scholarly journals Impacted Upper Central Incisors – Frequency and Factors Complicating the Treatment Protocol

Folia Medica ◽  
2021 ◽  
Vol 63 (3) ◽  
pp. 405-412
Author(s):  
Greta Yordanova ◽  
Gergana Gurgurova
Keyword(s):  
Medical Records ◽  
Treatment Protocol ◽  
Mixed Dentition ◽  
Successful Outcome ◽  
Central Incisor ◽  
Supernumerary Teeth ◽  
Impacted Tooth ◽  
Female Patients ◽  
Male Patients ◽  
Bone Coverage

Introduction: Eruption of central incisors occurs at a time when the mixed dentition starts to develop and their impaction is mostly a severe esthetic problem.Aim: Our aim was to assess the frequency of impaction of an upper central incisor and to analyse the factors which affect the successful outcome and the protocols for orthodontic treatment in cases of impacted upper central incisors.Materials and methods: In the present study, we used all medical records of 651 patients treated in our private practice over the last 3 years and also the medical records of 18 patients we diagnosed and treated for this problem over the last 8 years.Results: We found the ratio of impacted upper central incisors to be 1.4% as there were more male than female patients affected. There were 2.8% male patients and 0.7% female patients. The most frequent cause of impaction of the upper central incisor was the presence of mesiodentes and supernumerary teeth (55.5%), followed by presence of follicular cysts (44.4%) and odontoma collections (22.2%) or a combination of these.Several approaches have been used in treating the different positions of impacted incisors. It is necessary first to rotate the axle of the incisor and assure its root full bone coverage. We used directly TPA for support. In other patients, we waited for the spontaneous eruption after removal of the etiological factor and in another patient, we used conventional fixed techniques.Conclusions: It is important that dental doctors should monitor the formation of the dentition so that they detect the impacted tooth early in its development.

Suffocated Maxillary Central Incisors (Surgical and Orthodontic Management): A Report of Two Cases

2021 ◽  
Vol 11 (1) ◽  
pp. 55-60
Author(s):  
Barun Kumar Sah ◽  
Jamal Giri ◽  
Bandana Koirala ◽  
Mamta Dali ◽  
Sneha Shrestha
Keyword(s):  
Orthodontic Treatment ◽  
Treatment Options ◽  
Self Esteem ◽  
Permanent Tooth ◽  
Mixed Dentition ◽  
Dental Practice ◽  
Central Incisor ◽  
Supernumerary Teeth ◽  
Multiple Treatment ◽  
Maxillary Incisors

Clinically, supernumerary teeth are able to cause different local disorders and the most common one is impaction of maxillary incisors. Impacted maxillary incisors substantially affect esthetics, function, and self‑esteem of patients. Impaction of maxillary permanent incisor is a rare clinical entity in dental practice. Although impaction of a permanent tooth is rarely diagnosed during the mixed dentition period, an impacted central incisor is usually diagnosed accurately when there is delay in the eruption of tooth. Multiple treatment options are available for impacted incisors. Surgical-orthodontic treatment is one of the alternative option for the correction. Early diagnosis and management of supernumer¬ary teeth is important to prevent the need for more complex surgical and orthodontic treatment. Here, we present a report of two cases of impacted maxillary incisors and its management

Anorexia Nervosa in Males: A Report of 12 Cases

1993 ◽  
Vol 27 (3) ◽  
pp. 512-517 ◽  
Author(s):  
S. W. Touyz ◽  
E. M. Kopec-Schrader ◽  
P. J. V. Beumont
Keyword(s):  
Anorexia Nervosa ◽  
Retrospective Analysis ◽  
Clinical Features ◽  
Medical Records ◽  
Clinical Characteristics ◽  
Female Patients ◽  
Male Patients

The demographic and clinical features of 12 male patients with anorexia nervosa were investigated by means of a retrospective analysis of their medical records. The clinical characteristics of the male patients were found to be remarkably similar to those reported for female patients and our findings concur with previously published literature. There appears however to be a greater tendency to exercise excessively. The importance of recognising anorexia nervosa in males is emphasized.

scholarly journals NONSYNDROMIC CONCOMITANT HYPO-HYPERDONTIA: REPORT OF A RARE CASE

