scholarly journals Hopeless to hopeful: Management of an endo-perio lesion with an interdisciplinary approach

2014 ◽  
Vol 6 (2) ◽  
pp. 112-116
Author(s):  
VT Pramod ◽  
Shobhaprakash LNU ◽  
S Sadiya
Keyword(s):  
Case Report ◽  
Bone Loss ◽  
Periodontal Diseases ◽  
Correct Diagnosis ◽  
Interdisciplinary Approach ◽  
Radiographic Examination ◽  
Periodontal Tissues ◽  
Diagnosis And Prognosis ◽  
Furcation Involvement ◽  
The Right

Abstract Endodontic–periodontal lesions pose challenge to the clinician as far as diagnosis and prognosis of the involved teeth are concerned. The pathways for the spread of bacteria between pulpal and periodontal tissues are controversial. Treatment and prognosis of endodontic–periodontal diseases vary and depend on the cause and the correct diagnosis of specific condition. This case report describes a successful treatment of a 44 year old male patient who reported with a chief compliant of pain in the right upper and lower tooth back region of the jaw since 20 days. Clinical examination revealed deep pockets and furcation involvement between maxillary right first and second molars. Radiographic examination showed bone loss and furcation involvement. Non-vital root resection with maxillary first molar was planned. Prior to root resection, root canal treatment was performed and then rehabilitated with full metal crown. How to cite this article Pramod VT, Shobhaprakash, Sadiya S. Hopeless to hopeful: Management of an endo-perio lesion with an interdisciplinary approach - A case report: CODS J Dent 2014;6;112-116

scholarly journals Localized Bone Loss Resulted from an Unlikely Cause in an 11-Year-Old Child

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Bianca Tozi Portaluppe Bergantin ◽  
Daniela Rios ◽  
Daniela Silva Barroso Oliveira ◽  
Edmêr Silvestre Pereira Júnior ◽  
João Adolfo Costa Hanemann ◽  
...  
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Bone Loss ◽  
Rural Area ◽  
Foreign Bodies ◽  
Periodontal Diseases ◽  
Radiographic Examination ◽  
Elastic Band

Periodontal diseases have several causes, amongst them, by foreign bodies. In this case report, an 11-year-old child who lived in a rural area and has never been treated by a dentist presented an extensive horizontal bone loss and edema on the region of tooth 44. The diagnosis of foreign body was obtained after biopsy, since an elastic band around the middle of the root tooth was found. The elastic band was not radiopaque, and the patient did not inform that she found the elastic band on the floor of the school and introduced the tooth by herself. Based on the case reported, it is concluded that anamnesis and clinical and radiographic examination are fundamental strategies to obtain the diagnosis, but sometimes, especially in children, there may be inconsistencies that can be elucidated by a biopsy.

scholarly journals Case Report: Bow Hunter's Syndrome Caused by Compression of Extracranially Originated Posterior Inferior Cerebellar Artery

2021 ◽  
Vol 12 ◽  
Author(s):  
Noriya Enomoto ◽  
Kenji Yagi ◽  
Shunji Matsubara ◽  
Masaaki Uno
Keyword(s):  
Case Report ◽  
Posterior Inferior Cerebellar Artery ◽  
Head Rotation ◽  
Radiographic Examination ◽  
Posterior Decompression ◽  
First Case ◽  
Cerebellar Artery ◽  
Cervical Approach ◽  
The Right ◽  
Hunter's Syndrome

Bow hunter's syndrome (BHS) is most commonly caused by compression of the vertebral artery (VA). It has not been known to occur due to an extracranially originated posterior inferior cerebellar artery (PICA), the first case of which we present herein. A 71-year-old man presented with reproducible dizziness on leftward head rotation, indicative of BHS. On radiographic examination, the bilateral VAs merged into the basilar artery, and the left VA was predominant. The right PICA originated extracranially from the right VA at the atlas–axis level and ran vertically into the spinal canal. During the head rotation that induced dizziness, the right PICA was occluded, and a VA stenosis was revealed. Occlusion of the PICA was considered to be the primary cause of the dizziness. The patient underwent surgery to decompress the right PICA and VA via a posterior cervical approach. Following surgery, the patient's dizziness disappeared, and the stenotic change at the right VA and PICA improved. The PICA could be a causative artery for BHS when it originates extracranially at the atlas–axis level, and posterior decompression is an effective way to treat it.

