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Root canal treatment of an extensive periapical lesion 广泛根尖周围病变的根管治疗
Pub Date : 1900-01-01 DOI: 10.2298/sgs2204183v
J. Vucetic, Jugoslav Ilić
Chronic apical periodontitis (CAP) is one of the most common endodontic diagnosis caused by microbial infection within the root canal system of the affected tooth. Endodontic therapy is one of the possible treatment modalities for CAP, but the prognosis depends on numerous factors. The size of the periapical lesion is always singled out as one of the most significant, as its increase drastically decreases the degree of success of endodontic therapy. Certain periapex radiographic indices (PAI, CBCT-PAI, PESS) are used to evaluate the size and characteristics of the periapical lesion, as well as to monitor the outcome of the implemented therapy. A 30-year-old patient presented with pain caused by an acute exacerbation of CAP on tooth 37. Radiographic analysis revealed the presence of an extensive, diffuse radiolucency in the area of tooth 37. A complete endodontic procedure was performed. One year after, there were clear, radiographic signs of the reduction of the lesion. Findings of periapical radiographic indices indicated the success of therapy as well. The aim of this paper was to present, on one case from clinical practice, complete endodontic therapy protocol of an extensive periapical lesion with symptoms of exacerbation.
慢性根尖牙周炎(CAP)是最常见的根管诊断之一,由受影响牙齿根管系统内的微生物感染引起。牙髓治疗是CAP的一种可能的治疗方式,但预后取决于许多因素。根尖周围病变的大小总是被挑出来作为最重要的一个,因为它的增加大大降低了根管治疗的成功程度。某些根尖周围影像学指标(PAI, CBCT-PAI, PESS)用于评估根尖周围病变的大小和特征,以及监测实施治疗的结果。一个30岁的病人提出了疼痛引起的急性加重的牙齿CAP在37。放射学分析显示在牙齿37的区域有广泛的、弥漫性的放射透光。完成了一次完整的牙髓治疗。一年后,有清晰的影像学迹象表明病变缩小。根尖周放射学指标的发现也表明治疗成功。本文的目的是提出一个病例,从临床实践,完整的根管治疗方案广泛的根尖周围病变加重症状。
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引用次数: 0
Sem analysis of working surface in new manual endodontic instruments 新型手工根管器械工作表面的Sem分析
Pub Date : 1900-01-01 DOI: 10.2298/sgs2001015j
Milica Jovanovic-Medojevic, M. Pelemis, Jelena Neskovic, Marijana Popović-Bajić, D. Stratimirovic, S. Živković
Introduction. The aim of this study was to analyze working surfaces of new hand endodontic instruments and to check possible existence of dirt or defects on working surface that resulted from manufacturing process using SEM. Material and methods. Three sets of new hand instruments: K-File (KF), (18 instruments) (Dentsply Maillefer, Switzerland) and Hedstorm Files (HF), (18 instruments) (SybronEndo Co, USA) were used. Instruments were analyzed by SEM method at 170? magnification while semi-quantitative EDS analysis was used to determine chemical composition of dirt particles. Fisher test (p < 0.05) was applied in statistical analysis. Results. Results showed that none of the instruments was defect-free. The most common defects were metal strips and fretting noticed at the surface of all tested instruments. Debris was present on all KF (100% in apical and middle third) and HF (56% in apical and 56% in middle third) instruments. Pitting was noticed in KF (33% in apical and 39% in middle third) and HF (11% in apical and 6% in middle third) instruments. Corrosion of working surface, metal flash and disruption of cutting edge were marked only in KF group. Conclusion. Manufacturing defects were noticed in all instruments and the most common type of irregularity were metal strips and fretting.