2019 ◽  
Author(s):  
Niharika Pandey ◽  
Parthsarthi Gautam ◽  
Satabdi Saha ◽  
Subrata Saha
Keyword(s):  
Genetic Factors ◽  
Rare Condition ◽  
Mixed Dentition ◽  
Permanent Teeth ◽  
Radiographic Examination ◽  
Routine Practice ◽  
Unknown Aetiology ◽  
Central Incisor ◽  
Supernumerary Teeth ◽  
Supernumerary Tooth

Odontogenic anomalies are frequently observed by pedodontists in their routine practice. Concomitant hypodontia and hyperdontia is a rare condition of unknown aetiology. CHH may occur in both the jaws and is more common in the permanent and mixed dentition. This article, describes a case of non-syndromic CHH in the mixed dentition. Genetic factors probably play an important etiological role in the co-occurrence of partial anodontia and supernumerary teeth. A 7 year old boy showed a conical mesiodens and missing right primary central incisor. Radiographic examination of the patient revealed presence of succedaneous permanent teeth. Key Words: Concomitant hypohyperdontia, hypodontia, supernumerary tooth, mesiodens

Maxillary Canine Impactions Related to Impacted Central Incisors: Two Case Reports

2007 ◽  
Vol 8 (6) ◽  
pp. 72-81 ◽  
Author(s):  
Mete Özer ◽  
Ismail Şener ◽  
Mehmet Bayram
Keyword(s):  
Orthodontic Treatment ◽  
Case Reports ◽  
Chief Complaint ◽  
Mixed Dentition ◽  
Central Incisor ◽  
Supernumerary Teeth ◽  
Maxillary Canine ◽  
Maxillary Central Incisor ◽  
Anterior Teeth ◽  
Skeletal Pattern

Abstract Aim The purpose of this case report is to describe the combined surgical and orthodontic treatment of two cases with an impacted maxillary central incisor and canine in the same quadrant and to discuss the causal relationship between them. Background The most common causes of canine impactions are usually the result of one or more factors such as a long path of eruption, tooth size-arch length discrepancies, abnormal position of the tooth bud, prolonged retention or early loss of the deciduous canine, trauma, the presence of an alveolar cleft, ankylosis, cystic or neoplastic formation, dilaceration of the root, supernumerary teeth, and odontomas. Although impaction of the maxillary central incisor is almost as prevalent as impacted canines its etiology is different. The principal factors involved in causing the anomaly are supernumerary teeth, odontomas, and trauma. Reports Case #1 A 10.5-year-old girl in the early mixed dentition stage presented with a chief complaint of the appearance of her anterior teeth. She had a Class I skeletal pattern and a history of trauma to the maxillary central incisors at age five with premature exfoliation. Radiographs revealed an impacted upper right central incisor in the region of the nasal floor, delayed eruption of the maxillary permanent central incisor, and the adjacent lateral incisor was inclined toward the edentulous space. Treatment was done in two stages consisting of surgical exposure and traction of the impacted central incisor and fixed orthodontic treatment. Case #2 An 11.5-year-old girl presented for orthodontic treatment with the chief complaint of an unerupted tooth and the appearance of her upper anterior teeth. She was in the late mixed dentition period with a Class III skeletal pattern along with an anterior cross-bite with some maxillary transverse deficiency. The maxillary right canine and central incisor were absent, but the maxillary right deciduous canine was still present. Treatment included arch expansion followed by surgical exposure and traction of the impacted teeth and fixed orthodontic treatment. Summary This case report provides some evidence of a significant environmental influence of an impacted maxillary central incisor on the path of eruption of the ipsilateral maxillary canine. When an impacted maxillary central incisor exists, the maxillary lateral incisor's root might be positioned distally into the path of eruption of the maxillary canine preventing its normal eruption. Ongoing assessment and early intervention might help to prevent such adverse situations from occurring. Citation Bayram M, Özer M, Sener I. Maxillary Canine Impactions Related to Impacted Central Incisors: Two Case Reports. J Contemp Dent Pract 2007 September; (8)6:072-081.

