scholarly journals Palato-Radicular Groove and Localized Periodontitis: A Series of Case Reports

2010 ◽  
Vol 11 (5) ◽  
pp. 56-62 ◽  
Author(s):  
Shital Hungund ◽  
Magesh Kumar
Keyword(s):  
Case Reports ◽  
Accurate Diagnosis ◽  
Periodontal Pocket ◽  
Etiologic Factor ◽  
Case Description ◽  
Central Incisor ◽  
The Third ◽  
First Case ◽  
The Right ◽  
General Dentist

Abstract Aim The aim of this report is to present the management of three cases of different magnitude affecting the periodontal attachment apparatus due to the presence of a palato-radicular groove (PRG). Background The palato-radicular groove is a developmental anomaly often associated with localized periodontitis and pulpal necrosis. Case description The authors present three cases involving the management of teeth with a palato-radicular groove. In the first case, a 20-year-old woman presented with a 5 mm periodontal pocket associated with the maxillary right central incisor but no evidence of pulpal involvement. In the second case, there was extensive bone loss and pulpal necrosis of the maxillary right lateral incisor in a 35-year-old man. The third case involved severe localized periodontitis of the right and left maxillary lateral incisors of a 47-year-old man. This report describes the diagnosis and periodontal management of these three clinical situations. Summary Periodontal complications due to a palatal-radicular groove are relatively rare. However, when they do occur, the diagnosis of a pulpal or localized periodontal lesion can sometimes present a dilemma for the general dentist, particularly if a palato-radicular groove is the etiologic factor. This is because a radicular groove can act like a “funnel,” aiding microbial plaque accumulation, and lead to gingivitis, localized periodontitis, and even pulpal necrosis. But with a timely diagnosis and proper clinical management, the tooth or teeth involved can be treated and often retained. Clinical Significance Thorough examination of the morphological anomalies associated with the lateral and central incisors, in particular, aided by appropriate diagnostic aids, can lead to accurate diagnosis and management of a tooth or teeth with a palato-radicular groove. Citation Hungund S, Kumar M. Palato-Radicular Groove and Localized Periodontitis: A Series of Case Reports. J Contemp Dent Pract [Internet]. 2010 October; 11(5):056-062. Available from: http://www.thejcdp.com/journal/view/volume11- issue5-hungund

scholarly journals Atypical Insufficiency Fractures Associated with Long-Term Bisphosphonate Therapy: 3 Case Reports

2015 ◽  
Vol 1 (1) ◽  
Author(s):  
Sandrine Malochet Guinamand
Keyword(s):  
Case Reports ◽  
Femoral Fractures ◽  
Bisphosphonate Therapy ◽  
Fracture Site ◽  
Atypical Fracture ◽  
Mineral Research ◽  
The Third ◽  
First Case ◽  
The Right

Atypical femoral fractures as defined by the American Society for Bone and Mineral Research (ASBMR) are linked with long-term bisphosphonate therapy. We report the cases of 3 patients treated with bisphosphonates, and presenting non femoral atypical fracture. Our first patient presented with a series of fractures after being treated with risedronate: the left tibia, bilateral tibial plateau successively, the left femoral and tibial metaphysis, the right tibia and calcaneus, the left talus, and the left talar dome. The second patient had been taking alendronate and presented with a spontaneous fracture of the spine of the left scapula. The third patient had been treated with alendronate and presented with a fracture of the upper right tibial diaphysis with an unusual oblique orientation. These fractures could be suggestive of bisphosphonate therapy failure or stress fractures. However, the number of fractures in our first case, the fracture site in the second and the fracture line orientation in the third brings to mind the hypothesis of atypical non femoral fractures associated with bisphosphonate therapy. We therefore suggest the possibility of a new type of atypical fracture in patients treated with bisphosphonates, and whose causal relationship with bisphosphonates is even more difficult to demonstrate.

scholarly journals Alternative Leprosy Treatment Using Rifampicin Ofloxacin Minocycline (ROM) Regimen – Two Case Reports

2019 ◽  
Vol 11 (3) ◽  
pp. 89-93
Author(s):  
Yohanes Widjaja ◽  
Khairuddin Djawad ◽  
Saffruddin Amin ◽  
Widyawati Djamaluddin ◽  
Dirmawati Kadir ◽  
...  
Keyword(s):  
Clinical Improvement ◽  
Alternative Treatment ◽  
Histopathological Examination ◽  
Case Reports ◽  
Erythematous Plaque ◽  
First Case ◽  
Satisfactory Outcome ◽  
Significant Clinical Improvement ◽  
The Right

