scholarly journals Interdisciplinary management of a severely compromised periodontal patient - Case report

2019 ◽  
Vol 1 (2) ◽  
pp. 77-86
Author(s):  
João Coimbra
Keyword(s):  
Case Report ◽  
Treatment Options ◽  
Treatment Strategies ◽  
Interdisciplinary Approach ◽  
Periodontal Treatment ◽  
Enamel Matrix Derivative ◽  
Interdisciplinary Management ◽  
Patient Case ◽  
Supportive Periodontal Therapy ◽  
The Moment

Purposes: The aim of this case report is to suggest and discuss an up-to-date interdisciplinary approach to a complex periodontal case, adjusting different treatment strategies intra-individually based on the biological, functional and aesthetic dimensions of each patient. Case report: The case refers to a 42-year-old healthy male patient with IIIB generalized periodontitis. After cause-related therapy, the patient was submitted to periodontal resective surgery with fibre retention technique in the maxilla and surgical regenerative procedures in the posterior regions of the mandible with enamel matrix derivative and bovine xenograft. After Supportive Periodontal Therapy (SPT) institution the patient went through an aesthetic rehabilitation phase to minimize the disease sequelae. Conclusion: Modern evidence-based periodontal treatment options must be site-specific oriented in order to achieve the best clinical outcomes. A contemporary vision of periodontal treatment must go beyond the moment of establishment of an individualized SPT programme and these restorative solutions are very powerful tools to give back confidence and increase the self-esteem of our patients.

scholarly journals Interdisciplinary management of a severely compromised periodontal patient - Case report

2019 ◽  
Vol 1 (2) ◽  
Author(s):  
João Coimbra
Keyword(s):  
Case Report ◽  
Treatment Options ◽  
Treatment Strategies ◽  
Interdisciplinary Approach ◽  
Periodontal Treatment ◽  
Enamel Matrix Derivative ◽  
Interdisciplinary Management ◽  
Patient Case ◽  
Supportive Periodontal Therapy ◽  
The Moment

Purposes: The aim of this case report is to suggest and discuss an up-to-date interdisciplinary approach to a complex periodontal case, adjusting different treatment strategies intra-individually based on the biological, functional and aesthetic dimensions of each patient. Case report: The case refers to a 42-year-old healthy male patient with IIIB generalized periodontitis. After cause-related therapy, the patient was submitted to periodontal resective surgery with fibre retention technique in the maxilla and surgical regenerative procedures in the posterior regions of the mandible with enamel matrix derivative and bovine xenograft. After Supportive Periodontal Therapy (SPT) institution the patient went through an aesthetic rehabilitation phase to minimize the disease sequelae. Conclusion: Modern evidence-based periodontal treatment options must be site-specific oriented in order to achieve the best clinical outcomes. A contemporary vision of periodontal treatment must go beyond the moment of establishment of an individualized SPT programme and these restorative solutions are very powerful tools to give back confidence and increase the self-esteem of our patients.

An Interdisciplinary Approach for Management of Trauma-induced External Root Resorption: A Case Report with a Two-Year Follow-up

2020 ◽  
Vol 11 (2) ◽  
pp. 245-250
Author(s):  
M. S. Prathap ◽  
Sruthy Prathap
Keyword(s):  
Case Report ◽  
Root Resorption ◽  
Interdisciplinary Approach ◽  
Periodontal Treatment ◽  
Periodontal Pocket ◽  
Radiographic Examination ◽  
Interdisciplinary Management ◽  
Complete Suppression ◽  
External Root Resorption ◽  
History Of

Root resorption is largely pathologic and known to be initiated by several factors, including pulpal necrosis, trauma, periodontal treatment, orthodontic treatment, and bleaching agents. Incorrect diagnosis can lead to improper management and tooth loss. The treatment should involve the complete suppression of all the resorptive factors and the reconstruction of the defect using a suitable restorative material. The resorptive defect is often detected by the routine radiographic examination. A characteristic radiopaque line generally separates the image of the lesion from that of the root canal because the pulp remains protected by a thin layer of predentin until late in the process. Histopathologically, the lesions contain fibrovascular tissue with resorbing clastic cells adjacent to the dentin surface. Advanced lesions may also display fibro-osseous characteristics with deposition of ectopic bone-like calcifications. This case report presents extensive root resorption in the maxillary left lateral incisor and left canine in a 35-year-old patient. The defect was identified during the routine radiographic examination. The patient revealed a history of trauma 15 years back. Following the examination, the teeth were found to be vital and associated with the moderately deep periodontal pocket in the interdental region. The teeth were managed endodontically, and the resorption defect was restored with a biocompatible material after surgically elevating a flap. Periodontal management was also performed simultaneously by the surgical debridement of the area. Six-month postoperative radiograph revealed an arrest of the resorption and healing of the periodontal defect. Hence, an interdisciplinary management involving endodontic as well as periodontal treatment was performed that helped in saving the teeth with poor prognosis.