scholarly journals INDIKASI VITREKTOMI PADA KELAINAN RETINA DI BALAI KESEHATAN MATA MASYARAKAT (BKMM) PROPINSI SULAWESI UTARA PERIODE JANUARI 2014-DESEMBER 2014

e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Rohamonangan Theresia Sinaga ◽  
Laya Rares ◽  
Vera Sumual
Keyword(s):  
Diabetic Retinopathy ◽  
Retinal Detachment ◽  
Medical Records ◽  
Female Patients ◽  
North Sulawesi ◽  
Eye Health ◽  
Retinal Disorders ◽  
Male Patients ◽  
Using Data ◽  
Retinal Disorder

Abstract: The prevalence of retinal abnormality in Indonesia reached 0.13% and is the fourth leading cause of blindness after cataract, glaucoma. and refractive disorders. Vitrectomy is a type of surgery to treat retinal disorders that removes the vitreous, therefore, the operation can be performed and vision can be corrected. This study aimed to determine the indications to undergo vitrectomy in retinal disorders. This was a descriptive retrospective study using data of medical records of patients with retinal disorders who underwent vitrectomy at Community Eye Health Center (CEHC) of North Sulawesi Province. There were 27 patients in this study consisted of 17 male patients (63%) and 10 female patients (37%). The major indications of vitrectomy were retinal detachment in 16 patients (59%) and diabetic retinopathy in 11 patients (41%). In case of retinal detachment male patients were the most frequent to undergo vitrectomy (12 patients; 44.44%) than female patients (4 patients; 14.81%). In case of diabetic retinopathy there were no difference between males (18.52%) and females (22.22%)Keywords: retinal disorder, vitrectomy, retinal detachment, diabetic retinopathy  Abstrak: Prevalensi kelainan retina di Indonesia mencapai 0,13% dan merupakan penyebab kebutaan keempat setelah katarak, glaucoma, dan kelainan refraksi. Vitrektomi adalah salah satu jenis operasi untuk mengobati kelainan retina melalui pengangkatan vitreus sehingga retina dapat dioperasi dan penglihatan dapat diperbaiki. Penelitian ini bertujuan untuk mengetahui indikasi dilakukannya vitrektomi pada kelainan retina. Jenis penelitian ini deskriptif retrospektif dengan menggunakan data dari rekam medis penderita dengan kelainan retina yang menjalani vitrektomi di Balai Kesehatan Mata Masyarakat (BKMM) Propinsi Sulawesi Utara. Dalam penelitian ini ditemukan 27 pasien dengan kelainan retina yang menjalani vitrektomi terdiri dari 17 pasien laki-laki (63%) dan 10 pasien perempuan (37%). Indikasi untuk vitrektomi terbanyak pada retinal detachment sebanyak 16 pasien (59%) dan retinopati diabetik sebanyak 11 pasien (41%). Pada indikasi retinal detachment didapatkan pasien laki-laki yang paling banyak menjalani vitrektomi yaitu 12 pasien (44,44%) sedangkan perempuan 4 pasien (14,81%). Pada indikasi retinopati diabetik tidak terdapat perbedaan antara laki-laki (18,52%) dan perempuan (22,22%)Kata kunci: kelainan retina, vitrektomi, retinal detachment, retinopati diabetik

scholarly journals Unique Presentation of “U Shaped” Impacted maxillary Central Incisor with Surgical and Pedodontic perspectives: A Case report

2020 ◽  
Author(s):  
Anupama Kajal ◽  
Sandeep Tandon ◽  
Meenakshi Sharms ◽  
Chahita Mahesh Lalchandani
Keyword(s):  
Traumatic Injury ◽  
Extraction Procedure ◽  
Mixed Dentition ◽  
Radiographic Examination ◽  
Surgical Removal ◽  
Central Incisor ◽  
Impacted Tooth ◽  
Maxillary Central Incisor ◽  
Developmental Disturbance ◽  
Patient Reported

