uneventful. The histopathologic examination revealed a lesion composed of fibrous connective tissue infiltrated in many parts by chronic inflammatory cells. Cystic cavity lined by a thin stratified squamous epithelium and there was no evidences of malignancy. The case was diagnosed as radicular cyst. The patient was then scheduled for the remaining required dental treatment and was also referred for orthodontic evaluation. At 20 months recall radiographic and clinical evaluations indicated successful treatment (Fig 9). DISCUSSION Periapical cysts are the most widely recognized inflammatory odontogenic cysts. They involve a group of lesions that associate with non-vital teeth and those emerging from primary teeth are accounted to happen in mixed dentition with a rate of 0.5-3.3% [1]. …show more content…
Also, these lesions tend to obviate on their own following the extraction or exfoliation of the related tooth and are usually not submitted for histopathological investigation [11]. Histologically, there is no distinction between the cysts associated with primary teeth and those of permanent teeth with the exception of scarcity of cholesterol crystal slits in primary teeth cysts. This is because of the fact that the lesion associated with the primary teeth exist for shorter length of time before removal in contrast with permanent teeth [3]. In the present case the treatment plan comprised extraction of the primary tooth involved followed by enucleation of the cyst. The other conservative and effective alternative treatment option mentioned being marsupialization of lesion with a fixed resin tube placed in alveolar hole after the extraction of the affected primary tooth [12]. In a similar case the treatment included extraction of the affected primary teeth followed by marsupialization. A removable appliance with a resin extension into
I decided to use oraqix because the patient had a few pockets depths between 6-7 mm, and was very sensitive during the power instrumentation. It helped me to effectively remove the plaque and the calculus from the pockets with the hand instruments, but I found that it was not as effective when I used the Cavitron. After the removal of plaque and calculus I reviewed OHI with my patient Evelyn and reinforced the proper use of dental floss and have the patient practice in her mouth. During the afternoon section, I worked on the mandibular arch and as before I started with the power instrumentation. However, I was not able to use it in all the mandibular teeth because some of them had recession, and the patient was extra-sensitive. The good thing was the mandibular arch had only one area with 6-7 mm of pocket depth. I also used Oraqix in this area, but did not help with the recession because the pain was related to the pulp and not to the gingiva, in where Oraqix works. After finishing with debridement, my patient expressed having pain on the distal surface of tooth # 17. We decided to take a PA of the area because that part of the tooth was not visible in the HBW I
Per medical report dated 3/10/16, patient was seen for periodontal maintenance. His extraction site is healing well. He continues to demonstrate symptoms of dry mouth and bruxism. These conditions are the result of his industrial injury. In order to prevent the development of decay or the recurrence of periodontal disease he will need continued periodontal maintenance and fluoride treatment. Patient was diagnosed with salivary secretion disorder.
Thang has not yet had any major work done inside his mouth and all three of his third molars are partially erupted with the #17 and #32 impacted and horizontal. He has sealants placed on teeth #3, 4, 5, 12, 13, 14, 20, 21, and 29 for preventative measures with composite fillings on the occlusal surfaces of #19 and of #30. These restorations were all performed in on visit two years ago. He has not had orthodontic work or reported any major dental problems or complaints. His periodontal status is stayed the roughly the same since his initial visit at AAP I, with a solitary 4 mm pocket on his mandibular second molars. There was bleeding on probing, but not enough to increase his classification. His gingival was generalized pink and stippled with
At the initial visit the patient’s plaque index was 43% and the plaque score was 55%. The most amount of plaque was present in the posterior regions in both the maxillary and mandibular quadrants. The anterior teeth suffered from a fair amount of attrition. Plaque was being retained in the grooves and pits of the damaged teeth. The patient also had slight interproximal plaque. Number 18 was chipped measially and was missing half of the large amalgam restoration. It had the most biofilm build up covering almost every aspect of the tooth, including the inside portion, which was exposed to oral cavity. When asked why she felt this was a problem area for her she responded that food constantly gets trapped inside and it’s painful, it hurts to brush. A large interproximal lesion on number 8 adjacent to porcelain fused to metal crown retained a considerable amount of biofilm also. The large and old amalgam restorations posteriorly were wearing away at the margins creating grooves and fissures on the occlusal surfaces also retaining plaque. I asked her if she felt like her diet or habits may be contributing to any oral pain or problems she is having. She answered honestly by saying she knows she harming not only her teeth but also her body. She wants to eat better and quit smoking, but she still gets pleasure when indulging and just isn’t ready to give up things she loves yet. She did agree to try and change some of her oral hygiene
