[A supernumerary tooth and an impacted cuspid].
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Biomedical subjects
Publications and source records attributed to N D Spyropoulos.
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The jaws of 368 edentulous patients are evaluated radiographically and the findings presented. Patients were selected at random from those attending the Oral Diagnostic Clinic of the Dental School of the University of Athens. Pathological findings consisting of residual roots, impacted teeth, radiopaque and radiolucent areas, foreign bodies, and soft tissue calcification were found in 37.0 percent of the patients examined. These conditions were not identifiable from the history or the clinical examination of the patients; 47 patients had been denture wearers for a period of 1 to 5 years. Analysis of the type, incidence, and location of the pathological conditions found in this study stresses the necessity of radiographic examination of the jaws of all edentulous patients prior to construction of complete dentures.
The literature is reviewed and three cases of simultaneous presence of partial anodontia and supernumerary teeth are reported. In all three cases the abnormality involved both the maxilla and the mandible. The role of the panoramic radiograph in the detection of rare cases of this kind is emphasized and illustrated.
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The authors describe the procedure followed in the identification of a corpse by means of findings gathered from periapical X-rays. The interesting point about this identification is that it was practically based on one single tooth; The dental periapical X-rays of the person to which the body was suspected to belong, revealed certain peculiarities in the root outline and the endodontic treatment of an upper second right premolar. An X-ray of the corresponding tooth of the corpse was taken and the same identical findings were seen, thus documenting the identity of the corpse.
The authors studied the findings from the clinical examination of the oral cavity of one hundred drug addicts that were prisoners at Korydalos prison, in order to evaluate the incidence and the possible correlation of these findings to the drug abuse. This study revealed that drug addicts present lesions of the oral mucosa such as redness of the pharyngeal mucosa (57%), melanchromatic spots on the lips (35%) and hairy tongue (57%). Also, a high incidence of carious lesions was found (46%), of missing teeth (42%) and of periodontal disease (57%). These percentages are much higher than those found in a random population. It was also revealed that in the above group there was a high incidence of serum hepatitis (23%) and of AIDS (8%), while other systemic diseases were also found.
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