The New York state dental journal最新文献

Eagle syndrome (ES) is now defined as both an elongation of the styloid process (SP) and ossification of the stylohyoid ligament (SHL). Because subjective symptomatology is varied or can be absent, imaging is the best approach to diagnosis.

We report a case of localized aggressive periodontitis (LAP), which occurred during fixed orthodontic treatment in a 16-year-old African-American female patient. Oral hygiene instruction, removal of orthodontic bands and nonsurgical periodontal therapy were followed by surgical treatment of multiple sites using calcium sulfate as a synthetic bone graft material and collagen membrane as a barrier to achieve guided tissue regeneration. One-year follow-up of the case demonstrated that use of calcium sulfate as a synthetic bone substitute may provide favorable outcome in LAP patients. Furthermore, LAP patients undergoing orthodontic treatment can be managed successfully without tooth morbidity.

Heroin is a highly addictive, illegal drug, which is processed from the resin of poppy plants. It was first manufactured in 1898 as a treatment for tuberculosis and morphine addiction. Its use poses both direct and indirect consequences for oral health. An increased incidence of dental caries and periodontal disease is seen in heroin users. This is in addition to a number of systemic manifestations. Currently, New York State is experiencing an epidemic of fatal or near-fatal incidents involving heroin use. This is largely due to the convergence of two deadly influences: the transition by many abusers from prescription opioid pain relievers to heroin; and the lacing of heroin with fentanyl. It is imperative that dentists in this state be aware of this epidemic and the oral/dental significance of heroin use.

The increasing numbers of nonemployer dental establishments in the counties of New York State are a component of the evolving landscape for the delivery of dental services throughout the country. Limited attention has been directed to the more than 4,000 of these facilities in the state and the more than 43,000 in the nation. Increased attention needs to be directed to nonemployer facilities as the profession comes to terms with its economic concerns, legal challenges to delivery modalities and evolving population characteristics.

Successful long-term management of molars having advanced periodontal disease with secondary endodontic involvement is a challenge to the periodontist. Several treatment options exist for the periodontist based upon various factors. A patient with a deep periodontal pocket on the right mandibular first molar reported for dental treatment. Periapical radiographs revealed bone loss extending to the apex of the mesial root. The treatment plan included scaling, root planing, endodontic therapy and periodontal surgery for the involved tooth. During periodontal surgery, resective and regenerative treatment options were evaluated and explained to the patient. Considering the prognosis of the case, risk-benefit ratio and the patient's choice, regenerative periodontal therapy was performed. The case has been followed for two years, with gain in clinical attachment and radibgraphic bone fill. The authors discuss factors to be considered when choosing regenerative periodontal therapy over resective periodontal therapy.

In July 2013, the New York State Department of Health passed a regulation requiring that all personnel working in healthcare facilities be vaccinated against influenza or wear a protective mask. This law, however, did not include dental professionals working outside of healthcare settings, such as in a private dental office. It can be argued that dentists are at even higher risk for contracting the flu because they are in close contact with aerosolized particles. With this in mind, a survey was created for members of the New York State Dental Association (NYSDA) to assess the number of dentists voluntarily receiving the annual influenza vaccine, as well as office hygiene practices and attitudes towards mandates of the vaccine. The results indicated that NYSDA dentists do not regularly receive the annual influenza vaccine, nor do they always wear barrier masks while in the presence of patients. Dentists can reduce their role as a nidus for influenza by receiving the influenza vaccine and encouraging staff members to follow suit.

Dens invaginatus (dens in dente) is a developmental malformation of permanent or deciduous teeth that has various complex forms. It most commonly affects permanent maxillary lateral incisor teeth, and rarely affects the mandibular teeth. In this report, a rare case of dens invaginatus of a mandibular lateral tooth with an extraoral fistula is presented. A 10-year-old patient was referred to our clinic with extraoral symptoms that could not be diagnosed by medical doctors. Successful treatment with endodontic treatment and periapical surgery is described. Seven-year follow-up of the case is provided.

Goldenhar syndrome (GS) is a development syndrome, characterized by incomplete development of the craniofacial region. The involvement is mainly unilateral; it varies from being mild to severe; and it can range from malocclusion and facial asymmetry to a more complex phenotype with complete absence of the mandibular ramus and temporomandibular joint. However, orthopedic symptoms of orofacial pain and dysfunction have not generally been considered as part of the symptom complex in GS cases. The case presented here is of a 15-year-old Caucasian patient, who was referred for evaluation because of bilateral pain in the masticatory muscles and temporomandibular joints.