A patient's own power of sucking in order to drain dental abscesses with good results.
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In the sphere of outpatient oral surgery, the treatment of children definitely offers possibilities of retaining teeth which are described in detail. The treatment should always be an individual one, and it should consider the pecularities of the growing organism.
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Toothache can be prevented or remedied with a root canal treatment. Unfortunately a root canal treatment can also be the cause of pain. During a root canal treatment pain can be suppressed by local anesthesia, the use of the airotor, the attitude of the dentist and his communication with the patient. Afterpain has three causes: damage and iatrogenic apical periodontitis, pulpitis and continuing apical periodontitis. In this article the possible treatment of pain by a root canal treatment are extensively discussed.
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Acute malocclusion can result from disturbances in the maxillary/mandibular tooth relationship. These alterations in the occlusal position can result from high fillings, sinus problems, abscesses, periodontal disease, and moving or erupting teeth. Conditions seen less frequently include acute malocclusions secondary to an event (such as trauma) that make a stable dental relationship an unstable one. Patients can demonstrate any of a number of clinical conditions that interfere with their comfort and ability to function. This article provides information on some of the less familiar causes of acute malocclusion.
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The treatment of single-walled bone pockets involves a number of problems. Conventional treatment methods fail to bring about permanent success, particularly in the more advanced stages. A new method has been developed and described using a cortico-cancellous graft harvested from the apical region of the teeth with a periosteal pedicle that can be inserted into the highly infection-prone area of a bone pocket. The advantage of this procedure is that the transplant is perfused and thus not subjected to necrosis but highly resistant to infections. Indications, practical procedure and success rates are discussed and illustrated in one example.
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The odontogen brain abscess is a relatively rare, but very serious complication of an infection of the teeth. Frequently the bacteria found by aspiration of the brain abscess are the only indication of a dental focus. The diagnostic problems in confirming a covert dental infection as the cause of the brain abscess are illustrated.
Generalized periodontal abscesses with considerable increase in the volume and sensitivity of the gingiva, tooth loosening, and malaise accompanied by fever and weight loss were observed in 22 of 35 patients studied. The symptoms developed after antibiotic treatment for another disease. Local therapeutic measures alone were successful. Success was obtained only after institution of directed antibiotic therapy.