介绍。本研究的目的是分析新型手根管器械的工作表面,并利用扫描电镜检查制造过程中工作表面可能存在的污垢或缺陷。材料和方法。使用了三套新的手工仪器:K-File (KF)(18台)(Dentsply Maillefer,瑞士)和Hedstorm Files (HF)(18台)(SybronEndo Co,美国)。仪器在170?用半定量能谱分析法测定污垢颗粒的化学成分。采用Fisher检验(p < 0.05)进行统计学分析。结果。结果表明,所有器械均存在缺陷。最常见的缺陷是所有测试仪器表面的金属条和微动。所有KF(顶端和中间三分之一100%)和HF(顶端56%和中间三分之一56%)器械上都存在碎片。在KF(33%在根尖,39%在中三分之一)和HF(11%在根尖,6%在中三分之一)器械中发现了点蚀。只有KF组出现了工作表面腐蚀、金属闪光和刃口断裂现象。结论。在所有仪器中都发现了制造缺陷,最常见的不规则类型是金属条和微动。
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引用次数: 0
Multidisciplinary approach in treatment of spacing: orthodontic treatment and partial veneers using the injectable composite resin technique 多学科方法治疗间隙:正畸治疗和部分贴面使用注射复合树脂技术
Pub Date : 1900-01-01 DOI: 10.2298/SGS2101039L
M. Ljubičić, M. Živković
Introduction. Patients with orthodontic diagnosis of spacing most often require a multidisciplinary approach, which includes orthodontic and following restorative treatment to enhance the esthetic outcome. The aim of this case report is to present management of spacing in the anterior region by orthodontic treatment followed by partial veneers using the injectable composite resin technique. Case report. In this case, leveling and alignment of dental arches and stable occlusion was achieved during orthodontic treatment, with the correction of upper and lower incisor inclination and closing the diastemas. Intraoral and extraoral esthetic parameters were evaluated on the photographs, and partial veneers on lateral incisors and canines were designed for the wax-up model. In the injectable composite resin technique, the silicone index was used to transfer the wax-up to composite restorations. The highly filled injectable composite resin was injected through the silicone index and light-cured. The restoration required only gentle polishing due to the great precision of the index. Discussion. Post-orthodontic recontouring in the anterior region is mostly done by direct composite restorations because they are cost-effective, minimally invasive, and the procedure is relatively simple. The injectable resin composite technique can be a solution for the same indication since it is less technique sensitive and gives predictable and great esthetic results, mostly without tooth preparation. Conclusion. Management of anterior spacing in adult patients requires a comprehensive approach for optimal esthetic and functional results. In this case, orthodontic treatment was followed by partial veneers on lateral incisors and canines, using the injectable composite resin technique as a simple and predictable solution for minor restorative interventions to solve morphological tooth abnormalities in the esthetic smile zone.
介绍。正畸诊断间隙的患者通常需要多学科的方法,包括正畸和随后的修复治疗,以提高美观的结果。本病例报告的目的是通过正畸治疗,然后使用注射复合树脂技术进行部分贴面,来解决前牙区间距的管理。病例报告。本例患者在正畸治疗过程中,通过矫正上切牙和下切牙的倾斜度和关闭狭缝,实现了牙弓的平整和对准以及稳定的咬合。根据照片评估口腔内和口腔外的美学参数,并为上蜡模型设计侧门牙和犬的部分贴面。在可注射复合树脂技术中,硅酮指数用于将蜡质转移到复合修复体中。通过硅酮指数注入高填充可注射复合树脂并进行光固化。由于索引的精度很高,修复只需要轻微的抛光。讨论。正畸后的前牙区重塑主要通过直接复合修复体完成,因为它们具有成本效益,微创性,并且程序相对简单。可注射树脂复合技术可以作为相同适应症的解决方案,因为它对技术的敏感性较低,并且可以提供可预测的和非常美观的结果,大多数情况下无需牙齿准备。结论。管理成人患者的前路间距需要一个综合的方法,以获得最佳的审美和功能的结果。在本病例中,正畸治疗之后,在侧门牙和犬上进行部分贴面,使用可注射复合树脂技术作为一种简单且可预测的小修复干预方案,以解决美观微笑区牙齿形态异常。
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引用次数: 0
Review of lasers application in dentistry 激光在牙科中的应用综述
Pub Date : 1900-01-01 DOI: 10.2298/sgs2001036j
V. Jokanović, D. Trišić, M. Živković
In this paper the mechanism of stimulated emission is described as the fundamental of laser technology. The types of lasers from the aspect of their operation are also given. The particular attention is paid to dental lasers and their effect on healing processes in bone, dentin, enamel etc.
