M. A. G. Clavero, M. V. S. Sanz, E. Donisa, Rocío Gallego Sobrino, L. E. Lasaga
Aims: Temporomandibular dysfunction is a generic term that covers a large number of clinical problems affecting not only TMJ (Temporomandibular Joint), but also the masticatory musculature and related structures. Arthrocentesis is the most commonly used technique in patients with pain or limitation of the oral opening due to joint causes in which conservative treatment has failed. It is generally performed under local anesthesia and sedation, although depending on the type of patient and the preferences of the surgeon it can also be performed under general anesthesia. Material and method: A prospective, observational, analytical cohort study has been carried out to evaluate if the type of anesthesia, the drugs used for sedation and whether or not anesthetic induction is performed during arthrocentesis influence the results of 111 arthrocentesis performed in patients with TMJ pathology. Results: In patients who arthrocentesis was performed with propofol without midazolam the improvement in pain at one week and one month postarthrocentesis was greater than propofol with midazolam was used. Conclusion: The type of anesthesia could influence the results of arthrocentesis.
{"title":"Influence of the type of anesthesia on 111 arthrocentesis in temporomandibular joint disorders: results of a prospective study","authors":"M. A. G. Clavero, M. V. S. Sanz, E. Donisa, Rocío Gallego Sobrino, L. E. Lasaga","doi":"10.1051/mbcb/2021037","DOIUrl":"https://doi.org/10.1051/mbcb/2021037","url":null,"abstract":"Aims: Temporomandibular dysfunction is a generic term that covers a large number of clinical problems affecting not only TMJ (Temporomandibular Joint), but also the masticatory musculature and related structures. Arthrocentesis is the most commonly used technique in patients with pain or limitation of the oral opening due to joint causes in which conservative treatment has failed. It is generally performed under local anesthesia and sedation, although depending on the type of patient and the preferences of the surgeon it can also be performed under general anesthesia. Material and method: A prospective, observational, analytical cohort study has been carried out to evaluate if the type of anesthesia, the drugs used for sedation and whether or not anesthetic induction is performed during arthrocentesis influence the results of 111 arthrocentesis performed in patients with TMJ pathology. Results: In patients who arthrocentesis was performed with propofol without midazolam the improvement in pain at one week and one month postarthrocentesis was greater than propofol with midazolam was used. Conclusion: The type of anesthesia could influence the results of arthrocentesis.","PeriodicalId":37322,"journal":{"name":"Journal of Oral Medicine and Oral Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49323653","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}
Suvarna Kizhakkoottu, Archana Santhanam, H. Sherlin, G. Jayaraj, K. Don
Background: India Ink is the most commonly used ink in surgical pathology. The main disadvantages of India Ink are longer drying time, monochrome, toxicity and cost. Because of these disadvantages, alternative materials have been suggested to replace India ink. The aim of this study is to evaluate the effectiveness of nail enamel for inking of surgical margin and to compare it with India ink. Materials and methods: N = 20, which included 10 mucosal and 10 skin samples. Each selected margin is divided into 2 equal halves and one is inked with India ink and the other with nail enamel (Vernis A Ongles: Dark green). After routine processing and staining, the effectiveness of nail enamel and India ink were compared based on macroscopic and microscopic parameters. Results: Less drying time and visibility on paraffin wax block were excellent for nail enamel. Microscopic visibility of nail enamel was comparable with that of India ink. However, processing fluids contamination is the main drawback of nail enamel. Conclusion: Nail enamel can be used as an alternative to India ink because of its less drying time, ease of application, good visibility on wax blocks and microscopically, availability in multiple colours, cost effectiveness and non-toxicity.
