Two case reports of mediastinal emphysema caused by dental treatment

Background Anxiety related to dental treatment is a common phenomenon that has a significant impact on the provision of appropriate dental care. The aim of this case series was to examine the effect of acupuncture given prior to dental treatment on the level of anxiety. Methods Eight dentists submitted 21 case reports regarding the treatment of dental anxiety. The level of anxiety was assessed by the Beck Anxiety Inventory (BAI). Only patients with moderate to severe anxiety (BAI score ≥16) were included. The remaining 20 patients, 16 women and 4 men, with a mean age of 40.3 years, had a median BAI score of 26.5 at baseline. The BAI score was assessed before and after the acupuncture treatment. All patients received acupuncture treatment for 5 min prior to the planned dental treatment using the points GV20 and EX6. Results There was a significant reduction in median value of BAI scores after treatment with acupuncture (26.5 reduced to 11.5; p<0.01), and it was possible to carry out the planned dental treatment in all 20 cases after acupuncture treatment. Previously this had only been possible in six cases. Conclusion Acupuncture prior to dental treatment has a beneficial effect on the level of anxiety in patients with dental anxiety and may offer a simple and inexpensive method of treatment. However, the present results need to be tested in a larger randomised clinical trial in order to evaluate the effectiveness of the acupuncture treatment in patients with dental anxiety.

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Tooth transposition: two case-reports and literature review

Revista da Faculdade de Odontologia de Porto Alegre ◽

10.22456/2177-0018.87882 ◽

2018 ◽

Vol 59 (2) ◽

pp. 11-23

Author(s):

Camila Alves Ferri ◽

Laura Campos Hildebrand

Keyword(s):

Quality Of Life ◽

Literature Review ◽

Developmental Disorder ◽

Dental Treatment ◽

Case Reports ◽

Lateral Incisor ◽

Central Incisor ◽

Second Molar ◽

Mandibular Molars

Tooth transposition is a rare developmental disorder in which a normal tooth erupts in an inappropriate position. The change in position occurs between two adjacent teeth within the same quadrant. In this article, two cases of tooth transposition involving mandibular molars are described. Patient 1 presented with bilateral transposition between first and second mandibular molars. In addition, giroversion of the first molars was observed. Patient 2 presented with unilateral transposition between the mandibular left molars. Because this tooth disorder does not affect quality of life, both patients declined to seek dental treatment. Out of the 120 cases of tooth transposition found in the literature, 92,5% occurred in the maxilla and 15% were bilateral, 65,8% percent of these cases involved the canine and first premolar; 26.6% involved the canine and lateral incisor; 2,5% involved the canine and central incisor; and only 0.85% involved the first and second molar. The majority of tooth transposition cases occurred in women (66,6%). In literature, tooth transposition is a poorly-documented condition. Consequently, this report seeks to contribute to the existing information in the literature on this disorder.

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Diagnosis and Treatment of Atypical Odontalgia: A Review of the Literature and Two Case Reports

The Journal of Contemporary Dental Practice ◽

10.5005/jcdp-8-3-81 ◽

2007 ◽

Vol 8 (3) ◽

pp. 81-89 ◽

Cited By ~ 14

Author(s):

Marcello Melis ◽

Simona Secci

Keyword(s):

Differential Diagnosis ◽

Tricyclic Antidepressants ◽

Myofascial Pain ◽

Dental Treatment ◽

Case Reports ◽

Correct Diagnosis ◽

Diagnosis And Treatment ◽

Review Of The Literature ◽

Atypical Odontalgia ◽

The Subject

Abstract Aim This report presents two cases diagnosed with atypical odontalgia (AO) and successfully treated with amitriptyline as well providing a review of the current literature on the subject. Results The literature indicates the most important issue is an accurate differential diagnosis to distinguish between AO, pulpal pain, myofascial pain, and trigeminal neuralgia. Conclusion Once the correct diagnosis is made the prognosis of AO is usually fair and the administration of tricyclic antidepressants often resolves symptoms. An effort should be made to avoid any unnecessary dental treatment that would only aggravate the problem. Citation Melis M, Secci S. Diagnosis and Treatment of Atypical Odontalgia: A Review of the Literature and Two Case Reports. J Contemp Dent Pract 2007 March;(8)3:081-089.

