scholarly journals Dental Implant for a Patient with Narcolepsy: A Case Report

2020 ◽  
Author(s):  
Hani Mawardi ◽  
Yasser Mahfouz ◽  
Siraj Dakhil ◽  
Mohammed Zahran ◽  
Lena Elbadawi
Keyword(s):  
Dental Implant ◽  
Lateral Incisor ◽  
Periodontal Pocket ◽  
Collagen Membrane ◽  
Allogenic Bone ◽  
First Case ◽  
Dental Procedures ◽  
Dental Practitioners ◽  
Narcolepsy Patient ◽  
Allogenic Bone Graft

Narcolepsy is a neurological disorder characterised by cataplexy, sleep paralysis and excessive daytime sleepiness. The literature on dental managements of patients with narcolepsy is lacking with no set guidelines for dental practitioners. A 31-year-old female presented to the dental office with a dull pain related to the maxillary left lateral incisor with Grade 2 mobility and isolated 8 mm periodontal pocket. In addition, there was loss of buccal gingiva with radiographic changes suggestive of caries and fractured crown. The patient had a history of narcolepsy with cataplexy and hypertension controlled with bisoprolol and desvenlafaxine in addition to clonazepam 1 mg/day as needed to prevent episodes of cataplexy. Patient was asked to take 2 mg clonazepam and 600 mg ibuprofen one hour before procedure. The maxillary left lateral incisor was extracted atraumatically and an immediate implant combined with allogenic bone graft and collagen membrane was placed. The procedure was uneventful, and patient left conscious and stable. After three months, the implant was restored with porcelain fused-to-metal crown and followed-up for six months without any complications. This is the first case describing a narcolepsy patient who successfully received a dental implant without developing a cataplexy episode. Clonazepam prophylaxis may be considered prior to dental procedures for similar situations.

PTH1-34 improves devitalized allogenic bone graft healing in a murine femoral critical size defect

Injury ◽  
2021 ◽  
Author(s):  
Tito Rocha ◽  
Amanda S. Cavalcanti ◽  
Ana Carolina Leal ◽  
Rhayra B. Dias ◽  
Rafaela Sartore da Costa ◽  
...  
Keyword(s):  
Bone Graft ◽  
Critical Size ◽  
Critical Size Defect ◽  
Allogenic Bone ◽  
Graft Healing ◽  
Allogenic Bone Graft

Fate of allogenic bone graft for sternal support in pectus excavatum repair

2015 ◽  
Vol 23 (8) ◽  
pp. 961-965 ◽  
Author(s):  
Mahmoud Ashour ◽  
Mohommad Rafay ◽  
Waleed Saleh ◽  
Mohamed Ahmed ◽  
Hassan Robaidi ◽  
...  
Keyword(s):  
Bone Graft ◽  
Pectus Excavatum ◽  
Allogenic Bone ◽  
Allogenic Bone Graft

Assessment of Knowledge and Practice of Fresh Dental Graduates, Dental Surgeons and Specialists of Multan about Different LA Techniques for Mandibular Teeth: A cross-sectional survey

2021 ◽  
Vol 15 (7) ◽  
pp. 1745-1748
Author(s):  
Zaid Bin Sohail ◽  
Muhammad Salman Chishty ◽  
M. Shairaz Sadiq ◽  
Farhan Riaz ◽  
Mehwish Munawar ◽  
...  
Keyword(s):  
Nerve Block ◽  
Dental Treatment ◽  
Inferior Alveolar Nerve ◽  
Mandibular Nerve ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Dental Procedures ◽  
Dental Practitioners