Abstract Introduction. Leprosy is a disease that predominantly affects the skin and peripheral nerves, resulting in neuropathy and associated long-term consequences, including deformities and disabilities. According to the WHO classification, there are two categories of leprosy, paucibacillary (PB) and multibacillary (MB). The standard treatment for leprosy employs the use of WHO MDT (Multi Drug Treatment) regimen, despite its multiple downsides such as clofazimine-induced pigmentation, dapsone-induced haematological adverse effects, poor compliance due to long therapy duration, drug resistance, and relapse. Multiple studies and case reports using ROM regimen have reported satisfactory results. Nevertheless, there are still insufficient data to elucidate the optimum dosage and duration of ROM regimen as an alternative treatment for leprosy. Previous experience from our institution revealed that ROM regimen given three times weekly resulted in a satisfactory outcome. Case Reports. We report two cases of leprosy treated with ROM regimen from our institution. The first case was PB leprosy in a 64-year-old male who presented with a single scaly plaque with erythematous edge on the right popliteal fossa. Sensibility examination showed hypoesthesia with no peripheral nerve enlargement. Histopathological examination confirmed Borderline Tuberculoid leprosy. ROM regimen was started three times weekly for 6 weeks and the patient showed significant clinical improvement at the end of the treatment with no reaction or relapse until after 6 months after treatment. The second case was MB leprosy in a 24-year-old male patient with clawed hand on the 3rd-5th phalanges of the right hand and a hypoesthetic erythematous plaque on the forehead. Histopathology examination confirmed Borderline leprosy. The patients received ROM therapy 3 times a week with significant clinical improvement after 12 weeks. Conclusion. ROM regimen given three times weekly for 6 weeks in PB leprosy and 12 weeks in MB leprosy resulted in a significant clinical improvement. Thus, ROM regimen could be a more effective, safer, faster alternative treatment for leprosy.

scholarly journals Necrotizing fasciitis: A review of three clinical encounters

2018 ◽  
Vol 5 (1) ◽  
pp. 5
Author(s):  
Jaron Pettis ◽  
Neelam Mulji ◽  
Fernando A. Navarro
Keyword(s):  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Case Reports ◽  
Disease Process ◽  
The United States ◽  
Soft Tissue Infections ◽  
Wound Debridement ◽  
The Third ◽  
First Case ◽  
Necrotizing Soft Tissue Infections

Background: Necrotizing fasciitis is a potentially lethal soft tissue infection characterized by rampant necrosis and destruction of subcutaneous tissues. Current estimates of necrotizing soft tissue infections in the United States are 4.3 infections per 100,000 of the population. Although the incidence of necrotizing soft tissue infections has decreased in the last decade, the toxic and lethal nature of the disease process lends utmost importance to accurate diagnosis and immediate management. The purpose of this review article is to report three cases of necrotizing fasciitis and provide literature review in regards to hallmark characteristics, predisposing risk factors and treatment optimization.Case: The first case depicts a newly diagnosed 43-year-old male HIV patient with necrotizing fasciitis infection characterized by Klebsiella, Serratia and anaerobic bacteria cultures. The second case describes the course of a 71-year-old male diagnosed with necrotizing fasciitis in the setting of a complicated anal fistula characterized by B. fragilis, S. anginosus and Prevotella species. The third and final case describes the course of a 44-year-old female diagnosed with necrotizing fasciitis in the setting of Ludwig’s Angina characterized by Klebsiella and Dubliensis species. Treatment was initiated with extensive wound debridement, multiple washouts and broad antibiotic regimens in all three cases. Additional hyperbaric oxygen therapy was administered in the third case.Conclusions: These case reports illustrate the range of severity and settings in which necrotizing fasciitis can occur. Significant morbidity and mortality rates are associated with a delay in treatment initiation. Given this, it is of utmost importance to develop and maintain a high clinical acumen for necrotizing soft tissue infections.