背景:印度墨水是外科病理中最常用的墨水。印度油墨的主要缺点是干燥时间较长，单色，毒性和成本。由于这些缺点，人们建议用其他材料代替印度油墨。本研究的目的是评估甲釉质在手术缘上墨的有效性，并将其与印墨进行比较。材料与方法:N = 20，包括10份粘膜和10份皮肤样本。每个选定的页边被分成两等份，一份用印度墨水上墨，另一份用指甲油(Vernis A Ongles:墨绿色)上墨。在常规处理和染色后，比较指甲珐琅和墨汁的宏观和微观效果。结果:干燥时间短，蜡块可见性好。指甲珐琅质的显微可见度与墨水相当。然而，处理液体污染是指甲珐琅质的主要缺点。结论:指甲油可作为印度墨水的替代品，因为它干燥时间短，易于使用，在蜡块和显微镜上具有良好的可视性，可获得多种颜色，成本效益和无毒。
{"title":"Utility of nail enamel for inking of surgical margins in oral biopsy: a comparative study","authors":"Suvarna Kizhakkoottu, Archana Santhanam, H. Sherlin, G. Jayaraj, K. Don","doi":"10.1051/mbcb/2021039","DOIUrl":"https://doi.org/10.1051/mbcb/2021039","url":null,"abstract":"Background: India Ink is the most commonly used ink in surgical pathology. The main disadvantages of India Ink are longer drying time, monochrome, toxicity and cost. Because of these disadvantages, alternative materials have been suggested to replace India ink. The aim of this study is to evaluate the effectiveness of nail enamel for inking of surgical margin and to compare it with India ink. Materials and methods: N = 20, which included 10 mucosal and 10 skin samples. Each selected margin is divided into 2 equal halves and one is inked with India ink and the other with nail enamel (Vernis A Ongles: Dark green). After routine processing and staining, the effectiveness of nail enamel and India ink were compared based on macroscopic and microscopic parameters. Results: Less drying time and visibility on paraffin wax block were excellent for nail enamel. Microscopic visibility of nail enamel was comparable with that of India ink. However, processing fluids contamination is the main drawback of nail enamel. Conclusion: Nail enamel can be used as an alternative to India ink because of its less drying time, ease of application, good visibility on wax blocks and microscopically, availability in multiple colours, cost effectiveness and non-toxicity.","PeriodicalId":37322,"journal":{"name":"Journal of Oral Medicine and Oral Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45089688","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}
B. Santosh, A. Harish Kumar, Rajdeep Singh, Jerin Jose, D.M. Shivamrthy, D. Daniel
Introduction: Rhinosporidiosis is a chronic mucocutaneous infection caused by Rhinosporidium seeberi, which mainly affects the mucus membranes of the nose, oropharynx, skin, eyes, and genital mucosa. The purpose of this case report was to illustrate the importance of clinicians in understanding the unusual incidence of this fungal infection, clinical presentation, treatment modalities, and recurrence rate. Observations: A clinical case report showed rare occurrence of rhinosporidiosis in the lower third of the face. The lesion was surgically excised by electrocauterization at its base. Commentaries: The patient showed no signs of recurrence even after 3 years of follow-up. Further research should be carried out to analyze the role of genetic predisposition in causing zoonotic infection. Conclusion: Rhinosporidiosis should also be considered as the differential diagnosis when facial swelling is encountered.