本文阐述了受激发射机理是激光技术的基础。并从激光器的工作原理方面介绍了激光器的类型。特别关注牙科激光及其对骨、牙本质、牙釉质等愈合过程的影响。
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引用次数: 0
Basics of navigation implant prosthetics planning 导航植入假肢规划的基础知识
Pub Date : 1900-01-01 DOI: 10.2298/SGS2004193M
Minja Milicic-Lazic, Aleksandra Prokic-Maric, A. Todorović, V. Lazić
Due to the development of digital technologies, the modern concept of prosthetic-guided implantology is based on non-invasive surgical and restorative techniques. Computer-aided planning, computer-guided workup and computerguided surgery have largely ensured the predictability of the therapeutic outcome. This is supported by research data related to the frequency of implant therapy, according to which in the first half of 2020 there was an increase of 9.7%. However, anatomical limitations remain a challenge for the implant team. The most common problem related to implant therapy in edentulous patients is limited edentulous space in one or more spatial planes. Improving the design of surgical guides facilitates implantation in spatially limited and complex cases. By introducing interactive computed tomography into the field of implantology, a three-dimensional approach to every aspect of planning and implantation has become possible.
由于数字技术的发展,现代义肢引导种植的概念是基于非侵入性的手术和修复技术。计算机辅助计划、计算机指导检查和计算机指导手术在很大程度上保证了治疗结果的可预测性。这一点得到了与植入治疗频率相关的研究数据的支持,根据该数据,2020年上半年,植入治疗频率增长了9.7%。然而,解剖学上的限制对植入团队来说仍然是一个挑战。无牙患者种植治疗中最常见的问题是在一个或多个空间平面上的无牙空间有限。改进手术导尿管的设计有助于在空间有限和复杂的情况下植入。通过将交互式计算机断层扫描引入种植学领域,对计划和植入的各个方面的三维方法已经成为可能。
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引用次数: 0
Histological evaluation of periapical tissue response after implantation of experimental nanostructured calcium aluminate cement - in vivo study 实验性纳米结构铝酸钙骨水泥植入后根尖周组织反应的组织学评价-体内研究
Pub Date : 1900-01-01 DOI: 10.2298/sgs2204151r
Igor Radovic, Marijana Popović-Bajić, Ljiljana Bjelović, J. Erić, Jelena Lečić, S. Živković, V. Jokanović
Introduction. ALBO-HA (Vinca, Serbia) is new nanostructured calcium aluminate cement, synthesized as a potential alternative to mineral trioxide aggregate (MTA). The purpose of this study was to compare the periapical tissue response to new nanostructured calcium aluminate cement ALBO-HA with white MTA (MTA Angelus, Londrina, Brasil) as root-filling material into the root canal of sheep?s teeth. Material and methods. Sixteen mandibular incisors from two 24-month-old sheep were used. Root canals were prepared and filled with ALBO-HA (group 1) or MTA (group 2) (eight teeth per group in each sheep). After four weeks the animals were sacrificed, teeth with surrounding tissue removed, and histologically processed. The sections were analyzed for determination of scores of the following parameters: periapical inflammatory infiltrate, newly mineralized apically formed tissue, apical periodontal ligament space thickness and resorption of dentin, cementum and bone. Data were analyzed statistically (?=0.05) using Mann-Whitney U test. Results. Slight inflammatory infiltrate was observed in 75.0% and 62.5% of samples in the group 1 and group 2, respectively (p>0.05). Partial newly mineralized apically formed tissue was found in 75.0% of samples in the group 1, and 87.5% of samples in group 2 (p>0.05). No significant difference was noted for periodontal ligament space thickness (p>0.05). Resorption of dentin, cementum or bone was not observed. Conclusion. ALBO-HA and white MTA Angelus had a similar effect on inflammation, newly mineralized apical tissue formation and thickness of periodontal ligament space after root canal filling under the present experimental conditions.
