1/17. Management of an avulsed primary incisor.The case describes the management of an avulsed maxillary central primary incisor of a 3 1/2-year-old girl. The tooth was retained in the oral cavity for 30 min. After replantation it was splinted for 17 days. At day 11 the root canal was completely instrumented and obturated with a calcium hydroxide paste. The 1-year follow-up documented no pathologic clinical or radiographic findings. One and a half years after the trauma the tooth was extracted since a fistula and extensive external inflammatory resorption had developed. The permanent successor erupted along with its neighboring central incisor without any complications 6 months later. Conventional approaches for treating avulsed permanent teeth could also be applied to avulsed primary incisors to preserve them for a certain period without the additional risk of damaging their developing permanent successors.- - - - - - - - - - ranking = 1keywords = cavity (Clic here for more details about this article) |
2/17. Complete intrusion of a maxillary right primary central incisor.This clinical article presents a rare presentation of complete intrusion of a maxillary right primary central incisor. Routine examination of a 29-month old female patient revealed an intrusion injury where the primary central incisor was displaced through the floor of the nasal cavity. The traumatic impaction was erroneously diagnosed as an avulsion injury by the attending emergency room physician and later discovered by the dental team during routine care. The injury was documented with radiographs. The intruded incisor was removed through the right naris utilizing general anesthesia to manage behavior and surgical access. This article emphasizes the importance of radiographs and demonstrates the need to involve the dental professional in initial assessment of dental trauma.- - - - - - - - - - ranking = 1keywords = cavity (Clic here for more details about this article) |
3/17. Delayed removal of a fully intruded primary incisor through the nasal cavity: a case report.Complete intrusion of a primary anterior tooth may initially be diagnosed as an avulsion injury. The importance of a correct first clinical and radiological examination of a young patient who has sustained trauma to the anterior primary teeth is stressed in this article. This issue is illustrated by a case presentation where a 3-year-old girl had a delayed treatment of 5 days after a primary incisor was fully impacted by a fall trauma into the nasal cavity. This was due to an incomprehensible clinical and radiological examination by the first examining dentist. The impacted tooth was later removed through the right nostril under general anesthesia. Two-year follow-up showed no adverse clinical or radiological problems even though eruption of the permanent successor had not taken place at that time.- - - - - - - - - - ranking = 5keywords = cavity (Clic here for more details about this article) |
4/17. Replanting avulsed primary teeth.tooth replantation is a viable procedure if performed under the following acceptable guidelines: Replant the tooth if time lapse is less than 30 minutes (a time lapse of more than one to two hours results in a poor prognosis); Transport the tooth or teeth in milk, saliva or blood; and Keep teeth and replant area clean to minimize infection. Quick action by the mother in bringing the child to the hospital emergency room was a vital first step. The fact that the child held the teeth in her mouth en route to the hospital--bathed in saliva and blood, still attached by the bit of gingival tissue in the warm mouth's environment--helped to contribute to a positive situation as well as did the good home care.- - - - - - - - - - ranking = 4.7403353163872keywords = mouth (Clic here for more details about this article) |
5/17. Self-inflicted orodental injury in a child with leigh disease.leigh disease is an inherited progressive mitochondrial neurodegenerative disease that affects the neurological, respiratory and cardiovascular systems and is associated with retardation of the intellectual and physical development. This report describes the case of a 4-year-old boy with leigh disease who presented with self-inflicted traumatic injury to the teeth, alveolar bone, lips and tongue during repeated episodes of intense orofacial spasms. Conservative management of the injury included repositioning the fractured alveolar bone, splinting the traumatized teeth and planning for a mouthguard. However, after a second incident of severe self-induced injury to the teeth and alveolar bone, extraction of the anterior teeth became inevitable to protect the child from further self-mutilation and to allow healing of the injured tissues.- - - - - - - - - - ranking = 2.3701676581936keywords = mouth (Clic here for more details about this article) |
6/17. Traumatic intrusion of maxillary permanent incisors into the nasal cavity associated with a seizure disorder: report of a case.Childhood traumatic dental injury is typically associated with motor vehicle accidents, sports, or other recreational activities. However, seizure disorders or other compromising medical conditions may precipitate dental trauma. Complete intrusion injuries in the mixed or permanent dentition are relatively rare. This paper describes the case history of an adolescent male who sustained displacement of a lateral incisor into the nasal cavity and complete bony intrusion of the three other permanent maxillary incisors because of a fall following a seizure. counseling on helmet/face-shield usage for seizure-susceptible patients must be provided and documented, particularly after sustaining traumatic injury.- - - - - - - - - - ranking = 5keywords = cavity (Clic here for more details about this article) |
7/17. Eruption of teeth in the nose following trauma to the primary and permanent dentitions.Oro-facial trauma is common and forms a large component of any maxillofacial service workload. Even minor trauma can result in significant oro-facial and dental injury. This report reinforces the importance of a careful dental history and thorough examination, particularly when teeth remain missing after initial inspection. Other anatomical sites should be considered to ensure they do not contain traumatically displaced teeth. These two case reports show the late presentation of incisor teeth in the nasal cavity following dentoalveolar trauma.- - - - - - - - - - ranking = 1keywords = cavity (Clic here for more details about this article) |
8/17. Congenital insensitivity-to-pain with anhidrosis (CIPA): a case report with 4-year follow-up.Congenital Insensitivity-to-pain with anhidrosis (CIPA) is a rare disorder in which pain perception is absent from birth, despite the fact that all other sensory modalities remain intact or minimally impaired and tendon reflexes are present. The challenge in dentistry is to manage the self-mutilation behavior avoiding serious damages especially to oral structures, hands and fingers. A Brazilian case of CIPA is presented and discussed with clinical documentation of the oral-related problems over a 4-year follow-up. A conservative treatment (mouthguard-like appliance) was proposed with the objective to avoid full mouth extraction.- - - - - - - - - - ranking = 4.7403353163872keywords = mouth (Clic here for more details about this article) |
9/17. Self-replantation of an avulsed tooth: 30-year follow-up.A 42-year-old man had been previously hit in the mouth when he was 12 years old, and the upper left central incisor was completely avulsed. The patient immediately replanted the tooth and did not seek any dental treatment. After 28 years he noticed discoloration and abscess formation. Root canal treatment was performed, and the tooth has remained in a stable, functional position.- - - - - - - - - - ranking = 2.3701676581936keywords = mouth (Clic here for more details about this article) |
10/17. Retrieval of an upper third molar from the infratemporal space.A case of dislocation of a maxillary third molar into the infratemporal fossa is described. The diagnostic and therapeutic problems are discussed. The tooth was removed through an osseous window that was made in the posterior wall of the maxillary sinus. The healing was uncomplicated, without maxillary sinusitis, and the reduced ability to open the mouth returned to normal. A slight diplopia persisted.- - - - - - - - - - ranking = 2.3701676581936keywords = mouth (Clic here for more details about this article) |
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