journal
https://read.qxmd.com/read/37951633/immediate-restoration-of-an-endosseous-implant
#21
REVIEW
Ian Mark, Harry Dym, Yijiao Fan
As the field of implant dentistry continues to evolve, new techniques and technologies arise that can provide great benefits to the partial or completely edentulous patient. The purpose of this article is to review the history, definition, and rationale of immediate loading of dental implants with the goal of providing evidence-based recommendations for implementation into clinical practice. Relevant literature is summarized and includes discussion regarding prerequisites for immediate loading/restoration of an endosseous implant...
January 2024: Dental Clinics of North America
https://read.qxmd.com/read/37951632/diagnosis-and-treatment-of-periimplant-mucositis-and-periimplantitis-an-overview-and-related-controversial-issues
#22
REVIEW
Michael H Chan, Joseph Kang
Periimplant mucositis and periimplantitis are common complications of dental implant. This article provides a comprehensive overview of the 2017 World Workshop's new definition, clinical and radiographic presentation, pathogenesis, risk factors, and classification of periimplant diseases. Also, the authors discuss various types of instruments, materials, and techniques commonly used for treatment of nonsurgical and surgical periimplantitis. Lastly, the authors include some controversial topics surrounding this subject...
January 2024: Dental Clinics of North America
https://read.qxmd.com/read/37951631/controversies-in-dental-traumatology
#23
REVIEW
Orrett E Ogle
The management of traumatic dental injuries is more a shade of gray than it is black and white because not all treatment procedures used for dental trauma management are fully evidence based. This chapter has highlighted some of the gray areas related to the treatment and outcome of traumatic dental injuries. Significant controversies in the management of luxation and avulsive injuries have been brought out. Adjunctive treatment such as antibiotic usage, tetanus vaccination, and pain management is also addressed...
January 2024: Dental Clinics of North America
https://read.qxmd.com/read/37951630/treatment-of-oral-dysplasia
#24
REVIEW
Earl Clarkson, Reza Hadioonzadeh, Scott M Peters
Oral epithelial dysplasia refers to a premalignant lesion of the oral cavity. The diagnosis of dysplasia is rendered via pathologic assessment of diseased tissue. There are many different premalignant conditions identified in the oral cavity. These include leukoplakias, erythroplakias, proliferative verrucous leukoplakia, oral submucosal fibrosis, actinic cheilitis, and lichen planus. This article will discuss these different conditions and how they are diagnosed. It will also review the treatment for these entities...
January 2024: Dental Clinics of North America
https://read.qxmd.com/read/37951629/medication-management-of-neuropathic-pain-disorders
#25
REVIEW
Rebecca Fisher, Earl Clarkson
It is important for Oral and Maxillofacial Surgeons to be familiar with the various neuropathic facial pain disorders and their appropriate treatments. Neuropathic pain can be characterized by the nature of the pain experienced by patients; episodic or continuous. Episodic neuropathic pain disorders include trigeminal neuralgia and glossopharyngeal neuralgia. Continuous neuropathic pain disorders compromise of disorders such as idiopathic trigeminal neuralgia, postherpetic neuralgia, central post-stroke pain, and complex regional pain syndrome...
January 2024: Dental Clinics of North America
https://read.qxmd.com/read/37951628/management-of-burning-mouth-syndrome
#26
REVIEW
Jaykrishna Thakkar, Harry Dym
This article provides an update for the practicing dentist and/or oral and maxillofacial surgeon on the recognition, identification, and treatment of burning mouth syndrome (BMS). We discuss the most common clinical findings and most common causes of BMS. This article provides a classification flowchart that assists the practitioner in diagnosing and classifying BMS. The article then discusses the pathophysiology and treatment of BMS updated in the literature from the latest studies and reviews. Treatment can vary from topical or systemic medication to behavioral therapy...
January 2024: Dental Clinics of North America
https://read.qxmd.com/read/37951627/controversies-in-sleep-apnea
#27
REVIEW
Tal Sastow, Nabil Moussa, Edward Zebovitz
This chapter discusses controversies in diagnosis and management of obstructive sleep apnea (OSA), with particular focus on surgical management to improve quality of life. Though OSA is a complex disorder that affects millions of people worldwide, its management remains controversial among clinicians. Gaps in understanding its pathophysiology, long-term health consequences, diagnostic methods, and treatment strategies exist. While continuous positive airway pressure (CPAP) therapy is considered the gold standard for moderate to severe obstructive sleep apnea (OSA), its adherence rate is often low, and its efficacy in improving outcomes beyond symptom reduction and quality of life improvement is uncertain...
