Aim: This case report aims to elaborate on the oral manifestations of acute leukemia in children and the extent to which the family’s supernatural beliefs contributed to the prognosis of the disease. Background: Leukemia is a malignancy of hematopoietic cells, and about 56% of cases are manifest in the oral cavity. In Indonesia, cancer is among diseases often related to a supernatural phenomenon that may hinder the patient from getting medical treatment. Case Description: An 8-year-old girl was referred to the Oral Medicine Department due to swollen and bleeding gums. There was generalized enlargement of the gingiva with a reddish-purple color covered 2/3 of the dental crown and easy to bleed. The patient was diagnosed with gingival enlargement and gum bleeding due to acute leukemia as the suspected underlying disease. The patient was scheduled for a bone marrow aspiration examination to confirm the blood disorder diagnosis, but the family refused it and believed that supernatural power was the cause of the cancer. Conclusion: Gingival enlargement and spontaneous bleeding of the gum are often the first oral signs of acute leukemia. Considering the influence of supernatural beliefs in society regarding cancer is still existing, dentists are required to be more persistent in educating patients and their families to receive definitive therapy to increase patient life expectancy. Clinical Significance: The oral manifestation of leukemia should be treated promptly to support the systemic therapeutic. Delay in diagnosis and treatment will lead to poor outcomes of the disease.
{"title":"Oral manifestations of acute leukemia in children: family supernatural beliefs and its contribution to the prognosis of the disease","authors":"Dewi Zakiawati, Riani Setiadhi","doi":"10.15713/ins.ijmdcr.176","DOIUrl":"https://doi.org/10.15713/ins.ijmdcr.176","url":null,"abstract":"Aim: This case report aims to elaborate on the oral manifestations of acute leukemia in children and the extent to which the family’s supernatural beliefs contributed to the prognosis of the disease. Background: Leukemia is a malignancy of hematopoietic cells, and about 56% of cases are manifest in the oral cavity. In Indonesia, cancer is among diseases often related to a supernatural phenomenon that may hinder the patient from getting medical treatment. Case Description: An 8-year-old girl was referred to the Oral Medicine Department due to swollen and bleeding gums. There was generalized enlargement of the gingiva with a reddish-purple color covered 2/3 of the dental crown and easy to bleed. The patient was diagnosed with gingival enlargement and gum bleeding due to acute leukemia as the suspected underlying disease. The patient was scheduled for a bone marrow aspiration examination to confirm the blood disorder diagnosis, but the family refused it and believed that supernatural power was the cause of the cancer. Conclusion: Gingival enlargement and spontaneous bleeding of the gum are often the first oral signs of acute leukemia. Considering the influence of supernatural beliefs in society regarding cancer is still existing, dentists are required to be more persistent in educating patients and their families to receive definitive therapy to increase patient life expectancy. Clinical Significance: The oral manifestation of leukemia should be treated promptly to support the systemic therapeutic. Delay in diagnosis and treatment will lead to poor outcomes of the disease.","PeriodicalId":335352,"journal":{"name":"International Journal of Medical and Dental Case Reports","volume":"30 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":"115502458","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}
Periapical lesions associated with endodontically treated teeth can be managed by nonsurgical retreatment, periapical surgery, or extraction. Various demerits of periapical surgery favor a nonsurgical retreatment approach. This case report presents the nonsurgical management of a large periapical lesion in relation to a mandibular second molar along with concomitant external root resorption of the mandibular first molar. Aspiration of fluid from the periapical lesion was carried out through the root canals of tooth #37, followed by calcium hydroxide therapy. The external root resorption in relation to the distal root of tooth #36 was managed with calcium hydroxide therapy. The follow-up radiographs revealed progressive healing of the periapical lesion and restoration of the root architecture of the distal root of tooth #36. This case report highlights that large periapical lesions in relation to mandibular molars can heal nonsurgically. first molar. Int J Med Dent Case Rep 2021;7:1-3.