Objective: To assess the knowledge about different mandibular nerve block techniques of fresh dental graduates, dental surgeons and specialists to attain mandibular nerve block for dental treatment in Multan. Design of the Study: It was a cross-sectional survey. Study Settings: This study was carried out at Department of Dentistry at Multan Medical & Dental College, Nishtar Institute of dentistry (Nishtar Medical University) and Bakhtawer Amin Dental College from August 2019 to August 2020. Material and Methods: The study involved 220 respondents. The questionnaire was administered to fresh dental graduates (house officers) and dental surgeons in 3 dental colleges of Multan, and was collected on the same day. House officers who did not return the forms were reminded personally and contacted on the phone thrice over the following week. Results of the Study: The frequency of respondants who could administer Gow-Gates without supervison was 20.9% (n=46). Participants from NID, Multan had the highest frequency (35.3%) with the lowest in BIMDC (16.6%)and MMDC(20.6%). The differences were non-significant (p=0.19). Significantly higher frequency of male respondants (10%, n=22) claimed they could administer Gow-Gates without supervison compared to female respondants (5.4%, n=12, p=0.012, Chi-Square). Training for Gow-Gates had been received by 12.7% (n=28) of the House Officers and dental surgeons. The Highest frequency of training was in NID, Multan (5.4%, n= 12, p= 0.016, chi-square). Conclusion: The majority of the dental practitioners of Multan used IANB as their primary LA technique and intraligamental injections as a supplemental LA technique in their clinics to attain mandibular molars anesthesia for general dental procedures like fillings, root canals and extractions. Keywords: Mandibular local anesthesia, Inferior alveolar nerve block, Gow-Gates technique

scholarly journals Crown-Root Angulation of Central Incisors in Cases With Maxillary Lateral Incisors Agenesis

2017 ◽  
Vol 13 (15) ◽  
pp. 330
Author(s):  
Alexandru Ogodescu ◽  
Ramona Ştefănescu ◽  
Emilia Ogodescu ◽  
Andreea Igna ◽  
Magda Luca ◽  
...  
Keyword(s):  
Early Detection ◽  
Dental Implant ◽  
Treatment Plan ◽  
Interdisciplinary Approach ◽  
Frontal Area ◽  
Lateral Incisor ◽  
Crown Root ◽  
Maxillary Lateral Incisor

Dental agenesis of the maxillary lateral incisor is a frequently seen anomaly in children and teenagers nowadays. It can alter the esthetics as well as the functions in the frontal area of the maxilla and therefore, early detection and therapy would be beneficial. The treatment often implies an interdisciplinary approach between orthodontics and implantology. One of the particularities of this kind of treatment is given by the distal angulation of central incisor’s root, which invades the space required by the dental implant. Any treatment plan should begin with a thorough radiographical analysis of the space and morphological particularities of the central incisors.

scholarly journals The impact of COVID-19 pandemic on dental practice in Iran: a questionnaire-based report

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Hanie Ahmadi ◽  
Alireza Ebrahimi ◽  
Farhad Ghorbani
Keyword(s):  
Personal Protective Equipment ◽  
Dental Health ◽  
Protective Equipment ◽  
Dental Practice ◽  
Online Questionnaire ◽  
Dental Services ◽  
Emergency Procedures ◽  
Dental Procedures ◽  
Dental Practitioners ◽  
The Impact

Abstract Background The highly contagious nature of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV2), besides the fact that dental procedures commonly generate blood and saliva droplets that could lead to the contagion have resulted in the closure of many dental clinics. In the present study, we aimed to evaluate the impact of coronavirus disease 2019 (COVID-19) pandemic on dental practice by conducting an online questionnaire among the Iranian dental practitioners and finding their perspectives on the subject. Methods This report is based on a questionnaire that was conducted among Iranian dentists. The survey included questions that evaluate the dentists’ perceptions and attitudes toward the COVID-19 pandemic and its effect on their personal life, financial status, and the quality of dental services for patients. Results Overall, 240 dentists contributed to this study (214 general dentists and 26 specialists). The majority of the participants (n = 170, 70%) did not perform non-emergency procedures during the pandemic. The dental practitioners have suggested several strategies to decrease the risk of contagion, such as reducing treatment sessions (n = 90, 37%), strict triage of patients (n = 156, 64%), and using personal protective equipment (n = 108, 45%). However, most of the dentists (n = 210, 87%) had problems, providing personal protective equipment during the pandemic. Moreover, 97% (n = 234) of the participants reported that they encountered a decrease in their financial income since the eruption of the pandemic. Conclusion Dental health care workers are at the highest risk of contracting COVID-19. Thus, dental practitioners ought to execute the standard protocols more cautiously during the pandemic. They could also lower their work hours and limit dental procedures to emergency treatments to reduce the risk of COVID-19 transmission. Besides, the public organizations should provide proper equipment for the dental practitioners to decrease the risk of contagion.

