Query: case report dental caries,2016

title: DENTAL CARIES TREATMENT IN FEEDING PROBLEM PATIENT WITH CONGENITAL ESOPHAGEAL ATRESIA A CASE REPORT
abstract: Esophageal atresia is the abnormal development of the esophagus that connects the mouth to the stomach. This birth defect results in the incomplete connection of the esophagus to the stomach causing an inability to swallow properly and breathing difficulties. Surgery is the only treatment for esophageal atresia. Patients undergone an esophageal reconstruction usually suffer from gastroesophageal reflex. A 5 year old boy with congenital esophageal atresia and Sciwitar syndrome visited Seoul National University Dental Hospital because generalized excessive loss of tooth structure. The patient had history of multiple operations for reconstruct esophagus. He had little food intake experience thought oral and had difficulty to swallowing. The patient was generalized severe erosive and decayed state. For patient, the dental procedure under general anesthesia was scheduled due to the multiple caries with erosion and poor cooperation. Under general anesthesia, pulpectomy and restoration as well as extraction was performed. Gastroesophageal reflex is potentially serious condition, with various extraesophageal adverse effects such as dental erosion. To prevent progression of dental caries, dietary counselling and oral hygiene instruction should be reinforced. Also, restorations to erosive teeth will maintain esthetics and function and preserve pulp vitality.

title: Oral Rehabilitation and Management for Secondary Sjogren's Syndrome in a Child
abstract: The aim of this paper is to describe a rare case report of a pediatric patient with secondary Sjogren's syndrome (SSS) A 12 year old female child was referred to the Pediatric Dentistry Clinic with the chief complaint of tooth pain, dry mouth, and tooth sensibility. The patient was submitted to orthodontic treatment prior to syndrome diagnosis. The clinical treatment consisted of the interruption of orthodontic treatment and restoring the oral condition with dental treatment and the use of artificial saliva in an innovative apparatus. Dental therapy involved the control of dental caries, periodontal disease, and opportunistic fungal infections and the use of fluoride rich solutions. The present clinical case describes clinical and laboratory aspects of SSS in pediatric patients. The management of the oral findings promoted an improvement in the oral health status and quality of life of the child.

title: A periapical disease aggravating maxillary rhinosinusitis
abstract: the maxillary sinus exhibits a close anatomical relationship with maxillary posterior teeth. therefore, maxillary sinusitis having a possible odontogenic infection may present a real diagnostic challenge in some cases.  A patient with a history of chronic maxillary rhinosinusitis was sent to our department by an otorhinolaryngologist for a dental consultation. A coronal computed tomography (ct) section showed that the left sinus had significant mucosal thickening and bone erosion in its floor and in the lateral wall. the oral examination demonstrated that none of the ipsilateral maxillary teeth had caries or had been restored before. Periapical radiography showed that a periapical lesion associated with the first molar tooth had elevated the sinus floor. Nonsurgical endodontic treatment was initiated because the established diagnosis of the endodontic lesion was a chronic periapical abscess. At the rootfilling appointment, periapical radiography showed the finding of healing in the periapical lesion. A follow up ct scan performed three years after initiation of the treatment revealed that the mucosal inflammation had resolved and the sinus floor had remodeled. the rhinologic findings such as another mucosal inflammation Bulent Yilmaz1, Muzaffer Emir Dincol1, Handan Ersev2  1Assistant Professor, Department of Endodontics, Istanbul University, Istanbul, Turkey; 2Associate Professor, Department of Endodontics, Istanbul University, Istanbul, Turkey.  Bulent Yilmaz, Istanbul Universitesi, Dis Hekimligi Fakultesi, Endodonti A.D. Capa, Fatih, Istanbul, Turkiye, 34104;  31 March 2016  07 May 2016  20 June 2016 in the anterolateral wall and a mucous retention cyst have also been reported to exist in the same sinus.  this case was classified as a chronic maxillary rhinosinusitis with a secondary endodontic source of infection because the rhinologic findings were still present after the elimination of endodontic infection and its local inflammatory effects on the sinus.

title: Do adolescents who are night owls have a higher risk of dental caries? a case control study.
abstract: The aim was to evaluate the association between circadian rhythm and the risk of caries in adolescents, as well as their dietary and toothbrushing habits.  A group of 196 adolescents (15 and 16 years old) were divided into two equal groups based on caries risk (case high risk; and control low risk) Before their dental examinations, they were asked to complete a questionnaire. The questionnaire included questions on circadian rhythm, dietary and oral self care habits, and demographic variables. The participants were divided into three circadian types: evening types who are alert in the evening and tired in the morning; morning types who are the opposite; and neutral types who are neither particularly alert in the evening nor extremely tired in the morning.  The most common sleep cycle group type was neutral (50% After this came evening types (37% and finally morning types (13% Morning and neutral types reported more frequently than evening types that they had breakfast every morning and brushed their teeth twice a day. More evening types were categorized as at high risk of caries. Circadian rhythm, breakfast habits and toothbrushing frequency were associated with a high risk of caries. The predicted probability of being at high risk of caries was almost four times higher for evening types than for morning types (OR 3.8; 95% CI 1.3 10.9) CONCLUSION Adolescents who belonged to the evening circadian rhythm group brushed their teeth more seldom, ate breakfast less regularly and had a higher risk of caries than morning types. A patient's circadian rhythm should be considered when planning oral health education for adolescents with a high risk of caries.