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Changes of Dentition State in Leukemic Patients during Chemotherapy

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18158193 ◽

2021 ◽

Vol 18 (15) ◽

pp. 8193

Author(s):

Maja Ptasiewicz ◽

Paweł Maksymiuk ◽

Renata Chałas

Keyword(s):

Dental Treatment ◽

Case Reports ◽

Lymphoblastic Leukemia ◽

Hematological Parameters ◽

Blood Parameters ◽

Lymphocytic Leukemia ◽

Myelogenous Leukemia ◽

University Hospital ◽

Treatment Needs ◽

Systemic Complications

A number of systemic diseases including hematological disorders have manifestations in the oral cavity region. These manifestations may often represent early signs of the underlying hematopoietic disease and occur frequently in leukemia. Despite the fact that leukemia has long been known to be associated with oral health deterioration, the available literature on this topic consists mostly of case reports, without data to conclude these. The aim of the study was to assess dentition state in leukemic patients during one cycle of chemotherapy and its correlation with blood parameters. The study included 102 adults treated because of leukemia at the Clinic of Haemato-Oncology and Bone Marrow Transplantation at the university hospital in Lublin, Poland. The sample group consisted of 51 women and 51 men aged 22 to 72 (54.07 ± 10.33) with following diagnoses: Acute myelogenous leukemia (AML)—55 patients (53.92%), Chronic lymphocytic leukemia (CLL)—17 patients (16.67%), Acute lymphoblastic leukemia (ALL)—16 patients (15.69%), Chronic myelogenous leukemia (CML)—10 patients (9.80%), Acute promyelocytic leukemia (APL) —3 patients (2.94%), Chronic hairy cell leukemia (HCL)—1 patient (0.98%). DMFT index was used to assess dentition state. After the cycle of chemotherapy, their dentition state changed in terms of decayed, missing and filled teeth and correlated with hematological parameters. Adult patients with leukemia have high dental treatment needs, and high number of missing teeth; thus, a comprehensive and fast dental treatment is necessary to avoid systemic complications and ensure better quality of life.

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Five-to-five clear aligner therapy: predictable orthodontic movement for general dentist to achieve minimally invasive dentistry

BMC Oral Health ◽

10.1186/s12903-021-02034-9 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Tommaso Weinstein ◽

Giuseppe Marano ◽

Raman Aulakh

Keyword(s):

Minimally Invasive ◽

Dental Treatment ◽

Case Reports ◽

Treatment Plan ◽

Multidisciplinary Treatment ◽

Clinical Results ◽

Invasive Treatment ◽

Minimally Invasive Dentistry ◽

Ethics Assessment ◽

Clear Aligner

Abstract Background Esthetic dentistry has become a very important aspect of every dental treatment from the patient perspective, whether it is orthodontics or implant therapy. The aim of this article is to describe the advantages of a newly developed branch of five-to-five clear aligner therapy (CAT) (Invisalign Go, Align Technology, San Jose, Calif) in interdisciplinary treatments especially in terms of minimally invasive interventions. Case presentation Two case reports are presented together with a comprehensive analysis using the SAFE (Safety, Assessment, Function, Ethics) assessment. This paper aims to introduce a new systematic in CAT. Invisalign Go (Align Technology, Santa Clara, California, USA) allows orthodontic treatment from second premolar and second premolar in both arches. It is specially designed for general practitioners devoted to restorative dentistry for a better planning of a multidisciplinary and mini-invasive treatment plan. Discussion and conclusion The clinical results demonstrate how CAT is extremely useful in multidisciplinary treatment plan in order to straighten teeth especially in a pre-restorative phase to allow minimally invasive and adhesive restorations.