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.

scholarly journals Survival Following Rectal Impalement through the Pelvic, Abdominal, and Thoracic Cavities: A Case Report

2009 ◽  
Vol 2009 ◽  
pp. 1-4 ◽  
Author(s):  
Michael Moncure ◽  
Jared A. Konie ◽  
Adam B. Kretzer ◽  
Peter J. DiPasco ◽  
Carla C. Braxton
Keyword(s):  
Case Report ◽  
English Literature ◽  
Penetrating Trauma ◽  
Radiographic Examination ◽  
Unique Form ◽  
Successful Management ◽  
Impalement Injury ◽  
The Right

Impalement injuries are a unique form of penetrating trauma and are typically associated with a fall onto the object (Steele, 2006). We present the case of a 45-year-old man who reportedly slipped in his bathtub and fell onto a broomstick. Radiographic examination revealed a slender mass extending from his rectum to the right side of his neck. A review of English literature suggests that this is the second reported case in the last 100 years describing the successful management of an impalement injury traversing the pelvic, abdominal, and thoracic cavities. The management of this case is described.

scholarly journals Case Report: Facial injury due to a firearm projectile in a Brazilian adolescent

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 1729
Author(s):  
Alessandro Leite Cavalcanti ◽  
Lunna Farias ◽  
Isla Camilla Carvalho Laureano ◽  
Damião Edgleys Porto ◽  
Josuel Raimundo Cavalcante ◽  
...  
Keyword(s):  
Case Report ◽  
Black Patient ◽  
Professional Staff ◽  
Radiographic Examination ◽  
Facial Injury ◽  
Firearm Injury ◽  
Process Region ◽  
Zygomatic Process ◽  
Significant Public Health ◽  
The Right

Background: Deaths and injuries from firearms are significant public health problems. This article presents a case of face injury caused by a firearm projectile with atrial involvement. Case report: A 13-year-old male Black patient was admitted as an emergency victim of an accident caused by a firearm projectile. On physical examination, a hemorrhage was diagnosed in the right ear pinna region from the wound, and an increase of volume, of hardened consistency, in the right genic region, suggestive of local infection. On radiographic examination, a radiopaque, dense, foreign body was identified in the right zygomatic process region. The patient underwent surgery to remove the projectile. Conclusion: The care provided to the victim of a firearm injury depends on the systemic conditions, the available professional staff, the resources and the infrastructure of the environment. Prior to initiating therapy, it is important to stabilize the patient to ensure survival.

scholarly journals Etiopatogenesis dan terapi kasus multipel sialolithiasis kelenjar submandibulaEtiopathogenesis and treatment of multiple cases of submandibular gland sialolithiasis

2021 ◽  
Vol 32 (3) ◽  
pp. 136
Author(s):  
Nyoman Ayu Anggayanti ◽  
Endang Sjamsudin ◽  
Melita Sylvyana
Keyword(s):  
Case Report ◽  
Salivary Glands ◽  
Submandibular Gland ◽  
Good Condition ◽  
Mandibular Gland ◽  
Radiographic Examination ◽  
Common Disease ◽  
Parotid Glands ◽  
Treatment Standard ◽  
The Right