Guided Endodontics in Root Canals with Complex Access: Two Case Reports

2021 ◽  
Vol 32 (6) ◽  
pp. 115-123
Author(s):  
Wesley Fernandes Gonçalves ◽  
Lucas da Fonseca Roberti Garcia ◽  
Daniela Peressoni Vieira-Schuldt ◽  
Eduardo Antunes Bortoluzzi ◽  
Luiz Carlos de Lima Dias-Júnior ◽  
...  
Keyword(s):  
Root Canal ◽  
Case Reports ◽  
Signs And Symptoms ◽  
Radiographic Examination ◽  
Free Access ◽  
Filling Material ◽  
Radiographic Images ◽  
Root Canals ◽  
First Case ◽  
The Right

Abstract This article reported two clinical cases in which the guided endodontics was used to perform the access to the root canals. The first case presents a 40-year-old female with a history of pain related to the left maxillary canine. After radiographic examination, the presence of severe calcification up to the apical third of the root canal, associated with a periapical radiolucency, was noted. In the second case, an 85-year-old male was referred to our service with pain upon palpation, at the right mandibular first molar. The radiographic images revealed the presence of endodontic treatment and a fiberglass post in the distal root canal, which was associated with extrusion of the filling material and a periapical lesion. The 3D-guides were planned based on cone beam computed tomography and intraoral digital scanning, which were aligned using a specific software. Therefore, implant drills could be guided up to the root canal length required for each case. In the first case, a surgical root canal was created and the patient was free of signs and symptoms after the treatment was completed. In the second case, it was observed that the fiber post was worn by the drill, allowing free access to the filling material. It was possible to perform the endodontic reintervention in a more predictable way and in less time. In both cases, the use of the guided endodontics allowed the preservation of a large part of the dental structure. The procedures were performed faster, without the occurrence of fractures and perforations.

Abstract 1122‐000051: Isolated Diplacusis Due to Ipsilateral Temporal Lobe Infarction: A Case Report

2021 ◽  
Vol 1 (S1) ◽  
Author(s):  
Ali Kerro ◽  
Reza Bavarsad Shahripour
Keyword(s):  
Case Report ◽  
Temporal Lobe ◽  
Case Reports ◽  
Sensorineural Deafness ◽  
Screen Test ◽  
Acute Onset ◽  
First Case ◽  
Ischemic Infarct ◽  
Pubmed Search ◽  
The Right

Introduction : Double hearing or Diplacusis is a synchronous double perception of a sound and can have Binauralis or Monauralis pattern, with inner ear disorders being the main culprit [1] . Other forms of Auditory illusions have been reported as a co‐manifestation of stroke syndromes, but none as an isolated presentation [1][2] . This is a case of a 77‐year‐old male with acute onset isolated Diplacusis in a patient due to a right temporal lobe ischemic infarct. To our knowledge, this is the first case report of an isolated diplacusis due to cortical infarct. Methods : A case presentation with Pubmed search of review articles and case reports. Results : The patient had a past medical history of sensorineural deafness in his left ear. He described any sound heard as the same quality but occurring with an echo heard a fraction of a second later in his right ear. There was no decreased hearing quality or tinnitus reported in his right ear. His drug screen test was negative. His examination was only remarkable for a sensorineural hearing loss pattern on his left ear. His (NIHSS) was zero, and no other cranial nerve abnormalities were detected. His MRI was significant for a punctate restricted diffusion on the right temporal lobe, resembling an ischemic infarct (Figure). Conclusions : Isolated diplacusis can present as acute ischemic stroke in the temporal lobe. Further studies are needed to understand its pathophysiology.

scholarly journals PSYCHOGENIC SEXUAL DYSFUNCTIONS IN WOMEN: CLINICAL OBSERVATIONS

2018 ◽  
Keyword(s):  
Clinical Observation ◽  
Case Reports ◽  
Sexual Life ◽  
Sexual Dysfunctions ◽  
Sexual Disorder ◽  
The Third ◽  
Clinical Observations ◽  
First Case ◽  
The Family ◽  
Pathological Variant

Three clinical observations dealing with sexual problems in women as a result of influence of unfavourable psychogenic factors are described. The first case (a false sexual disorder) is a report about the woman, whose psychogenic anorgasmia was caused by the situation (a response to nonverbal stimuli during the coitus on the part of her husband). Her husband had regular sexual relations with another woman. For him the coitus, which he had with his wife after 10 months of a break in their intimacy, was extremely undesirable. It was almost by force that she made him have it with her, but she failed to feel orgasm. The second clinical observation deals with a female patient having a pathological sexual stereotype, whose formation resulted from many years of masturbation. She had been masturbating since the age of 11. From the age of 11 to 14 she simply had pleasant sensations. Since the age of 14 her masturbations have been causing orgasm. She reaches it after pressing her legs together (the myocompression variant). Different kinds of genital stimulation on the part of men (their fingers, tongue) fail to cause orgasm. During the coitus, orgasm appears only in case of its combination with pressing of her legs (myocompression masturbation). Virtually this is a pathological variant of coital anorgasmia. The third case reports about a woman, who was subjected to significant psychosexual traumatization on the part of her sexual partner. By all means he degraded and outraged her, accusing of an early start of her sexual life. It resulted in the formation of a sexual disorder, which manifested itself with different sexual dysfunctions, as well as in a long-lasting “slipping” to homosexual relations. But due to their futility with respect to formation of the family as well as because of the absence of the formed homosexual desire the patient changed over to heterosexual relations.

