history of breast cancer and use of intravenous Zoledronic Acid, presented with bilateral MRONJ lesions in tuberosity on the right and left sides. Treatment was conservatively instituted with the use of aPDT as an adjuvant. After 12 aPDT sessions, complete regression of the lesion was observed. However, after two weeks, the presence of a new lesion was noted, this time in the anterior region of the maxilla. The same protocol previously established was followed and after two aPDT sessions, the patient returned with complete lesion regression. Conclusion: The use of aPDT may represent an important adjuvant within a set of clinical protocols in the treatment of MRONJ.


2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Yahya A. Alogaibi ◽  
Ahmad A. Al-Fraidi ◽  
Manar K. Alhajrasi ◽  
Ali A. Hassan

A forward functional shift of the mandible is a significant problem that can cause both functional and aesthetic complications for many patients. This shift usually occurs in growing patients, and it is unusual to see in adult patients. This case report shows an adult patient with a forwarding functional shift that caused both anterior and posterior crossbites with a pseudo class III dental and skeletal relationship. The patient also showed severe upper arch crowding with blocked-out canines and mild crowding in the lower arch. The treatment of this patient involved extraction of the upper right and left first premolars and the lower right first premolar, followed by opening of the bite to relieve the neuromuscular reflex of the forward protrusion of the mandible during centric occlusion and to correct both the anterior and posterior crossbites. Extraction spaces were closed using class III elastics and elastomeric chains. At the end of the treatment, good functional and aesthetic results were obtained after the elimination of the forward functional shift.


Author(s):  
Mohsen Rezaei Nosrati ◽  
Salar Baghbani ◽  
Yousef Fallah ◽  
Babak Siavashi ◽  
Mohammad Reza Golbakhsh

Background: Intraosseous stab wounds are extremely rare. Only a few cases have been reported in the upper extremity. Case Report: In this report, we presented a case of stab wound to the right shoulder with penetration to the scapula. The patient was successfully managed in a team-based approach. During a 12-month follow-up, he showed no abnormality in passive and active movements or physical examination. Conclusion: Relying on the physical examinations and paraclinical studies may be an appropriate substitution for exploration surgery when possible iatrogenic injuries may affect the patient's quality of life.


2016 ◽  
Vol 21 (3) ◽  
pp. 94-103 ◽  
Author(s):  
Marcel Marchiori Farret ◽  
Milton M. Benitez Farret

ABSTRACT Introduction: A canted occlusal plane presents an unesthetic element of the smile. The correction of this asymmetry has been typically considered difficult by orthodontists, as it requires complex mechanics and may sometimes even require orthognathic surgery. Objective: This paper outlines the case of a 29-year-old woman with Class II malocclusion, pronounced midline deviation and accentuated occlusal plane inclination caused by mandibular deciduous molar ankylosis. Methods: The patient was treated with a miniplate used to provide anchorage in order to intrude maxillary teeth and extrude mandibular teeth on one side, thus eliminating asymmetry. Class II was corrected on the left side by means of distalization, anchored in the miniplate as well. On the right side, maxillary first premolar was extracted and molar relationship was kept in Class II, while canines were moved to Class I relationship. The patient received implant-prosthetic rehabilitation for maxillary left lateral incisor and mandibular left second premolar. Results: At the end of treatment, Class II was corrected, midlines were matched and the canted occlusal plane was totally corrected, thereby improving smile function and esthetics.


2019 ◽  
Vol 12 ◽  
pp. 117954761985897
Author(s):  
Paula dos Passos Menezes ◽  
Cristiane Vilaça Campos Gomes ◽  
Yasmim Maria Barbosa Gomes de Carvalho ◽  
Nayara Gomes Lima Santos ◽  
Valléria Matos Andrade ◽  
...  

Venous ulcers are a more severe complication of chronic venous insufficiency, significantly compromising patient quality of life (QoL). Compressive stockings are still the gold standard treatment method with alternative therapies currently being evaluated. In this perspective, we investigate the influence of compressive stockings impregnated with hesperetin-based nanocapsules in the healing process of venous ulcers. Compressive stockings impregnated with hesperetin-based nanocapsules were applied to a consenting patient for 6 months following all relevant ethical principles for patient studies. The patient was evaluated at baseline (T0), 3 months (T3), and 6 months (T6), using photographic register (healing) probes to measure skin melanin, erythema and hydration parameters, and venous diameters, followed by questionnaires regarding QoL and pain perception. Healing was observed at the 3-month time point and with 91.6% and 93.1% of retraction area in larger ulcers of the right leg and lateral portion of the left leg, respectively. The deepest ulcer in a medial portion of the left leg healed 47.3%. A reduction of all measured skin parameters was observed, indicating a possible hesperetin effect. The scores of QoL and pain were, respectively, in the ranges of 91.6 to 31.2 and 7 to 0. Reduction in venous diameters also indicates healing function. These preliminary findings suggest that compressive stockings impregnated with hesperetin nanocapsules enhance venous ulcer healing. Further clinical trial controlled by placebo, involving a greater number of patients, is required to confirm the findings of this case report.