{"title":"A rare presentation of rhinosporidiosis on buccal mucosa − a case report","authors":"B. Santosh, A. Harish Kumar, Rajdeep Singh, Jerin Jose, D.M. Shivamrthy, D. Daniel","doi":"10.1051/mbcb/2021040","DOIUrl":"https://doi.org/10.1051/mbcb/2021040","url":null,"abstract":"Introduction: Rhinosporidiosis is a chronic mucocutaneous infection caused by Rhinosporidium seeberi, which mainly affects the mucus membranes of the nose, oropharynx, skin, eyes, and genital mucosa. The purpose of this case report was to illustrate the importance of clinicians in understanding the unusual incidence of this fungal infection, clinical presentation, treatment modalities, and recurrence rate. Observations: A clinical case report showed rare occurrence of rhinosporidiosis in the lower third of the face. The lesion was surgically excised by electrocauterization at its base. Commentaries: The patient showed no signs of recurrence even after 3 years of follow-up. Further research should be carried out to analyze the role of genetic predisposition in causing zoonotic infection. Conclusion: Rhinosporidiosis should also be considered as the differential diagnosis when facial swelling is encountered.","PeriodicalId":37322,"journal":{"name":"Journal of Oral Medicine and Oral Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47029058","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}
A 9-year-old girl reported with the complaint of discomfort in her upper jaw for the past 6 months. She also gave history of occasional sense of bleeding inside her mouth. On intra oral examination, multiple purplish red papules with warty surface were seen extending from the mid posterior hard and soft palate region involving the left side. The lesions appeared coalesced in the mid soft palate region and was compressible to some extent (Fig. 1) . The discomfort experiencedby the patientwasdue to the verrucous growth and bleedingmay bedue to trauma to the lesion fromfood. Thedifferential diagnoses thatwereconsidered include intra-oral Verrucoushemangioma, lymphangioma circumscriptum and verrucous epidermal nevus. Incisional biopsy was performed under local anesthesia and it was confirmed histopathologically (Fig. 2) as Verrucous Hemangioma. These are benign lesions that has to considered in the diagnosis of vascular lesions with a verrucous appearance. Fig. 1. Clinical image of the palate showing multiple purplish red papules.
{"title":"Intra oral verrucous hemangioma − a fierce entity","authors":"M. Asan, Ananya Madiyal","doi":"10.1051/mbcb/2021041","DOIUrl":"https://doi.org/10.1051/mbcb/2021041","url":null,"abstract":"A 9-year-old girl reported with the complaint of discomfort in her upper jaw for the past 6 months. She also gave history of occasional sense of bleeding inside her mouth. On intra oral examination, multiple purplish red papules with warty surface were seen extending from the mid posterior hard and soft palate region involving the left side. The lesions appeared coalesced in the mid soft palate region and was compressible to some extent (Fig. 1) . The discomfort experiencedby the patientwasdue to the verrucous growth and bleedingmay bedue to trauma to the lesion fromfood. Thedifferential diagnoses thatwereconsidered include intra-oral Verrucoushemangioma, lymphangioma circumscriptum and verrucous epidermal nevus. Incisional biopsy was performed under local anesthesia and it was confirmed histopathologically (Fig. 2) as Verrucous Hemangioma. These are benign lesions that has to considered in the diagnosis of vascular lesions with a verrucous appearance. Fig. 1. Clinical image of the palate showing multiple purplish red papules.","PeriodicalId":37322,"journal":{"name":"Journal of Oral Medicine and Oral Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42809458","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. Riyaz, M. Awinashe, Faris Jaser Al-Mutairi, Salman Siddeeqh, M. Al-Mutairi, P. Babaji, Z. Alsuwaydani
Introduction: Lichenoid granulomatous dermatitis (LGD) is widely encountered lesions with both oral as well as dermal manifestation. Present study was done to evaluate lichenoid granulomatous stomatitis cases. Materials and methods: 226 biopsies were exposed to special stains such as acid-fast bacilli (AFB), immunohistochemical staining for CD 68 and Grocott methenamine-silver (GMS), and periodic acid‐Schiff (PAS) stains. Results: Out of 226 patients, males were 84 and females were 142. Maximum cases were seen in age group 40–60 years (122) followed by >60 years (56) and 20–40 years (48). The common site was buccal mucosa seen in 128 (56.6%) cases followed by vestibule in 30 (13.2%), gingiva in 26 (11.5%), tongue in 20 (8.8%), lip in 12 (5.3%) and palate in 10 (4.4%). The common lesion was oral lichen planus seen in 142 (62.8%), carcinoma in situ in 12 (5.3%), squamous cell carcinoma in 8 (3.53%), pemphigus vulgaris in 10 (4.42%), leukoplakia in 24 (10.6%) and pemphigoid in 30 (13.2%) cases. Most lesions were of type I seen in 117 (51.7%) cases. Conclusion: Lichenoid granulomatous dermatitis poses variety of clinical as well as oral features. A long standing follows up and consideration of differential diagnosis is mandatory for better management of patients.