Background Dilaceration, a developmental disturbance, is thought to be due to trauma leading to change in the position of the calcified portion of the tooth and the tooth is formed at an angle. Such an injury to a permanent tooth, resulting in dilacerations, often follows traumatic injury to the primary predecessor. A study by Patiletal, on Indian population reported the prevalence of very rare developmental dental anomalies and dilaceration was found to be only about 0.5% in prevalence. Case details A 9 year old male reported to the department of paediatric dentistry with complaint of missing central incisor in maxillary left arch. Radiographic examination revealed impacted maxillary left incisor with very unique and unusual extreme curve in root of same tooth giving it a characteristic U morphology. As the patient reported in mixed dentition stage, both the surgical, prosthodontic and pedodontic perspectives were kept in mind before planning for the treatment. Surgical removal was planned as it was not possible to save and place the tooth in the arch. Although surgical removal was challenging due to extreme curve and highly placed position of tooth, surgical removal was done successfully with roots and crown broken in two sections in spite of proper care during extraction procedure. Edentulous space was replaced with groper’s appliance considering mixed dentition stage of the patient after successful healing as per the pedodontic perspectives. Conclusion U shaped presentation of single rooted tooth is a one of the rarest findings. In children with age of interception, treatment should be planned wisely taking into consideration surgical, prosthodontic and pedodontic perspectives together. Key Words U shaped root, dilaceration, impacted tooth, surgical and pedodontic perspectives

scholarly journals Pulmonary hypertension in patients with acyanotic congenital heart defects

2020 ◽  
Vol 1 (2) ◽  
pp. 45
Author(s):  
Vivi Widianto Tjan
Keyword(s):  
Pulmonary Hypertension ◽  
Congenital Heart Defects ◽  
Medical Records ◽  
Congenital Heart ◽  
Septal Defect ◽  
Heart Defects ◽  
Ductus Arteriosus ◽  
Congenital Disease ◽  
Female Patients ◽  
Male Patients

Congenital Heart Defects (CHD) is the most common congenital disease that affects 8 out of every 1000 births. CHD can be classified as cyanotic and acyanotic. Acyanotic is the most frequently diagnosed CHD. The most common complication in acyanotic CHD is pulmonary hypertension. This descriptive study was based on medical records of acyanotic CHD patients with pulmonary hypertension in RSUD Abdul Wahab Sjahranie Samarinda from 2015 to 2016 who were diagnosed by a cardiologist and confirmed with echocardiography. There were 62 patients diagnosed with acyanotic CHD and pulmonary hypertension, which 58% of patients were diagnosed with Atrial Septal Defect (ASD), Ventricular Septal Defect (VSD) (21%), and Patent Ductus Arteriosus (PDA) (21%). Defect sizes distribution were mostly large (66%), then medium (29%), and small (5%). There were 56% of patients diagnosed before 18 years old and 44% diagnosed after they reached 18 years old. There were 68% of female patients and 32% male patients. Pulmonary hypertension severity distribution was mild (52%), moderate (26%), and severe (22%). The most diagnosed acyanotic CHD was ASD. The defect size in acyanotic CHD was mostly large, and mostly found in female patients. The severity of pulmonary hypertension was mostly mild.

GAMBARAN ANGKA KEJADIAN STROKE AKIBAT HIPERTENSI DI INSTALASI REHABILITASI MEDIK BLU RSUP PROF. DR. R. D. KANDOU MANADO PERIODE JANUARI – DESEMBER 2011

e-CliniC ◽  
2013 ◽  
Vol 1 (2) ◽  
Author(s):  
Ariesta Zubiah Ramadhini ◽  
L. S. Angliadi ◽  
Engeline Angliadi
Keyword(s):  
Descriptive Study ◽  
Medical Rehabilitation ◽  
Stroke Patients ◽  
Female Patients ◽  
Male Patients

