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Elective mutism: effect of dental treatment with N2/O2-inhalation sedation: review and report of case.

Elective mutism in children is characterized by a marked, emotionally determined selectivity in speaking, such that the child demonstrates his or her language competence in some situations but fails to speak in other situations. An eight-year-old boy with elective mutism had to undergo restorative dental treatment. It was chosen to use relative analgesia to perform this treatment. The sedation with oxygen and nitrous oxide resulted in complete symptom remission as long as the sedation lasted.

Anesthesia, Dental↗

[Conservative complete restoration of the apical-ostitis foci].

Histological pictures on the initial and further development of periapical inflammations show that they may develop after the formation of an abscess as well as primary solid granulation starting at the apex. It depends on the surrounding connective tissue interpreted as sclerosed edema whether in the case of an abscess, the abscess cavity will be organized or whether a cyst will be developing.

Administration, Topical↗

[Presence of Russel bodies in chronic dental pulp inflammation].

BACKGROUND: The aim of this study was to evaluate the presence of Russell bodies in chronically inflamed pulp using histological methods. METHODS: The authors analysed 20 samples: 18 were teeth or pulp from subjects suffering from chronic pulpar diseases and 2 were teeth extracted for orthodontic reasons showing no signs of pulpar disease. RESULTS: Russell bodies were found in the majority of samples examined, both inside the plasma cells and in pulpar stroma. Russell bodies were not present in samples affected by acute phlogistic processes, with a prevalence of neutrophil granulocytes in the pulp structure, and not in elements free from pulpar disease. CONCLUSIONS: As already reported in earlier studies of periapical lesions, also in this case the irritative stimulus caused by the bacteria present in chronically inflamed pulp leads to the hyperactivation of plasma cells and the consequent hyperproduction of immunoglobulins.

Chronic Disease↗

Diagnosis and treatment of pulpal distress.

Both diagnosis and treatment of vital pulp tissues encompass some fairly comprehensive varieties of methods and materials. Diagnosis is arrived at in terms of probability. No one can be absolutely sure that the diagnosed degree of pulpal distress is in fact the actual state of affairs. Treatment, therefore, must be best be a probability also. There can be no guarantee that the treatment rendered will succeed in every instance. Any diagnosis and treatment of reversible pulpal distress is a gamble on the part of both practitioner and patient. However, utilization of every diagnostic means at his disposal, knowledge of the many treatment modalities available for use, and the ability to correlate both the diagnosis and treatment phases of a given case will result in a high probability of success. This is indeed rewarding to both the patient and the dentist.

Dental Cavity Lining↗