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Oral manifestations of acute leukemia in children: family supernatural beliefs and its contribution to the prognosis of the disease 儿童急性白血病的口腔表现:家庭超自然信仰及其对疾病预后的贡献
Pub Date : 1900-01-01 DOI: 10.15713/ins.ijmdcr.176
Dewi Zakiawati, Riani Setiadhi
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.
目的:本病例报告旨在阐述儿童急性白血病的口腔表现,以及家庭超自然信仰对疾病预后的影响程度。背景:白血病是一种造血细胞的恶性肿瘤,约56%的病例表现在口腔。在印度尼西亚,癌症是一种通常与超自然现象有关的疾病,这种现象可能会阻碍患者接受治疗。病例描述:一名8岁女孩因牙龈肿胀出血被转介到口腔内科。牙龈广泛性扩大,呈紫红色,覆盖牙冠2/3,易出血。患者被诊断为急性白血病所致的牙龈肿大和牙龈出血,怀疑是潜在疾病。原计划对患者进行骨髓抽吸检查,以确认血液病的诊断,但家属拒绝接受检查,并认为是超自然力量导致了癌症。结论:牙龈肿大和自发性牙龈出血往往是急性白血病的第一个口腔症状。考虑到社会上超自然信仰对癌症的影响仍然存在,牙医需要更加坚持不懈地教育患者及其家属接受明确的治疗,以延长患者的预期寿命。临床意义:白血病的口腔表现应及时治疗,以支持全身治疗。诊断和治疗的延误将导致疾病的不良后果。
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引用次数: 2
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 与下颌第二磨牙及伴随的下颌第一磨牙外根吸收有关的大根尖周围病变的非手术治疗
Pub Date : 1900-01-01 DOI: 10.15713/INS.IJMDCR.158
M. Fernandes, I. Ataide
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.
根尖周围病变相关的牙髓治疗可以通过非手术治疗,根尖周围手术,或拔牙。根尖周围手术的各种缺点有利于非手术再治疗方法。这个病例报告提出了一个大的根尖周围病变的非手术治疗与下颌第二磨牙,并伴有下颌第一磨牙的外根吸收。通过37号牙的根管从根尖周围病变处吸出液体,然后进行氢氧化钙治疗。36号牙远端根外根吸收采用氢氧化钙治疗。随访x线片显示36号牙远端根的根尖周围病变逐渐愈合,根结构恢复。本病例报告强调,与下颌磨牙有关的大的根尖周围病变可以非手术治疗。第一个摩尔。国际医学病例报告2021;7:1-3。
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引用次数: 0
Repositioning of intruded anterior tooth: Case report 侵入前牙复位1例
Pub Date : 1900-01-01 DOI: 10.15713/ins.ijmdcr.177
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.
当牙齿向轴向移动时,就会发生牙齿侵入。牙齿和骨头之间的牙周间隙在x线摄影上看不出来。它被认为是最严重的创伤类型之一。根据年龄、牙根、牙列类型的生长、预后和创伤严重程度的治疗而有所不同。3-6 mm的侵入预后较好,而超过6 mm的侵入预后较差。本病例研究的重点是手术重新定位由于跌倒而侵入的左上颌中切牙。
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引用次数: 1
An extreme oral chemical burns caused by an accidental contact with sodium hydroxide in a young adult: A case report 一个年轻人意外接触氢氧化钠引起的严重口腔化学烧伤:一个病例报告
Pub Date : 1900-01-01 DOI: 10.15713/ins.ijmdcr.172
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.
口腔化学烧伤是指酸性或碱性等化学物质与口腔接触,引起口腔黏膜烧伤和溃疡。氢氧化钠(NaOH)是一种强碱性化学物质,能够穿透非常深,导致广泛的组织损伤。本病例报告的目的是描述极端的口腔化学烧伤引起的意外接触氢氧化钠在一个年轻的成年人。一名30岁男性患者因7小时前清洁浴室时意外接触氢氧化钠而入院。病人因口腔不适被转介到口腔内科。根据病史、临床和x线检查作出诊断。患者使用含有苯海拉明和硫糖钠的复合漱口水,用0.9% NaCl浸泡的纱布敷唇,然后继续使用透明质酸漱口水。口腔内检查显示口腔粘膜有非常疼痛的多发溃疡,黄白色区域和红斑。他诉说吞咽疼痛,说话、张嘴、吃饭和喝水都有困难。所有的口腔病变大约在2个月内愈合,有强直性咬合,但没有出现小口。由氢氧化钠引起的极端口腔化学烧伤在年轻人中是一种罕见的情况。妥善处理化学烧伤将加速愈合过程,提高生活质量,并挽救生命。使用化学物质时需要注意安全事项,避免化学灼伤。
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引用次数: 0
Pulling the molar by V-bend principle 用v形弯原理拉出磨牙
Pub Date : 1900-01-01 DOI: 10.15713/ins.ijmdcr.138
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.