title: Removal of dental implant displaced into maxillary sinus by combination of endoscopically assisted and bone repositioning techniques: a case report
abstract: BackgroundAccidental displacement of a dental implant into the maxillary sinus is an infrequent although not uncommon complication encountered in dental clinical practice, with the main cause thought to be inadequate bone height in the posterior maxilla. We report a case of migration of a dental implant into the maxillary sinus, and discuss the benefits of its removal by a combination of endoscopically assisted and bone repositioning techniques.Case presentationA 35 year old Japanese man with a partially edentulous maxilla underwent implant placement at a private clinic. Three months later, at the time of abutment connection, the implant at the site of his maxillary right first molar was accidentally pushed into the sinus. The hole on the alveolar ridge made for placement of the implant was small and far from the dislocated implant, thus access was achieved in a transoral manner via the frontal wall of his maxillary sinus with an endoscopic approach. Piezoelectric instruments were used to perform an osteotomy. The bone lid was removed, and the implant was identified using a rigid endoscope and removed with a surgical aspirator, followed by repositioning of the bony segment; the area was secured with an absorbable suture. Removal of migrated implants should be considered in order to prevent possible sinusal disease complications.ConclusionsIn the present case, removal of a dental implant displaced into the maxillary sinus by use of a combination of endoscopically assisted and bone repositioning techniques proved to be a safe and reliable procedure.

title: Dental treatment planning considerations for patients using cannabis: A case report.
abstract: There is a deficit in clinical research on the potential risks involved in treating dental patients who use cannabis for either medicinal or recreational purposes. The aim of this case report is to illustrate the need for additional education for oral health care professionals so they can understand the wide variety of available cannabis options and their potential effects on dental treatment.  A 27 year old man sought care at the dental clinic with a nonrestorable molar requiring extraction. During the review of his medical history, the patient reported taking a "dab" of marijuana approximately 5 hours before his appointment. Because of the admission of recent illicit drug use, no treatment was rendered. The patient was offered an appointment the next day but he refused, citing bias in regard to his cannabis use.  The number of Americans using marijuana is increasing rapidly. Twenty three states and the District of Columbia have laws legalizing cannabis to some degree, and Alaska, Colorado, Oregon, and Washington have legalized marijuana for recreational use. This drastic upswing in availability and usage will require dentists to address the possible effects of cannabis on dental practices. It is imperative that dental care providers make clinical decisions based on scientific evidence regarding the pharmacologic and psychological effects of marijuana, not on the societal stigma associated with illegal drug use. Dentists should be familiar with popular delivery systems and understand the differences between various marijuana options. Clinical guidelines may need to be developed to help providers assess the patient's degree of cognitive impairment. Dentists should be able to advise patients on the potential consequences of this habit on their oral health.

title: Dental Perspective of Rare Disease of Fanconi Anemia: Case Report with Review
abstract: Fanconi anemia is an extremely rare genetic disease characterized by chromosomal instability that induces congenital alterations in individuals. It causes defective hemopoiesis ultimately leading to bone marrow failure. Patients are susceptible to recurrent infections and increased risk of hemorrhage, as well as delayed and poor wound healing. Herein, we report a case of Fanconi anemia in which various classical signs of the disease were present. The patient has been on regular follow up since three and a half years for management of dental problems. The different aspects of this rare disorder are discussed with emphasis on oral manifestations and their influence on the general health of affected patients. Due to an increased susceptibility to developing cancers in this specific population, it is imperative for pediatric dentists to know about the common oral manifestations and potentially cancerous lesions, in order to make an early diagnosis and provide comprehensive care and maintenance of oral health in affected individuals.