scholarly journals Car Accident Due to Horse Crossing the Motorway: Two Case Reports

2018 ◽  
Vol 23 (1) ◽  
pp. 73-76 ◽  
Author(s):  
Serbülent Kılıç ◽  
Gürol Cantürk
Keyword(s):  
Forensic Medicine ◽  
Case Reports ◽  
Scar Tissue ◽  
Causal Link ◽  
Cranial Bone ◽  
Vehicle Collisions ◽  
Vehicle Collision ◽  
First Case ◽  
Key Words Animal ◽  
The Right

Basic Commercial Court in Ankara wanted a report from our department of forensic medicine about two injury cases due to animal vehicle collision. The reports should include the disability rate and the duration of unfunctionality. After the examination we prepared the reports. Both vehicle collisions happened due to free ranging horse crossing the motorway. Both cases had different types of injury due to trauma. Vehicle collision due to horse crossing the motorway is rarely met in Turkey. Our first case is a man that had upper extremity and facial injury. He uses prothesis due to ear amputation. He has a scar tissue on the right side of his face and left forearm. The other case is three-years-old boy that had cranial bone fracture and cranial hematoma. He has also hemiparesis of the right side of body. Both cases have neurologic sequels but they have no psychiatric sequels.  In literature, animal vehicle collisions involve lots of animal species such as kangaroo, deer, camel and moose. Animal vehicle collision involving the horses is rarely met. Forensic medicine specialists should state the causal link between traumatic events and disabilities in order to help justice. Our aim to present the current two cases is investigation of injuries of animal related collision and makes forensic medicine specialists pay attention to the subject of preparing reports about such cases. Key words: Animal vehicle collision; death; disability; horse; injury; motorway.  

scholarly journals Ocular dirofilariasis: two case reports

2016 ◽  
Vol 9 (1) ◽  
pp. 83-89 ◽  
Author(s):  
Nataliya Guramovna Zumbulidze ◽  
Dmitry A Yarovoy ◽  
Elena P Gavrilova ◽  
Farhod O Kasymov
Keyword(s):  
Case Reports ◽  
Dirofilaria Repens ◽  
Temperate Climate ◽  
Leningrad Region ◽  
Medical Assistance ◽  
First Case ◽  
Male Patients ◽  
The Russian Federation ◽  
The Right ◽  
Local Transmission

Since 1990s, the prevalence increase of dirofilariasis with local transmission of infection in a zone of a temperate climate is observed. Сases of Dirofilaria repens infection in humans were registered in 42 territorial entities of the Russian Federation. Two male patients: P., 66 years old, and F., 64 years old, both Leningrad region residents, requested medical assistance at the St. Petersburg Municipal Clinical Hospital No 2 for a feeling of moving foreign body under the conjunctiva of the right eye, local hyperemia and edema of inferior and superior eyelids. Through a conjunctival incision, a threadlike white object was removed in each of the two cases (11.7 cm long, and 0.6 mm thick in the first case, and 13.5 cm long, 0.6 mm thick in the second case). The parasite was identified as impuberal female Dirofilaria repens in both cases.

Middle ear lipoma

1993 ◽  
Vol 107 (12) ◽  
pp. 1151-1152 ◽  
Author(s):  
V. Abdullah ◽  
P. Williamson ◽  
A. Gallimore ◽  
N. S. Shah
Keyword(s):  
Eustachian Tube ◽  
Middle Ear ◽  
World Literature ◽  
De Novo ◽  
Ct Scans ◽  
The Third ◽  
First Case ◽  
The Uk ◽  
The Right ◽  
A Site

We report a case of primary middle ear lipoma diagnosed in the right ear of a five-year-old child with concurrent bilateral middle ear effusions. The lipoma occupied a site favoured by congenital cholesteatoma and was occlusive to the eustachian tube contributing to its dysfunction. This is the first case of de novo middle ear lipoma diagnosed in the UK, and the third in world literature. Our CT scans are suggestive of a similar but smaller lesion in the left ear of the same child.

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