由于骨和牙根的内在解剖因素,下磨牙的拔除是一项具有挑战性的手术。近年来,有许多技术可用于延长下颌磨牙,常用的技术是使用临时支抗装置(TAD)。然而,使用TAD对患者来说是一个痛苦的过程,因此,为了避免这一繁琐的过程,本文介绍了一种新的下颌第一磨牙延长技术。这项新技术涉及到一个更硬尺寸的金属丝,金属丝上有一个“V”形弯头,橡胶链被用来拉长磨牙。利用该技术,从末端的摩尔关系得到了第一类摩尔关系。
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引用次数: 0
Pneumothorax caused by difficult intubation in maxillofacial surgery patient with restricted mouth opening 限制开口颌面外科病人插管困难致气胸
Pub Date : 1900-01-01 DOI: 10.15713/ins.ijmdcr.143
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.
由于插管困难,口面病变合并限制开口是具有挑战性的。本病例报告的目的是提出一个病例发展气胸与全身麻醉引起插管困难,并讨论这一致命并发症的原因。一例54岁男性患者以放射性骨坏死致下颌骨病理性骨折为临床表现,拟在全身麻醉下行手术治疗。在几次插管尝试后,气管切开术以确保气道安全。患者在麻醉后恢复时出现气胸。严重的牙关是麻醉和手术的一个复杂因素,因为插管时施加的正压可能引发气胸。颌面外科病人开口受限插管困难所致。国际医学病例报告2020;7:1-3。
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引用次数: 0
Combination of com - partmentalization Popescu’s sutures and sclerotherapy for the treatment of lymphovenous malformation of the face in a 3-year old 联合分割、波佩斯库缝合和硬化疗法治疗3岁儿童面部淋巴静脉畸形
Pub Date : 1900-01-01 DOI: 10.15713/ins.ijmdcr.141
S. Mohan, B. Jayanth, A. Pawar, S. Saralaya
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.
淋巴静脉畸形(LVM)是一种由静脉和淋巴通道形态发生错误引起的低流量血管畸形。它们在整个生命过程中不断扩大,涉及多个解剖空间和神经血管结构,需要立即治疗。在这里,我们报告了一个3岁儿童的LVM病例,在脸颊上用区隔化波佩斯库缝合和局部内注射硬化剂治疗。
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引用次数: 0
Rehabilitation of atrophic: Mandible using short 6 mm implants: A case report 下颌骨萎缩的康复:使用短6mm种植体1例报告
Pub Date : 1900-01-01 DOI: 10.15713/ins.ijmdcr.137
G. Nair, A. Panchal
“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.
“没有人应该死在一杯水里。”——Per Ingvar Branemark现代种植学之父的这句话彻底改变了牙科领域。种植体的引入为无牙弓固定修复的老年患者提供了更好的生活方式。由于牙槽嵴的吸收,下颌全口义齿松动和不稳定是无牙患者最常见的情况。与移植脊骨和改善尺寸的康复相比,这对患者来说既耗时又昂贵,短的植入物将提供更好的选择。病例报告的重点是下颌弓的康复使用短种植体长度为6毫米。
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引用次数: 1
Rubinstein–Taybi syndrome: A case report 鲁宾斯坦-泰比综合征1例报告
Pub Date : 1900-01-01 DOI: 10.15713/ins.ijmdcr.125
S. Chopra, Adarsh Chauhan, R. Mitra
Dhaka which is the first reported case in Bangladesh.
这是孟加拉国第一例报告病例。
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引用次数: 1
Retrieval of two displaced dental implants from the maxillary sinus through Caldwell-Luc approach: A case report 经Caldwell-Luc入路从上颌窦取出移位种植体2例报告
Pub Date : 1900-01-01 DOI: 10.15713/ins.ijmdcr.136
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.
近年来,种植牙在牙科领域得到了广泛的应用。其受欢迎的原因有很多,其中包括功能和美学的快速恢复。这些牙种植体有许多好处,但也有许多并发症导致其失败。我们提出一例移位的上颌种植体进入上颌窦。一位72岁男性患者到我们牙科门诊就诊,主诉疼痛、右鼻阻塞、右侧面部头痛。口腔内软硬组织检查未见异常。建议进行骨断层扫描,发现上颌种植体移位到上颌窦或颞下窝。计算机断层扫描调查,以确定确切的位置,并通过Caldwell-Luc入路去除植入物。
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引用次数: 1
期刊
International Journal of Medical and Dental Case Reports
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