scholarly journals Sinus lift, antral pseudocyst removal and horizontal bone augmentation using a bony lid - Case report

Author(s):  
Pedro Moura

Purposes: Complex cases often require various treatment modalities that increase patients morbidity, treatment time and costs. In the present case we combined several techniques in order to perform a sinus lift, remove an antral pseudocyst and augment the site horizontally. Case report : A 69 year old female patient presented herself at our office looking for an oral rehabilitation solution. A need for sinus grafting as well a horizontal augmentation was noticed. An antral pseudocyst occupied a large portion of the right sinus. We removed a bony lid to access the sinus, aspirated the antral pseudocyst´s content and removed it through the Schneiderian membrane. After suturing it, the membrane was elevated, the sinus lift performed and the access window closed with a collagen membrane. The bony lid was used to augment the adjacent area. Implants were placed 4 months later. Conclusions : With the present method of treatment we were able to successfully perform a sinus lift, antral pseudocyst removal and bone augmentation, with a low morbidity, combined approach.

2010 ◽  
Vol 11 (1) ◽  
pp. 73-80 ◽  
Author(s):  
Ilser Turkyilmaz

Abstract Aim The aim of the documentation of this clinical case is to make clinicians aware of “meth mouth” and the medical risks associated with this serious condition. Background Methamphetamine is a very addictive, powerful stimulant that increases wakefulness and physical activity and can produce other effects such as cardiac dysrhythmias, hypertension, hallucinations, and violent behavior. Dental patients abusing methamphetamine can present with poor oral hygiene, xerostomia, rampant caries (“meth mouth”), and excessive tooth wear. Oral rehabilitation of patients using methamphetamine can be challenging. Case Description A 30-year-old Caucasian woman presented with dental pain, bad breath, and self-reported poor esthetics. A comprehensive examination including her medical history, panoramic radiograph, and intraoral examination revealed 19 carious lesions, which is not very common for a healthy adult. She reported her use of methamphetamine for five years and had not experienced any major carious episodes before she started using the drug. Summary The patient's medical and dental histories along with radiographic and clinical findings lead to a diagnosis of “meth mouth.” Although three different dental treatment modalities (either conventional or implantsupported) have been offered to the patient since August 2007, the patient has yet to initiate any treatment. Clinical Significance This clinical case showing oral manifestations of meth mouth was presented to help dental practitioners recognize and manage patients who may be abusing methamphetamines. Dental practitioners also may be skeptical about the reliability of appointment keeping by these patients, as they frequently miss their appointments without reasonable justification. Citation Turkyilmaz I. Oral Manifestations of “Meth Mouth”: A Case Report. J Contemp Dent Pract [Internet]. 2010 Jan; 11(1):073-080. Available from: http://www.thejcdp.com/journal/ view/volume11-issue1-turkyilmaz.


2009 ◽  
Vol 10 (3) ◽  
pp. 67-73 ◽  
Author(s):  
Valentim Adelino Ricardo Baräo ◽  
Wirley Gonçalves Assunção ◽  
Claudia Misue Kanno ◽  
Célia Tomiko Matida Hamata Saito ◽  
Juliana Aparecida Delben

Abstract Aim The aim of this report is to describe the restorative treatment of an 18-year-old patient diagnosed with autossomal recessive hypocalcified-hypoplastic amelogenesis imperfect (AI). Background Esthetic and functional rehabilitations in AI cases are challenging and should consider individual aspects, such as age, socioeconomic status, AI type, and intraoral condition. Report AI was diagnosed in an 18-year-old patient. Summary Considering the short length of crowns and roots, patient life expectancy, minimal invasiveness, amount of treatment time required, and lower costs, oral rehabilitation with overdentures provided an adequate functional and esthetic rehabilitation of the patient. Clinical Significance This report demonstrated overdentures to be a viable, relatively inexpensive, and noninvasive treatment choice of a patient with AI with concerns about treatment longevity, invasiveness, cost, esthetics, and long-term maintenance. Citation Assunção WG, Barão VAR, Kanno CM, Saito CTMH, Delben JA. Overdenture as a Restorative Option for Hypocalcified-hypoplastic Amelogenesis imperfecta: A Case Report. J Contemp Dent Pract 2009 May; (10)3:067-073.


2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Ferdinando Attanasio ◽  
Andrea Pacifici ◽  
Amerigo Giudice ◽  
Antonella Polimeni ◽  
Luciano Pacifici

Alveolar ridge deficiency is considered a major limitation for successful implant placement. Various approaches have been developed to horizontal augmentation of bone volume. This case report presents the medium-term results of one-stage guided bone augmentation using an anorganic bovine bone (70%) and autologous bone (30%), placed in layers, in association with resorbable collagen membrane for a subsequent implant placement. The patient presented with a localized horizontal ridge defect in the posterior zone of the jaw. The clinical and radiographic presentations, as well as relevant literature, are presented.


2020 ◽  
pp. 1-6
Author(s):  
Piotr Komuński ◽  
Emilia Nowosławska ◽  
Krzysztof Zakrzewski ◽  
Bartosz Polis ◽  
Wojciech Świątnicki

<b><i>Introduction:</i></b> We present a very rare case of ruptured superior hypophyseal artery (SHA) aneurysm that presented as an acute subdural hematoma (SDH) discussing its initial presentation, diagnosis, and treatment modalities. To our knowledge it is one of very few if any cases of a ruptured aneurysm in infants regarding that specific vascular location. <b><i>Case Report:</i></b> A 5-month-old boy was referred to our department due to acute SDH over the right cerebral hemisphere without significant mass effect nor hydrocephalus. Further evaluation revealed a right internal carotid artery (ICA) aneurysm arising from the SHA segment. Microsurgical clip ligation using a fenestrated, angled clip was performed with simultaneous subdural clot removal and proximal control of the ICA dissected in the neck. Our patient made an excellent recovery without any complicating features. <b><i>Conclusion:</i></b> Surgical management seems to be a better option in this subgroup of patients given the long life expectancy and durability of microsurgical clip ligation. We believe that our brief case report would add some insight into the management of this rare subgroup of patients, leading to better decision-making and outcome.


