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Periodontal fistula

N C T Marques, N Lourenço Neto, T M Oliveira
BACKGROUND: Furcal perforation consists of a communication between the pulp cavity and the periodontal tissues that can occur accidentally during cavity preparation or root canal instrumentation. This complication may lead to inflammatory reactions and compromise adjacent tissues irreversibly, resulting in the early loss of primary teeth. Perforation sealing with a biocompatible material is necessary to ensure a favourable prognosis. Among different materials, MTA has been employed due to its excellent healing and physical properties...
September 26, 2016: European Archives of Paediatric Dentistry: Official Journal of the European Academy of Paediatric Dentistry
Sara Nader Marta, Roberto Yoshio Kawakami, Claudia Almeida Prado Piccino Sgavioli, Ana Eliza Correa, Guaniara D'Árk de Oliveira El Kadre, Ricardo Sandri Carvalho
Waardenburg syndrome (WS) is an inherited autosomal dominant genetic disorder presenting variable penetrance and expressivity, with an estimated prevalence of 1:42,000. Clinical characteristics of WS include lateral displacement of the internal eye canthus, hyperplasia of the medial portion of the eyebrows, prominent and broad nasal base, congenital deafness, pigmentation of the iris and skin, and white forelock. A 24-year-old male patient, previously diagnosed with WS, was referred to the Special Needs Dental Clinic of Sacred Heart University, Bauru, Brazil...
2016: Journal of Contemporary Dental Practice
Y D Guo, S Zhang
OBJECTIVE: To investigate the effects of erbium:yttrium aluminium garnet (Er:YAG)laser irradiation on pulp and formation of dentin bridge. The beagle dogs' coronal pulp is amputated by Er:YAG laser. METHODS: In the study, 24 premolar teeth of two one-year-old Beagle dogs were used. They were divided into 3 groups: bur group, 200 mJ laser group,100 mJ laser group. The coronal pulp were removed by traditional bur or 200 mJ/20 Hz or 100 mJ/20 Hz Er:YAG laser. Then, they were dressed with mineral trioxide aggregate (MTA) and sealed with resin...
February 18, 2016: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
Ramon Targino Firmino, Lorenna Mendes Temóteo Brandt, Gustavo Leite Ribeiro, Katia Simone Alves Dos Santos, Maria Helena Chaves de Vasconccelos Catão, Daliana Queiroga de Castro Gomes
BACKGROUND DATA: The complete elimination of bacteria inside the root canal is a difficult task, and inconsistent removal of the innermost layer of contaminated dentin leaves bacteria behind. PDT is an adjunct to conventional endodontic treatment due to its potential to reduce bacteria and its biocompatibility. OBJECTIVE: Report a case of endodontic treatment associated with Photodynamic Therapy (PDT). STUDY DESIGN/PATIENT AND METHODS: A patient with chronic dentoalveolar abscess with radiolucent lesion next to the apexes of teeth 11 and 21 was submitted to conventional endodontic treatment associated with PDT...
September 2016: Photodiagnosis and Photodynamic Therapy
Dan-Krister Rechenberg, Ulrike Held, Jakob M Burgstaller, Gabriel Bosch, Thomas Attin
BACKGROUND: This study aimed to identify key symptoms that could be associated with the diagnosis of acute forms of symptomatic apical periodontitis (SAP) and symptomatic irreversible pulpitis (SIP), and to identify a diagnostic algorithm based on these symptoms. METHODS: In this prospective, observational study 173 emergency patients diagnosed with acute pain of endodontic origin and no swelling or fistula were included. Patients were asked 11 specific questions from a checklist with a possible discerning value between acute SAP and acute SIP...
2016: BMC Oral Health
Richard A Pollock, Ted W Brown, David M Rubin
Some 200 years ago, workers developed gingivitis, periodontal disease, alveolar crest bone sequestra, and draining fistulae after exposure to phosphorous fumes and phosphorous paste in the manufacture of the friction match. Many also suffered loss of teeth and pathologic fracture of the mandible. Known as "phossy jaw," the constellation rather abruptly vanished following the International Berne Convention of 1906. Today, "bis-phossy jaw" (bisphosphonate-induced osteonecrosis of the jaw) has surfaced with pathologic fractures and other features common to its predecessor, "phossy jaw...
