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At least 1,279 records · Page 71Linked to original sources
PubMed2003

Traumatic intrusion of maxillary permanent incisors into the nasal cavity associated with a seizure disorder: report of a case.

Childhood traumatic dental injury is typically associated with motor vehicle accidents, sports, or other recreational activities. However, seizure disorders or other compromising medical conditions may precipitate dental trauma. Complete intrusion injuries in the mixed or permanent dentition are relatively rare. This paper describes the case history of an adolescent male who sustained displacement of a lateral incisor into the nasal cavity and complete bony intrusion of the three other permanent maxillary incisors because of a fall following a seizure. Counseling on helmet/face-shield usage for seizure-susceptible patients must be provided and documented, particularly after sustaining traumatic injury.

Accidental Falls↗
PubMed2003

Clinical outcomes for permanent incisor luxations in a pediatric population. III. Lateral luxations.

A longitudinal outcome study was designed to identify variables that influenced tooth survival as well as pulpal and periodontal outcomes of laterally luxated permanent maxillary incisors of children and adolescents. All cases were treated between June 1988 and June 1998 in a teaching hospital clinic. Clinical and radiographic data were collected for 42 patients (26 males, 16 females) that represented 58 permanent maxillary incisors. Mean age at the time of injury was 11.4 years (range: 6.3-17.8 years). Mean follow-up time was 1460 days (range: 183-3905 days). In the entire sample (n = 58), no incisors required extraction. Survival analysis and logistic regression were used to identify variables significantly related to the survival and healing outcomes of these incisors. Pulp necrosis (PN) (40%) and pulp canal obliteration (PCO) (40%) were common healing complications. Proportional hazards (Cox) regression showed that PN develops within the first year. Logistic regression demonstrated that root development (P = 0.3, PN; P = 0.8, PCO) and extent of lateral luxation (P = 0.5, PN; P = 0.9, PCO) were not significantly related to PN and PCO. This study provides the first report of incisor survival in children and adolescents following lateral luxation injuries.

Adolescent↗
PubMed2003

Transient apical breakdown following tooth luxation.

Transient apical breakdown is a sequelae of certain dental traumatic injuries where the injured tissues undergo a spontaneous process of repair with no permanent damage to the pulp. Misdiagnosis of this condition may result in unnecessary endodontic treatment. Presented is a case of transient apical breakdown following a subluxation injury of a maxillary central incisor in a 15-year-old girl. Four months after injury, coronal discoloration, periapical radiolucency as well as negative pulp responses to cold and electric tests were still recorded. Subsequently, the tooth spontaneously regained its original shade and the pulp responded normally to pulp sensitivity tests. Methods for early diagnosis of transient apical breakdown are discussed.

Adolescent↗
PubMed2001

A three-part bilateral swinglock design denture revisited.

This case was first reported by one of the authors in 1987, subsequent to the patient being treated using a combination of a hinge and split pin sectional denture. The same patient attended for review some 14 years later for assessment of this denture at which stage a replacement was made.

Aged↗
PubMed1994

A helping hand?

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Child↗
PubMed1994

A helping hand?

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Child↗
PubMed1995

Unpredictable teeth.

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Dental Pulp Necrosis↗
PubMed2002

Repair of oroantral communications in the third molar region by random palatal flap.

Various palatal flap procedures based on the greater palatine vessels have been advocated for the repair of oroantral communications (OACs). However, when the defect is located in the third molar region, difficulty is encountered in using the palatal flap because rotation is hindered by the vascular pedicle. In this study, we used random palatal flaps to repair OACs in the third molar area in 21 patients. The vascular pedicles were ligated and severed in all cases in order to evaluate whether it was necessary to preserve the greater palatine vessels when using the palatal rotation flap (PRF). The repair was successful in 16 cases (76.2%). The length/width ratio of the flap was the most important factor determining the outcome. The ratios were 2.23 +/- 0.12 and 2.40 +/- 0.14 in the success and failure groups, respectively and their difference was statistically significant (P<0.05). Other clinical parameters such as age, gender, antral infection, tooth displacement into the sinus and duration of the communication had no influence on the outcome (P>0.05). The study showed that the PRF with the appropriate length/width ratio can safely be used in a random fashion. This provided another option in the repair of oroantral communications of difficult locations such as in the tuberosity area.

Age Factors↗