Introduction: Dental treatment for children can be provided and completed in dental chair using one or more behavior management methods applied in dentistry. When these methods did not work, special behavior management technique such as treatment under general anesthesia (GA) may be provided for optimal dental treatment. The purpose of this study was to evaluate long term oral health status such as oral hygiene (OH), recall rate, behavior changes and development of new or recurrent carious lesions in children who received dental treatment under GA. Methods: Data were collected retrospectively from dental records of 433 children who received dental treatment under GA between 2006 and 2010. Collected data looked at 1) Age, 2) Gender, 3) OH before treatment and at the recall visits, 4) Behavior changes, 5) New or recurrent caries experience, and 6) Treatment of these lesions. Results: Age of patients ranged between 2 and 13 yrs. Boys to girls were 223 (51%) to 210 (48%) respectively. OH post operatively was significantly improved in comparison to that before treatment (p-Value < 0.0001). However, OH was almost the same among patients who attended recall visits (p-Value = 0.79). Number of patients who attended recall visits reduced significantly by time (p-Value < 0.0001). There was significant improvement in patient cooperation post operatively in comparison to that pre-operatively (p-Value < 0.0001). There was no significant difference in the incidence of new or recurrent carious lesions through recall visits (p-Value = 0.73). Conclusion: Dental treatment under GA did not seem to be effective in the improvement of OH or in reducing caries experience. However, children behavior showed some improvement in the follow up visits due to no active treatment required or simple dental procedures may be implemented.
{"title":"Children Oral Health Following Treatment under General Anesthesia: A Retrospective Study","authors":"","doi":"10.33140/jodh.05.01.03","DOIUrl":"https://doi.org/10.33140/jodh.05.01.03","url":null,"abstract":"Introduction: Dental treatment for children can be provided and completed in dental chair using one or more behavior management methods applied in dentistry. When these methods did not work, special behavior management technique such as treatment under general anesthesia (GA) may be provided for optimal dental treatment. The purpose of this study was to evaluate long term oral health status such as oral hygiene (OH), recall rate, behavior changes and development of new or recurrent carious lesions in children who received dental treatment under GA. Methods: Data were collected retrospectively from dental records of 433 children who received dental treatment under GA between 2006 and 2010. Collected data looked at 1) Age, 2) Gender, 3) OH before treatment and at the recall visits, 4) Behavior changes, 5) New or recurrent caries experience, and 6) Treatment of these lesions. Results: Age of patients ranged between 2 and 13 yrs. Boys to girls were 223 (51%) to 210 (48%) respectively. OH post operatively was significantly improved in comparison to that before treatment (p-Value < 0.0001). However, OH was almost the same among patients who attended recall visits (p-Value = 0.79). Number of patients who attended recall visits reduced significantly by time (p-Value < 0.0001). There was significant improvement in patient cooperation post operatively in comparison to that pre-operatively (p-Value < 0.0001). There was no significant difference in the incidence of new or recurrent carious lesions through recall visits (p-Value = 0.73). Conclusion: Dental treatment under GA did not seem to be effective in the improvement of OH or in reducing caries experience. However, children behavior showed some improvement in the follow up visits due to no active treatment required or simple dental procedures may be implemented.","PeriodicalId":15598,"journal":{"name":"Journal of dental health, oral disorders & therapy","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82910813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Temporomandibular joint disorder (TMD) is one of the most common non otological causes of otalgia. Treatment options vary from noninvasive options, such as non-steroidal anti-inflammatory drugs (NSAID) and physiotherapy to more invasive options of treatment such as intra-joint injections with corticosteroids and surgery. The aim of this study is to highlight the impact of the intra-articular steroid injection in TMJ on the otalgia not only the pain over the joint region. Methods: This study is a case series study that has been conducted on 12 patients (10 females and 2 males) aging from 23 to 47 years old with complaint of pain at area of temporomandibular joint and temple with prominent otalgia. Each patient has been asked to put a grade for otalgia from 0 to 2 before and after injection (0: no pain - 1: mild pain - 2: sever pain). Results: Ten cases showed complete relief of otalgia either after one or two injections. Two cases showed persistent otalgia after 3 attempts of injection. Conclusion: Temporomandibular intra articular steroid injection is a minor procedure that could be carried out safely at outpatient clinics and an effective option for relieving otalgia secondary to temporomandibular joint disorder (TMD).