January 2024: Dental Clinics of North America
https://read.qxmd.com/read/37714632/clinical-decisions-in-medically-complex-dental-patients-part-ii
#28
EDITORIAL
Mel Mupparapu, Andres Pinto
No abstract text is available yet for this article.
October 2023: Dental Clinics of North America
https://read.qxmd.com/read/37714631/restorative-dental-treatment-and-endodontic-surgery-in-a-pregnant-patient-receiving-corticosteroids
#29
REVIEW
Fatmah Alhendi
Corticosteroid therapy (CST) can be used to treat complicated pregnancy. Second trimester of pregnancy is the preferred period to perform dental treatments. The long-term use of CST may result in hyperglycemia, hypertension, immunosuppression, and adrenal suppression, which, theoretically, may cause adrenal crisis during surgical procedures. The risk of adrenal crisis at the dental clinic caused by exogenous CST depends on the dosage, duration of treatment, route of administration, frequency, time lapse since the last dose, and type of procedure performed...
October 2023: Dental Clinics of North America
https://read.qxmd.com/read/37714630/a-pregnant-patient-with-gestational-diabetes-reports-for-scaling-and-root-planning
#30
REVIEW
Milda Chmieliauskaite, Marie D Grosh, Ali Syed, Andres Pinto
In this case a woman with gestational diabetes and otherwise healthy pregnancy needs scaling and root planning for the treatment of stage I periodontal disease during pregnancy. Her daily blood sugars are in the target range, and there are no contraindications to providing necessary dental treatment under local anesthesia with vasoconstrictors in her case.
October 2023: Dental Clinics of North America
https://read.qxmd.com/read/37714629/a-pregnant-patient-first-trimester-reporting-for-pain-in-relation-to-the-maxillary-left-first-molar-was-prescribed-a-full-mouth-series-radiographs-in-the-dental-office
#31
REVIEW
Peter W Duda, Steven R Singer, Eman Alamodi, Mel Mupparapu
This case scenario shows the value of conducting a thorough clinical examination that will direct appropriate radiographic selection and prescription criteria to be able to arrive at a diagnosis. Proper management of a patient's chief complaint and imaging needs during pregnancy is of utmost importance. It is prudent to limit ionizing radiation during the first trimester to what is minimally needed and defer elective imaging until after the birth of the baby. It is important for dental health care providers to do what is necessary for the patient for the emergent situation and postpone all elective imaging and follow the published FDA/ADA radiographic selection criteria...
October 2023: Dental Clinics of North America
https://read.qxmd.com/read/37714628/a-patient-diagnosed-with-bulimia-reports-to-the-dental-office-seeking-cosmetic-dental-work
#32
REVIEW
Irene H Kim, Walter W Hong, Mel Mupparapu
Bulimia nervosa (BN) is a serious psychiatric illness that typically occurs in adolescents and young adults. It is characterized by recurring episodes of consuming large amounts of food with an inappropriate compensatory behavior of purging to prevent weight gain. The purging behavior results in oral manifestations such as dental erosion, dental caries, sialadenosis, and oral mucosal trauma. Medical complications include electrolyte imbalances, esophageal rupture, and renal and cardiovascular failure. Treatment of BN involves psychosocial and psychopharmacologic approaches...
October 2023: Dental Clinics of North America
https://read.qxmd.com/read/37714627/patient-with-crohn-s-disease-presents-for-pain-in-relation-to-maxillary-teeth
#33
REVIEW
Payam Mirfendereski, Lauren Wilson, Katherine France
Crohn's disease has been associated with poor oral health and oral health-related quality of life. Myriad-specific and nonspecific oral lesions have been associated with Crohn's disease. Oral lesions in patients with Crohn's disease may be a source of referred pain, especially if mucosal ulcerations or orofacial granulomatosis are involved. The dental provider can play an important role in evaluating for and/or managing oral lesions in patients with Crohn's disease and thereby improving patients' oral health and quality of life...
October 2023: Dental Clinics of North America
https://read.qxmd.com/read/37714626/child-patient-with-a-history-of-status-epilepticus-referred-for-management-of-grossly-decayed-primary-molar
#34
REVIEW
Elizabeth Bortell, Jayakumar Jayaraman
A patient with status epilepticus presents with a grossly carious primary molar. Medical consultation is requested from the patient's neurologist. The patient is treated in the operating room under general anesthesia for comprehensive dental care.