{"title":"Assessment of cases of lichenoid granulomatous stomatitis in respect to demographics, histological features, and subcategories in known population","authors":"M. Riyaz, M. Awinashe, Faris Jaser Al-Mutairi, Salman Siddeeqh, M. Al-Mutairi, P. Babaji, Z. Alsuwaydani","doi":"10.1051/mbcb/2021026","DOIUrl":"https://doi.org/10.1051/mbcb/2021026","url":null,"abstract":"Introduction: Lichenoid granulomatous dermatitis (LGD) is widely encountered lesions with both oral as well as dermal manifestation. Present study was done to evaluate lichenoid granulomatous stomatitis cases. Materials and methods: 226 biopsies were exposed to special stains such as acid-fast bacilli (AFB), immunohistochemical staining for CD 68 and Grocott methenamine-silver (GMS), and periodic acid‐Schiff (PAS) stains. Results: Out of 226 patients, males were 84 and females were 142. Maximum cases were seen in age group 40–60 years (122) followed by >60 years (56) and 20–40 years (48). The common site was buccal mucosa seen in 128 (56.6%) cases followed by vestibule in 30 (13.2%), gingiva in 26 (11.5%), tongue in 20 (8.8%), lip in 12 (5.3%) and palate in 10 (4.4%). The common lesion was oral lichen planus seen in 142 (62.8%), carcinoma in situ in 12 (5.3%), squamous cell carcinoma in 8 (3.53%), pemphigus vulgaris in 10 (4.42%), leukoplakia in 24 (10.6%) and pemphigoid in 30 (13.2%) cases. Most lesions were of type I seen in 117 (51.7%) cases. Conclusion: Lichenoid granulomatous dermatitis poses variety of clinical as well as oral features. A long standing follows up and consideration of differential diagnosis is mandatory for better management of patients.","PeriodicalId":37322,"journal":{"name":"Journal of Oral Medicine and Oral Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43248772","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: Piezosurgery is an emerging boom in the field of maxillofacial surgery for precise, safe and effective osteotomies sparing the adjacent vital structures compared to conventional surgery. Corpus: It works on the principle of piezoelectric effect in which crystals in the piezoelectric substances get deformed on the application of an electric field. Various studies gave the evidence of improved wound healing and bone formation compared to conventional approaches. The soft tissue sparing capability with improved patient comfort and decreased blood loss gave the utmost importance for this surgical technique in the present as well as future world of surgery. Conclusion: Piezosurgery has emerging as a promising surgical modality with a wide range of clinical applications throughout the whole field of surgery.
{"title":"An overview on the art of piezosurgery in the maxillofacial practice","authors":"Naveen Nandagopal, B. John","doi":"10.1051/mbcb/2021029","DOIUrl":"https://doi.org/10.1051/mbcb/2021029","url":null,"abstract":"Introduction: Piezosurgery is an emerging boom in the field of maxillofacial surgery for precise, safe and effective osteotomies sparing the adjacent vital structures compared to conventional surgery. Corpus: It works on the principle of piezoelectric effect in which crystals in the piezoelectric substances get deformed on the application of an electric field. Various studies gave the evidence of improved wound healing and bone formation compared to conventional approaches. The soft tissue sparing capability with improved patient comfort and decreased blood loss gave the utmost importance for this surgical technique in the present as well as future world of surgery. Conclusion: Piezosurgery has emerging as a promising surgical modality with a wide range of clinical applications throughout the whole field of surgery.","PeriodicalId":37322,"journal":{"name":"Journal of Oral Medicine and Oral Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43418178","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}
Oral manifestations associated with the COronaVIrus 2019 Disease (COVID-19) have been described like lingual pain [1] in relation to higher expression of angiotensin-converting enzyme 2, the SARS-CoV-2 receptor, in epithelial cells of the tongue compared to other oral tissues [2], and anosmia or ageusia induced by in fl ammation [1]. There are remain They may be due to the infection itself: observations have been made on and on and medium-sized could cause oral Behçet or Wegener very to have the