{"title":"Temporomandibular Intra-Articular Steroid Injection: Its Impact on Relieving Otalgia","authors":"","doi":"10.33140/jodh.05.01.02","DOIUrl":"https://doi.org/10.33140/jodh.05.01.02","url":null,"abstract":"Background: Temporomandibular joint disorder (TMD) is one of the most common non otological causes of otalgia. Treatment options vary from noninvasive options, such as non-steroidal anti-inflammatory drugs (NSAID) and physiotherapy to more invasive options of treatment such as intra-joint injections with corticosteroids and surgery. The aim of this study is to highlight the impact of the intra-articular steroid injection in TMJ on the otalgia not only the pain over the joint region. Methods: This study is a case series study that has been conducted on 12 patients (10 females and 2 males) aging from 23 to 47 years old with complaint of pain at area of temporomandibular joint and temple with prominent otalgia. Each patient has been asked to put a grade for otalgia from 0 to 2 before and after injection (0: no pain - 1: mild pain - 2: sever pain). Results: Ten cases showed complete relief of otalgia either after one or two injections. Two cases showed persistent otalgia after 3 attempts of injection. Conclusion: Temporomandibular intra articular steroid injection is a minor procedure that could be carried out safely at outpatient clinics and an effective option for relieving otalgia secondary to temporomandibular joint disorder (TMD).","PeriodicalId":15598,"journal":{"name":"Journal of dental health, oral disorders & therapy","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84781945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-31DOI: 10.15406/JDHODT.2020.11.00540
C. Carmo, É. Paraguassu, E. Kassis, I. Filho
The trigeminal nerve is one of the most important pairs of cranial nerves in dentistry, and it is indispensable to the dental surgeon to study in an in-depth way, essentially for its capacity of innervation of various structures of the oral cavity and face, such as: teeth, mucosa, muscles, skin and deep facial structures it divides into three large branches and the largest of them is the mandibular nerve.1–3
{"title":"Injuries to the inferior alveolar nerve in practices of minor oral surgery","authors":"C. Carmo, É. Paraguassu, E. Kassis, I. Filho","doi":"10.15406/JDHODT.2020.11.00540","DOIUrl":"https://doi.org/10.15406/JDHODT.2020.11.00540","url":null,"abstract":"The trigeminal nerve is one of the most important pairs of cranial nerves in dentistry, and it is indispensable to the dental surgeon to study in an in-depth way, essentially for its capacity of innervation of various structures of the oral cavity and face, such as: teeth, mucosa, muscles, skin and deep facial structures it divides into three large branches and the largest of them is the mandibular nerve.1–3","PeriodicalId":15598,"journal":{"name":"Journal of dental health, oral disorders & therapy","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73869058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-28DOI: 10.15406/jdhodt.2020.11.00538
Víctor Pardo Juárez
The CBCT has been developed recently, to be used specifically in the maxillofacial region, and has quickly positioned itself as the diagnostic imaging modality in most clinical situations, and is one of the elements that make up the evaluation of patients with temporomandibular joint arthropathies. The objective of this article is to discuss the diagnostic efficacy of cbct in the current scenario of the diagnostic imaging of TMJ.