{"title":"Non-surgical management of a large periapical lesion in relation to a mandibular second molar and concomitant external root resorption of the mandibular first molar","authors":"M. Fernandes, I. Ataide","doi":"10.15713/INS.IJMDCR.158","DOIUrl":"https://doi.org/10.15713/INS.IJMDCR.158","url":null,"abstract":"Periapical lesions associated with endodontically treated teeth can be managed by nonsurgical retreatment, periapical surgery, or extraction. Various demerits of periapical surgery favor a nonsurgical retreatment approach. This case report presents the nonsurgical management of a large periapical lesion in relation to a mandibular second molar along with concomitant external root resorption of the mandibular first molar. Aspiration of fluid from the periapical lesion was carried out through the root canals of tooth #37, followed by calcium hydroxide therapy. The external root resorption in relation to the distal root of tooth #36 was managed with calcium hydroxide therapy. The follow-up radiographs revealed progressive healing of the periapical lesion and restoration of the root architecture of the distal root of tooth #36. This case report highlights that large periapical lesions in relation to mandibular molars can heal nonsurgically. first molar. Int J Med Dent Case Rep 2021;7:1-3.","PeriodicalId":335352,"journal":{"name":"International Journal of Medical and Dental Case Reports","volume":"290 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":"123105941","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}
M. Joshi, Bibin Jacob Emmanuel, Diksha Shekhawat, Bathel Yeptho
Tooth intrusion occurs when a tooth is moved more axially. The periodontal gap between the tooth and the bone cannot be seen radiographically. It is seen as one of the most severe types of traumatic injury. Depending on the age, root, dentition type growth, the prognosis, and treatment for trauma severity varies. A 3–6 mm intrusion has a strong prognosis, whereas an intrusion over 6 mm has a rather poor prognosis. The present case study focuses on the surgical repositioning of the left maxillary central incisor that has been intruded due to falling.
{"title":"Repositioning of intruded anterior tooth: Case report","authors":"M. Joshi, Bibin Jacob Emmanuel, Diksha Shekhawat, Bathel Yeptho","doi":"10.15713/ins.ijmdcr.177","DOIUrl":"https://doi.org/10.15713/ins.ijmdcr.177","url":null,"abstract":"Tooth intrusion occurs when a tooth is moved more axially. The periodontal gap between the tooth and the bone cannot be seen radiographically. It is seen as one of the most severe types of traumatic injury. Depending on the age, root, dentition type growth, the prognosis, and treatment for trauma severity varies. A 3–6 mm intrusion has a strong prognosis, whereas an intrusion over 6 mm has a rather poor prognosis. The present case study focuses on the surgical repositioning of the left maxillary central incisor that has been intruded due to falling.","PeriodicalId":335352,"journal":{"name":"International Journal of Medical and Dental Case Reports","volume":"124 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":"128134310","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}
Nelly Nainggolan, Riani Setiadhi, Muhammad Al Farisyi
Oral chemical burn occurs when chemical substances such as acid or alkaline come in contact with the mouth, causing burns and ulcers on the oral mucosa. Sodium hydroxide (NaOH) is a strong alkaline chemical substance that is capable of penetrating very deeply, resulting in extensive tissue damage. The aim of this case report is to describe the extreme oral chemical burns caused by accidental contact with NaOH in a young adult. A 30-year-old male patient was admitted to the hospital as he had an accidental contact 7 h ago, with NaOH, while cleaning the bathroom. The patient was referred to the Oral Medicine Department due to the complaint in the oral cavity. The diagnosis was made based on history, clinical, and X-ray examination. He was treated with a compounded mouthwash containing diphenhydramine and sucralfate, applying the lips with a gauze soaked in 0,9% NaCl, and then continued with hyaluronic acid mouthwash. Intraoral examination showed there were very painful multiple ulcerations, yellowishwhite areas, and erythema throughout the oral mucosa. He complained of pain upon swallowing, difficulty in speaking, mouth opening, eating, and drinking. All oral lesions healed approximately within 2 months and there was ankyloglossia but did not present microstomia. The extreme oral chemical burns caused by NaOH in a young adult is an uncommon condition. Proper management of chemical burns will accelerate the healing process, improve quality of life, and is life-saving. Safety precautions when using chemical substances are needed to avoid chemical burns.
{"title":"An extreme oral chemical burns caused by an accidental contact with sodium hydroxide in a young adult: A case report","authors":"Nelly Nainggolan, Riani Setiadhi, Muhammad Al Farisyi","doi":"10.15713/ins.ijmdcr.172","DOIUrl":"https://doi.org/10.15713/ins.ijmdcr.172","url":null,"abstract":"Oral chemical burn occurs when chemical substances such as acid or alkaline come in contact with the mouth, causing burns and ulcers on the oral mucosa. Sodium hydroxide (NaOH) is a strong alkaline chemical substance that is capable of penetrating very deeply, resulting in extensive tissue damage. The aim of this case report is to describe the extreme oral chemical burns caused by accidental contact with NaOH in a young adult. A 30-year-old male patient was admitted to the hospital as he had an accidental contact 7 h ago, with NaOH, while cleaning the bathroom. The patient was referred to the Oral Medicine Department due to the complaint in the oral cavity. The diagnosis was made based on history, clinical, and X-ray examination. He was treated with a compounded mouthwash containing diphenhydramine and sucralfate, applying the lips with a gauze soaked in 0,9% NaCl, and then continued with hyaluronic acid mouthwash. Intraoral examination showed there were very painful multiple ulcerations, yellowishwhite areas, and erythema throughout the oral mucosa. He complained of pain upon swallowing, difficulty in speaking, mouth opening, eating, and drinking. All oral lesions healed approximately within 2 months and there was ankyloglossia but did not present microstomia. The extreme oral chemical burns caused by NaOH in a young adult is an uncommon condition. Proper management of chemical burns will accelerate the healing process, improve quality of life, and is life-saving. Safety precautions when using chemical substances are needed to avoid chemical burns.","PeriodicalId":335352,"journal":{"name":"International Journal of Medical and Dental Case Reports","volume":"39 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":"130796097","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}
S. Kanya, Nagakeerthi Venkatachalam, P. Kommi, Nandakumar Arani
Lower molar protraction is a challenging procedure due to the inbuilt anatomical factor of bone and the tooth root. Using recent advances, many techniques are available to protract the mandibular molar, commonly used technique is the usage of a temporary anchorage device (TAD). However, the usage of TAD is a painful procedure for the patient, so to avoid this tedious procedure, this article is about a new technique to protract the mandibular first molar. This new technique involves a harder dimension wire with a “V”-bend fabricated in it, and the elastomeric chain was used to protract the molar. Class I molar relation was achieved from the end on molar relation using this technique.