介绍。ALBO-HA (Vinca, Serbia)是一种新型纳米结构铝酸钙水泥,可作为矿物三氧化物骨料(MTA)的潜在替代品。本研究的目的是比较新型纳米结构铝酸钙水泥ALBO-HA与白色MTA (MTA Angelus, Londrina, Brasil)作为根管填充材料进入羊根管的根尖周组织反应。年代的牙齿。材料和方法。使用2只24月龄羊的16个下颚门牙。预备根管并填充ALBO-HA(组1)或MTA(组2)(每组8颗牙)。四周后,这些动物被处死,去除周围组织的牙齿,并进行组织学处理。对切片进行分析,以确定以下参数的得分:根尖周炎症浸润、新矿化的根尖形成组织、根尖牙周韧带间隙厚度和牙本质、牙骨质和骨的吸收。采用Mann-Whitney U检验对数据进行统计学分析(?=0.05)。结果。1组75.0%、2组62.5%的标本出现轻度炎症浸润(p>0.05)。第1组和第2组分别有75.0%和87.5%的标本出现部分新矿化的根尖组织(p>0.05)。两组牙周韧带间隙厚度差异无统计学意义(p>0.05)。未观察到牙本质、牙骨质或骨的吸收。结论。在本实验条件下,ALBO-HA和白色MTA Angelus对根管充填后的炎症、新矿化的根尖组织形成和牙周韧带间隙厚度的影响相似。
{"title":"Histological evaluation of periapical tissue response after implantation of experimental nanostructured calcium aluminate cement - in vivo study","authors":"Igor Radovic, Marijana Popović-Bajić, Ljiljana Bjelović, J. Erić, Jelena Lečić, S. Živković, V. Jokanović","doi":"10.2298/sgs2204151r","DOIUrl":"https://doi.org/10.2298/sgs2204151r","url":null,"abstract":"Introduction. ALBO-HA (Vinca, Serbia) is new nanostructured calcium aluminate\u0000 cement, synthesized as a potential alternative to mineral trioxide aggregate\u0000 (MTA). The purpose of this study was to compare the periapical tissue\u0000 response to new nanostructured calcium aluminate cement ALBO-HA with white\u0000 MTA (MTA Angelus, Londrina, Brasil) as root-filling material into the root\u0000 canal of sheep?s teeth. Material and methods. Sixteen mandibular incisors\u0000 from two 24-month-old sheep were used. Root canals were prepared and filled\u0000 with ALBO-HA (group 1) or MTA (group 2) (eight teeth per group in each\u0000 sheep). After four weeks the animals were sacrificed, teeth with surrounding\u0000 tissue removed, and histologically processed. The sections were analyzed for\u0000 determination of scores of the following parameters: periapical inflammatory\u0000 infiltrate, newly mineralized apically formed tissue, apical periodontal\u0000 ligament space thickness and resorption of dentin, cementum and bone. Data\u0000 were analyzed statistically (?=0.05) using Mann-Whitney U test. Results.\u0000 Slight inflammatory infiltrate was observed in 75.0% and 62.5% of samples in\u0000 the group 1 and group 2, respectively (p>0.05). Partial newly mineralized\u0000 apically formed tissue was found in 75.0% of samples in the group 1, and\u0000 87.5% of samples in group 2 (p>0.05). No significant difference was noted\u0000 for periodontal ligament space thickness (p>0.05). Resorption of dentin,\u0000 cementum or bone was not observed. Conclusion. ALBO-HA and white MTA Angelus\u0000 had a similar effect on inflammation, newly mineralized apical tissue\u0000 formation and thickness of periodontal ligament space after root canal\u0000 filling under the present experimental conditions.","PeriodicalId":180624,"journal":{"name":"Serbian Dental Journal","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132817924","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}
引用次数: 0
Prevalence and severity of TMD in orthodontic patients 正畸患者TMD的患病率和严重程度
Pub Date : 1900-01-01 DOI: 10.2298/sgs2203125z
Marija Živković, Masa Milenkovic, Milana Amanovic, A. Simić, D. Stratimirovic
Introduction. Temporomandibular disorder (TMD) is a collective term for numerous symptoms, with the most common being masticatory muscle pain, pain in temporomandibular joints, limited mouth opening, irregular jaw movements, headaches and sound effects in TMJ. The aim was to determine the prevalence and severity of TMD in orthodontic patients determining whether the type of malocclusion affects the prevalence and severity of TMD. Material and Methods. The study was conducted in the form of Fonseca Anamnestic Index, which classifies TMD severity among examinees (no TMD, mild, moderate and severe TMD). The experimental group consisted of orthodontic patients with confirmed malocclusions, while the control group consisted of dental students with a Class I occlusion and no need for orthodontic treatment. Orthodontic patients were classified into the three subgroups based on malocclusions. Results. In the experimental group, 45.03% of orthodontic patients had some degree of TMD, while among students, that percentage was 56.41%. Compared to Class I, higher percentage of TMD was found among patients with distal and mesial occlusion in experimental group. In the experimental and control groups, the greatest percentage of participants showed mild TMD. The prevalence of TMD was greater in females than in males in the experimental group. Conclusion. The high prevalence of TMD in the control group speaks in favor of its complex etiology, with stress having an important role. Malocclusion is one of many factors which can contribute to the occurrence and severity of TMD, but it cannot be considered the most significant.