{"title":"Diagnostic efficacy of cone beam computed tomography for the TMJ arthropathies","authors":"Víctor Pardo Juárez","doi":"10.15406/jdhodt.2020.11.00538","DOIUrl":"https://doi.org/10.15406/jdhodt.2020.11.00538","url":null,"abstract":"The CBCT has been developed recently, to be used specifically in the maxillofacial region, and has quickly positioned itself as the diagnostic imaging modality in most clinical situations, and is one of the elements that make up the evaluation of patients with temporomandibular joint arthropathies. The objective of this article is to discuss the diagnostic efficacy of cbct in the current scenario of the diagnostic imaging of TMJ.","PeriodicalId":15598,"journal":{"name":"Journal of dental health, oral disorders & therapy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76756229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-28DOI: 10.15406/jdhodt.2020.11.00537
P. Oliveira, Beatriz dos Santos Borges, Renatha Oliveira de Souza Moura
A 65-year-old female patient, ASA 2 (with arterial hypertension) came to the office complaining of sensitivity and aesthetic discomfort in units 41 and after clinical examination, Miller Class I recession (Figure 1) was observed in the units, and little keratinized tissue in the region. A sub epithelial connective tissue graft procedure was suggested to the patient to cover the region (as it is the standard model), but the patient did not want to undergo two surgical sites. Then the patient was suggested to use L-PRF as a replacement for the subepithelial graft.
{"title":"Application of platelet fibrin as gingival graft: case report","authors":"P. Oliveira, Beatriz dos Santos Borges, Renatha Oliveira de Souza Moura","doi":"10.15406/jdhodt.2020.11.00537","DOIUrl":"https://doi.org/10.15406/jdhodt.2020.11.00537","url":null,"abstract":"A 65-year-old female patient, ASA 2 (with arterial hypertension) came to the office complaining of sensitivity and aesthetic discomfort in units 41 and after clinical examination, Miller Class I recession (Figure 1) was observed in the units, and little keratinized tissue in the region. A sub epithelial connective tissue graft procedure was suggested to the patient to cover the region (as it is the standard model), but the patient did not want to undergo two surgical sites. Then the patient was suggested to use L-PRF as a replacement for the subepithelial graft.","PeriodicalId":15598,"journal":{"name":"Journal of dental health, oral disorders & therapy","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86640666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-10-29DOI: 10.15406/JDHODT.2020.11.00535
André Lv, Devlin B, Halley Dk, Curtin C
Purpose: To explore oncology clinical nurse specialists (CNS) knowledge and understanding of medication related osteonecrosis of the jaw (MRONJ). Method: A qualitative study involving semi-structured interviews with four oncology CNS and subsequent interpretative phenomenological analysis. Results: Findings were reported under three themes; the importance of medication related osteonecrosis of the jaw, education on medication related osteonecrosis of the jaw and patient access to dental care. The key aspects highlighted were the important role of the oncology clinical nurse specialists and the need to improve communication and links between medical and dental specialties. A prominent subtheme was the aspiration of the oncology clinical nurse specialists to develop their understanding of medication related osteonecrosis of the jaw. Conclusions: The study provides new knowledge on oncology clinical nurse specialists understanding of medication related osteonecrosis of the jaw. It reinforces that improvements are to be made when it comes to oncology clinical nurse specialists understanding of oral health problems. It highlights the importance of reinforcing oral health needs as part of the holistic view of patients by the medical specialties and it affirms the valuable role of the clinical nurse specialists.
