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Failure to treat the soft tissue component of dento-alveolar wounds may complicate wound healing mechanisms, retarding the rate of healing and increasing the risk of infection. A case is presented of a five-year-old with an intra-oral wound which, left untreated for eleven days, failed to resolve.
The use of implants has become a routine part of restorative dental treatment. The placement of implants requires a sufficient quantity of bone in which to place implant fixtures. Where such bone does not exist, a number of methods have been used to augment the affected area of the alveolar ridge. This case report describes the use of the relatively new distraction osteogenesis procedure to increase bone volume in a patient who required post-traumatic restoration of several missing teeth, as well as comprehensive orthodontic and orthognathic surgical treatment.
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A mixed breed dog was presented for lateral luxation of the mandibular left canine tooth following oral trauma. This case report describes the management of this injury including reduction, stabilization using a wire reinforced acrylic splint, and standard endodontic therapy of the mandibular left canine tooth.
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We compared visibility and dental complications from a variety of blades during tracheal intubation. Ninety-eight patients who received tracheal intubation were enrolled. They were divided into two groups: Study 1 (n = 50) and Study 2 (n = 48). Four laryngoscopic evaluations were planned for each patient using Miller and Wisconsin straight blades with different heel heights, a Macintosh curved blade, and a Belscope angulated straight blade (Study 1: Miller No. 3, Wisconsin No. 3, Macintosh No. 4, and Belscope medium; and Study 2: Miller No. 2, Wisconsin No. 2, Macintosh No. 3, and Belscope medium, respectively). All laryngoscopies were performed by the same anesthesiologist. The distance between the blade and the upper central incisors was measured when the optimum visibility of the glottis was obtained. The visibility was determined according to the Cormack and Lehane grading. Analysis of the distance between the blade and upper incisors was performed using the results of the 44 patients (166 distances) in Study 1 and the 48 patients (181 distances) in Study 2 who had a visibility of two or better. The Belscope blade provided a significantly greater visual field than the other types of blade. Two patients sustained a fracture of the central incisor and subluxation of the central incisor, respectively, during laryngoscopy in which a Wisconsin blade was used. The average incidence of dental injury was 1/191. The Belscope blade may contribute to a reduced likelihood of upper dental injuries during laryngoscopy.
Oral and maxillofacial emergencies can be very alarming and distressing to patients. This article introduces nurse aiders to the oral and maxillofacial specialty and explains the management of some oral and maxillofacial emergencies.
One-hundred thirty mobile intensive care unit paramedics were trained in the technique of direct laryngoscopic endotracheal intubation of cardiac arrest or deeply comatose patients. Three attempts at intubation were permitted. Of the 779 patients studied, 701 (90.0 percent) were successfully intubated: 57.9 percent on the first attempt, 26.1 percent and 5.5 percent on the second and third respectively. Reported and observed complications of the procedure numbered 74 (9.5 percent) of the 779 patients included in the study. There were three unrecognized esophageal intubations. The success rate rose to more than 94 percent toward the end of the study. It is concluded that endotracheal intubation of deeply comatose patients is a field procedure safely and skillfully performed by well-trained and monitored paramedical personnel, with success and complication rates at least comparable to other invasive airway techniques.
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Optimizing aesthetics in the anterior maxilla can be a challenge because of tissue contouring problems. Dental implants allow for restoration of edentulous areas, thus improving function. Some compromises may result as a result of the necessity of predicting the stability of the replacement restorations. The Frialit-2 dental implant system with the internal hex design provides excellent stability for single-tooth restorations. Aesthetics are maximized using Procera Allceram crowns. This case study describes in detail the following: diagnosing and treatment planning for a challenging trauma case; surgical preparation and placement of two Frialit-2 dental implants in the maxillary left central and lateral incisor areas; primary impression techniques and fabrication of a temporary prosthesis over ProTect abutments; second-phase opening; final impressions; and fabrication of two single crowns.
Orthodontic extrusion can be time consuming and has a long retention period, making cooperation a critical factor. On the other hand, it has also been shown that surgical techniques may be useful to extrude and save the root. Surgical methods need at least 3 week for root stabilization in new position. This is a case report of a surgical method to treat intruded teeth.
Case presentation in which a 12-years-old boy presented with two large gingival recessions on the maxillary central incisors, secondary to a lateral luxation. In the surgical procedure, an acellular dermal matrix graft (ADMG) was placed as a substitute for a free gingival graft. Twelve months later, complete root coverage was achieved, showing that ADMG, a biomaterial recently developed for mucogingival surgery, can be successfully used in the treatment of gingival recessions in pediatric patients.
The results of fixation of a luxated tooth using a vacuum-formed splint, formed on a plaster model after repositioning of the luxated tooth on the model are presented. This may be useful where the adjacent tooth gap is wide or only minimal anchorage and support are available from the adjacent teeth.
The human oral mucosa atrophies with aging, and at the same time, loss of teeth occurs and the muscles involved in mastication weaken, leading to masticatory hypofunction. The loss of teeth in animal is serious in that it leads to death. For humans, however, dental prosthesis may aim at functional recovery. From the viewpoint of oral functional recovery, it is important to have a firm grasp of the change in the oral environment with aging. Elderly patients who complain of dry mouth may often have glossodynia, stomatitis, dysgeusia, prosthetic disorder, etc. Although atrophy of the salivary gland is mainly responsible for these disturbances, influences of complications and/or medications cannot be ignored. Secretory immunoglobulin A (sIgA) secretion in the saliva of elderly cases showed a concentration comparable to that of young subjects in their twenties and was considered to be satisfactory from the view-point of oral infection control. On the other hand, plate prosthetic wearers may have high incidence of oral candidiasis, so that in case of loss of teeth, prostheses with so-called implant dentures using artificial dental implants are regarded as physiologically preferable to conventional plate denture.
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