scholarly journals A Severe Reaction to Ni-Containing Orthodontic Appliances

2009 ◽  
Vol 79 (1) ◽  
pp. 186-192 ◽  
Author(s):  
Olga Elpis Kolokitha ◽  
Evangelia Chatzistavrou

Abstract Exposure to nickel-containing orthodontic appliances may cause intra- or extraoral allergic reactions. Nickel is the most typical antigen implicated in causing allergic contact dermatitis, which is a Type IV delayed hypersensitivity immune response. This report presents an unusual reaction to nickel during the orthodontic treatment of an adult female patient. The patient had no previous history of allergy and had been wearing fixed metal upper appliances while in orthodontic treatment to assist the eruption of her impacted teeth. The adverse hypersensitivity reactions appeared only after the surgical exposure and included severe signs of eczematic and urticarial reactions of the face with redness, irritation, itching, eczema, soreness, fissuring, and desquamation as well as intraoral diffuse red zones. Diagnostic patch testing performed by the allergist revealed sensitization to nickel (++++ score). Treatment was achieved with nickel-free appliances.

2010 ◽  
Vol 04 (02) ◽  
pp. 192-196 ◽  
Author(s):  
Herman F. Sailer ◽  
Fadi Tarawneh ◽  
Panagiotis Fourkas ◽  
Dimitrios Z. Antoniades ◽  
Athanasios E. Athanasiou

This case report describes the combined surgical, orthodontic and prosthodontic rehabilitation of an adult female patient with a previous history of follicular ameloblastoma, which was treated through partial mandibulectomy and an immediate replacement of missing bone with an autologous calvarial bone graft. Orthodontic treatment was undertaken in order to restore occlusal disturbances and obtain sufficient space for two dental implants and an optimum prosthodontic rehabilitation. (Eur J Dent 2010;4:192-196)


2006 ◽  
Vol 17 (2) ◽  
pp. 155-160 ◽  
Author(s):  
Marcelo Antonio Mestriner ◽  
Carla Enoki ◽  
José Nelson Mucha

This study evaluated the degree of buccolingual inclination of mandibular tooth crowns relative to torque. For such purpose, mandibular and maxillary stone casts from 31 Caucasian Brazilian adults with normal occlusion, pleasant facial aspect and no history of previous orthodontic treatment were examined. A custom device was developed for measuring the degree of inclination (torque) of bracket slots of orthodontic appliances relative to the occlusion plane, at three bonding height: standard (center of clinical crown), occlusal (0.5 mm occlusally from standard) and cervical (0.5 mm cervically from standard). Except for the mandibular incisors, which presented a small difference in torque from one another (lingual root torque for central incisors and buccal root torque for lateral incisors), the remaining average values are close to those found in the literature. Due to the convexity of the buccal surface, the 1-mm vertical shift of the brackets from occlusal to cervical affected the values corresponding to the normal torque, in approximately 2 degrees in central and lateral incisors, 3 degrees in canines and 8 degrees in premolars and molars.


2018 ◽  
pp. bcr-2018-225872
Author(s):  
Deepak Sambhara ◽  
Ji Hyae Lee ◽  
Seth M Pantanelli

A 26-year-old Caucasian man with no previous history of chemical injury presenting with an inability to open his right eye was investigated for mucous membrane pemphigoid and treated. Examination was notable for symblepharon of the right eye and impetigo-like lesions on the face and neck. A biopsy with immunohistochemical analysis was significant for linear deposits of C3 and immunoglobulin G at the level of the epithelial basement membrane, confirming the diagnosis of mucous membrane pemphigoid. Although mucous membrane pemphigoid classically presents bilaterally in women in the sixth and seventh decades of life, our patient was a young man with unilateral cicatrising conjunctivitis who may have been easily misdiagnosed without a high index of suspicion. A biopsy is required in cases of cicatrising conjunctivitis so that even atypical cases such as the one presented herein can be appropriately managed.