{"title":"Medication related osteonecrosis of the jaw: a qualitative study investigating the understanding and knowledge of local oncology clinical nurse specialists","authors":"André Lv, Devlin B, Halley Dk, Curtin C","doi":"10.15406/JDHODT.2020.11.00535","DOIUrl":"https://doi.org/10.15406/JDHODT.2020.11.00535","url":null,"abstract":"Purpose: To explore oncology clinical nurse specialists (CNS) knowledge and understanding of medication related osteonecrosis of the jaw (MRONJ). Method: A qualitative study involving semi-structured interviews with four oncology CNS and subsequent interpretative phenomenological analysis. Results: Findings were reported under three themes; the importance of medication related osteonecrosis of the jaw, education on medication related osteonecrosis of the jaw and patient access to dental care. The key aspects highlighted were the important role of the oncology clinical nurse specialists and the need to improve communication and links between medical and dental specialties. A prominent subtheme was the aspiration of the oncology clinical nurse specialists to develop their understanding of medication related osteonecrosis of the jaw. Conclusions: The study provides new knowledge on oncology clinical nurse specialists understanding of medication related osteonecrosis of the jaw. It reinforces that improvements are to be made when it comes to oncology clinical nurse specialists understanding of oral health problems. It highlights the importance of reinforcing oral health needs as part of the holistic view of patients by the medical specialties and it affirms the valuable role of the clinical nurse specialists.","PeriodicalId":15598,"journal":{"name":"Journal of dental health, oral disorders & therapy","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87924661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-10-12DOI: 10.15406/JDHODT.2020.11.00534
Divya Khaunte, P. Kumar, V. Dhupar, M. Naik
in size on right cheek showing minimal enhancement on post contrast scan. Posteriorly, it was seen to overlie on masseter muscle with loss of intervening fat planes. Laterally, the mass was seen to extend into subcutaneous fat. Medially, the mass was contiguous with the buccinator muscle with loss of intervening fat plane. Inferiorly, it was Abstract Vascular anomalies are divided in two Groups-Hemangiomas and Vascular malformation. Hemangioma and Lymphangioma are both examples of vascular tumours. Hemangiomas are proliferative vascular lesions present since birth While Lymphangiomas are hamartomatous tumours of lymphatic vessels. Sometimes pathologically, lymphatic channels may be seen in hemangioma thus, categorising them based on predominant component in Hemangiolymphangioma or Lymphangiohemangioma. In this present article, we have presented a case report of 5-year-old child with haemangiolymphangioma of buccal cheek with review of all cases in oral cavity reported in the literature. We have also enumerated various treatment modalities.
{"title":"Hemangiolymphangioma of buccal cheek- a rare case report with review of literature","authors":"Divya Khaunte, P. Kumar, V. Dhupar, M. Naik","doi":"10.15406/JDHODT.2020.11.00534","DOIUrl":"https://doi.org/10.15406/JDHODT.2020.11.00534","url":null,"abstract":"in size on right cheek showing minimal enhancement on post contrast scan. Posteriorly, it was seen to overlie on masseter muscle with loss of intervening fat planes. Laterally, the mass was seen to extend into subcutaneous fat. Medially, the mass was contiguous with the buccinator muscle with loss of intervening fat plane. Inferiorly, it was Abstract Vascular anomalies are divided in two Groups-Hemangiomas and Vascular malformation. Hemangioma and Lymphangioma are both examples of vascular tumours. Hemangiomas are proliferative vascular lesions present since birth While Lymphangiomas are hamartomatous tumours of lymphatic vessels. Sometimes pathologically, lymphatic channels may be seen in hemangioma thus, categorising them based on predominant component in Hemangiolymphangioma or Lymphangiohemangioma. In this present article, we have presented a case report of 5-year-old child with haemangiolymphangioma of buccal cheek with review of all cases in oral cavity reported in the literature. We have also enumerated various treatment modalities.","PeriodicalId":15598,"journal":{"name":"Journal of dental health, oral disorders & therapy","volume":"97 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75611757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
At the end of 2019 (December in Wuhan, China) a new disease was identified (Coronavirus Disease 2019 COVID-19) caused by the Severe Acute Respiratory Syndrome Coronavirus SARS-CoV-2 [1,2]. The world was about to change completely; it became a public health emergency of international concern in January 2020 and in March 11 The World Health Organization (WHO) declared COVID-19 a pandemic. The COVID-19 Pandemic is ongoing and this highly infectious viral disease has claimed thousands lives worldwide, has caused the disruption of economics and social activities; religious, sports, political and cultural events have been cancelled. Social distancing, general hygiene measures and the use of face masks help prevent people from spreading COVID-19 and also protect wearers from being infected themselves. All activities have been impacted, how we live and interact with each other, family, friends, colleagues or strangers, how we work and communicate, how we move around in daily life and travel; COVID-19 pandemic has changed the world.