Interdisciplinary Approach to Treat Unusual Development of Dens Evaginatus: A Case Report

2020 ◽  
Vol 44 (2) ◽  
pp. 112-115
Author(s):  
Ok Hyung Nam ◽  
Ho Yeon Kang ◽  
Hyeonjong Lee ◽  
Sung Chul Choi ◽  
Seung-Il Shin ◽  
...  
Keyword(s):  
Case Report ◽  
Interdisciplinary Approach ◽  
Collagen Matrix ◽  
Enamel Matrix Derivative ◽  
Interdisciplinary Management ◽  
Mandibular Incisor ◽  
Present Case Report ◽  
Computed Tomographic ◽  
Pulp Exposure ◽  
Labial Surface

The present case report describes a rare case of dens evaginatus on the labial surface of mandibular incisor and interdisciplinary management including endodontic and periodontal treatment. A 10-year-old girl presented unusual whitish tubercle-like structure penetrated through the buccal gingiva of mandibular later incisor. In cone-beam computed tomographic view, pulpal tissue was extended from the principal root to the tubercle. Following full thickness flap reflection, the tubercle was carefully removed, resulting in dentin and pin-point pulp exposure. In order to prevent pulp necrosis and facilitate periodontal attachment to this area, Biodentine and enamel matrix derivative were applied. Gingival defect was compensated using a collagen matrix. Up to 2 years, harmonious gingiva state and no loss of tooth vitality were observed. In summary, dens evaginatus on mandibular later incisor could be successfully treated by means of interdisciplinary approach.

Perifolliculitis Capitis Abscedens et Suffodiens in an 18-Year-Old Aboriginal Canadian Patient: Case Report and Review of the Literature

2007 ◽  
Vol 11 (1) ◽  
pp. 35-39 ◽  
Author(s):  
Nishi Varshney ◽  
Anwar Al Hammadi ◽  
Hakeem Sam ◽  
A. Kevin Watters
Keyword(s):  
Differential Diagnosis ◽  
African American ◽  
Case Report ◽  
Clinical Presentation ◽  
Treatment Options ◽  
Careful Analysis ◽  
Review Of The Literature ◽  
Patient Case ◽  
Diagnosis And Management ◽  
Canadian Patient

Background: Perifolliculitis capitis abscedens et suffodiens (PCAS) is a suppurative process that involves the scalp, eventually resulting in extensive scarring and irreversible alopecia. This condition often presents in males of African American origin. Objective: This article describes the clinical presentation, diagnosis, and treatment of an Aboriginal Canadian male suffering from PCAS. A literature review on the etiology, pathology, differential diagnosis, and management is also discussed. Conclusion: Careful analysis of the pathology and clinical presentation can aid in the timely diagnosis and management of this challenging condition. The clinician dealing with patients suffering from PCAS has several treatment options available to help successfully manage patients with straightforward or recalcitrant disease.

scholarly journals Interdisciplinary management of multidrug-resistant tuberculosis in an HIV-infected patient: case report

2017 ◽  
Vol 3 ◽  
pp. 199-204
Author(s):  
Bogusz J. Aksak-Wąs ◽  
Magdalena Leszczyszyn-Pynka ◽  
Miłosz Parczewski ◽  
Adam Krzyształowski
Keyword(s):  
Case Report ◽  
Infected Patient ◽  
Multidrug Resistant ◽  
Interdisciplinary Management ◽  
Patient Case ◽  
Resistant Tuberculosis ◽  
Multidrug Resistant Tuberculosis

scholarly journals Massive levothyroxine ingestion in a pediatric patient: case report and discussion

CJEM ◽  
2011 ◽  
Vol 13 (03) ◽  
pp. 165-168 ◽  
Author(s):  
Josephine Ho ◽  
Renee Jackson ◽  
David Johnson
Keyword(s):  
Blood Pressure ◽  
Emergency Department ◽  
Heart Rate ◽  
Case Report ◽  
Hair Loss ◽  
Treatment Options ◽  
Thyroid Stimulating Hormone ◽  
Patient Case ◽  
Free Triiodothyronine ◽  
Benign Course

ABSTRACTWe describe the course of a toddler who ingested a massive amount of levothyroxine and review treatment options for such overdoses. A 2½-year-old boy presented shortly after an ingestion of up to 7.6 mg of levothyroxine (potentially as much as 700 µg/kg). He was initially asymptomatic, treated with oral charcoal 1 g/kg, and discharged home from the emergency department after a few hours. He returned approximately 24 hours later with a temperature of 38.5°C, heart rate of 163 beats per minute, respiratory rate of 30 breaths per minute, and blood pressure of 136/70 mm Hg. He had a slightly decreased appetite and no signs or symptoms of infection. He was admitted to hospital and treated with oral acetaminophen. The initial free thyroxine (T4) was > 100 pmol/L and free triiodothyronine (T3) was 35.3 pmol/L. The patient had desquamation of the palms and soles, hair loss, and irritability during the month following the ingestion. Resolution of the elevated free T4occurred by 12 days post-ingestion and normalization of the thyroid-stimulating hormone by 7 weeks post-ingestion. There were no longterm sequelae. Levothyroxine overdose can result in significant complications, including seizures and arrhythmias, both of which should be monitored for. However, as our case illustrates, massive ingestion of levothyroxine in children typically follows a benign course.