October 2023: Dental Clinics of North America
https://read.qxmd.com/read/37714625/a-patient-with-herpes-zoster-of-the-maxillary-division-of-trigeminal-nerve-presents-for-oral-evaluation-and-toothache
#35
REVIEW
Irene H Kim, Archana Mupparapu, Jana N Yablonski, Mel Mupparapu
Herpes zoster (HZ) is an acute and painful neurocutaneous infection caused by the reactivation of a latent varicella-zoster virus in the dorsal root or cranial nerve ganglia. It is characterized by 3 stages: prodromal, acute, and chronic. During the prodromal stage, reactivation in the maxillary branch of the trigeminal nerve closely mimics odontalgia, and HZ should be in the differential diagnosis. Patients with HZ develop painful lesions following the affected dermatome. Laboratory testing confirms the diagnosis; treatment is with antiviral agents...
October 2023: Dental Clinics of North America
https://read.qxmd.com/read/37714624/a-patient-with-refractory-trigeminal-neuralgia-was-referred-for-suspected-odontogenic-pain
#36
REVIEW
Stefania Brazzoli, Lauren Levi, Marlind Alan Stiles, Andres Pinto
Chronic pain of the face with a sudden, unilateral, and electric shock-like pain in the distribution of the trigeminal nerve is known as Trigeminal neuralgia (TN). This case report presents a patient with TN symptoms, along with concomitant tooth pain. The diagnostic process and management of the patient are discussed, emphasizing the importance of interdisciplinary collaboration for optimal patient care.
October 2023: Dental Clinics of North America
https://read.qxmd.com/read/37714623/a-patient-presents-for-dental-extraction-and-goes-into-sickle-cell-crisis-in-the-dental-chair
#37
REVIEW
Walter W Hong, Irene H Kim, Adeyinka F Dayo, Mel Mupparapu
Sickle Cell Disease is an inherited autosomal recessive hemoglobinopathy associated with multiorgan damage. This single gene disorder involves one DNA base pair alteration, producing HbS. The sickle-shaped cells form when deoxygenated in the capillaries. The resulting RBC stasis leads to ischemia and pain, and acute and chronic organ damage. Patients with SCD presenting to a dental office need careful examination to rule out any current infections, neurologic deficits, or other organ involvement before formulating a dental treatment plan to avoid prolonged and complicated procedures...
October 2023: Dental Clinics of North America
https://read.qxmd.com/read/37714622/a-patient-with-a-history-of-tonsillar-cancer-presents-for-evaluation-of-exposed-alveolar-bone-in-the-mouth
#38
REVIEW
Takako I Tanaka, Rabie Shanti
Osteoradionecrosis (ORN) is a rare but serious late complication of head and neck radiation therapy. The mandible, proximity of the primary tumor to the jawbones, radiation dose, poor oral hygiene, and smoking history are risk factors of ORN. ORN manifests as a chronic infection with exposed jawbone, which typically occurs in the first 3 years after radiotherapy; however, the risk for ORN development occurring in the patients who have undergone head and neck radiation therapy may be indefinite. Surgery has an important role in the management of cases of ORN, ranging from sequestrectomy, debridement, and extensive extirpative procedures with reconstructive surgery...
October 2023: Dental Clinics of North America
https://read.qxmd.com/read/37714621/a-65-year-old-man-with-recent-history-of-radiation-therapy-to-the-head-and-neck-reporting-for-treatment-of-a-non-restorable-tooth
#39
REVIEW
Payam Mirfendereski, Jacob W Trotter, Katherine France
Patients with a history of head and neck radiation involving or adjacent to tooth-bearing areas are at increased risk of developing osteonecrosis following dental procedures. The dental provider should thus aim to preserve the patient's dentition after radiation therapy. Root canal therapy with coronectomy may be an option for a nonrestorable tooth, whereas atraumatic extraction can be considered if retaining the tooth is impossible. When treating a patient with a history of head and neck radiation, it is recommended that the dental provider reviews the patient's radiation records and consults with the patient's radiation oncologist to better stratify treatment risks...
October 2023: Dental Clinics of North America
https://read.qxmd.com/read/37714620/a-patient-presenting-for-dental-extraction-after-completion-of-chemotherapy
#40
REVIEW
Walter W Hong, Irene H Kim, Brad M Hong, Sophia Oak, Mel Mupparapu
Acute myeloid leukemia (AML) presents several oral manifestations, including gingival hyperplasia, pale mucosa, poor wound healing, petechiae, ecchymoses, candidiasis, recurrent herpes infection, and ulcerations in the oral mucosa. Chemotherapy is the first-line treatment of AML. Common dental complications of chemotherapy include mucositis, infections secondary to profound bone marrow aplasia, and gingival bleeding. When treating patients with AML, preparing a comprehensive treatment plan is essential to help minimize their risks for developing these oral complications...
October 2023: Dental Clinics of North America
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