{"title":"Moving Forward During COVID-19 Pandemic","authors":"","doi":"10.33140/jodh.04.04.01","DOIUrl":"https://doi.org/10.33140/jodh.04.04.01","url":null,"abstract":"At the end of 2019 (December in Wuhan, China) a new disease was identified (Coronavirus Disease 2019 COVID-19) caused by the Severe Acute Respiratory Syndrome Coronavirus SARS-CoV-2 [1,2]. The world was about to change completely; it became a public health emergency of international concern in January 2020 and in March 11 The World Health Organization (WHO) declared COVID-19 a pandemic. The COVID-19 Pandemic is ongoing and this highly infectious viral disease has claimed thousands lives worldwide, has caused the disruption of economics and social activities; religious, sports, political and cultural events have been cancelled. Social distancing, general hygiene measures and the use of face masks help prevent people from spreading COVID-19 and also protect wearers from being infected themselves. All activities have been impacted, how we live and interact with each other, family, friends, colleagues or strangers, how we work and communicate, how we move around in daily life and travel; COVID-19 pandemic has changed the world.","PeriodicalId":15598,"journal":{"name":"Journal of dental health, oral disorders & therapy","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74154201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Dental management of a child with CHD is a procedure that requires special considerations due to predisposition to infective endocarditis (IE). The incidence of bacteremia can be induced by variable dental procedures, such as teeth extractions, root canal treatment, pulpotomies, interproximal fillings and application of rubber dam or stainless steel crowns (SSC). Pediatric dentists in the past decades, tend to perform extractions rather than pulpotomies of the deep carious primary molars to prevent possible infection of those teeth that may induce IE. The aim of the present study was to evaluate the presence of bacteremia in children with CHD who received dental extractions or pulpotomies of the primary molars under general anesthesia (GA). Patients and Methods: A total of 60 patients with CHD (age 2-7 years old) from Prince Sultan Cardiac Centre (PSCC) and PSMMC in Riyadh were evaluated by pediatric cardiologist for complete blood count (CBC), blood culture and Echocardiography. The patients received prophylactic antibiotics prior to dental treatment under GA. All patients were low to moderate risk to IE. The patients were randomly divided into two groups: 30 patients received formocresol pulpotomies (FP) and SSCs and 30 patients had extractions of primary molars with vital deep carious lesions. Results: The mean age of patients was 3.9 years from FP group and 4.8 years from extractions group. Fifty eight patients were low risk to IE and 2 patients were at moderate risk. Following dental rehabilitation in the follow up visits over a three years period, there were no vegetation or signs of IE. The clinical and radiographic findings for pulpally treated teeth showed no signs of dental abscesses or apical lesions. Discussion and Conclusion: The present study showed that there was no vegetation in echocardiogram between the two groups of patients who received either pulpotomy or extractions of primary molar teeth in patients with (CHD). In addition, pulpotomy is not a risk factor to induce IE in patients with CHD. However, all patients received antibiotic prophylaxis prior dental rehabilitation.