September 2015: Craniomaxillofacial Trauma & Reconstruction
Giuseppe Giudice, Daniela Anna Cutrignelli, Sara Leuzzi, Fabio Robusto, Pasquale Sportelli, Eleonora Nacchiero
PURPOSE: Bone grafting of the alveolus has become an essential part of the contemporary surgical management of the oral cleft. The aim of this retrospective study was to evaluate the results of bone grafting in association with PRP (plateletrich plasma) to enhance osteogenesis and osteointegration. PATIENTS AND METHODS: The study included 16 patients, aged between 9 and 11, affected with unilateral residual alveolar clefts, who underwent bone grafting using secondary alveoplasty...
2016: Annali Italiani di Chirurgia
Jeffrey C Posnick, Anayo Adachie, Elbert Choi
PURPOSE: The purpose of the present study was to evaluate the indications, safety, and treating orthodontists' assessment of outcomes after bimaxillary orthognathic surgery that included segmental osteotomies. MATERIALS AND METHODS: We performed a retrospective cohort study of patients treated by a single surgeon from 2004 to 2013. The index group consisted of a consecutive series of subjects with a bimaxillary dentofacial deformity (DFD) involving the chin and symptomatic chronic obstructive nasal breathing...
July 2016: Journal of Oral and Maxillofacial Surgery
Sameh A Seifeldin
Cleft lip and palate (CL/P) is a frequent congenital malformation that manifests in several varieties including unilateral or bilateral and complete or incomplete. Alveolar cleft reconstruction remains controversial with regard to timing, graft materials, surgical techniques, and methods of evaluation. Many studies have been conducted addressing these points to develop an acceptable universal protocol for managing CL/P. The primary goal of alveolar cleft reconstruction in CL/P patients is to provide a bony bridge at the cleft site that allows maxillary arch continuity, oronasal fistula repair, eruption of the permanent dentition into the newly formed bone, enhances nasal symmetry through providing alar base support, orthodontic movement and placement of osseointegrated implants when indicated...
January 2016: Saudi Dental Journal
Aiyesha Wahaj, Imtiaz Ahmed
OBJECTIVE: To determine the mean difference of arch dimensions (both intercanine and intermolar width) between cleft lip palate and normal class I occlusion group. STUDY DESIGN: Cross-sectional analytic study. PLACE AND DURATION OF STUDY: Dr. Ishrat-ul-Ebad Khan Institute of Oral Health Sciences, [Dow University of Health Sciences (DUHS)], Karachi, from March 2012 to April 2013. METHODOLOGY: Group 1 consisted of 32 subjects with complete repaired, non-syndromic unilateral and bilateral cleft lip palate...
November 2015: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Ourania Nicolatou-Galitis, Evangelia Razis, Dimitra Galiti, Evangelos Galitis, Stefanos Labropoulos, Antonis Tsimpidakis, Joseph Sgouros, Athanasios Karampeazis, Cesar Migliorati
OBJECTIVE: We present clinical and radiologic data of periodontal tissue involvement preceding the appearance of osteonecrosis of the jaw (ONJ) in 5 patients with solid tumors, who received antiresorptives alone or in combination with targeted therapies. STUDY DESIGN: Five patients with osteonecrosis before dental extraction were studied. RESULTS: Periodontal involvement was evidenced by pain, bleeding, fistula, purulence, swelling, periodontal pocket, and tooth mobility...
December 2015: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Ashalata Gannepalli, Bhargavi Krishna Ayinampudi, Pacha Venkat Baghirath, G Venkateshwara Reddy
Actinomycosis is a chronic granulomatous infection caused by Actinomyces species which may involve only soft tissue or bone or the two together. Actinomycotic osteomyelitis of maxilla is relatively rare when compared to mandible. These are normal commensals and become pathogens when they gain entry into tissue layers and bone where they establish and maintain an anaerobic environment with extensive sclerosis and fibrosis. This infection spreads contiguously, frequently ignoring tissue planes and surrounding tissues or organ...
2015: Case Reports in Dentistry
Mireia Serrano-Giménez, Alba Sánchez-Torres, Cosme Gay-Escoda
BACKGROUND: Analyze the most important prognostic factors when performing periapical surgery and compare the success rates of distinct authors. INTRODUCTION: Periapical surgery is an approach to treat non-healing periapical lesions and it should be viewed as an extension of endodontic treatment and not as a separate entity. MATERIAL AND METHODS: A search of articles published in Cochrane, PubMed (MEDLINE) and Scopus was conducted with the key words "prognostic factors", "prognosis", "periapical surgery", "endodontic surgery" and "surgical endodontic treatment"...