介绍。颞下颌关节紊乱(Temporomandibular disorder, TMD)是多种症状的总称,最常见的是咀嚼肌疼痛、颞下颌关节疼痛、张嘴受限、下颌运动不规则、头痛和颞下颌关节的声音影响。目的是确定正畸患者TMD的患病率和严重程度,确定错牙合类型是否影响TMD的患病率和严重程度。材料和方法。本研究采用Fonseca记忆指数对考生的TMD严重程度进行分类(无TMD、轻度、中度和重度TMD)。实验组为确认错牙合的正畸患者,对照组为不需要正畸治疗的I类咬合牙科学生。正畸患者根据咬合错误分为三个亚组。结果。实验组中有45.03%的正畸患者存在一定程度的TMD,学生中有56.41%。与I类患者相比,实验组远端和中端闭塞患者的TMD比例更高。在实验组和对照组中,最大比例的参与者表现为轻度TMD。实验组中TMD的患病率女性高于男性。结论。控制组TMD的高患病率说明其病因复杂,压力有重要作用。错牙合是导致TMD发生和严重程度的众多因素之一,但它不能被认为是最重要的。
{"title":"Prevalence and severity of TMD in orthodontic patients","authors":"Marija Živković, Masa Milenkovic, Milana Amanovic, A. Simić, D. Stratimirovic","doi":"10.2298/sgs2203125z","DOIUrl":"https://doi.org/10.2298/sgs2203125z","url":null,"abstract":"Introduction. Temporomandibular disorder (TMD) is a collective term for\u0000 numerous symptoms, with the most common being masticatory muscle pain, pain\u0000 in temporomandibular joints, limited mouth opening, irregular jaw movements,\u0000 headaches and sound effects in TMJ. The aim was to determine the prevalence\u0000 and severity of TMD in orthodontic patients determining whether the type of\u0000 malocclusion affects the prevalence and severity of TMD. Material and\u0000 Methods. The study was conducted in the form of Fonseca Anamnestic Index,\u0000 which classifies TMD severity among examinees (no TMD, mild, moderate and\u0000 severe TMD). The experimental group consisted of orthodontic patients with\u0000 confirmed malocclusions, while the control group consisted of dental\u0000 students with a Class I occlusion and no need for orthodontic treatment.\u0000 Orthodontic patients were classified into the three subgroups based on\u0000 malocclusions. Results. In the experimental group, 45.03% of orthodontic\u0000 patients had some degree of TMD, while among students, that percentage was\u0000 56.41%. Compared to Class I, higher percentage of TMD was found among\u0000 patients with distal and mesial occlusion in experimental group. In the\u0000 experimental and control groups, the greatest percentage of participants\u0000 showed mild TMD. The prevalence of TMD was greater in females than in males\u0000 in the experimental group. Conclusion. The high prevalence of TMD in the\u0000 control group speaks in favor of its complex etiology, with stress having an\u0000 important role. Malocclusion is one of many factors which can contribute to\u0000 the occurrence and severity of TMD, but it cannot be considered the most\u0000 significant.","PeriodicalId":180624,"journal":{"name":"Serbian Dental Journal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133929025","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}
引用次数: 0
Oral health status in 12 and 15-year-old schoolchildren 12岁和15岁学童的口腔健康状况
Pub Date : 1900-01-01 DOI: 10.2298/sgs2102079m
Milena Milanovic, Nikolina Bogdanovic, Milica Jakšić, Minja Milicic-Lazic
Introduction. Dental caries is, along with periodontitis, the most frequent oral disease and represents a chronic, progressive, multifactorial process that leads to loss of hard dental tissues. The oral health status analysis and caries risk factors assessment in early childhood and adolescence are necessary for creating strategies in oral health promotion and preventive treatment. The aim of the present study was to evaluate caries prevalence in 12 and 15-year-old schoolchildren in Cukarica, a municipality of Belgrade. Material and method. The retrospective study included 409 schoolchildren of both genders. The oral health status was registered using the Klein-Palmer DMFT system (D - Decayed, M - Missing, F - Filled teeth). The methods of descriptive statistics were performed and p-values lower than 0.05 were considered statistically significant. Results. The younger group included 214 children (52.3%) and the older group 195 (47.7%). Individual caries rate was higher in 15-year-old children (81.02%) comparing to 12-year-old (57%). The mean value of decayed teeth for all participants was 2.43 and of total DMFT was 8.99%. Conclusions. Oral health promotion programs gave positive results. Moreover, it is important to implement them in the underdeveloped regions of Serbia with an improvement of the oral health literacy of parents and raising awareness of oral diseases.