{"title":"Pulpotomy versus Extraction of Primary Molars in Children with Congenital Heart Diseases (CHD)","authors":"","doi":"10.33140/jodh.04.04.03","DOIUrl":"https://doi.org/10.33140/jodh.04.04.03","url":null,"abstract":"Introduction: Dental management of a child with CHD is a procedure that requires special considerations due to predisposition to infective endocarditis (IE). The incidence of bacteremia can be induced by variable dental procedures, such as teeth extractions, root canal treatment, pulpotomies, interproximal fillings and application of rubber dam or stainless steel crowns (SSC). Pediatric dentists in the past decades, tend to perform extractions rather than pulpotomies of the deep carious primary molars to prevent possible infection of those teeth that may induce IE. The aim of the present study was to evaluate the presence of bacteremia in children with CHD who received dental extractions or pulpotomies of the primary molars under general anesthesia (GA). Patients and Methods: A total of 60 patients with CHD (age 2-7 years old) from Prince Sultan Cardiac Centre (PSCC) and PSMMC in Riyadh were evaluated by pediatric cardiologist for complete blood count (CBC), blood culture and Echocardiography. The patients received prophylactic antibiotics prior to dental treatment under GA. All patients were low to moderate risk to IE. The patients were randomly divided into two groups: 30 patients received formocresol pulpotomies (FP) and SSCs and 30 patients had extractions of primary molars with vital deep carious lesions. Results: The mean age of patients was 3.9 years from FP group and 4.8 years from extractions group. Fifty eight patients were low risk to IE and 2 patients were at moderate risk. Following dental rehabilitation in the follow up visits over a three years period, there were no vegetation or signs of IE. The clinical and radiographic findings for pulpally treated teeth showed no signs of dental abscesses or apical lesions. Discussion and Conclusion: The present study showed that there was no vegetation in echocardiogram between the two groups of patients who received either pulpotomy or extractions of primary molar teeth in patients with (CHD). In addition, pulpotomy is not a risk factor to induce IE in patients with CHD. However, all patients received antibiotic prophylaxis prior dental rehabilitation.","PeriodicalId":15598,"journal":{"name":"Journal of dental health, oral disorders & therapy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82290774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The volume thickening of soft tissue covering the alveolar ridges, designed gingival enlargement, is one of the frequent findings in clinical practice. However, they fail under varied presentations and their distinction allows a clinical diagnosis and defines an appropriate treatment to reduce recurrence. Among the diverse types of enlargement, fibrous epulis is the most common one. It is a localized uniform gingival overgrowth caused by tissue oedema and inflammatory hyperplasia in response to local irritations. This report outlines a case of fibrous epulis concerning a 56 years old male patient, in our periodontology department. A careful medical history, examination of the gingival, periodontal health status, and its reevaluation were assessed. Conventional periodontal treatment has been sufficient to minimize the gingival size. After an excisional biopsy, the histopathological examination was the determinants tool to accurate the diagnosis of fibrous epulis. Patient motivation and compliance during and after therapy has been a critical factor in the success of periodontal treatment and a key to prevent the recurrence of such lesions.
{"title":"Fibrous Epulis: The Reactive Gingival Enlargement to Excise or Not to Excise","authors":"","doi":"10.33140/jodh.04.04.02","DOIUrl":"https://doi.org/10.33140/jodh.04.04.02","url":null,"abstract":"The volume thickening of soft tissue covering the alveolar ridges, designed gingival enlargement, is one of the frequent findings in clinical practice. However, they fail under varied presentations and their distinction allows a clinical diagnosis and defines an appropriate treatment to reduce recurrence. Among the diverse types of enlargement, fibrous epulis is the most common one. It is a localized uniform gingival overgrowth caused by tissue oedema and inflammatory hyperplasia in response to local irritations. This report outlines a case of fibrous epulis concerning a 56 years old male patient, in our periodontology department. A careful medical history, examination of the gingival, periodontal health status, and its reevaluation were assessed. Conventional periodontal treatment has been sufficient to minimize the gingival size. After an excisional biopsy, the histopathological examination was the determinants tool to accurate the diagnosis of fibrous epulis. Patient motivation and compliance during and after therapy has been a critical factor in the success of periodontal treatment and a key to prevent the recurrence of such lesions.","PeriodicalId":15598,"journal":{"name":"Journal of dental health, oral disorders & therapy","volume":"64 6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77199856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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