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At least 613 records · Page 34Linked to original sources

Serratia infection in a patient with bilateral subcondylar impacted third molars and associated dentigerous cysts: report of case.

A case of bilateral subcondylar impacted mandibular third molars is presented. Both impactions had associated dentigerous cyst, one of which was severely infected with Serratia marcescens and had a draining sinus tract. The patient also had uncontrolled diabetes mellitus and iron deficiency anemia, which altered her response to surgical treatment. This case illustrates the necessity for early identification of infective organisms and determining their antibiotic sensitivity, as well as the need for prophylactic removal of impacted teeth to prevent complications such as those presented.

Dental Fistula↗

Compound composite odontoma associated with an impacted cuspid.

This case report involved the removal of a compound composite odontoma from a fourteen year-old male patient at an urban dental school. The pathology report did indeed reveal the tissue mass was that of a compound composite odontoma. These lesions usually occur in the second decade of life, in the anterior maxilla or mandible, with no gender or race predilection. Three types of odontomas are identified, including are: compound composite odontoma, complex composite odontoma, and ameloblastic fibro-odontoma. The etiology of these lesions is unknown, although environmental (trauma, infection) and hereditary influences play a role. Treatment consists of complete enucleation and curettage followed by histological verification by an oral pathologist.

Adolescent↗

Dental management of fibrous dysplasia.

This report describes two patients with monostotic fibrous dysplasia affecting maxillary alveolar processes. The long-term care for patient ML between ages 6 and 28 years included the transplantation of a premolar and a third molar tooth into the affected area, but the transplanted tooth 14 had to be extracted 6 years later. The patient JW, who presented at age 5 with an asymptomatic swelling in the left deciduous molar and first permanent molar region, was followed for 15 years. Teeth 24, 25, and 26 were developmentally absent. The roots of the deciduous teeth of both patients resorbed normally, and were replaced by tissue with the same radiographic appearance as fibrous dysplasia.

Alveolar Bone Loss↗

Use of removable appliances as an adjunct to fixed appliance therapy.

Although a fixed appliance may ultimately be required to correct a malocclusion, the author gives examples of how the use of a removable appliance initially could simplify the treatment. A removable appliance enables the benefits of growth and development that are occurring in young patients to be enlisted in the treatment, and thereby reduces the overall treatment time.

Cuspid↗

"Killer" canine removal and its sequelae in Addis Ababa.

Children and adolescents, aged 2 to 18 years, from 300 poor families in Addis Ababa were examined to determine the prevalence of the traditional practice of primary canine tooth removal. Fifteen percent of the primary canine teeth were found to have been affected, and 7% of the permanent canines had been damaged by this practice. A questionnaire to a subset of 40 families revealed some of the reasons that this procedure is still carried out, in spite of the considerable associated morbidity.

Adolescent↗

Eruption anomalies of the maxillary permanent cuspids in children with cleft lip and/or palate.

Eruption anomalies of the maxillary permanent cuspid on the cleft side was analyzed in a sample of 77 children with mono- and bi-lateral cleft lip/palate. The main findings were: 1) The permanent cuspid showed an initial mesial position in relation to the root of its primary predecessor in a relatively high number of cases. Nearly all those cuspids that showed an anomalous position (mesial or distal) in relation to the corresponding primary teeth at the time of the first observation erupted in malposition (palatally in the cleft area, mesially or distally to the primary cuspids). 2) In most cases presenting a mesially positioned permanent cuspid at the time of first observation, the permanent later incisor was congenitally missing, microdontic or in a mesial position in relation to the cleft. 3) Distally positioned permanent cuspids were always associated with a supernumerary lateral incisor. 4) A congenitally missing lateral incisor could represent a predisposing factor to a mesial position of the permanent cuspid. An early radiographic evaluation of the position of the permanent cuspid was suggested especially in those children presenting a congenitally missing lateral incisor.

Adolescent↗