Discussion The present study considered patients examined for ENT FBs in the OD and in the ENT emergency unit in a tertiary referral hospital for 2 consecutive years (from July 2014 to June 2016). The 1,013 cases of ENT FBs accounted for 30% of all patients examined in the ENT emergency services during this period. According to the literature, FBs account for � 11% of the cases observed in ENT emergency services.2–4 Ear, nose and throat FB injuries represent an emerging problem in the population, especially in the pediatric age group, because of their human and social costs.10,11 In the present study, FBs represented the most common ENT emergencies; this is similar to other studies, which also recorded FBs to be the most common ENT …show more content…
Therapeutic success depends on several factors, but there is no strong evidence to indicate that one specific removal method should be performed over others.22 It is known, however, that the permanence of FBs in ENT cavities for over 72 hours and repeated attempts to remove the FB increase the risk of complications. 2,3,23 In our study, the FB was removed with or without LA in 40.57% of the patients; 54.69% of the patients required removal under GA; and no FB was found in 4.74% of the patients, in spite of positive history. In our study, the need for GA to remove the FBs was higher than the rates reported in the literature (around 30%).3,6,24 A study by Barreto and Holinger in 2005 mentioned that, among the upper digestive tract FB cases, fish bone was the most common (70.5%), followed by coin in the esophagus (6.63%), artificial denture impaction in the esophagus (1.89%), and meat bone impaction in the esophagus (1.49%).25 In our study, the most commonly ingested FBs were coins (75.37%), followed by meat lumps (5.88%) and fish bones (5.51%). Since coins are used as currency, toddlers and children have easy access to them, and accidentally swallow them. The most common site of lodgment was the cricopharynx, and that correlates with other studies.19,26 Foreign body ingestion is common among children, but it is frequently observed among intellectually disabled or mentally ill adults as well.27 A total of
American Academy of Pediatrics and American Academy of Family Physicians article regarding acute otitis media is a filtered resource. It is an appropriate source for nursing practice because; it establishes clinical guidelines to diagnose and manage AOM. It also establishes guidelines when to treat the signs and symptoms of AOM, watchful waiting, or to treat with an antibiotic. This article is classified as an evidence based guideline because, it reviews multiple research literatures in a systemic manner and provides
The success of endodontic therapy depends on complete cleaning and shaping of the root canal, disinfection of the canal and obturation of the canal space. However, despite the use of aseptic techniques during these procedures, reinfection may occur.[1] One of the possible explanations may be the use of contaminated gutta-percha.1
How many of
Pedicled buccal fat pads (BFPs) have been used since Egyedi (4) first described their use for closing an oronasal fistula in 1977. Since then many studies have
This prosthesis cannot be removed by the patient. It necessitates sacrificing of natural tooth structure, which unfortunately could lead to loss of vitality of the abutments. In a recent systematic review (Pjetursson et al. 2015), the survival rate of metal-ceramic fixed partial denture over five years is estimated to be about 94.4%, reinforced glass ceramic fixed partial dentures is 89.1% , glass-infiltrated alumina fixed partial dentures is 86.2% and the survival rate of densely sintered zirconia fixed partial dentures is 90.4% in 5 years of
The first procedure I observed was a placement of a porcelain-fused-to-metal (PFM) crown. The patient was in need of a crown due to fracturing tooth number 15. The procedure did not include anesthesia based on the patient’s preference. A temporary crown was in place and was removed at this
Numerous studies were published on maxillofacial trauma describing incidence, patterns and etiology of both male and female population. Over the past 3-4 decades etiology of maxillofacial trauma has been changing and continues to do so. For instance,
Social Media Reports: Social media reports showed that engagements activities increased which was attributed to CEO’s birthday celebration. Ken gave the SM statistics to include 12, 800 FB followers, twitter followers of 2767; and followers on Instagram 3700 with Uncle Ebo’s Facebook amassing 97,079 followers. The last week’s Encore statistics indicated that the streaming reached a total of 65,889 people, 9,237 views; 376 reactions; 288 comments; 187 people shares with peak view reaching 326. Also, 147 people watched on YouTube; and 55 Periscope (Twitter) viewership. On the other hand, engagements on Instagram and Corporate website have been slow because the lack of recent post and unfinished update from Websoft respectively.