Abstract: Stroke may cause a serious problem that leads to a disability or even mortality. The purpose is to determine such an incidence caused by hypertension at the Installation of Medical Rehabilitation RSUP Prof. dr. R. D. Kandou Manado based on the characteristic of age, gender and occupation. This research was taken at the Installation of Medical Rehabilitation RSUP Prof. R. D. Kandou Manado by using retrospective descriptive study method as well as examining 228 new cases of stroke patients that correlated with conclusion criteria. The result showed 8,3% patients at ≤44th years old, 33,3% patients at 45th – 54th years old, 32% patients at 55th – 64th years old, 20,25% patients at 65th – 74th years old, 6,1% patients at 75th – 84th years old. 53,1% male patients, 46,9% female patients. 33,3% retirement, 18% farmers, 18% government officers, 5,3% private employees, 2,2% drivers, 0,9% teachers and, 3,1% housewives. Keywords: incidence, hypertension, stroke   Abstrak: Stroke dapat menimbulkan masalah besar karena menyebabkan kecacatan dan kematian. Tujuan, mengetahui gambaran angka kejadian stroke akibat hipertensi di Instalasi Rehabilitasi Medik RSUP Prof. Dr. R. D. Kandou Manado sesuai dengan karakteristik umur, jenis kelamin, dan jenis pekerjaan. Penelitian dilakukan di Instalasi Rehabilitasi Medik BLU RSUP Prof. dr. R. D. Kandou Manado, dilakukan secara retrospektif deskriptif dan didapatkan sampel sebanyak 228 data pasien kunjungan baru kasus stroke sesuai kriteria inklusi yang ditetapkan. Hasil penelitian, pasien stroke berumur ≤44 tahun 8,3%, berumur 45 – 54 tahun 33,3%, berumur 55 – 64 tahun 32%, berumur 65 – 74 tahun 20,25%, berumur 75 – 84 tahun 6,1%. Pasien stroke berjenis kelamin laki – laki 53,1%, perempuan 46,9%. Pasien stroke yang berstatus pekerjaan pensiunan 33,3%, petani 18%, PNS 18%, pegawai swasta 5,3%, supir 2,2%, guru 0,9%, IRT 3,1%. Kata Kunci: gambaran angka kejadian, hipertensi, stroke

scholarly journals Differences in Outcomes Between Anterior and Posterior Shoulder Instability After Arthroscopic Bankart Repair: A Systematic Review and Meta-analysis

2021 ◽  
Vol 9 (5) ◽  
pp. 232596712110064
Author(s):  
Matthew L. Vopat ◽  
Reed G. Coda ◽  
Nick E. Giusti ◽  
Jordan Baker ◽  
Armin Tarakemeh ◽  
...  
Keyword(s):  
Systematic Review ◽  
Shoulder Instability ◽  
Anterior Shoulder Instability ◽  
Posterior Shoulder Instability ◽  
Anterior Instability ◽  
Posterior Instability ◽  
Female Patients ◽  
Posterior Shoulder ◽  
Male Patients ◽  
Postoperative Instability

Background: The glenohumeral joint is one of the most frequently dislocated joints in the body, particularly in young, active adults. Purpose: To conduct a systematic review and meta-analysis to evaluate and compare outcomes between anterior versus posterior shoulder instability. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic review was performed using the PubMed, Cochrane Library, and MEDLINE databases (from inception to September 2019) according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Studies were included if they were published in the English language, contained outcomes after anterior or posterior shoulder instability, had at least 1 year of follow-up, and included arthroscopic soft tissue labral repair of either anterior or posterior instability. Outcomes including return-to-sport (RTS) rate, postoperative instability rate, and pre- and postoperative American Shoulder and Elbow Surgeons (ASES) scores were recorded and analyzed. Results: Overall, 39 studies were included (2077 patients; 1716 male patients and 361 female patients). Patients with anterior instability had a mean age of 23.45 ± 5.40 years (range, 11-72 years), while patients with posterior instability had a mean age of 23.08 ± 8.41 years (range, 13-61 years). The percentage of male patients with anterior instability was significantly higher than that of female patients (odds ratio [OR], 1.36; 95% CI, 1.04-1.77; P = .021). Compared with patients with posterior instability, those with anterior instability were significantly more likely to RTS (OR, 2.31; 95% CI, 1.76-3.04; P < .001), and they were significantly more likely to have postoperative instability (OR, 1.53; 95% CI, 1.07-2.23; P = .018). Patients with anterior instability also had significantly higher ASES scores than those with posterior instability (difference in means, 6.74; 95% CI, 4.71-8.77; P < .001). There were no significant differences found in postoperative complications between the anterior group (11 complications; 1.8%) and the posterior group (3 complications; 1.6%) (OR, 1.12; 95% CI, 0.29-6.30; P = .999). Conclusion: Patients with anterior shoulder instability had higher RTS rates but were more likely to have postoperative instability compared with posterior instability patients. Overall, male patients were significantly more likely to have anterior shoulder instability, while female patients were significantly more likely to have posterior shoulder instability.

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