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Lingual displacement of an entire lower third molar. Report of a case with suggestions for prevention and management.

Perfect knowledge of regional anatomy is the main factor in the prevention of tooth displacement during lower third molar extraction. Some technical expedients should be used to avoid the occurrence of this accident and to manage it if it anyway happens. The patient was seen just 2 days after his left lower third molar was lingually displaced during surgical extraction. Two mucoperiosteal flaps were made under general anaesthesia, one on each side of the mandible, to obtain good exposure of the previous bone access and to retrieve the tooth. No further complications occurred. Lower third molar extraction becomes complicated if tooth displacement happens. Predisposing factors of this accident are analyzed and the rules to minimize the risk of its occurrence and to simplify the retrieval of the displaced tooth are discussed.

Adult↗

Solving a conundrum.

Explore the source record for details and available documents.

Antibiotic Prophylaxis↗

[Clinical observation of dental pulp and root changes of juvenile anterior permanent teeth after concussion and luxation].

OBJECTIVE: To observe the incidence of pulp necrosis and root resorption of the juvenile anterior permanent teeth with concussion and luxation injuries and analyze the relationship between the type of injury and form of root resorption. METHODS: 157 teeth of 79 patients were chosen from 201 patients with concussion and luxation treated with functional-bite-plate at the Department of Pedodontics, School of Stomatology, Beijing Medical University from 1984 to 1996. RESULTS: High occurrence of pulp necrosis and root resorption were found in teeth with intrusion, and pulp necrosis occurred most within 3 months after the injury, while root resorption occurred during 3 weeks to 2 years. At the same time, surface resorption occurred mainly in the teeth with intrusion, extrusion and lateral luxation, and replacement resorption occurred only in intrusive teeth, however inflammatory resorption occurred in extrusive teeth whose pulp was infected. CONCLUSION: Intrusion is the most severe type of tooth trauma.

Adolescent↗

[Clinical retrospect on autoimplantation of traumatically dislocated teeth].

OBJECTIVE: A total of 48 cases with autoimplantation of traumatically dislocated teeth were retro spected as clinical references. METHODS: Several indexes were recorded in details, for instance, tooth dislocation time, operation and postoperative management and patients were followed up periodically. RESULTS: Tooth dislocating intervals from trauma to implantation were from 0.5 to 48 hours. Therapeutic effectiveness was graded as perfect in 37 teeth (61.7%), good in 18 (30.0%) and poor in 5 teeth (8.3%), in which 3 teeth were extracted within 1 year. Three-year success rate was 83.0%, and five-year success rate was 61.7%. It was judged 20 teeth being as periodontal membranous healing, 35 bony healing and 5 fibrous healing. Pulpal vitality tests were positive in 23 and negative in 37 teeth. Root canal therapies were conducted in 20 teeth. CONCLUSION: Carefully protecting periodontal membranes, keeping good fixation, preventing from infection and avoiding occlusal injuries are important factors for successful implantation of the dislocated teeth. Periodical examination would be benefit to the long term prognosis. The correct methods for dislocated tooth preservation should be treated as the important part of health education.

Adolescent↗

Orofacial manifestations of congenital insensitivity to pain with anhidrosis: a report of 24 cases.

PURPOSE: To report the incidence and severity of the oral and dental manifestations associated with congenital insensitivity to pain with anhidrosis (CIPA). METHODS: Young children with CIPA underwent orofacial examination. The tongue, lips, and buccal mucosa were examined for soft tissue disorder. Missing and luxated teeth were recorded. RESULTS: Twenty four patients (14 males and 10 females, mean age 60 months, range 9-144 months) with CIPA showed moderate to severe self-mutilation. Oral self-mutilation, such as biting injuries and scarring of soft tissues (tongue, lip, and buccal mucosa) were found in all patients. Fingertip biting was also found in most patients. Among infant patients, the mutilation was typically characterized by decubital ulcers of the tongue. Many edentulous areas due to previously extracted teeth were also found. CONCLUSIONS: Early diagnosis and specific dental care for patients with CIPA can be helpful in prevention of the fingertip biting and orofacial manifestations seen in this disorder.

Arabs↗

Obliteration of pulp canal space after concussion and subluxation: endodontic considerations.

Concussion and subluxation injuries to permanent teeth lead to obliteration of the pulp canal space in 3% to 11% of cases, depending on the severity of the injury and the developmental stage of the tooth. Obliteration of the pulp canal space may make root canal treatment necessary because of the development of apical periodontitis or for cosmetic reasons. If carefully executed, root canal treatment in teeth with an obliterated pulp canal space is highly successful and may act as a basis for internal bleaching.

Adolescent↗

Permanent incisors traumatized through predecessors: sequelae and possible management.

This report describes the sequence of events following a traumatic dental injury to primary maxillary anterior teeth of a five-year old male during a bicycle accident. The development of the affected teeth during the subsequent ten years was studied from the radiographic records. A detailed account of the clinical and radiographic findings as well as the physio-pathologic changes that have taken place is discussed. In view of the inevitable prognosis of dentitions that sustain traumatic injury during the formative years preventive measures and feasible dental management are proposed. These precautionary measures are aimed to circumvent the sequelae that were experienced in the present case, and avoid predictable complications.

Bicycling↗

The management of traumatic dental injuries.

Traumatic injuries require a vast and complex treatment methodology. This manuscript although in a "cookbook" format will still require from the practitioner sound clinical judgment prior to treating a traumatized tooth.

Humans↗

Orthodontic/restorative interface.

There have been many advances in orthodontic and restorative procedures. These can be combined to provide a very powerful tool in providing the optimum results. This article describes when a combined approach would be appropriate and discusses how the various problems are overcome.

Anodontia↗