介绍。龋齿和牙周炎是最常见的口腔疾病,是一种慢性的、进行性的、多因素的过程,会导致牙齿硬组织的丧失。儿童和青少年早期口腔健康状况分析和龋病危险因素评估是制定口腔健康促进和预防治疗策略的必要条件。本研究的目的是评估贝尔格莱德市库卡里卡市12岁和15岁学童的龋齿患病率。材料和方法。该回顾性研究包括409名男女学童。使用Klein-Palmer DMFT系统记录口腔健康状况(D -蛀牙,M -缺牙,F -补牙)。采用描述性统计方法,p值< 0.05认为有统计学意义。结果。低龄组214例(52.3%),高龄组195例(47.7%)。15岁儿童个体龋率为81.02%,高于12岁儿童(57%)。所有参与者的蛀牙平均值为2.43,占总DMFT的8.99%。结论。口腔健康促进项目取得了积极成果。此外,重要的是在塞尔维亚欠发达地区实施这些措施,提高父母的口腔卫生知识,提高对口腔疾病的认识。
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引用次数: 0
Locally advanced basal cell carcinoma of the auricle and parotid region: A case report 局部进展期耳廓及腮腺区基底细胞癌1例
Pub Date : 1900-01-01 DOI: 10.2298/sgs2102094m
S. Milanovic, S. Stojanovic-Rundic, N. Milošević, B. Dožić, M. Dožić
Skin cancers are the most common malignant tumors in general. The most significant risk factor is exposure to UV radiation. They mainly occur in the head and neck region, and the majority of about 80% are basal cell carcinomas. Surgery is standard treatment of uncomplicated basal cell carcinomas, but a multidisciplinary approach is necessary in advanced cases. The case report refers to a patient with locally advanced recurrent basal cell carcinoma with primary tumor localization in the right auricle and parotid region in 2012 when primary surgery was performed. Due to the local recurrence, amputation of the right auricle and trepanation of the mastoid process was done in November 2018, and after that, radiation therapy of a recurrent tumor in the area of the trepanation cavity was applied. In the course of follow-up so far, there is good local control, without signs of toxicity. The case report points to the importance of a multidisciplinary approach and the role of radiotherapy in the treatment and control of advanced basal cell carcinoma of this region.
皮肤癌是最常见的恶性肿瘤。最重要的风险因素是暴露于紫外线辐射。主要发生在头颈部,约80%为基底细胞癌。手术是无并发症基底细胞癌的标准治疗方法,但在晚期病例中,多学科联合治疗是必要的。本病例报告为2012年1例局部晚期复发性基底细胞癌患者,原发肿瘤定位于右耳及腮腺区,行原发性手术。因局部复发,于2018年11月行右耳切除并钻取乳突,之后对钻取腔区复发肿瘤行放射治疗。在随访过程中,局部控制良好,未见中毒迹象。该病例报告指出了多学科方法的重要性和放射治疗在该地区晚期基底细胞癌的治疗和控制中的作用。
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引用次数: 0
Dental manifestations of the hypophosphatemic rickets: A case report 低磷血症佝偻病的牙齿表现:1例报告
Pub Date : 1900-01-01 DOI: 10.2298/sgs2002110p
J. Popović, Marija Nikolić, Radomir Barac, Nenad Stošić, M. Kostić, D. Miljković, P. Miljković
Rickets is a disorder of bone mineralization in children?s skeleton. It is most often associated with vitamin D deficiency, however, it can also occur due to a decrease in serum phosphate levels, which leads to inadequate tissue mineralization, with consequent skeletal deformity and growth disorders. Patients with hypophosphatemic rickets show teeth changes at the morphological and histological level, as well as on radiological images. The aim of this study was to perform clinical and radiological evaluation of dental manifestations of hypophosphatemic rickets in a four-year-old boy, as well as to point out the necessity of including a dentist in the treatment of this disease in order to prevent oral complications.
佝偻病是儿童骨矿化的一种疾病?年代的骨架。它通常与维生素D缺乏有关,然而,它也可能由于血清磷酸盐水平下降而发生,这导致组织矿化不足,从而导致骨骼畸形和生长障碍。低磷血症佝偻病患者在形态学和组织学水平以及放射学图像上显示牙齿改变。本研究的目的是对一名四岁男孩的低磷血症佝偻病的牙科表现进行临床和放射学评估,并指出在治疗这种疾病时包括牙医的必要性,以防止口腔并发症。
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引用次数: 0
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Serbian Dental Journal
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