Journal of Periovision
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Case Report-A 42-Year-Old Lady with Unilateral Leaky Nostril Post Extraction
Open Access Journal of Dentistry & Oral Disorders Case Report Case Report-A 42-Year-Old Lady with Unilateral Leaky Nostril Post Extraction Tsyeng Ng K*, Ding A, Tay HW and Kovipillai FJ Department of Oral and Maxillofacial Surgery, Taiping Abstract Hospital, Perak, Ministry of Health, Malaysia Background: OroAntral Communication (OAC) is a pathological *Corresponding author: Ng Kar Tsyeng, Department communication between the oral cavity and maxillary sinus that can occur after of Oral and Maxillofacial Surgery, Taiping Hospital, the extraction of maxillary posterior teeth. Left undiagnosed, it will epithelize to Ministry of Health, Malaysia form an Oroantral Fistula (OAF). Received: May 26, 2020; Accepted: June 16, 2020; Case Presentation: This is a case report of a 42-year-old Chinese lady who Published: June 23, 2020 underwent a routine upper posterior tooth extraction and developed oroantral fistula but was misdiagnosed by multiple general practitioners as sinusitis. Conclusion: This report highlights the importance of cross specialty knowledge in the diagnosis of a common but often overlooked condition. Keywords: Oroantral communication; Oroantral fistula; Tooth extraction; Sinusitis; Nasal regurgitation Introduction after the extraction and hence patient did not suspect that it could be due to the extraction as she has had multiple extractions done The maxillary sinuses are bilateral hollow air-filled cavities previously without any complications. In addition, she also noticed rd occupying the upper 2/3 of the maxillary bone. Anatomically, each the occasional salty taste in the mouth. maxillary sinus consists of a roof, lateral walls and floor. It is separated from the oral cavity by the alveolar bone. As a person ages, the sinus We had a high index of suspicion that these symptoms were due will undergo pneumatization, resulting in the roots of the maxillary to the recent history of extraction and hence a diagnostic imaging was teeth projecting into the floor of the maxillary sinus (Figure 1). -
Haptics-Based Virtual Reality Periodontal Training Simulator
Virtual Reality DOI 10.1007/s10055-009-0112-7 ORIGINAL ARTICLE Haptics-based virtual reality periodontal training simulator Cristian Luciano Æ Pat Banerjee Æ Thomas DeFanti Received: 10 November 2006 / Accepted: 13 January 2009 Ó Springer-Verlag London Limited 2009 Abstract This paper focuses upon the research and 1 Introduction development of a prototype dental simulator for training of periodontal procedures. By the use of virtual reality and The use of medical simulators has proved to increase haptics technology, the periodontal simulator allows patient safety and reduce risk associated with human errors trainees to learn performing diagnosis and treatment of in hospitals by allowing medical students to develop skills periodontal diseases by visualizing a three-dimensional more efficiently in a shorter period of time. Even though virtual human mouth and feeling real tactile sensations medical simulators are currently being developed by a while touching the surface of teeth, gingiva, and calculi large number of universities and medical companies, the with virtual dental instruments. Since periodontics requires field of dental simulation has not been well exploited yet. dentists to depend primarily on tactile sensations to per- This article focuses on the research and development of a form diagnostic and surgical procedures, the use of haptics haptics-based dental simulator specially designed for is unquestionably crucial for a realistic periodontal simu- training and performance evaluation of dental and hygiene lator. The haptics-based -
Surgery – Exodontia