Pendahuluan: Sialolithiasis adalah penyakit umum kelenjar saliva. Gejalanya termasuk pembengkakan kelenjar yang terlibat, terutama selama makan, dan nyeri tekan, yang mungkin mereda tetapi dapat kambuh kembali. Sialolith terjadi terutama di kelenjar submandibula (80-90%) dan pada tingkat yang lebih rendah di kelenjar parotid (5-20%). Sialolith bisa tunggal atau jamak. Multipel sialolith di kelenjar submandibula jarang terjadi. Tujuh puluh dari delapan puluh persen kasus memiliki sialolith tunggal, hanya sekitar 5% pasien yang memiliki tiga atau lebih sialolith. Faktor etiopatogenesis terkait dengan pembentukan sialolith adalah obstruksi, penurunan laju aliran saliva, dehidrasi, infeksi kelenjar saliva, dan terganggunya kelarutan kristaloid. Tujuan penulisan laporan kasus ini untuk menjelaskan etiopatogenesis dan terapi kasus multipel sialolithiasis kelenjar submandibula. Laporan kasus: Seorang wanita 24 tahun datang dengan pembengkakkan dan nyeri pada submandibula kanan. Radiografi panoramik menunjukkan massa radiopak terdefinisi dengan baik dalam submandibula kanan. Interpretasi ultrasonografi menunjukkan massa tak homogen hypoechoic dengan kalsifikasi ganda. Pengangkatan kelenjar submandibula dilakukan dengan pendekatan ekstraoral. Laporan kasus ini menunjukkan Gambaran sebanyak sembilan sialolith di kelenjar submandibula, yang dihilangkan dengan pendekatan ekstraoral. Simpulan: Etiopatogenesis dari pembentukan multipel sialolithiasis pada duktus kelenjar, yaitu faktor mekanis, inflamasi, kimiawi, dan infeksi. Diperkirakan bahwa alkalin serta saliva kental yang mengandung banyak sel mukus, memiliki persentase kalsium fosfat lebih tinggi seperti pada kelenjar saliva submandibula yang mendukung pembentukan sialolith. Pengangkatan kelenjar submandibula beserta sialolith dilakukan sebagai standar baku perawatan dan dapat menghindari kekambuhan. Pasien kontrol kembali satu minggu pasca operasi dengan kondisi baik dan dijadwalkan untuk pemeriksaan radiografis ulang enam bulan kemudian untuk memastikan tidak terjadinya pembentukan sialolith baru di saluran kelenjar saliva.Kata kunci: Multipel, sialolithiasis, kelenjar submandibula. ABSTRACTIntroduction: Sialolithiasis is a common disease of the salivary glands. Symptoms include the glands inflammation, especially during eating, and tenderness, which may subside but may recur. Sialoliths occur mainly in the submandibular glands (80-90%) and to a lesser extent in the parotid glands (5-20%). Sialolith can be singular or plural. Multiple sialoliths in the submandibular gland rarely occur. Seventy out of eighty per cent of cases have a single sialolith. Only about 5% of patients have three or more sialoliths. The etiopathogenetic factors associated with sialolith formation are obstruction, decreasing salivary flow rate, dehydration, salivary gland infection, and impaired crystalloid solubility. The purpose of this case report was to describe the etiopathogenesis and treatment of multiple cases of submandibular gland sialolithiasis. Case report: A 24-year-old woman presented with inflammation and pain in the right submandibular. Panoramic radiograph shows a well-defined radiopaque mass in the right submandibular. Ultrasound interpretation revealed a hypoechoic homogeneous mass with multiple calcifications. Removal of the submandibular gland was carried out with an extraoral approach. This case report showed the appearance of as many as nine sialoliths in the sub-mandibular gland, removed by an extraoral approach. Conclusion: Etiopathogenesis of the formation of multiple sialolithiasis in the glandular duct are mechanical, inflammatory, chemical, and infectious factors. It is thought that alkaline and thick saliva, which contains many mucus cells, has a higher percentage of calcium phosphate than in the submandibular salivary glands, which support the formation of sialoliths. Submandibular gland removal along with the sialoliths is performed as the treatment standard, which can avoid recurrence. The control visit is carried out one week postoperatively in good condition, and the patient is scheduled for another radiographic examination six months after to ensure that no new sialoliths occurred in the salivary gland.Keywords: Multiple, sialolithiasis, submandibular gland.

scholarly journals Macular Retinoschisis and Its Semiotic Importance: A Case Report

2015 ◽  
Vol 69 (1) ◽  
pp. 40-44
Author(s):  
Milena Golubovic ◽  
Bekim Tatesi ◽  
Igor Isjanovski ◽  
Karolina Buzarovska
Keyword(s):  
Visual Acuity ◽  
Case Report ◽  
Disease Transmission ◽  
Correct Diagnosis ◽  
Diagnostic Methods ◽  
Hereditary Diseases ◽  
Macular Retinoschisis ◽  
Pigmented Epithelium ◽  
Vitreoretinal Degeneration ◽  
The Right

Abstract Introduction. The concept of retinoschisis means splitting of the layers of neural retina. It can happen equally at the peripheral part of retina, as well as in the region of macula when we talk about macular retinoschisis. Macular retinoschisis appears as one of the characteristics of a few hereditary diseases. According to the ophthalmoscopes’ picture it can easily be mixed with cystoid macular edema. Even though macular changes, in both cases, during time lead to decrease of visual acuity, distinction of macular changes is of semiotic significance in differential diagnosis of retinal diseases, which is important from a broader medical aspect. The aim of this paper is, by presenting a case with a rare hereditary disorder, to show the importance and complementarities of diagnostic methods, especially OCT and its meaning in establishing the correct diagnosis. Case report. The paper presents a patient with macular retinoschisis, as a part of Goldmann-Favre vitreoretinal degeneration. It is a hereditary disorder, which in addition to schisms changes in the macula is characterized by changes in the pigmented epithelium at the medial part of retina. OCT finding in our patient showed cystic hyporeflexive change in the fovea, with palisade oriented smaller hyporeflexive changes, between plexiform layers and in the inner granular layer of the macula. On fluorescein angiography the leakage of the fluorescein in the macular region was absent, but the changes on the level of pigmented epithelium in the area of medial retina were evident. However, perimetry did not show defect in the visual field. Conclusion. Newer diagnostic methods, such as optical coherence tomography, proved their importance in the decision making process and in making the right diagnosis in macular lesions. Beside the fact that the correct diagnosis of the disorder frequently has no importance in the sense of therapeutic possibility of the disease, its value can be seen in proper information of possibility of disease transmission as well as in prediction of affected person’s life perspective, associated with the decrease of visual acuity.

