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Treatment planning for the problem patient: restorative, ethical, legal and psychological perspectives. Case 3: Mary.

Mary' is the third of a series of four articles that aims to look at some of the problems patients may present with when they visit their dentist. Each article starts with a brief scenario about the hypothetical patient and his/her clinical problems. As well as the clinical problem, each case also raises ethical, legal or psychological problems. All of these issues are discussed and possible management strategies and treatment options investigated.

Adult↗

Potential hazards of orthodontic treatment--what your patient should know.

Orthodontic treatment carries with it the risks of tissue damage, treatment failure and an increased predisposition to dental disorders. The dentist must be aware of these risks in order to help the patient make a fully informed choice whether to proceed with orthodontic treatment. This paper outlines the potential hazards and suggests how they may be avoided or minimized.

Adolescent↗

A single-appointment, definitive post-crown restoration: a case report.

The marked advances made in restorative materials have allowed dentists to explore new techniques in restoring teeth. This paper describes a method of restoring extensively damaged endodontically treated teeth that are using the LightPost system and composite resin to build-up the broken crown directly. The treatment was completed in a single visit. Applying this direct technique in selected cases can simplify treatment planning and result in an acceptable restoration with pleasing aesthetics.

Acid Etching, Dental↗

Radicular cyst arising from a traumatized primary incisor: a case report of a rare complication that emphasizes the need for regular follow up.

Radicular cysts associated with the deciduous dentition are rare. The literature is sparse regarding cysts associated with primary incisor teeth, which is surprising given the frequency with which these teeth are traumatized. Most cases reported involve molar teeth associated with apical infection following on from caries. A case of a 3-year-old boy who developed a large radicular cyst associated with a previously traumatized upper primary incisor is reported.

Child, Preschool↗

Common facial fractures: 3. Complications.

UNLABELLED: The final article of three, this paper highlights the complications that may arise either as a direct result of the fracture or the treatment of the fracture. CLINICAL RELEVANCE: Dentists may encounter and sometimes have to manage some of the complications of facial fractures or their treatment.

Facial Bones↗

The undiagnosed split-root syndrome.

The split-root syndrome is an often misdiagnosed painful condition. The major causes of the splits have been discussed. In addition, classical symptoms associated with this syndrome have been illustrated by two case reports to facilitate the syndrome's recognition.

Adult↗

Split-root syndrome.

Explore the source record for details and available documents.

Cracked Tooth Syndrome↗

Root-end induction.

A root-end induction procedure was used to treat a nonvital tooth with an open apex. This procedure was relatively fast and simple and did not require special instruments or medicaments. The procedure improved the prognosis of the involved tooth and reduced the trauma associated with surgical endodontic treatment.

Calcium Hydroxide↗

An investigation of dental injuries treated in an acute care general hospital.

Longitudinal studies are required to determine the long-term effects of treatment and nontreatment of injured teeth. Eleven percent of subjects came for emergency care 21 days or more after the accident with complications of the original injury. It would be reasonable to advise early attendance for evaluation of any person suffering from accidental trauma to mouth and jaws. Fewer than 10% of published research reports discuss trauma to the dentofacial structures. Traumatology should be part of the education of health personnel.

Adolescent↗

Dental complications during and after tracheal intubation.

Surveyed were 133 directors of training programs in anesthesiology. The directors reported an average incidence of 1:1,000 dental injuries during or after 1,135,212 tracheal intubations in 1 year. A well-documented dental evaluation before delivery of anesthetics and appropriate precautions and protective devices during intubation will prevent most dental trauma related to the delivery of general anesthetics. Also, early use of dental and risk management services often will ensure timely resolution of such problems.

Anesthesia, Endotracheal↗

Mouth protectors and oral trauma: a study of adolescent football players.

A total of 754 junior high school and high school football players from the Birmingham, AL, area were studied to determine the extent of sports-related oral trauma among players. More than half the oral injuries and more than a third of the concussions were reported in sports other than football. Basketball and baseball players had a high prevalence of hard tissue oral trauma with virtually none of the players wearing mouth protectors. The results of this study indicate that current mouth protector designs are helpful in preventing hard tissue trauma, yet additional soft tissue protection is indicated in football mouth protector design.

Adolescent↗

A false diagnosis of a cracked tooth: report of case.

A case of false diagnosis of cracked tooth syndrome is reported, illustrating an instance in which all of the diagnostic criteria suggested reasons for the syndrome; however, the actual cause was related to atypical root canal anatomy and external root resorption of the tooth in question.

Adult↗

Raising the root. A look at orthodontic extrusion.

A simple technique using bonded wires to establish anchorage and an attachment to a tooth requires a minimum of special materials or advanced skills in orthodontics. The bonded wire stabilizes the anchor unit and avoids any adverse tooth movement.

Humans↗