2022 ◽  
Vol 20 (8) ◽  
pp. 3086
Author(s):  
D. A. Feshchenko ◽  
G. S. Zasypkin ◽  
B. A. Rudenko ◽  
D. K. Vasiliev ◽  
F. B. Shukurov ◽  
...  

Patients with clinically significant infrarenal abdominal aortic atherosclerosis are often encountered in the clinical practice of vascular and endovascular surgeons. In the absence of timely treatment, the ability to work and life quality of patients are sharply reduced, and in some cases, patients require limb amputation. Until recently, the only treatment option for such a lesion was an open surgery. However, a good skill level of endovascular surgeons and the device availability allow today to perform minimally invasive operations with comparable effectiveness and greater safety in comparison with open surgery. We present a case report of successful endovascular treatment of aortic occlusion involving the right and left common and external iliac arteries using Culotte stenting technique with further 12-month follow-up.


2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Prashanth Prakash ◽  
B. H. Durgesh

Single tooth anterior dental crossbite is the commonly encountered malocclusion during the development of occlusion in children. Various treatment options such as removable and fixed appliances have been suggested by different authors in the past literature. This paper presents two cases of anterior crossbite corrected using the standard Catlan's appliance (Lower Inclined Bite Plane) in a short period of three weeks without any damage to the tooth or the periodontium. This fixed appliance is a simple and traditional method which does not depend on patient cooperation to reverse the bite.


2016 ◽  
Vol 12 (24) ◽  
pp. 43
Author(s):  
Irinel Panainte ◽  
Claudia – Georgeta Grancea ◽  
Valentina – Tamara Zamfir – Buta ◽  
Mariana Pacurar

Aim of the studyː to find if apical root resorption is related to orthodontic treatment time, type of appliance used and which are the most susceptible teeth to develop this type of resorption. Material and methodsː 70 patients (27 males and 43 females) selected from patients reffered for an orthodontic treatment at the Orthodontic Department of Faculty of Dentistry, University of Medicine and Pharmacy from TirguMures. The mean age at the beginning of treatment was 15.11 years for males and 14.67 years for females subjects. At the end of treatment, on their panormaic radiographs it was measured apical root resorption on incisors, premolars and molars in the upper and lower arch. Resultsː Root resorption was significantly (p< 0.05) correlated with fixed appliance treatment (49 percent). Patients with the longest treatment periods presented with significantly (p<0.05) more grade 2 resorptionː 28 months (± 2.6 SD) in the upper arch and 30 months (± 3.2 SD) in the lower arch. In the patients with the lowest treatment period (16 months in the maxilla and 18 months in the mandible arch) it was found no resorption. In the upper arch most of the patients (22.22 % males and 18.6% females) showed a grade 2 resorption in the incisor area. Root resorption of the premolars was seen in 18.5% of the male patients (7.4% with grade 2 ) and in 16.26 % of the female patients (6.97 with grade 2). Conclusionsː There is a high correlation between the orthodontic treatment time and apical root resorption. Most exposed to this process are incisors from bot, upper and lower arch. Less resorption was noticed in the premolar area.


2020 ◽  
Vol 2 (2(May-August)) ◽  
pp. e282020
Author(s):  
Antônio Gilson Prates Junior ◽  
Fernando Augusto Medeiros Carrera Macedo ◽  
Emmanuel De Oliveira Vasconcelos e Sá ◽  
Ana Luisa Ribeiro Pinto

Introduction: The ventriculoperitoneal shunt is the most widely used surgical procedure for the treatment of hydrocephalus. It is associated with numerous mechanical complications, including distal catheter migration. Case report: We present a case in which the peritoneal catheter migrated into the scrotum. The patient was admitted with asymmetric scrotal swelling and, during hospitalization, developed shunt dysfunction and infection. The shunt was withdrawn and treatment was initiated for infection. At the end of treatment, a new shunt was implanted and bilateral hernioplasty was performed by the pediatric surgery team. At follow-up, there was adequate head circumference growth and no testicular abnormalities. Discussion: The procesus vaginalis is formed from the evagination of the peritoneum through the inguinal canal, leading to the descent of the testis during the embryonic period. The patency of this structure is the predisposing anatomical condition for the occurrence of inguinal hernia and for the migration of the shunt catheter into the scrotum. This condition is present in up to 80% of newborns and 60% of 1-year-old infants. The migration of the catheter commonly occurs until 12 months after surgery, typically on the right side. Conclusion: The presence of scrotal swelling in a patient with ventriculoperitoneal shunt should warrant the investigation of catheter migration. 


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