The pulp of teeth repeatedly undergoes irreversible disease caused by caries, trauma, congenital abnormalities, or as a complication of previous dental procedures (7). Endodontic therapy aims to an effective and specific treatment for the irreversibly diseased pulp, with preferable short- and long-term outcomes (7,8). However, endodontic prognosis studies have conclusively shown that the presence of pre-operative infection, generally determined by lack of response to vitality tests and the presence of a radiolucent periapical lesion, reduces the long-term outcomes of treatment by about 15-20%, compared with cases with vital pulp (8). While the prognosis of endodontic treatment in these cases remains favorable, the situation is more complicated incases with young immature teeth. Root canal instrumentation, disinfection, and sealing are more technically difficult to performing these cases (9-11). Perhaps more importantly, the tooth remains weak and is therefore susceptible to fracture due to functional stresses or minor trauma, an outcome that has been determined to range from 28-77%, depending on the degree of root maturation (13).This distinction is important, given that calcium hydroxide is rarely used long-term today, because of the availability of apexification techniques that rely on these of
There is a photo being shared on social media that is touching many people's hearts. The photo is of a waiter feeding a man who does not have hands. Alex Ruiz is a 22-year-old waiter who works at the Cinco De Mayo restaurant. The customer has came into the restaurant, ordered his food and asked someone if they could help him feed himself. Alex volunteered to help without thinking twice about it.
ENT specialist to ensure there is no corroding taking place in the lining of my esophagus.
Traumatic dental injuries are the most common of all the facial injuries and majorly involve maxillary incisors because of its position in the arch (4). Luxation injuries occur commonly in the primary dentition and mainly due to the resiliency of the alveolar bone (5). Treatment decisions for primary teeth are based on the degree of displacement, root formation and the ability of the child to cope with the emergency situation. Immediate repositioning and stabilization of laterally luxated teeth in their anatomic position are essential for the healing of periodontal ligament and to maintain esthetics and functional integrity (6, 7). Indications for extraction are severe injury or if the tooth is nearing exfoliation.
The immediate placement of implants into sites with the presence of infection has become an increasingly common procedure. Data from studies that have been published in the past two decades seem to suggest implant survival rates that are equivalent to implants that are placed in native, healthy osseous tissue.(3) While it is not known exactly why the rates are equivalent, some explanations can be proposed. First, when a tooth exhibiting signs of infection is removed, most of the source of that infection is also removed. In some cases, granulation tissue associated with the lesion is also removed with the root of the offending tooth. Any remaining or residual infection is subsequently removed with curettage and irrigation of the socket. Additionally,
Dental Trauma is one of the most important health problem in childhood and causes pain and distress and dysfunction that accompanies the injures [5].
Their case study determined that 50% of individuals with oral piercings had to seek consultation for discomfort in the oral cavity. Acute complications may occur immediately like pain, swelling, hemorrhage, and local infection. Postoperative complications include, dysphonia (complication in speech), dysphagia (difficulty or discomfort in swallowing), problems with mastication, and the existence of galvanic currents (two metals hit and sending electrical shock to individual). Chronic complexities of oral piercings include postoperative hemorrhage, hyperplastic tissue, widening of the piercing hole, chemical burns from aftercare, paresthesia (abnormal tingling or prickling sensation), sialadenitis (inflamed salivary glands), and scar tissue formation. Trauma may also occur on both the hard and soft tissues. The constant biting of a tongue piercing against the incisal and occlusal surfaces of the teeth may cause trauma to the enamel, dentin, and in some cases, the pulp. Gingival recession is a common repercussion to tongue piercings. Although it may not appear instantly, recession on the lingual surfaces of the anterior teeth occur at least 2 years after the initial piercing. Gingival recession is irreversible and may cause serious attachment loss to the teeth.