Dr. Matteo Mezzera Dental Clinic Corso Martiri della Liberazione, 31 – 23900 LC – Tel. 0341.288598 F.C. MZZMTT76A31E507Q – VAT 02715030132 Description of the procedure of the dental services for: Surgery – Exodontia These protocols are taken from the Quality Handbook according to UNI EN ISO 9001:2000 The Quality Handbook belongs to the Dr. Mezzera Dental Clinic The copy of the handbook, both full and partial, is forbidden SURGERY – EXODONTIA 1.1 PRE-SURGICAL AND POST-SURGICAL PROTOCOL 1. Antibiotic prophylaxis 2cpr 1 hour before the operation, then 1 cpr every 12 hours for 6 days 2. Painkiller Sinflex 1cpr at the end of the operation, then when needed 3. Rinses with 0,2% chlorhexidine mouthwash 4. Ice THE PRE-SURGICAL EXAMINATION: General pre-operative evaluation X-ray evaluation Radicular anatomy Tooth mobility Close anatomic structures Tooth crown situation Position of the tooth to be extracted Mineralization of the surrounding alveolar bone Presence of periapical diseases 1.2 SIMPE EXOS BASIC EQUIPMENT: 1. Anaesthesia material (Carboplyna or Alfacaina SP 1/100.000) 2. Surgical pliers General (TP 50709 3. Needle holder DR Simion (NH5024) 4. Curved scissor (s16) 5. Periodontal scaler (13k6) 6. Courette (SPR1/2) 7. Periosteal elevator Prichard (PP5590) 8. Lip retractor 9. Periodontal probe (PCPUNC156) 10.Stripper holder 11. Surgical stripper (Swann-Morton 15C) 12.Dispensable suction cannula 13.Straight and angular elevators 14.Extracting forceps 15.Suture 4/0 silk (Sweden & Martina) SURGICAL TECHNIQUE: 1. Local-regional anaesthesia 2. Syndesmotomy 3. Papilla décollement 4. Tooth luxation by means of a straight elevator 5. Tooth grasp, tooth luxation and, alveolo expansion by means of extracting forceps 6. -
Large Oroantral Fistula Repair Using Combined Buccal and Palatal Flaps: a Case Series Ahmed N
48 Original article Large oroantral fistula repair using combined buccal and palatal flaps: a case series Ahmed N. Abdelhamid, Tamer Youssef Department of Otorhinolaryngology, Faculty of Aim Medicine, Ain Shams University, Cairo, Egypt The aim was to detect the efficacy of combined buccal advancement and Correspondence to Ahmed N. Abdelhamid, palatal rotational flaps in closure of large oroantral fistulas (OAFs) after dental MD, 6th Nile Valley Street, Hadayek Alkoba, extraction. Cairo 11331, Egypt. Materials and methods Tel: +201012053054; fax: 0224343309; e-mail: [email protected]/ A 3-year prospective study was conducted between February 2014 and May 2017. [email protected] A total of 11 patients with large OAF after dental extraction were included in the study. Seven patients developed OAF after dental extraction of the maxillary first Received 18 July 2017 Accepted 20 November 2017 molar teeth, whereas two patients developed an OAF after dental extraction of the second maxillary premolars. The last two patients developed an OAF after dental The Egyptian Journal of Otolaryngology 2018, 34:48–54 extraction of the second maxillary molars. Results Closure of the defect was achieved in 10 cases, whereas only one case had failure. In addition to postoperative pain, swelling, and reduction of the vestibular sulcus, one patient experienced postoperative nasal adhesions between the nasal septum and inferior turbinate. Conclusion A combined buccal and palatal flap is efficient in closure of large delayed OAF secondary to dental extraction. Further study is required to assess new bone formation after repair of large OAF using this technique. Keywords: buccal advancement flap, combined flaps, maxillary tooth extraction, oroantral fistula, palatal rotational flap Egypt J Otolaryngol 34:48–54 © 2018 The Egyptian Journal of Otolaryngology 1012-5574 Introduction Materials and methods The oroantral fistula (OAF) is a pathological Patients communication between the oral cavity and the This is a prospective study. -
Blue Local with Atrium Health Hsa
Benefit Booklet BenefitBooklet for SAMPLE An Independent Licensee of the Blue Cross and Blue Shield Association BENEFIT BOOKLET This benefit booklet, along with the GROUP CONTRACT, is the legal contract between your EMPLOYER and Blue Cross and Blue Shield of North Carolina. Please read this benefit booklet carefully. Blue Cross and Blue Shield of North Carolina agrees to provide benefits to the qualified SUBSCRIBERS and eligible DEPENDENTS who are listed on the enrollment application and who are accepted in accordance with the provisions of the GROUP CONTRACT entered into between Blue Cross and Blue Shield of North Carolina and the SUBSCRIBER’S EMPLOYER. A summary of benefits, conditions, limitations, and exclusions is set forth in this Benefit Booklet for easy reference. Blue Cross and Blue Shield of North Carolina has directed that this Benefit Booklet be issued and signed by the President and the Secretary. Attest: President and Chief Executive Officer Secretary Important Cancellation Information-Please Read The Provision In This Benefit Booklet Entitled,SAMPLE “When Coverage Begins And Ends.” TABLE OF CONTENTS GETTING STARTED WITH BLUE LOCAL WITH ATRIUM HEALTH HSA.........................7 GETTING STARTED.................................................................................................................7 NOTES ON WORDS...................................................................................................................7 THIS BOOKLET.........................................................................................................................7 -