{"title":"Pulling the molar by V-bend principle","authors":"S. Kanya, Nagakeerthi Venkatachalam, P. Kommi, Nandakumar Arani","doi":"10.15713/ins.ijmdcr.138","DOIUrl":"https://doi.org/10.15713/ins.ijmdcr.138","url":null,"abstract":"Lower molar protraction is a challenging procedure due to the inbuilt anatomical factor of bone and the tooth root. Using recent advances, many techniques are available to protract the mandibular molar, commonly used technique is the usage of a temporary anchorage device (TAD). However, the usage of TAD is a painful procedure for the patient, so to avoid this tedious procedure, this article is about a new technique to protract the mandibular first molar. This new technique involves a harder dimension wire with a “V”-bend fabricated in it, and the elastomeric chain was used to protract the molar. Class I molar relation was achieved from the end on molar relation using this technique.","PeriodicalId":335352,"journal":{"name":"International Journal of Medical and Dental Case Reports","volume":"86 4 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":"126054443","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}
Esin Demir, Ahmet Erseçgin, Cagdas Elsurer, M. Bozkurt
Orofacial pathologies conjoined with restricted mouth opening are challenging due to difficulties in intubation. The aim of this case report is to present a case who developed pneumothorax related with general anesthesia caused by difficult intubation and discuss the reasons of this fatal complication. A 54-year-old male patient who presented with pathological fracture of the mandible secondary to osteoradionecrosis was planned for surgical treatment under general anesthesia. Following several attempts of intubation, tracheostomy was performed to secure airway. The patient has developed pneumothorax at post-anesthesia recovery. Severe trismus is a complicating factor for both anesthesia and surgery as positive pressure that is applied during intubation attempts may trigger pneumothorax. caused by difficult intubation in maxillofacial surgery patient with restricted mouth opening. Int J Med Dent Case Rep 2020;7:1-3.
{"title":"Pneumothorax caused by difficult intubation in maxillofacial surgery patient with restricted mouth opening","authors":"Esin Demir, Ahmet Erseçgin, Cagdas Elsurer, M. Bozkurt","doi":"10.15713/ins.ijmdcr.143","DOIUrl":"https://doi.org/10.15713/ins.ijmdcr.143","url":null,"abstract":"Orofacial pathologies conjoined with restricted mouth opening are challenging due to difficulties in intubation. The aim of this case report is to present a case who developed pneumothorax related with general anesthesia caused by difficult intubation and discuss the reasons of this fatal complication. A 54-year-old male patient who presented with pathological fracture of the mandible secondary to osteoradionecrosis was planned for surgical treatment under general anesthesia. Following several attempts of intubation, tracheostomy was performed to secure airway. The patient has developed pneumothorax at post-anesthesia recovery. Severe trismus is a complicating factor for both anesthesia and surgery as positive pressure that is applied during intubation attempts may trigger pneumothorax. caused by difficult intubation in maxillofacial surgery patient with restricted mouth opening. Int J Med Dent Case Rep 2020;7:1-3.","PeriodicalId":335352,"journal":{"name":"International Journal of Medical and Dental Case Reports","volume":"24 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":"134537974","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}
Lymphovenous malformation (LVM) is a low-flow vascular malformation that arises from an error in morphogenesis in venous and lymphatic channels. They expand throughout life and involve multiple anatomical spaces and neurovascular structures demanding immediate treatment. Here, we report a case of LVM in a 3-year-old on the cheek treated with compartmentalization Popescu’s sutures and intralesional sclerosant injection.