title: The influence of oral symptom recognition and oral care behavior on cases of dental caries in high school students
abstract: The present study aimed to ascertain the oral health of young individuals according to their oral symptoms and oral health behaviors. In doing so, we intend to provide foundational data for the establishment of continued oral health education, which is required to make positive changes to oral health behavior. We conducted oral health examinations as well as self report surveys for identifying oral symptoms and oral health behaviors of 288 high school students who visited the K Hospital, Busan, South Received(November 26, 2015) Review request(November 27, 2015) Review Result(1st: December 15, 2015, 2nd: December 30, 2015) Accepted(January 08, 2016)  2016) 700 422 Dept. Public Health, Graduate School of Kyungpook National Univ. Dongin 2 Jung Gu, Daegu, Korea email: namzzi52@naver.com (Corresponding Author) 614 714 Dept. Dental Hygiene,  The influence of oral symptom recognition and oral care behavior on cases of dental caries in high school students Copyright c 2016 HSST 142 Korea, between May and October 2014. In the dental health examination, the majority of the subjects had the result 'None' for the number of teeth showing dental caries (162 persons, 56.3% and '1 4' for the number of teeth at risk of developing dental caries (168 persons, 58.3% Meanwhile, with respect to oral hygiene, 155 students (53.8% were rated as 'Excellent' and 123 (42.7% as 'Hope for Improvement' In terms of oral health behavior, 74.0% of the participants had not visited a dentist in the past year and 64.9% brushed their teeth less than twice a day. When asked about their level of consumption of sugary foods and drinks such as snacks and cola, 52.8% of the participants responded with 'Average' and when asked if the toothpaste they were currently using contained fluorine, the most common response (39.2% was 'I don't know' When analyzing the correlation between identification of oral symptoms, oral care behavior, and incidence of dental caries, there was a positive correlation between the number of teeth showing dental caries and oral hygiene (r=0.914, p<0.000) and there was a strong negative correlation between the number of teeth at risk of developing dental caries and the use of fluorine containing toothpaste (r= 0.119, p<0.05) and between oral hygiene and the consumption of sugary foods (r= 0.560, p<0.000) Combining the above results, it can be seen that oral symptoms and oral care behavior in young individuals has a significant effect on dental caries. Therefore, systematic projects to promote oral health and oral health education programs need to be developed to encourage treatment and oral health care at the appropriate time and to create a positive change in oral health behavior.

title: New Single bottle Ceramic Primer: 6 month Case Report and Laboratory Performance.
abstract: This article presents a 6 month case report and an in vitro evaluation of the performance of the new self etching glass ceramic monobond etch and prime (MEP) when applied in a lithium disilicate (LD) The MEP contains in the same bottle, along with acid conditioner and silanes. This simplifies the bonding procedures by reducing not only the number of steps, but also the working time. A 42 year old female patient sought for esthetic treatment, and the main complaint was the darkened appearance of the upper lateral incisor. The esthetic treatment includes dental bleaching and gingivectomy, all ceramic zirco nia crowns, and all ceramic crown and laminate veneer LD. After 6 months of esthetic treatment, marginal staining, gap, or chip fracturing damaging margins after sharp explorer in the margins was not observed. Furthermore, the inferior etching pattern of MEP was compared with traditional hydrofluoric acid (HF) conditioning. The microshear bond strength to the intaglio surface of LD was statistically similar when HF was compared with MEP. This new self etching glass ceramic showed good in vitro and 6 months clinical results in this case report. Future long term clinical studies with more clinical case need to be done to confirm the performance of the use of this new conditioner.  The use of a new self etching glass ceramic showed a good in vitro and 6 months clinical results. This new product can be an easy, simple, and alternative approach for esthetics bonding procedure.

title: Lemierre Syndrome Associated with Ipsilateral Recurrent Laryngeal Nerve Palsy: A Case Report and Review
abstract: Lemierre syndrome (LS) is a rare life threatening disease that is often caused by an acute oropharyngeal infection with a secondary thrombophlebitis of the internal jugular vein. LS rarely manifests as cranial nerve palsy. To the best of our knowledge, this is the second case report of LS associated with recurrent laryngeal nerve palsy. A 66 year old female presented to a dental clinic with gingivitis and sore throat. Due to moderate periodontitis, her left first upper molar was extracted. A few days later, she subsequently developed a coarse voice and occipital headaches, and was referred to an otolaryngologist. She was diagnosed with left recurrent laryngeal nerve palsy and subsequent left sided otitis media, and was referred to us for persistent headaches. She intermittently presented with high grade fever and complained of salty taste disturbance. Her head magnetic resonance imaging (MRI) revealed left mastoiditis, thrombosis in the left transverse and sigmoid sinus, and left internal jugular vein. Her laboratory tests revealed an elevated white blood cell count, levels of C reactive protein, and D dimer. No endogenous coagulopathy was confirmed. Although, blood and cerebrospinal fluid culture grew no microorganisms, respectively, the empirically determined antibiotic therapy was initiated. In a week, the patient defervesced and had no headaches despite persistent thrombosis. Early diagnosis and an immediate antibiotic treatment are crucial for LS patients. Anticoagulation therapy was not needed for our patient and is still controversial for LS.