Morphometric Analysis of Furcation Areas of Multirooted Teeth in a Tunisian Population
Hindawi International Journal of Dentistry Volume 2020, Article ID 8846273, 6 pages https://doi.org/10.1155/2020/8846273 Research Article Morphometric Analysis of Furcation Areas of Multirooted Teeth in a Tunisian Population Rym Mabrouk ,1 Chiraz Baccouche,2 and Nadia Frih1 1Dental Medicine Department, Hospital of Charles Nicolle, Tunis, Tunisia 2Department of Dental Anatomy, Faculty of Dental Medicine, University of Monastir, Hospital of Taher Sfar Mahdia, Monastir, Tunisia Correspondence should be addressed to Rym Mabrouk; [email protected] Received 22 June 2020; Revised 6 September 2020; Accepted 8 September 2020; Published 15 September 2020 Academic Editor: Andrea Scribante Copyright © 2020 Rym Mabrouk et al. %is is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Aims. %e aim of the study was to evaluate the morphological characteristics of furcation of permanent molars in Tunisian population. Materials and Methods. One hundred and four extracted maxillary and mandibular permanent molars were included in this study; comprising 34 maxillary first molars, 18 maxillary second molars, 33 mandibular first molars, and 19 mandibular second molars. For each tooth, the vertical dimension of the root trunk, root length, and interradicular space width were assessed with a micrometer caliber. Different types of root trunk in maxillary and mandibular molars were also analyzed. Statistical analysis was performed using a t-test. Results. Root length decreased from the first to the second molars. %is decrease seems to be pronounced at mandibular molars. %e most observed root trunk type was type B, with a prevalence of 67.30% in maxillary molars and 51.92% in mandibular molars. -
Actinomycotic Osteomyelitis of Maxilla Presenting As Oroantral Fistula: a Rare Case Report
Hindawi Publishing Corporation Case Reports in Dentistry Volume 2015, Article ID 689240, 5 pages http://dx.doi.org/10.1155/2015/689240 Case Report Actinomycotic Osteomyelitis of Maxilla Presenting as Oroantral Fistula: A Rare Case Report Ashalata Gannepalli,1 Bhargavi Krishna Ayinampudi,1 Pacha Venkat Baghirath,1 and G. Venkateshwara Reddy2 1 Department of Oral Maxillofacial Pathology and Microbiology, Panineeya Mahavidyalaya Institute of Dental Sciences & Research Centre, Kamala Nagar, Dilsukhnagar, Hyderabad, Telangana 500 060, India 2Department of Oral Maxillofacial Surgery, Panineeya Mahavidyalaya Institute of Dental Sciences & Research Centre, Kamala Nagar, Dilsukhnagar, Hyderabad, Telangana 500 060, India Correspondence should be addressed to Ashalata Gannepalli; [email protected] Received 19 June 2015; Accepted 30 August 2015 Academic Editor: Leandro N. de Souza Copyright © 2015 Ashalata Gannepalli et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 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. The portal of entry may be pulpal, periodontal infection, and so forth which may lead to involvement of adjacent structures as pharynx, larynx, tonsils, and paranasal sinuses and has the propensity to damage extensively. -
Oroantral Fistula: a Short Review
Dentistry: Advanced Research Volume 2019, Issue 01 Review: RD-DEN-10001 Oroantral Fistula: A Short Review Ashvini Kishor Vadane*, Amit Arvind Sangle Department of Oral and Maxillofacial Surgery, M.A. Rangoonwala College of Dental Sciences and Research Centre, Pune, India *Corresponding author: Ashvini Kishor Vadane, Senior Lecturer,, Department of Oral and Maxillofacial Surgery ,M.A.Rangoonwala College of Dental Sciences and Research Centre, Pune, India, Tel: 7387935523; Email: [email protected] Citation: Vadane AK and Sangle AA (2019) Oroantral Fistula: A Short Review. Dentistry: Advanced Research. Review | ReDelve: RD-DEN-10001. Received Date: 14 January 2019; Acceptance Date: 24 