| patients with mental disorders, due to their specific physical and social status, often lack the possibility for appropriate dental treatment. The objective of our study aims at creating an adequate approach and prospective for currative plan casual. We represent two clinical cases, treated in a different way and we conclude, that every separate patient requires individual approach, from the first contact, through diagnosing and decision making for plan of treatment. Our experience implies that the mental status of the patients is not a reason for refusal of dental treatment. ( info) |
2/150. Glanzmann's thrombasthenia. Report of two oral surgical cases using a new microfibrillar collagen preparation and EACA for hemostasis. Glanzmann's thromboasthenia is a rare congenital platelet disorder characterized by a prolonged bleeding time, a qualitative platelet defect, and severe hemorrhagic episodes. patients with this disorder have been managed by administration of blood and blood components (most recently, platelet-rich plasma and platelet concentrates) to control hemorrhage resulting from trauma or surgical procedures. The two case reports presented here illustrate the use of a local hemostatic agent (microfibrillar bovine collagen, Avitene) and a systemic fibrinolytic inhibitor (epsilon aminocaproic acid, Amicar) to control postoperative hemorrhage secondary to elective extraction of teeth. The clinical results demonstrate excellent postoperative hemostasis and support recent in vitro observation of platelet adherence to the collagen preparation. This provides an alternate therapeutic modality in the management of patients with Glanzmann's disease and possibly other disorders of platelet function. ( info) |
3/150. Attempted orthodontic movement in the presence of suspected ankylosis. A 37-year-old man with suspected ankylosis ("submerged" teeth, radiographically obliterated periodontal membranes, and sharp or ringing percussion tests) was subjected to attempted orthodontic movement. The maxillary canine and posterior segments were chosen as treatment areas. While the terms "light" and "heavy" are relative, forces ranging from 6 to 24 ounces were variants great enough in the areas treated to have elicited movement if movement were possible. After continuous forces had been applied for 110 days, measurements showed no movement in either maxillary quadrant. ( info) |
4/150. Dental management of the patient with biliary atresia. biliary atresia is a disease of unknown origin characterized by partial or total absence of the biliary tract. While this condition is rare, the medical and surgical management makes the ramifications for dental treatment increasingly complex. This article reviews the disease and its complications and documents dental treatment of two patients. ( info) |
5/150. Clinical treatment with the Begg appliance. In a series of three articles, clinical treatment with the Begg appliance has been discussed. In the March, 1973 article, the standard procedures in the three stages commonly used in the Begg method were illustrated in a series of eight cases showing the wide range of orthodontic treatment possibilities of this method. The February, 1974 article contained a case report that illustrated some of the problems connected with orthodontic observation, diagnosis, Begg treatment, and retention. In this third article, due attention has been given to common problems of the chairside worker as encountered in daily practice. Certain comments have been offered, particularly with regard to child dental care and orthodontic guidance procedures of the growing child. A treatment approach, based on an individual optimum for each patient is discussed, following the course of treatment of three cases (Figs. 1, 2, and 4) with unfavorable jaw patterns and dental problems. These are compared with others having better anatomic proportions (Figs. 3 and 5). In the last case (Fig. 5) diagnosis and treatment planning are once again reviewed. The essential decision to be made for each orthodontic treatment, namely, whether and which teeth must be removed, is discussed and illustrated. In all cases, attention has been given to the portrayal of methods and technical details through the three stages of Begg treatment. ( info) |
6/150. Gorham's disease: a case (including dental presentation) of vanishing bone disease. A case of multicentric vanishing bone disease with maxillofacial involvement in a 4-year-old boy is presented. The clinical and histologic features are described along with the subsequent management of the disease, and the literature concerning this unusual and rare condition is reviewed. ( info) |
7/150. Dental findings in Lowe syndrome. This paper presents the dental findings of a child with the oculocerebrorenal syndrome of Lowe. The genetic abnormality in this condition results in an inborn error of inositol phosphate metabolism. Renal tubular dysfunction leads to metabolic acidosis and phosphaturia. At 4 years, generalised mobility of all primary teeth was noted. It is postulated that a defective inositol phosphate metabolism was responsible for the periodontal pathology found in this case. This is in direct contrast with previous reports of prolonged retention of primary teeth in children with this condition. histology of extracted primary incisors demonstrated enlarged pulp chambers and mildly dysplastic dentin formation. This is consistent with a chronic subrachitic state, a known feature of Lowe syndrome, but no prominent interglobular dentin was present. ( info) |
| osteogenesis imperfecta is a rare congenital bone disease affecting the mesenchyme and some of its derivatives resulting in three basic clinical entities--fragility of bones, blue sclera, and otosclerosis. The medical and dental literature pertaining to osteogenesis imperfecta is reviewed, and a specific dental case is discussed. ( info) |
9/150. Bacterial endocarditis of dental origin: report of case. Although appreciated by most practitioners, the fact that dental infection may be the source of bacteremia without a history of recent dental procedures is occasionally overlooked. The case reported here illustrates what we feel is an example of such a phenomenon. The eradication of the oral foci of infection enhanced the patient's response to therapy and prompted his ultimate recovery. ( info) |
10/150. Localization of objects in the anterior areas with a single Panorex radiograph. Impacted objects in the anterior dental region can be localized in a labial-palatal direction with a single Panorex film. Clark's rule is applied to the two views of the anterior area obtained. The technique is verified by means of a dry skull with lead markers in known positions, and two clinical cases are reported. ( info) |