{"title":"Oral mucosal lesions and Covid-19: symptoms and/or complication?","authors":"J. Rochefort, A. Chaux","doi":"10.1051/MBCB/2021002","DOIUrl":"https://doi.org/10.1051/MBCB/2021002","url":null,"abstract":"Oral manifestations associated with the COronaVIrus 2019 Disease (COVID-19) have been described like lingual pain [1] in relation to higher expression of angiotensin-converting enzyme 2, the SARS-CoV-2 receptor, in epithelial cells of the tongue compared to other oral tissues [2], and anosmia or ageusia induced by in fl ammation [1]. There are remain They may be due to the infection itself: observations have been made on and on and medium-sized could cause oral Behçet or Wegener very to have the","PeriodicalId":37322,"journal":{"name":"Journal of Oral Medicine and Oral Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48677903","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: Williams–Beuren syndrome is a rare, congenital, multisystem disorder, resulting from genetic alterations on chromosome 7q11.23. Characteristic features of WBS are the developmental, physical and mental abnormalities associated with it. Typical facial features and a spectrum of tooth disorders are associated with this condition. Cardiac and renal involvement may be so severe that sudden death during oral healthcare procedures is a possibility. Photophobia and hyperacusis further make dental treatment a challenge in these patients. Corpus: Routine dental treatment in the dental office pose a significant risk, depending upon the mental and physical compromise of the patient, thereby making hospital admission a safer approach. A multispeciality approach is necessary to provide effective and safe oral healthcare to such patients. This article provides undergraduates, residents, general dental practitioners, and specialists involved in oral healthcare with a comprehensive overview of the condition with emphasis on its genetic basis, pathology, clinical features, diagnosis, and management of general and oral health. Conclusion: Adequate knowledge regarding the various aspects of Williams–Beuren syndrome allows the oral health care student or specialist to plan and manage oral procedures safely and effectively. Specialist referral and multidisciplinary care may be considered when appropriate.
{"title":"Williams–Beuren syndrome: a complete guide for oral healthcare","authors":"P. Patil, S. Patil","doi":"10.1051/MBCB/2020060","DOIUrl":"https://doi.org/10.1051/MBCB/2020060","url":null,"abstract":"Introduction: Williams–Beuren syndrome is a rare, congenital, multisystem disorder, resulting from genetic alterations on chromosome 7q11.23. Characteristic features of WBS are the developmental, physical and mental abnormalities associated with it. Typical facial features and a spectrum of tooth disorders are associated with this condition. Cardiac and renal involvement may be so severe that sudden death during oral healthcare procedures is a possibility. Photophobia and hyperacusis further make dental treatment a challenge in these patients. Corpus: Routine dental treatment in the dental office pose a significant risk, depending upon the mental and physical compromise of the patient, thereby making hospital admission a safer approach. A multispeciality approach is necessary to provide effective and safe oral healthcare to such patients. This article provides undergraduates, residents, general dental practitioners, and specialists involved in oral healthcare with a comprehensive overview of the condition with emphasis on its genetic basis, pathology, clinical features, diagnosis, and management of general and oral health. Conclusion: Adequate knowledge regarding the various aspects of Williams–Beuren syndrome allows the oral health care student or specialist to plan and manage oral procedures safely and effectively. Specialist referral and multidisciplinary care may be considered when appropriate.","PeriodicalId":37322,"journal":{"name":"Journal of Oral Medicine and Oral Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57962044","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: Central Odontogenic Fibroma (COF) is a rare benign odontogenic tumour of the jaws. Until its recent change in classification by the WHO in 2017, this entity has gone without an agreed upon definition for many years. For this reason, COF would remain largely unknown to practitioners. Corpus: The pedagogical objectives of this article are, through a systematic review of the literature using the PRISMA methodology, to list the epidemiological, aetiological, clinical, radiological, histological, therapeutic and prognostic characteristics of COF. All the data collected made it possible to establish a COF management summary for practitioners in order to optimize it. Conclusion: Based on the 135 cases listed, it appears that surgical enucleation is the treatment of choice for COF. The recurrence rate is low and malignant transformation has never been reported. However, regular clinical and radiological follow-up of patients over several years seems to be a justified precaution.
