1/8. Familial hypophosphatemic vitamin d-resistant rickets: dental findings and histologic study of teeth.A case of familial hypophosphatemic vitamin d-resistant rickets or X-linked hypophosphatemia (XLH) accompanied by specific systemic and dental findings is reported. A 15-year-old boy with XLH visited our facility complaining of a toothache in the left lower canine region. Two other family members of the patient, his younger sister and their mother, also had XLH, whereas the other 2 members, his younger brother and father, are healthy. Those with XLH show systemic signs of the disease, such as growth retardation, limb deformity, and spinal curvature disorders; however, these symptoms are more severe in the patient than in the others. The patient had multiple periodontal abscesses, but no evidence of dental caries, trauma, or periodontal disease on the corresponding teeth at the time of his oral examination. A radiographic examination showed root dysplasia and enlarged pulp chambers.A histologic examination of an extracted third molar showed marked globular dentin and an increased predentin width. The abscess was thought to be caused by pulpal infection, which came from bacterial invasion through enamel cracks and dentinal microcleavage of the teeth. The treatments provided in this case are discussed.- - - - - - - - - - ranking = 1keywords = periodontal disease (Clic here for more details about this article) |
2/8. Dental disease in the differential diagnosis of fever of unknown origin.A patient with a one-year history of fever of unknown origin is presented. Extensive work-up failed to reveal the source of the fever. Treatment of periodontal infection resulted in complete cure, suggesting a cause-effect relationship. A possible role of Interleukin 1 (IL-1), universal pyrogen, in periodontal disease is suggested.- - - - - - - - - - ranking = 1keywords = periodontal disease (Clic here for more details about this article) |
3/8. Intraoral examination in pyogenic facial lesions.Pyogenic cutaneous lesions of the cervicofacial region may be due to a variety of causes. One possibility that should be considered is an odontogenic infection secondary to untreated dental caries, periodontal disease or previous maxillofacial trauma. An intraoral examination is mandatory to evaluate the oral cavity for signs of pathology that may be manifested as a purulent cutaneous lesion. patients with odontogenic infection should be referred to a dentist for definitive treatment, which may consist of either endodontic therapy or extraction of the involved tooth and curettage of any abscesses or fistulous tracts.- - - - - - - - - - ranking = 1keywords = periodontal disease (Clic here for more details about this article) |
4/8. maxillary sinusitis and periapical abscess following periodontal therapy: a case report using three-dimensional evaluation.BACKGROUND: maxillary sinusitis may develop from the extension of periodontal disease. In this case, reconstructed three-dimensional images from multidetector spiral computed tomographs were helpful in evaluating periodontal bony defects and their relationship with the maxillary sinus. methods: A 42-year-old woman in good general health presented with a chronic deep periodontal pocket on the palatal and interproximal aspects of tooth #14. Probing depths of the tooth ranged from 2 to 9 mm, and it exhibited a Class 1 mobility. Radiographs revealed a close relationship between the root apex and the maxillary sinus. The patient's periodontal diagnosis was localized severe chronic periodontitis. Treatment of the tooth consisted of cause-related therapy, surgical exploration, and bone grafting. A very deep circumferential bony defect at the palatal root of tooth #14 was noted during surgery. After the operation, the wound healed without incidence, but 10 days later, a maxillary sinusitis and periapical abscess developed. To control the infection, an evaluation of sinus and alveolus using computed tomographs was performed, systemic antibiotics were prescribed, and endodontic treatment was initiated. RESULTS: Two weeks after surgical treatment, the infection was relieved with the help of antibiotics and endodontic treatment. Bilateral bony communications between the maxillary sinus and periodontal bony defect of maxillary first molars were shown on three-dimensional computed tomographs. The digitally reconstructed images added valuable information for evaluating the periodontal defects. CONCLUSION: Three-dimensional images from spiral computed tomographs (CT) aided in evaluating and treating the close relationship between maxillary sinus disease and adjacent periodontal defects.- - - - - - - - - - ranking = 1keywords = periodontal disease (Clic here for more details about this article) |
5/8. Histologic evaluation of a human periapical defect after implantation with tricalcium phosphate.This case report describes the effect of tricalcium phosphate implantation in the treatment of a chronic periapical abscess. Ceramic implant materials are biocompatible and are currently being used to restore alveolar bone loss resulting from periodontal disease, endodontic infections, and residual alveolar ridge resorption. However, use of such a material in this case led to persistent infection and additional bone destruction. Thus, the use of a ceramic implant material to accelerate periapical bone repair is not recommended in areas where a chronic bacterial infection is present.- - - - - - - - - - ranking = 1keywords = periodontal disease (Clic here for more details about this article) |
6/8. The endodontic-periodontal lesion: a rational approach to treatment.When a periapical lesion communicates with a deep periodontal pocket, the etiology can be either endodontic or periodontal. This article clarifies the relationship between pulpal and periodontal disease and presents a systematic approach to the diagnosis and management of endodontic-periodontal lesions. It also presents a case that demonstrates the successful treatment of teeth that appear to be hopelessly diseased.- - - - - - - - - - ranking = 1keywords = periodontal disease (Clic here for more details about this article) |
7/8. The palato-gingival groove. A cause of failure in root canal treatment.The authors describe a clinical case of a palato-gingival groove on a maxillary central incisor with associated localized periodontal disease and pulp necrosis. The general clinician's initial diagnosis was incorrect; this led to incomplete treatment and subsequent loss of the tooth. Recognition of the palato-gingival groove is critical, especially because of its diagnostic complexity and the problems that may arise if it is not properly interpreted and treated.- - - - - - - - - - ranking = 1keywords = periodontal disease (Clic here for more details about this article) |
8/8. Metastatic carcinoma to the mandible that mimicked pulpal/periodontal disease.An oral cavity metastasis from a poorly differentiated carcinoma, presumed to have originated in the pancreas, mimicked a dental abscess. An additional metastasis to the lung caused a postobstructive lobar pneumonia that masked the lesion, thereby delaying the diagnosis of malignancy. This case report illustrates how the clinical manifestations of a widely disseminated neoplasm led to initial medical confusion and subsequent dental misdiagnosis, and serves to caution of a possible pitfall in the dental evaluation of endodontic lesions.- - - - - - - - - - ranking = 4keywords = periodontal disease (Clic here for more details about this article) |