November 2015: Medicina Oral, Patología Oral y Cirugía Bucal
Kubsad Veerabhadrappa ArunKumar, Dhruvakumar Deepa
Acute pericoronitis usually presents with severe localized pain, swelling and sometimes trismus. However, chronic pericoronitis and periodontal abscess produce a dull pain, moderate swelling and are occasionally seen migrating into distant sites producing fistulae intra-orally and/or extra-orally. This may quite often cause diagnostic dilemmas necessitating thorough medical and dental history, careful clinical examination and sometimes special investigations to confirm the etiology and or origin of infection...
July 2015: Journal of Indian Society of Periodontology
Suvy Manuel, Surej Kumar, Parvathi R Nair
INTRODUCTION: Oroantral communications (OAC) are probable surgical complications of dentoalveolar procedures. OACs 2 mm in diameter or smaller are likely to close spontaneously without the need for any surgical intervention. However, OACs 3 mm in diameter or larger, or OACs associated with maxillary or periodontal inflammation, may persist, and surgical closure is recommended. Various surgical techniques have been suggested for the closure of oroantral defects. CASE DETAILS: We have found the technique of two layer closure with buccal fat pad (BFP) and buccal mucoperiosteum quite useful for closure of chronic Oroantral fistula (OAF) and this article reports a case of OAF in the left first molar region of a 50 year old male, which has been closed successfully with this technique...
June 2015: Journal of Maxillofacial and Oral Surgery
Fabrizio Carini, Salvatore Longoni, Ernesto Amosso, Stefania Carini, Werner Garavello, Gianluca Porcaro
AIM OF THE STUDY: The odontogenic sinusitis has an incidence between 38 and 40.6%. Increased risk of maxillary sinusitis has been reported with the presence of periapical abscesses, periodontal disease, dental trauma, tooth extraction and implant placement when the sinusal membrane is perforated. MATERIALS AND METHODS: A patient with odontogenic maxillary sinusitis associated with oro-nasal fistula was treated. RESULTS: The follow-up at six months showed the complete resolution of maxillary sinusitis, palatal fistula got closed and pain symptoms disappeared...
October 2014: Annali di Stomatologia
Hanguo Wang, Dan Li, Yu Tian, Qing Yu
OBJECTIVE: To evaluate the outcome and the potential prognostic factors of apical microsurgery. METHODS: The teeth with persistent periapical diseases were treated by microsurgery using micro instruments, ultrasonic retrotips and mineral trioxide aggregate (MTA) under dental operate microscope. The procedure includes incision and flap retraction, osteotomy, apicoectomy, retro- preparation and retro- filling of root canal. Patients were recalled at 1, 3, 6, and 12- month intervals...
July 2014: Zhonghua Kou Qiang Yi Xue za Zhi, Zhonghua Kouqiang Yixue Zazhi, Chinese Journal of Stomatology
Rahul Mishra, Tayyeb Sultan Khan
The present case report is of trauma episode of the lower anterior teeth, causing pulpal necrosis with periradicular periodontitis, resulting in the occurrence of cutaneous sinus tracts (fistula). Previous misdiagnosis and inappropriate medical treatment were ineffective. Only when properly referred to dentists, the differential diagnosis was made. The guideline to diagnose cutaneous sinus tracts (fistula) is based mainly on accurate pulp sensitivity tests of the involved traumatized teeth. Intraoral and dental examinations are critical in making the diagnosis...
September 2013: International Journal of Clinical Pediatric Dentistry
YanSong Zheng, MinYan Liu, Hua Shu, ZhiLai Chen, GuiXia Liu, YeYing Zhang
OBJECTIVE: The aim of this study is to investigate the relationship between oral problems and Helicobacter pylori (Hp) infection, and to reveal which oral problems are significantly related with Hp infection. METHODS: Participants undergoing healthy medical examination were examined for 12 kinds of oral problems: dental calculus, oral mucosal disease, periodontal disease, decayed tooth, tooth defect, disuse tooth, residual crown and root, devital tooth, loose tooth, fistula, ill-fitting fixed denture and ectopic tooth...
September 2014: Archives of Oral Biology
J Bai, A-P Ji, M-W Huang
AIM: To report a case in which a submental cutaneous sinus tract resulted from apical periodontitis associated with a mandibular second molar. SUMMARY: A 53-year-old man presented with a chronic cutaneous sinus tract in the submental region, which had previously been misdiagnosed as a thyroglossal fistula. The origin of the sinus tract was shown by sinus tract angiography to be the left mandibular second molar (tooth 37), which had apical periodontitis. The sinus tract healed after extraction of the tooth and partial excision of the lesion from an extraoral approach...
December 2014: International Endodontic Journal
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