The pathogenesis of the ranula can be seen as true cyst and pseudocyst. The true cyst arising from ductal obstruction with an ephitelial lining, whereas pseudocyst were associated with mucus extravasation into the surrounding oral soft
Adenomatoid odontogenic tumor (AOT) is a benign epithelial odontogenic tumor, characterized by slow and progressive growth. The central lesions, when associated with a non-erupted permanent tooth, are the follicular types. Histological variants of the tumor or combined lesions may hinder the diagnosis, resulting in the inadequate planning of treatment, which may affect the patient´s prognosis. The aim of this study is to report a case of a wide follicular AOT on a less frequent location, with extensive calcifying epithelial odontogenic tumor (CEOT) - like histopathological areas, which was treated by surgical excision as a combined epithelial tumor. Afterward surgery, the teeth displaced by the tumor were repositioned with orthodontic treatment,
Results: - Half of the teeth were primary first molars. In the primary first molar, approximately 80.2% of the root resorption occurred in the distal root and 16.7% of the root resorption was symmetrical. In the primary second molar, 55.6% of the root resorption was symmetrical and 32.3% was in the distal root.
It can occur at any age, but more commonly presents in second or third decade of life with a slight preponderance to occur more in females in a ratio of 1.22:1.2 It is a focal reactive lesion of gingiva, which is non-neoplastic with tumor-like appearance often arising from the maxillary anterior region from the interdental papilla. The confusion with this lesion often arises with its clinical presentation which mostly resembles like Pyogenic Granuloma (PG), it can be well differentiated from other fibrous proliferative lesions by the presence of various types of calcifications such as mature lamellar bone, immature bone, dystrophic calcification which are more common in initial lesions and even lamellar bone in case of older lesions.3 The diagnosis of such a condition is purely by histopathological examination. The treatment is surgical excision of the lesion including the underlying periosteum to reduce recurrence after elimination of all local
Based on the origins and interactions of the odontogenic tissues in tumor development; odontogenic neoplasms are classified into three subtypes groups and may be characterized as epithelial, mesenchymal, or mixed. These lesions encompass a heterogeneous group that is categorized from hamartomas to benign and rare malignant neoplasms with variable aggressiveness. The molecular pathogenesis of odontogenic tumors remains unclear, assessment of cellular markers is suitable for the better understanding of the biologic behavior of these
This is characterized by an accumulation of extracellular matrix within the gingival connective tissue, particularly the collagenous component, with various degrees of chronic inflammatory inflammation. (Yamasaki, 1987)
Forensic odontology is a medical science that uses dental evidence in order to solve cases. Of all cases, it is most commonly used in missing and unidentified persons cases. In these cases, the remains of the person are too badly decomposed for either a fingerprint or visual identification. Odontology enables us to identify a person even after decades of decomposition. Even under extreme temperature and harsh conditions the teeth are still a reliable and accurate
Cyst development - If untreated, submerged wisdom teeth can become cystic, surrounded by a fluid filled sac or membrane. This can cause the loss of nearby jawbone and serious infections.
Dentistry is defined as the science concerned with the prevention, diagnosis, and treatment of diseases of the teeth, gums, and related structures of the mouth including the repair or replacement of defective tissue. (American Dental Association). What people do not know is how virtually every disease that one acquires or develops can be identified primarily in the mouth first. Dentist and Dental Hygienist are educated to be able to recognize what are variants of normal and what are not. There are several diseases all with different or similar appearances, symptoms, and side effects. This paper is going to be focusing on one particular infection, Necrotizing Ulcerative Gingivitis and how it is developed and treated.
If any suspicious lesions are found by the dentist or hygienist, he or she will refer the patient to an oral surgeon. The oral surgeon is a dentist and medical doctor who reviews the case of his referred patients and
Though specific subject selection criteria are not mentioned in the article, subject selection bias is not observed as cases reported in this article include both sexes, age range reported is broad from 31 to 70 years old the location and clinical appearance of each oral lesion were different. Author has reported and discussed each case and analyzed similarities and differences in all case reports. As per my opinion this study has following issues: