Cases reported "Bone Resorption"

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1/12. Periodontal disease associated with preleukemic syndrome.

    A case of preleukemic syndrome associated with severe periodontal disease has been presented for the first time. The clinical, radiographic and hematologic findings have been discussed, as well as medical and periodontal therapy.
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keywords = periodontal disease
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2/12. oral manifestations of congenital neutropenia or Kostmann syndrome.

    Infantile congenital agranulocytosis or Kostmann syndrome is a rare hereditary kind of severe neutropenia. The typical symptoms, which appear since the first days of life, are abscesses located on various parts of the body: ear, cutis, lung and oral cavity. These abscesses are due to an almost total disimmunity typical of the neutropenia. The aim of this article is to describe the most typical signs of this pathology in the oral cavity, reporting a case observed in our department in Florence, italy. On the basis of the personally observed case and of the review of the literature, it is possible to consider, as a characteristic finding in Kostmann syndrome, a typical very serious periodontal pathology, which is similar to the prepubertal periodontitis in deciduous dentition. At the age of 19 years the patient showed a dramatic compromise of the masticatory function. It is obvious that the lack of response of the host can obstruct the interaction between the host and the microbic flora, because the lack of neutrophils increases the susceptibility of the patient to every kind of infection, even to periodontitis. A periodontal prophylaxis, since the very first observations, followed by a rigorous maintenance with frequent and regular professional hygienic treatments could be effective in controlling the effects of periodontal disease and could reduce the tragic evolution. We need to recognise that it could be hard to monitor the oral situation correctly in these patients, as they have a continuously poor systemic condition. Finally in these cases the rehabilitative therapy is very problematical.
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keywords = periodontal disease
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3/12. Neoplasia masquerading as periapical infection.

    Seven examples of neoplasia which presented as periapical radiolucencies are described. These were all initially treated for presumed periapical infection. The atypical features that should alert dentists to the possibility of a tumour presenting in this manner are: a vital tooth with minimal caries, root resorption and an irregular radiolucent outline, tooth mobility in the absence of generalised periodontal disease, regional nerve anaesthesia, and failure to respond to good endodontic therapy. All material removed at the time of apical surgery must be examined histologically to prevent neoplasia being overlooked.
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keywords = periodontal disease
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4/12. Rapid periodontal destruction in adult humans with poorly controlled diabetes. A report of 2 cases.

    Out of a pool of 12 middle-aged or elderly diabetic patients demonstrating rapid periodontal break-down, the 2 oldest cases with follow-up periods of 19 and 16 years are described. The common feature of all 12 patients was that they were either unaware of or unable to control their diabetic condition at the time of the active stage of their periodontal disease. The bone loss progressed in spite of specialist periodontal care and the patients again responded to treatment only after their elevated blood glucose levels had been brought back to normal. Thus, the rapid periodontal breakdown was not found to be associated with the diabetic condition per se, but rather with the hyperglycemia. This clinical follow-up study does not answer the question of whether rapid periodontal destruction occurs in all patients with poorly controlled diabetes. Neither do the observations imply that rapid bone loss would be pathognomic of high blood glucose levels. However, the observations seem to suggest that there may be an inter-relationship between rapid periodontal breakdown and elevated blood glucose levels. Therefore, any sudden change towards an increased progression rate of periodontal breakdown at adult age, as observed from periodic radiographs with intervals of only a few years, should be followed up with a medical examination in order to outrule or verify the possibility of a high blood glucose level.
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keywords = periodontal disease
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5/12. Osseo-integrated implant treatment of a patient with rapidly progressive periodontitis. A case report.

    The case report presented describes placement of osseointegrated fixtures in a patient with a probable history of rapidly progressive periodontitis. A 12-year history is presented. The post-operative sequelae of placing fixtures in a fully edentulous maxilla and partially edentulous mandible were the worst seen by the Implant Team at Emory University. The hypothesis presented is that patients with aggressive forms of periodontal disease should be subjected to appropriate mechanical and antimicrobial therapy to produce a healthy oral flora before any implants are placed.
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ranking = 1
keywords = periodontal disease
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6/12. Provisional splinting in advanced periodontal disease. Case report.

    This case report describes an approach to treatment for a patient with severe bone loss resulting from advanced periodontal diseae. A provisional splint was constructed in conjunction with suitable periodontal therapy. The purpose was to allow time for evaluation prior to deciding whether to commit the patient to permanent stabilization.
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ranking = 4
keywords = periodontal disease
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7/12. Spontaneous arrest of advanced periodontal disease without treatment: an interesting case report.

    A 48-year-old female patient presented with advanced periodontitis but was unable to proceed with periodontal therapy. After ten years of absence, her periodontal status appeared unchanged, if not slightly improved, despite the total lack of any dental or periodontal care. Studies on the biologic behavior of periodontitis are severely lacking and would appear to be a logical area for future epidemiologic surveys.
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ranking = 4
keywords = periodontal disease
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8/12. Untreated periodontal disease: a longitudinal study.

    Thirty diagnosed but untreated patients with moderate to advanced periodontal disease were examined a minimum of two times. The examination time intervals ranged between 18 and 115 months. 2. A total of 83 teeth were lost between examinations. 3. Excluding a patient who lost 25 teeth, a total of 58 teeth were lost. The adjusted tooth loss was 0.61 tooth per patient per year (or 0.36 with the elimination of 22 "hopeless" teeth). 4. The mandibular and maxillary molars had the greatest percentage of tooth loss between examinations. 5. All 29 patients completing the study had progessive increases in pocket depth during their time in the study. Increases in the mean annual pocket depths per tooth per patient varied from 0.24 millimeter per year to 2.46 millimeters per year. 6. The disto-lingual and mesio-lingual interproximal surfaces had the greatest increases in surface pocket depths. The lingual and buccal surfaces had the smallest increases in pocket depth. 7. The rate of increase in pocket depths was less in patients over 44 years of age. 8. The teeth which were lost had greater initial pocket depths and mobility scores than those which were present at both examinations. 9. There was no correlation between increases in pocket depth and changes in mobility. 10. All 29 patients showed radiographic evidence of progressive bone resorption between examinations. The posterior segments of the mouth had the largest amounts of bone loss between the first and last examinations.
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ranking = 5
keywords = periodontal disease
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9/12. Rapidly progressive periodontal disease associated with hiv infection: report of case.

    A case of rapidly progressive periodontal disease associated with human immunodeficiency virus (hiv) infection is presented. Rapid horizontal bone loss, with only moderate inflammation, occurred during a 13-month period. Pocket depth was significantly less than anticipated, given the degree of bone loss. The patient had no signs or symptoms of acquired immune deficiency syndrome (AIDS). The cause, features, diagnosis, and management are discussed.
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ranking = 5
keywords = periodontal disease
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10/12. Facial radicular groove in a maxillary central incisor. A case report.

    A facial radicular groove may occur in central maxillary incisors and act as a funnel for accumulating plaque and calculus. Since it is inaccessible to routine oral hygiene efforts of the patient and to treatment manipulations of the dentist, this anomaly predisposes the tooth to localized periodontal disease. Conservative or surgical treatment of such teeth should restore periodontal health by creating an environment more favorable for plaque control.
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ranking = 1
keywords = periodontal disease
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