scholarly journals Radiographic Union of Evans Osteotomy Without Fixation

2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0035
Author(s):  
Megan R. Miles ◽  
Brian P. Gallagher ◽  
Katherine L. Mistretta ◽  
Nigel N. Hsu ◽  
Haijun Wang ◽  
...  
Keyword(s):  
Allogenic Bone ◽  
Lateral Column ◽  
First Metatarsal ◽  
Calcaneocuboid Joint ◽  
Calcaneal Osteotomy ◽  
Metatarsal Angle ◽  
Flexible Flatfoot ◽  
Lateral Column Lengthening ◽  
Allogenic Bone Graft

Category: Hindfoot; Other Introduction/Purpose: The Evans osteotomy is a lateral column lengthening procedure of the calcaneus that is commonly used to correct flexible flatfoot deformities. There is no consensus on whether fixation is needed to avoid nonunion and calcaneocuboid subluxation when performing this osteotomy. We assessed the nonunion rate and correlated extent of subluxation with graft size in an unfixed Evans osteotomy with an allograft wedge and no pinning of the calcaneocuboid joint at any point in the largest series of the procedure to date. Surgeries were performed in patients undergoing flexible flatfoot reconstruction. Methods: We retrospectively reviewed 120 consecutive patients who had undergone 145 unfixed Evans osteotomies by a single surgeon with allogenic bone graft for flatfoot reconstruction between January 2013 and October 2017, with a mean follow-up of 62.5 (range 9.4-266.7) weeks. The calcaneocuboid joint was not pinned during the procedure. Data were collected using clinical and radiographical examination during regular follow-up. Results: A total of 137 feet (94.5%) underwent a double calcaneal osteotomy with an associated medial displacement calcaneal osteotomy (MDCO). There was one nonunion (0.69%). The mean time to union was 10.8 (range, 6.7-17.9) weeks. There was significant improvement in all radiographic parameters postoperatively, including calcaneal pitch, talonavicular uncoverage, anteroposterior and lateral talo-first metatarsal angle, lateral column length, and naviculocuboid overlap (p<0.05). Minor postoperative calcaneocuboid joint subluxation (1.51 +- 2.3 mm) occurred in 72 of 118 feet (61.0%) and had no correlation with wedge size (r=0.06; 95% CI, -0.13, 0.24; p=0.6). Conclusion: An unfixed Evans osteotomy for symptomatic flatfoot deformity resulted in a significant improvement in the radiographic alignment of the foot with an exceptionally rare nonunion rate. Detectable calcaneocuboid subluxation was common but minimal in extent and was not correlated with wedge size in this series in which wedges were less than 12 mm in the maximum dimension. This report represents the largest series of the Evans procedure to date.

scholarly journals A case of accidental aspiration of an endodontic instrument by a child treated under conscious sedation

2013 ◽  
Vol 07 (02) ◽  
pp. 225-228 ◽  
Author(s):  
Mahesh R. ◽  
Vishnu Prasad ◽  
Padma A. Menon
Keyword(s):  
Behavior Management ◽  
Conscious Sedation ◽  
Root Canal Therapy ◽  
Hyperactivity Disorder ◽  
Isolation Techniques ◽  
First Case ◽  
Dental Procedures ◽  
Dental Management ◽  
Management Techniques ◽  
Behavior Management Techniques

ABSTRACTDental management of children with attention-deficit hyperactivity disorder (ADHD) often requires the need for pharmacological behavior management techniques such as the use of sedation. The purpose of this article is to describe a clinical case involving accidental aspiration of an Endodontic instrument during root canal therapy under sedation. To our knowledge, this is the first case report of aspiration of an Endodontic instrument and should serve to heighten the awareness with regard to aspiration during dental procedures under sedation. It also emphasizes the need for proper isolation techniques in patients treated under sedation, thereby preventing such complications.

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