2009 ◽  
Vol 79 (6) ◽  
pp. 1194-1196 ◽  
Author(s):  
Minna Ehrnrooth ◽  
Heidi Kerosuo

Abstract Although nickel is the most common cause of contact allergy, nickel-containing orthodontic appliances seldom cause adverse reactions that result in discontinuation of treatment. We report on an eruption of dermatitis in the face and neck of an adult female patient after placement of a rapid maxillary expansion appliance (RME). Because the patient suspected nickel allergy, her tolerance to the appliance material was tested intraorally before treatment by cementing bands on four teeth for a week. No visible adverse reactions were seen during the test. One week after cementation of the RME appliance, the patient reported strong itching of the face and a red rash. Clinical examination showed itchy papular erythema on the face and neck. No intraoral reactions or symptoms were present. The RME appliance was removed, and symptoms disappeared in 4 to 5 days. The patient was referred for a nickel patch test, which gave a strong positive result. Adverse patient reactions of potential allergic origin should be diagnosed carefully, and their possible impact on further treatment should be evaluated accordingly.


2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Ahmed Mohamed El Hassan ◽  
Eltahir Awad Gasim Khalil ◽  
Waleed Mohamed Elamin ◽  
Lamyaa Ahmed Mohamed El Hassan ◽  
Mogtaba Elsaman Ahmed ◽  
...  

Post-kala-azar dermal leishmaniasis (PKDL) is a known complication of visceral leishmaniasis (VL) caused byL. donovani. It is rare in VL caused byL. infantumandL. chagasi. In Sudan, it occurs with a frequency of 58% among successfully treated VL patients. In the majority of cases, PKDL can be diagnosed on the basis of clinical appearance, distribution of the lesions, and past history of treated VL. The ideal diagnostic method is to demonstrate the parasite in smears, by culture or PCR. Diagnosis is particularly difficult in patients who develop PKDL in the absence of previous history of visceral leishmaniasis. We describe a case of cutaneous leishmaniasis misdiagnosed as PKDL and 3 cases of PKDL who were either misdiagnosed or mistreated as other dermatoses. This caused exacerbation of their disease leading to high parasite loads in the lesions and dissemination to internal organs in one of the patients, who was also diabetic. The latter patient hadL. majorinfection. A fourth patient with papulonodular lesions on the face and arms of 17-year duration and who was misdiagnosed as having PKDL is also described. He turned out to have cutaneous leishmaniasis due toL. major. Fortunately, he was not treated with steroids. He was cured with intravenous sodium stibogluconate.


2016 ◽  
Vol 1 (2) ◽  
pp. 142-145 ◽  
Author(s):  
Alexandru Vlasa ◽  
Lia Yero Eremie ◽  
Luminița Lazăr ◽  
Anamaria Bud ◽  
Mariana Păcurar ◽  
...  

Abstract Orthodontically induced external apical root resorption (OIEARR) is a major concern regarding periodontal status after nonsurgical orthodontic treatment. The aim of this study was to assess this sequel by a systematic review of published data. For assessment, we performed an electronic search of one database for comprehensive data, using keywords in different combinations: “root resorption”, “periodontics” and “nonsurgical orthodontic treatment”. We supplemented the results searching by hand in published journals and we cross-referenced with the accessed articles. Patients included in the results presented a good general health status, with no previous history of OIEARR and no other associated pathologies. Finally, twenty-three studies were selected and included in this review. A high prevalence (69–98%) and moderate severity of OIEARR (<5 mm and <1/3 from original root length) were reported. No difference in root resorption was found regarding the sex of the patients. A moderate positive correlation between treatment duration and root resorption was found. Also, a mild correlation regarding antero-posterior apical displacement and root resorption was found.


2014 ◽  
Vol 15 (6) ◽  
pp. 735-739
Author(s):  
Adilson Luiz Ramos ◽  
Ossam Abu El Haje ◽  
Daniela Daufenback Pompeo ◽  
Gisela Crippa Furtado ◽  
Luciana Monti Lima Rivera

