Anesthesia case of the month. Analgesia for fractures until surgery can take place.
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Biomedical subjects
Publications and source records attributed to C L Cullen.
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The extraction of the geminated maxillary central incisors was selected as the preferred treatment in this case because of the impossibility of properly recontouring these teeth. Although the crowns could have been reshaped somewhat to conform to a more normal size and shape, the roots were so wide that approximation of the central and lateral incisor crowns would have been impaired. The use of normally shaped, large lateral incisors in place of abnormal central incisors gives a better occlusion and a more esthetic result at the end of the treatment.
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A seven-year-old, spayed female boxer was presented for sudden blindness and red eyes of one week's duration. Ophthalmic examination revealed bilateral uveitis with complete bullous retinal detachments. Initial diagnostic testing failed to reveal evidence of systemic disease. Cytopathology of subretinal aspirates confirmed the presence of macrophages with intracytoplasmic retinal pigment, epithelial and choroidal pigment, and monocytes. Tentative diagnoses were idiopathic uveitis and retinal detachment. The dog was treated with immunosuppressive doses of prednisone. The retinas reattached and vision returned. By two months, the dog became blind and systemically ill. Postmortem and histopathological examinations revealed intravascular lymphoma in multiple organs, including the eyes.
Odontodysplasia is a rare clinicopathologic condition that has a variety of expressions, including a range of tooth coloration, formation of hypoplastic enamel affecting one or multiple teeth, bizarre radiographic appearance, and delayed eruption of teeth. An unusual case is presented of bilateral regional odontodysplasia associated with a vascular nevus of the face and neck. A review of the etiology with emphasis on the "local circulatory disease" theory is presented.
Stainless steel crowns are indicted for permanent teeth for multiple reasons. Indirect or direct pulp capping, pulpotomies, apexification procedures, and root canal therapy are treatments for permanent teeth that make them potential candidates for stainless steel crowns as interim restorations. The transitional dentition is divided into two stages: between five and eight years; and the period between ages nine and thirteen. Mesiodistal dimensions of the first permanent molars can be measured on study casts before preparation for the steel crown has begun. A flow chart is provided to give practitioners available options. Steps for preparing the stainless steel crown and technique for porcelain onlay preparation are also given.
Erythroblastosis fetalis is a severe hemolytic disease in the newborn that originates in utero because of a maternal-fetal blood incompatibility. An unusual case of erythroblastosis fetalis caused by an irregular antibody of the Kell blood group is presented. The dental findings are compared to those found with Rh(D) incompatibility.
The pertinent clinical systemic and oral findings have been presented. Systemically, the patient presented with prenatal onset of growth retardation marked by an initial low birth weight, hemiatrophy, normal head size, frontal bossing, and triangular facies. Oral findings include an intact appearing primary dentition marked by microdontia, congenital absence of second premolars, blunted condyles, decreased anterior and posterior cranial base lengths, a mild hypoplastic mandible, and decreased facial height.
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