{"title":"Combination of com - partmentalization Popescu’s sutures and sclerotherapy for the treatment of lymphovenous malformation of the face in a 3-year old","authors":"S. Mohan, B. Jayanth, A. Pawar, S. Saralaya","doi":"10.15713/ins.ijmdcr.141","DOIUrl":"https://doi.org/10.15713/ins.ijmdcr.141","url":null,"abstract":"Lymphovenous malformation (LVM) is a low-flow vascular malformation that arises from an error in morphogenesis in venous and lymphatic channels. They expand throughout life and involve multiple anatomical spaces and neurovascular structures demanding immediate treatment. Here, we report a case of LVM in a 3-year-old on the cheek treated with compartmentalization Popescu’s sutures and intralesional sclerosant injection.","PeriodicalId":335352,"journal":{"name":"International Journal of Medical and Dental Case Reports","volume":"52 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":"114331042","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}
“No one should die with their teeth in a glass of water” – Per Ingvar Branemark. The quote by the father of modern implantology revolutionized the field of dentistry. The introduction of implants provided with a promise of better lifestyle to the geriatric patients with a boon of fixed prosthesis in edentulous arches. Loose and unstable lower complete dentures due to the resorbed alveolar ridge are the most common scenario with edentulous patients. In contrast to rehabilitation with grafting the ridge and improving the dimensions, which would be time-consuming as well as costly for the patient, short implants would provide a better alternative. The case report focuses on rehabilitation of mandibular arch using short implants of 6 mm length.
{"title":"Rehabilitation of atrophic: Mandible using short 6 mm implants: A case report","authors":"G. Nair, A. Panchal","doi":"10.15713/ins.ijmdcr.137","DOIUrl":"https://doi.org/10.15713/ins.ijmdcr.137","url":null,"abstract":"“No one should die with their teeth in a glass of water” – Per Ingvar Branemark. The quote by the father of modern implantology revolutionized the field of dentistry. The introduction of implants provided with a promise of better lifestyle to the geriatric patients with a boon of fixed prosthesis in edentulous arches. Loose and unstable lower complete dentures due to the resorbed alveolar ridge are the most common scenario with edentulous patients. In contrast to rehabilitation with grafting the ridge and improving the dimensions, which would be time-consuming as well as costly for the patient, short implants would provide a better alternative. The case report focuses on rehabilitation of mandibular arch using short implants of 6 mm length.","PeriodicalId":335352,"journal":{"name":"International Journal of Medical and Dental Case Reports","volume":"43 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":"114800289","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}
Dhaka which is the first reported case in Bangladesh.
这是孟加拉国第一例报告病例。
{"title":"Rubinstein–Taybi syndrome: A case report","authors":"S. Chopra, Adarsh Chauhan, R. Mitra","doi":"10.15713/ins.ijmdcr.125","DOIUrl":"https://doi.org/10.15713/ins.ijmdcr.125","url":null,"abstract":"Dhaka which is the first reported case in Bangladesh.","PeriodicalId":335352,"journal":{"name":"International Journal of Medical and Dental Case Reports","volume":"42 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":"124463275","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}
M. Mumtaz, N. Alotaibi, N. F. Alfawaz, Amjad Naseer Alhajri
Dental implants have gained popularity in the field of dentistry recently. There are multiple reasons for gaining this popularity, which include quick restoration of the function and esthetic. Along with many benefits, these dental implants are associated with many complications leading toward its failure. We present a case of displaced maxillary dental implants into the maxillary sinus. A 72-year-old male referred to our dental outpatient department complaining of pain, right nasal blockage, and headache at the right side of facial region. No intraoral soft or hard tissue abnormality was found on inspection. Orthopantomogram was advised and maxillary implants were found displaced into maxillary sinus or infratemporal fossa. Computed tomography scan investigation was done to see the exact location, and the implants were removed through Caldwell-Luc approach.
{"title":"Retrieval of two displaced dental implants from the maxillary sinus through Caldwell-Luc approach: A case report","authors":"M. Mumtaz, N. Alotaibi, N. F. Alfawaz, Amjad Naseer Alhajri","doi":"10.15713/ins.ijmdcr.136","DOIUrl":"https://doi.org/10.15713/ins.ijmdcr.136","url":null,"abstract":"Dental implants have gained popularity in the field of dentistry recently. There are multiple reasons for gaining this popularity, which include quick restoration of the function and esthetic. Along with many benefits, these dental implants are associated with many complications leading toward its failure. We present a case of displaced maxillary dental implants into the maxillary sinus. A 72-year-old male referred to our dental outpatient department complaining of pain, right nasal blockage, and headache at the right side of facial region. No intraoral soft or hard tissue abnormality was found on inspection. Orthopantomogram was advised and maxillary implants were found displaced into maxillary sinus or infratemporal fossa. Computed tomography scan investigation was done to see the exact location, and the implants were removed through Caldwell-Luc approach.","PeriodicalId":335352,"journal":{"name":"International Journal of Medical and Dental Case Reports","volume":"37 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":"124148833","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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