ABSTRACT Background Given the benefits of radiographic cephalometric studies in determining patterns of dental-skeletal-facial normality in orthodontics, the aim of this study was to investigate the association between mandibular dental arch shape and cross-sectional and vertical facial measurements. Materials and methods It was analyzed plaster casts and teleradiographs in frontal and lateral norm belonging to 50 individuals, aged between 15 and 19 years, with no previous history of orthodontic treatment and falling into four of the six Andrews's occlusion keys. The plaster models were scanned (3D) and the images of the dental arches were classified subjectively as oval, triangular and quadrangular by three calibrated examiners, with moderate inter-examiner agreement (Kappa = 0.50). After evaluation of the method error by paired t test (p > 0.05), it was carried out the analysis of cross-sectional and vertical facial measurements to be compared to the shape of the dental arch. Data were subjected to one-way analysis of variance with a significance level of 5%. Results When the VERT index was compared with the three arch shapes, no measurement showed statistically significant differences (p > 0.05): triangular (0.54); oval (0.43); and quadrangular (0.73); as well as there were no differences (p > 0.05) in the widths of the face (141.20; 141.26; 143.27); maxilla (77.27; 77.57; 78.59) and mandible (105.13; 103.96; 104.28). Conclusion It can be concluded that there was no correlation between different shapes of the mandibular dental arch and the cross-sectional and vertical facial measurements investigated. How to cite this article El Haje OA, Pompeo DD, Furtado GC, Rivera LML, Paranhos LR. Is It Possible to use Cross-sectional and Vertical Facial Measurements to establish the Shape of the Mandibular Arch? J Contemp Dent Pract 2014;15(6):735-739.


2013 ◽  
Vol 18 (1) ◽  
pp. 103-109 ◽  
Author(s):  
Anderson Barbosa de Almeida ◽  
Isabel Cristina Gonçalves Leite

OBJECTIVE: To determine the normative orthodontic treatment need among 12-year-old Brazilian schoolchildren, in the municipality of Juiz de Fora, Minas Gerais, Brazil, and compare with the need as perceived by the children themselves and their parents or caregivers, assessing putative associated sociodemographic factors. METHODS: Four hundred and fifty one children without a previous history of orthodontic treatment were randomly selected from a population of 7,993 schoolchildren regularly attending the public and private educational sectors of the municipality of Juiz de Fora, Minas Gerais, Brazil. RESULTS: The prevalence of normative orthodontic treatment need in 12-year-old children, assessed with the Dental Aesthetic Index (DAI) was 65.6% (n = 155). The need perceived by the caregivers was 85.6%, and by the children was 83.8%. Only the perception by the caregivers maintained a significant correlation with the normative need of treatment when adjusted to the parents' schooling and economical level (p = 0.023). CONCLUSIONS: There is a high prevalence (65.6%) of malocclusion requiring orthodontic treatment in 12-year-old Brazilian schoolchildren. The most prevalent malocclusions in the study were: Crowding, Class II molar relationship and increased overjet. There was no significant correlation between the Index of Orthodontic Treatment Need - Aesthetic Component (IOTN-AC) related to dental aesthetic perception and the normative treatment need assessed with the DAI.


2020 ◽  
Vol 25 (1) ◽  
Author(s):  
Joseph Ayotunde Aderonmu

Abstract Background Physiotherapy plays a significant role in rehabilitation. However, the emergence of the coronavirus disease 2019 (COVID-19) has posed a big challenge to its practice, especially regarding the level of contact with patients. There is a dire need for the exploration of rehabilitation options, other than in-person contacts, to limit the spread of the virus. This article explores telerehabilitation, its outcomes, and the challenges involved in the continuum of care of patients by physiotherapists in the face of the pandemic. Body Telerehabilitation is a vital tool which utilizes technology to link practitioners to patients. With its previous history of favorable outcomes for the rehabilitation of certain conditions, telerehabilitation has been widely recommended. However, issues exist on how well it can bridge the gap of physical touch in physiotherapy, its effectiveness in terms of outcomes and satisfaction across various conditions and large population sizes, and finally, its cost and effects, especially in developing countries. Conclusion Telerehabilitation is a necessary adaptation to ensure continued physiotherapy service delivery during the pandemic. However, more quality studies are recommended to evaluate its effectiveness and outcomes. Also, measures to ensure that developing countries are catered for in meeting the rising demands for physiotherapy services using telerehabilitation should be carried out.


2011 ◽  
Vol 86 (4 suppl 1) ◽  
pp. 66-68
Author(s):  
Camila Camozzato ◽  
Franciani de Oliveira Basso ◽  
Rodrigo Pereira Duquia ◽  
Ana Letícia Boff ◽  
Hiram Larangeira de Almeida Jr

Facial miliary osteoma is characterized by the presence of multiple normochromic papules, affecting mainly middle-aged women, with a previous history of acne. A 39-year-old HIV positive female patient presented hardened papules which had appeared 3 years before, located on the malar region, glabella and mentum. Optical microscopy showed spherical bone formations in the dermis. Computerized tomography of the face revealed small calcifications on the surface consistent with bone formation. Multiple facial osteomas are rare as well as its association with HIV virus infection


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