Chondrosarcoma in Mafucci’s syndrome – an interdisciplinary approach to a rare disease

2012 ◽  
Vol 153 (26) ◽  
pp. 1035-1038 ◽  
Author(s):  
Balázs Forgács
Keyword(s):  
Case Report ◽  
Ct Scan ◽  
Multidisciplinary Approach ◽  
Pulmonary Metastases ◽  
Interdisciplinary Approach ◽  
Thoracic Ct ◽  
Upper And Lower Extremities ◽  
The Right ◽  
Thoracic Ct Scan ◽  
Very High

Mafucci’s syndrome is a rare genetic but non-hereditary disorder, characterized by multiple enchondromas (enchondromatosis), hemangiomas and, rarely, lymphangiomas. The risk for malignant transformation of enchondromas is very high, and chondrosarcomas can develop which mainly metastatize to the lungs. A case report of a 61-years-old male, whose enchondromatosis developed at his age of 10 years, is described. The initial diagnosis had been Ollier’s disease at that time, and it was modified to Mafucci’s syndrome only in 1995 when hemangiomatosis developed on the right hand. He had a unilateral disorder affecting his right upper and lower extremities. In 2010, a chondrosarcoma developed on his right leg and amputation was performed. In 2012, a thoracic CT scan revealed pulmonary metastases on both sides. This case report underlines the importance of the multidisciplinary approach and cooperation between various specialties in diagnosing and early detecting this type of cancer. Orv. Hetil., 2012, 153, 1035–1038.

scholarly journals Decompression of a Large Periapical Lesion: A Case Report of 4-Year Follow-Up

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Claudio Maniglia-Ferreira ◽  
Fabio de Almeida Gomes ◽  
Marcelo de Morais Vitoriano ◽  
Francisco de Assis Silva Lima
Keyword(s):  
Case Report ◽  
Endodontic Treatment ◽  
Radiographic Examination ◽  
Periapical Lesion ◽  
Periodontal Tissues ◽  
Periapical Granuloma ◽  
Extensive Lesion ◽  
Radiolucent Lesion ◽  
Root Canal System

This case report described the endodontic treatment and decompression of an extensive lesion in the anterior region of the mandible, detected during clinical and radiographic examination, in a patient with a complaint of slight tenderness to palpation in the area of mandibular right lateral incisor and canine. These teeth had been accessed without proper clinical evaluation, and their pulp tissues were exposed. The periodontal tissues were healthy, with no signs of inflammation or fistula. On radiographic examination, a radiolucent lesion with well-defined borders was seen extending from the distal root of mandibular left second premolar to the mesial root of mandibular right second premolar. Central and lateral mandibular left incisors were unresponsive to thermal pulp testing and exhibited coronal discoloration, consistent with a diagnosis of pulp necrosis. Due to persistent discharge from the root canal system during endodontic procedures despite application of intracanal medicament (calcium hydroxide paste), the decision was made to biopsy and decompress the lesion and conclude endodontic treatment. Histopathologic examination revealed a periapical granuloma. After endodontic treatment of the involved teeth, at 4-year clinical and radiographic follow-up, the affected region was almost completely repaired.

scholarly journals Palato-gingival groove: An innocuous culprit for endo-perio lesion

2016 ◽  
Vol 9 (3) ◽  
pp. 156
Author(s):  
Rafeza Sultana ◽  
Md. Shamsul Alam
Keyword(s):  
Case Report ◽  
Clinical Examination ◽  
Clinical Management ◽  
Sinus Tract ◽  
Lateral Incisor ◽  
Radiographic Examination ◽  
Developmental Defects ◽  
Adequate Knowledge ◽  
Maxillary Lateral Incisor ◽  
The Right

<p>This case report represents the clinical management of tooth with palato-gingival groove in a right maxillary lateral incisor with endo-perio lesion leading to dento-alveolar abscess and sinus tract. The right maxillary lateral incisor was examined clinico-radiographically. On clinical examination, the offending tooth revealed localized swelling and an intraoral draining sinus pointing on the labial gingiva without any evidence of caries, discoloration and trauma. The palatal surface of lateral incisor showed a groove with mild calculus embedded in it. The radiographic examination revealed periapical radiolucency. This case provides an evidence of morphological defect of tooth. Complete clinical and radiological examination and adequate knowledge of such morphological/ developmental defects of teeth are necessary for recognition and identification especially because of their diagnostic complexity and further consequences.</p><p> </p>

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