2018 ◽  
Vol 25 (3) ◽  
pp. 313-319
Author(s):  
Andrei Mihai Gavrilovici ◽  
Anca Jivănescu ◽  
Meda Lavinia Negruțiu

Abstract Introduction. Chronic periodontal diseases and dental caries are the primary reasons for tooth loss in adults, which is further increased in people with diabetes. In most cases of bone loss, the treatment of partial edentulous patients with implant supported restorations impose additional surgical procedures, like sinus lift elevation and bone augmentation, which can complicate the healing process. Case report. This case report presents a type 2 diabetes female patient with several oral health problems, like periodontal disease, poor decay control, bad oral hygiene, a severe maxillary atrophy and the presence of a large maxillary periapical cyst. After a careful examination, based on clinical and radiographic findings, a comprehensive treatment plan was established. The sequential treatment plan consists in extraction, surgical removal of periapical cyst, bilateral external sinus lift procedures and bone augmentation. The surgical protocol was adapted to the particular health conditions of this type 2 diabetes patient. Conclusion. Sinus elevation and bone augmentation are predictable procedures often required when restoring the posterior maxilla with dental implants. In case of diabetes patients with bone resorption and defects due to periapical cyst, if the correct protocol is followed, no post-surgical complications and good result in bone augmentation can be attaint.


Dental Update ◽  
2020 ◽  
Vol 47 (1) ◽  
pp. 75-77 ◽  
Author(s):  
Manouchehri Shaadi ◽  
Amini Ali

Abstract: A Glandular Odontogenic Cyst (GOC) is a rare developmental cyst of odontogenic origin. Occurrence rate is low, with less than 150 cases reported in the literature thus far. 1 GOCs can be misdiagnosed due to clinicopathological similarities to other odontogenic cysts, including those of a benign and malignant nature. A wide range of ages can be affected, with a mean age of 45.7. 2 The most commonly affected site appears to be the anterior mandible. An unusual presentation of a GOC affecting the right posterior mandible of a 42-year-old male is reported. CPD/Clinical Relevance: This article highlights the importance of appropriate special investigations for a glandular odontogenic keratocyst and treatment modalities.


2016 ◽  
Vol 2016 ◽  
pp. 1-10
Author(s):  
Giorgio Lombardo ◽  
Jacopo Pighi ◽  
Giovanni Corrocher ◽  
Anna Mascellaro ◽  
Jeffrey Lehrberg ◽  
...  

The replacement of single anterior teeth by means of endosseous implants implies the achievement of success in restoring both aesthetic and function. However, the presence of wide endoperiodontal lesions can lead to horizontal hard and soft tissues defects after tooth extraction, making it impossible to correctly place an implant in the compromised alveolar socket. Vertical augmentation procedures have been proposed to solve these clinical situations, but the amount of new regenerated bone is still not predictable. Furthermore, bone augmentation can be complicated by the presence of adjacent teeth, especially if they bring with them periodontal defects. Therefore, it is used to restore periodontal health of adjacent teeth before making any augmentation procedures and to wait a certain healing period before placing an implant in vertically augmented sites, otherwise risking to obtain a nonsatisfactory aesthetic result. All of these procedures, however, lead to an expansion of treatment time which should affect patient compliance. For this reason, this case report suggests a surgical technique to perform vertical bone augmentation at a single gap left by a central upper incisor while placing an implant and simultaneously to regenerate the periodontal attachment of an adjacent lateral incisor, without compromising the aesthetic result.


2010 ◽  
Vol 4 (3) ◽  
pp. 83-87
Author(s):  
Hakan Alpay Karasu ◽  
Aysegul M. Tuzuner Oncul ◽  
Lokman Onur Uyanik

ABSTRACT Hemangiomas are frequently seen benign tumors which based on vascular tissues. These lesions are mainly identified in to two groups which are named as capillary and cavernous hemangiomas due to vascularization of the lesions. Capillary hemangiomas consist of small capillary vessels which show lobules formation. Cavernous hemangiomas consist of large dilated vessels and they can reach to large sizes. Several treatment modalities including sclerotherapy, embolisation, laser surgery and cryosurgery have been described for hemangiomas. In this significant case, the cryosurgery treatment of a 16 years old male patient who was suffering from the huge hemangioma in the right side of his tongue is presented.


Author(s):  
Shreeya Pabi ◽  
Yanpothung Yanthan ◽  
Sweety Gupta ◽  
Biswajyoti Das ◽  
Ajas Ibrahim ◽  
...  

<p>We are reporting an uncommon case of second primary chondrosarcoma of the maxilla in a 52-year-old male patient. Patient had first been diagnosed in 2004 with chondrosarcoma of the right maxilla. He had undergone right partial maxillectomy for the same. Since 2016 he had started noticing a swelling over the left side of the maxilla. Repeated biopsies from the growth showed no evidence of any malignancy. Hence, he was kept on routine follow up. However, in 2018, during follow up the growth had increased in size - hard swelling present in remnant post partial maxillectomy cavity, non-tender -and a punch biopsy was taken, revealing a well differentiated chondrosarcoma. A diagnosis of second primary chondrosarcoma of the maxilla was made based on Warren and Gates criteria. A brief discussion on the radiologic and histologic presentation of the tumor and the treatment modalities of this unusual tumor is discussed.</p>


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