January 2019; Published Date: 25 January 2019 ______________________________________________________________ Abstract Oral surgeons very commonly encounter complications like oroantral communications and fistulas in day to day practice. An abnormal communication between maxillary sinus and oral cavity is known as Oroantral Communication [OAC]. When there is an epithelialization of oroantral communication, it leads to the formation of oroantral fistula. An unnatural pathological communication between the maxillary antrum and the oral cavity which results mostly due to exodontia is known as oroantral fistula [1,17]. Various types of local flaps, distant flaps, combination of flaps, various types of grafts, buccal fat pad are being used for the surgical management of oroantral fistulas [1]. This article describes causes, symptoms, diagnosis and management of oroantral fistulas as well as highlights various surgical treatment options for oroantral fistula. Keywords: Buccal Advancement Flap; Buccal Fat Pad; Maxillary Sinus; Maxillary Sinusitis; Oroantral Communication [OAC]; Oroantral Fistula [OAF] Introduction Fistula is an unnatural connection between two internal organs or tube-like communication joining an internal organ to the body surface. -
Therapeutic Management of Cases with Oroantral Fistulae
sinusitis Article Odontogenic Maxillary Sinusitis: Therapeutic Management of Cases with Oroantral Fistulae Yasutaka Yun 1,2,* , Masao Yagi 1, Tomofumi Sakagami 1, Shunsuke Sawada 3 , Yuka Kojima 3, Tomoe Nakatani 4, Risaki Kawachi 1, Kensuke Suzuki 1 , Hideyuki Murata 1, Akira Kanda 1 , Mikiya Asako 1 and Hiroshi Iwai 1 1 Department of Otorhinolaryngology, Head & Neck Surgery, Kansai Medical University, Osaka 573-1010, Japan; [email protected] (M.Y.); [email protected] (T.S.); [email protected] (R.K.); [email protected] (K.S.); [email protected] (H.M.); [email protected] (A.K.); [email protected] (M.A.); [email protected] (H.I.) 2 Department of Otorhinolaryngology, Takeda General Hospital, Kyoto 601-1495, Japan 3 Department of Oral and Maxillofacial Surgery, Kansai Medical University, Osaka 573-1010, Japan; [email protected] (S.S.); [email protected] (Y.K.) 4 Department of Oral and Maxillofacial Surgery, Takeda General Hospital, Kyoto 601-1495, Japan; [email protected] * Correspondence: [email protected]; Tel.: +81-72-804-0101; Fax: +81-072-804-2547 Abstract: Odontogenic maxillary sinusitis (OMS) is a disease in which inflammation from the teeth extend into the maxillary sinus, causing symptoms of unilateral sinusitis. OMS can recur, with some being resistant to antibiotics. In intractable cases, exodontia and endoscopic sinus surgery (ESS) are necessary treatments. Here we report our analysis on the indications for surgical intervention in cases diagnosed with and treated as OMS. We retrospectively examined 186 patients who were Citation: Yun, Y.; Yagi, M.; Sakagami, diagnosed with sinusitis on a computed tomography (CT) scan. -
Dextran-Coated Iron Oxide Nanoparticles As Biomimetic Catalysts for Biofilm Disruption and Caries Prevention
University of Pennsylvania ScholarlyCommons Dental Theses Penn Dental Medicine Winter 10-28-2019 Dextran-coated Iron Oxide Nanoparticles as Biomimetic Catalysts for Biofilm Disruption and Caries Prevention Yuan Liu [email protected] Follow this and additional works at: https://repository.upenn.edu/dental_theses Part of the Nanotechnology Commons, Oral Biology and Oral Pathology Commons, and the Pediatric Dentistry and Pedodontics Commons Recommended Citation Liu, Yuan, "Dextran-coated Iron Oxide Nanoparticles as Biomimetic Catalysts for Biofilm Disruption and Caries Prevention" (2019). Dental Theses. 47. https://repository.upenn.edu/dental_theses/47 This paper is posted at ScholarlyCommons. https://repository.upenn.edu/dental_theses/47 For more information, please contact [email protected]. Dextran-coated Iron Oxide Nanoparticles as Biomimetic Catalysts for Biofilm Disruption and Caries Prevention Abstract Biofilms are surface-attached bacterial communities embedded within an extracellular matrix that create localized and protected microenvironments. Acidogenic oral biofilms can demineralize the enamel-apatite on teeth, causing dental caries (tooth decay). Current antimicrobials have low efficacy and do not target the protective matrix and acidic pH within the biofilm. Recently, catalytic nanoparticles