{"title":"Central Odontogenic Fibroma: characteristics and management","authors":"Sabrina Bennabi, P. Lesclous, A. Cloître","doi":"10.1051/MBCB/2020066","DOIUrl":"https://doi.org/10.1051/MBCB/2020066","url":null,"abstract":"Introduction: Central Odontogenic Fibroma (COF) is a rare benign odontogenic tumour of the jaws. Until its recent change in classification by the WHO in 2017, this entity has gone without an agreed upon definition for many years. For this reason, COF would remain largely unknown to practitioners. Corpus: The pedagogical objectives of this article are, through a systematic review of the literature using the PRISMA methodology, to list the epidemiological, aetiological, clinical, radiological, histological, therapeutic and prognostic characteristics of COF. All the data collected made it possible to establish a COF management summary for practitioners in order to optimize it. Conclusion: Based on the 135 cases listed, it appears that surgical enucleation is the treatment of choice for COF. The recurrence rate is low and malignant transformation has never been reported. However, regular clinical and radiological follow-up of patients over several years seems to be a justified precaution.","PeriodicalId":37322,"journal":{"name":"Journal of Oral Medicine and Oral Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57962112","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}
C. Debortoli, R. Lan, J. Lafont, F. Campana, J. Catherine
Introduction: The paracetamol is the most widely used painkiller to dental pain. Patients self-medicating with paracetamol for dental pain had 12.8 more times lead to overdose than patients with other pains. The aim of this work was to propose a standardized management in case of paracetamol overdose from a clinical case report. Observation: A 56-year-old man was referred to the General Emergency Department because he had ingested 32 grams of paracetamol in less than 24 hours due to a dental pain. He was in a state of haemodynamic and hypothermic shock. He was placed on the liver transplant list due to fulminant hepatitis. The dental check-up found juxta-pulpal carious lesions on the four wisdom teeth which were removed before the transplantation. Conclusion: Paracetamol overdose is one of the leading causes of liver failure. The estimated toxic dose was 150 mg/kg/day or about 10 g/day. N-acetylcysteine treatment should be leaded early, between 8 and 10 hours after ingestion. The paracetamol-aminotransferase, as a risk prediction tool, reproductibles methods and biomarkers can identify overdoses and lead to a faster medical care. Information campaigns and warning articles on overdosing risk must be continued to strengthen the prevention message for the population.
{"title":"Paracetamol misusing to dental pain: a case-report and recommandations for treatment","authors":"C. Debortoli, R. Lan, J. Lafont, F. Campana, J. Catherine","doi":"10.1051/mbcb/2021042","DOIUrl":"https://doi.org/10.1051/mbcb/2021042","url":null,"abstract":"Introduction: The paracetamol is the most widely used painkiller to dental pain. Patients self-medicating with paracetamol for dental pain had 12.8 more times lead to overdose than patients with other pains. The aim of this work was to propose a standardized management in case of paracetamol overdose from a clinical case report. Observation: A 56-year-old man was referred to the General Emergency Department because he had ingested 32 grams of paracetamol in less than 24 hours due to a dental pain. He was in a state of haemodynamic and hypothermic shock. He was placed on the liver transplant list due to fulminant hepatitis. The dental check-up found juxta-pulpal carious lesions on the four wisdom teeth which were removed before the transplantation. Conclusion: Paracetamol overdose is one of the leading causes of liver failure. The estimated toxic dose was 150 mg/kg/day or about 10 g/day. N-acetylcysteine treatment should be leaded early, between 8 and 10 hours after ingestion. The paracetamol-aminotransferase, as a risk prediction tool, reproductibles methods and biomarkers can identify overdoses and lead to a faster medical care. Information campaigns and warning articles on overdosing risk must be continued to strengthen the prevention message for the population.","PeriodicalId":37322,"journal":{"name":"Journal of Oral Medicine and Oral Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57962653","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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