scholarly journals Case Report: Multilocular Type of Mandibular Simple Bone Cyst. Part 1: Cone Beam Computed Tomography (CBCT) Findings, Revision of the Synonyms and Treatment Strategies

2018 ◽  
Vol 2 (4) ◽  
pp. 179-185
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Cone Beam Computed Tomography ◽  
Treatment Options ◽  
Bone Cyst ◽  
Treatment Strategies ◽  
Cone Beam ◽  
Epithelial Lining ◽  
Simple Bone Cyst ◽  
Wide Range

Simple bone cyst (SBC) is an intraosseous pseudocyst without epithelial lining. The purpose of our report is to demonstrate case of a multilocular type of mandibular simple bone cyst. The precise consecutive cone beam computed tomography (CBCT) scans and a CT result of biopsy are presented. Revision of wide range of synonyms and a treatment options for multilocular (synonym: multicameral) type of SBCs are presented.

scholarly journals Agenesia de segundos premolares superiores e inferiores en un paciente pediátrico: Informe de caso. / Upper and lower second premolar agenesis in a pediatric patient: Case report.

2018 ◽  
Vol 3 (1) ◽  
Author(s):  
Alfredo Luna León ◽  
Betsy Valeria Medina Medina ◽  
Lucero Vázquez de Lara Saavedra ◽  
Alejandra Peral García
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Panoramic Radiography ◽  
Treatment Options ◽  
Dental Arch ◽  
Third Molars ◽  
Patient Case ◽  
Second Molar ◽  
Permanent Molar

Resumen: La agenesia es una alteración común en el desarrollo del hombre con una prevalencia de 3.5 a 8.8 %; excluyendo a los terceros molares, se presenta generalmente en pacientes femeninos y su etiología es multifactorial. Informe de caso: paciente femenino ASA I de 10 años de edad con ausencia de segundos premolares permanentes en ambos maxilares. Se realizó la rehabilitación integral y de acuerdo a la valoración por parte del área de Ortodoncia se efectuará el desgaste selectivo de los segundos molares temporales para conseguir la migración del primer molar permanente y con ello conservar la integridad del arco dental. Conclusión: Un diagnóstico preciso y oportuno puede ser realizado por medio de la radiografía panorámica; las opciones de tratamiento dependerán de la edad y tipo de oclusión con la finalidad de conservar la integridad de los arcos, brindar un desarrollo oclusal óptimo y una mejor calidad de vida.Palabras clave: Agenesia, premolares, diagnóstico, tratamiento.Abstract: Agenesis is a common alteration in the development of men with a prevalence of 3.5 to 8.8%; excluding third molars, usually occurs in female patients and the etiology is multifactorial. Case report: female patient ASA I of 10 years of age with absence of permanent second premolars in both maxillaries. Integral rehabilitation was performed and according to the assessment by the orthodontic area was carried out the selective grinding of the deciduous second molar to achieve the migration of the first permanent molar for preserve the integrity of the dental arch. Conclusion: A reliable and timely diagnosis can be made by means of panoramic radiography; the treatment options will depend on the age and type of occlusion whit the aim of preserve the integrity of the arches, provide an optimal occlusal development and a better quality of life.Key words:  Agenesis, premolars, diagnosis, treatment.

scholarly journals FEBRILE INFECTION-RELATED EPILEPSY SYNDROME: A RARE CASE PRESENTATION

2017 ◽  
Vol 10 (3) ◽  
pp. 6
Author(s):  
Remya Reghu ◽  
Aloysius James ◽  
Reshma Reji ◽  
Bini Vincent ◽  
Nimmu Mani
Keyword(s):  
Case Report ◽  
Status Epilepticus ◽  
Side Effects ◽  
Rare Case ◽  
Treatment Options ◽  
Treatment Strategies ◽  
Refractory Status Epilepticus ◽  
Epilepsy Syndrome ◽  
Case Presentation ◽  
Refractory Status

ABSTRACTFebrile infection-related epilepsy syndrome is characterized by super refractory status epilepticus that is resistant to conventional antiepileptic drugs.This case report critically analyses the treatment options adopted in a hospital to manage this syndrome. Despite the aggressive efforts that weretaken, the patient succumbed to the complications of the illness and side effects of the treatment strategies adopted. This shows that the treatmentoptions currently available are in adequate, so an intensive research in the area of pathogenesis of status epilepticus is required to frame treatmentstrategies that can bring out better outcomes.Keywords: Antiepileptics, Febrile infection-related epilepsy syndrome, Status epilepticus.

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