were shown to disrupt biofilms but lacked a stabilizing coating required for clinical applications. Here, we report dextran- coated iron oxide nanoparticles termed nanozymes (Dex-NZM) that display strong catalytic (peroxidase- like) activity at acidic pH values, target biofilms with high specificity, and prevent severe caries without impacting surrounding oral tissues in vivo. Nanoparticle formulations were synthesized with dextran coatings (molecular weights from 1.5 to 40 kDa were used), and their catalytic performance and bioactivity were assessed. We found that 10 kDa dextran coating provided maximal catalytic activity, biofilm uptake, and antibiofilm properties. -
Oro-Antral Fistula Repair with Different Surgical Methods: a Retrospective Analysis of 147 Cases
Gheisari R., et al., J Dent Shiraz Univ Med Sci., June 2019; 20(2): 107-112. DOI: 10.30476/DENTJODS.2019.44920 Original Article Oro-Antral Fistula Repair With Different Surgical Methods: a Retrospective Analysis of 147 Cases Rasoul Gheisari 1, Hesam Hosein Zadeh 2, Saeid Tavanafar 3 1 Dept. of Oral and Maxillofacial Surgery, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran. 2 Dental Student, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran. 3 Postgraduate Student, Dept. of Oral and Maxillofacial Surgery, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran. KEY WORDS ABSTRACT Fat Pad; Statement of the Problem: An oro-antral fistula (OAF) creates a passage for oral Maxillary Sinus; microbes into maxillary sinus with numerous possible complications. Oroantral Fistula; Purpose: This retrospective study evaluates the success of three different surgical Surgical Flaps; techniques of OAF repair. Materials and Method: Records of patients that were treated for OAF repair were retrieved and reviewed. Data recorded were patients’ age, gender, etiology, size, loca- tion, duration, and method of repair. According to the surgical technique used to re- pair the OAF, patients were divided into three groups including buccal flap, palatal flap, and buccal fat pad. All of the patients were locally anesthetized with 2% lido- caine and 1/100000 or 1/80000 epinephrine. Then the edges of the fistula were ex- cised and fistula wall was dissected in a stitched layer by three surgical methods. The three groups were compared concerning the success or failure of surgical technique based on complete closure of OAF after three months postoperatively. -
Treatment of Oroantral Fistula with Autologous Bone Graft And
Int. J. Med. Sci. 2010, 7 267 International Journal of Medical Sciences 2010; 7(5):267-271 © Ivyspring International Publisher. All rights reserved Case Report Treatment of oroantral fistula with autologous bone graft and application of a non-reabsorbable membrane Adele Scattarella1, Andrea Ballini1 , Felice Roberto Grassi1, Andrea Carbonara1, Francesco Ciccolella1, Angela Dituri1, Gianna Maria Nardi2, Stefania Cantore1, Francesco Pettini1 1. Department of Dental Sciences and Surgery, University of Bari “Aldo Moro”, Italy 2. Department of Dental Sciences, University of Rome “La Sapienza”, Italy Corresponding author: Dr. Andrea Ballini, Dept. of Dental Sciences and Surgery, Faculty of Medicine and Surgery, Uni- versity of Bari “Aldo Moro”-Italy, P.zza G. Cesare n.11 -70124 Bari-Italy. E-mail: [email protected]; Tel: (+39)0805594242; Fax: (+39)0805478043. Received: 2010.06.23; Accepted: 2010.08.09; Published: 2010.08.11 Abstract Aim: The aim of the current report is to illustrate an alternative technique for the treatment of oroantral fistula (OAF), using an autologous bone graft integrated by xenologous parti- culate bone graft. Background: Acute and chronic oroantral communications (OAC, OAF) can occur as a result of inadequate treatment. In fact surgical procedures into the maxillary posterior area can lead to inadvertent communication with the maxillary sinus. Spontaneous healing can occur in defects smaller than 3 mm while larger communications should be treated without delay, in order to avoid sinusitis. The most used techniques for the treatment of OAF involve buccal flap, palatal rotation – advancement flap, Bichat fat pad. All these surgical procedures are connected with a significant risk of morbidity of the donor site, infections, avascular flap necrosis, impossibility to repeat the surgical technique after clinical failure, and patient dis- comfort.