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Subcutaneous And Mediastinal Emphysema During Dental Treatment Under General Anesthesia

The Internet Journal of Anesthesiology ◽

10.5580/2409 ◽

2000 ◽

Vol 4 (1) ◽

Keyword(s):

General Anesthesia ◽

Dental Treatment ◽

Mediastinal Emphysema

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A Review of Prolonged Post-COVID-19 Symptoms and Their Implications on Dental Management

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18105131 ◽

2021 ◽

Vol 18 (10) ◽

pp. 5131

Author(s):

Trishnika Chakraborty ◽

Rizwana Fathima Jamal ◽

Gopi Battineni ◽

Kavalipurapu Venkata Teja ◽

Carlos Miguel Marto ◽

...

Keyword(s):

Dental Treatment ◽

Case Reports ◽

Grey Literature ◽

Narrative Review ◽

Cochrane Library ◽

Cross Sectional ◽

Dental Management ◽

Adequate Care ◽

Starting Point ◽

Short And Long Term

The available data regarding the short and long-term consequences of COVID-19 is still insufficient. This narrative review aims to provide information on the prolonged COVID-19 symptoms in recovered patients and their implications during dental management. Additionally, this manuscript highlights the oral manifestations of COVID-19 and its management. A systematic search was conducted in PubMed, Embase, Cochrane Library and Web of Science databases, WHO and CDC websites, and grey literature was searched through Google Scholar. Clinical articles (clinical trials, case-reports, cohort, and cross-sectional studies) were included, reporting prolonged post-COVID-19 symptoms. Although COVID-19 is an infectious disease primarily affecting the lungs, its multi-organ involvement is responsible for several prolonged symptoms, including oral implications. In recovered patients with prolonged COVID-19 symptoms, considerations for providing dental treatment has to be made as they can present with assortment of symptoms. These prolonged post-COVID-19 symptoms can affect the delivery of the required dental treatment. Hence, the recommendations proposed in this narrative review can be a useful starting point to aid dental teams providing adequate care for such recovered patients.

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The use of bisphosphonates does not contraindicate orthodontic and other types of treatment!

Dental Press Journal of Orthodontics ◽

10.1590/2176-9451.19.4.018-026.oin ◽

2014 ◽

Vol 19 (4) ◽

pp. 18-26

Author(s):

Alberto Consolaro

Keyword(s):

Personal Experience ◽

Dental Treatment ◽

Case Reports ◽

Scientific Evidence ◽

Mechanisms Of Action ◽

Bone Diseases ◽

Accurate Assessment ◽

Clinical Knowledge ◽

Bone Biology ◽

Professional Opinion

Bisphosphonates have been increasingly used not only to treat bone diseases as well as conditions such as osteopenia and osteoporosis, but also in oncotherapy. The use of bisphosphonates induces clinicians to fear and care. These reactions are associated with controversy resulting from lack of in-depth knowledge on the mechanisms of action as well as lack of a more accurate assessment of side effects. Scientific and clinical knowledge disclosure greatly contributes to professionals' discernment and inner balance, especially orthodontists. Fear does not lead to awareness. For these reasons, we present an article that focuses on that matter. This article was adapted from different journals of different dental specialties, as mentioned on footnote. There is no scientific evidence demonstrating that bisphosphonates are directly involved with etiopathogenic mechanisms of osteonecrosis and jaw osteomyelitis. Their use is contraindicated and limited in cases of dental treatment involving bone tissue. Nevertheless, such fact is based on professional opinion, case reports, and personal experience or experiment trials with failing methods. Additional studies will always be necessary; however, in-depth knowledge on bone biology is of paramount importance to offer an opinion about the clinical use of bisphosphonates and their further implications. Based on bone biopathology, this article aims at contributing to lay the groundwork for this matter.

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