Cases reported "Tooth Injuries"

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1/11. Unusual dental injuries following facial fractures: report of three cases.

    We report 3 cases of unusual dental injuries following facial fractures. The first patient sustained intrusion of a maxillary incisor into the nasal cavity following a mandibular fracture. The tooth dislocated into the pharynx and was found lodged in the piriform fossa during surgery. The second patient sustained intrusion of molars into the maxillary sinus following maxillary and mandibular fractures. His treatment was delayed due to life-threatening hemorrhage. The third case involved ingestion of multiple avulsed teeth into the alimentary tract following severe maxillofacial fractures. Although the diagnosis was made more than a week after the injury, the patient did not suffer any complications as a result of the dental avulsion. The aim of this report is to emphasize the possibility of associated dental injuries in patients with facial fractures. The trauma surgeon should be cognizant of the importance of carrying out a thorough intraoral examination during the initial evaluation. Any missing tooth should be considered as possibly displaced into other tissue compartments, and must be routinely searched for with x-rays of the skull, cervical spine, chest, and abdomen. If full intrusion injury is suspected, further diagnostic investigation with facial computed tomography scanning may be worth while.
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2/11. Apex formation during orthodontic treatment in an adult patient: report of a case.

    This clinical report describes an apexification procedure on a maxillary left central incisor in a 34-year-old male who was also receiving active orthodontic treatment. The pulp of the tooth had become necrotic following a traumatic injury when the patient was 8 years of age. Despite the tooth undergoing active orthodontic repositioning with fixed appliances, root-end closure occurred uneventfully and within 3 years.
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3/11. Self-inflicted injury in a case of Hallervorden-Spatz disease.

    Hallervorden-Spatz disease (HSD) is a rare neurodegenerative disorder characterized by abnormally high deposits of iron in the brain. This report describes a child with HSD who presented with self-inflicted ulceration of the lip and tongue, which was initiated during periods of intense oro-facial spasms. Other findings included dental caries and trauma to the primary incisors. comprehensive dental care was carried out under general anaesthesia. The self-mutilation of the oro-facial mucosa was eliminated by placement of upper and lower soft resin bite guards.
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4/11. Trauma quiz. Terribly troublesome, trauma teeth.

    Unfortunately, we come across many traumatised teeth during our practising career. Some of these traumatic injuries are rather simple to treat whereas others provide us with a real challenge. It is absolutely essential that the diagnosis of the injury be known before any treatment is attempted. When it comes to trauma, however, defining the exact form of treatment can often be very difficult. In this paper I will discuss some of the cases that I have managed and leave it up to YOU to decide whether my treatment has been correct, incorrect or whether there is some other form of treatment that we have at our disposal that could have been attempted.
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5/11. 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.
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6/11. incisor trauma and the planning of orthodontic treatment.

    Because of the frequency of dental injuries during infancy and adolescence, traumatized teeth with variable long-term prognoses present a problem for orthodontic treatment planning. Orthodontic therapy can remain unaffected, or be complicated, by traumatized teeth. In some cases, following dental injury, orthodontics can also be used to enhance (prosthetic and) restorative treatment results. The orthodontic challenges involved in treating patients with a history of dental trauma are complicated by the consequences of trauma on dentition development and the different treatment options that must be considered. In this paper, we provide actual examples of the effects dental trauma can have on orthodontic treatment planning.
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7/11. Management of the perforations due to miniplate application.

    Microdimensioned osteosynthesis using miniplates has been common practice in maxillofacial surgery. However, tooth injury during the application of the miniplates have been reported in few papers. In this case, a 32-yr-old female patient, whose two teeth were necrosed because of the perforation during screw insertion was presented. The reason of the perforations during the rigid internal fixation was the lack of radiographic assessment because of the pregnancy. Maxillary right first premolar and maxillary left canine were perforated and necrosed because of the screw insertion. The necrosed teeth were detected 1 yr after the rigid internal fixation. The root canals of nonvital teeth were filed using step-down approach. Cold lateral condensation of gutta-percha was used to fill the canals. Six-month recall visits were scheduled and there was no problem after 2-yr follow-up period.
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8/11. Orofacial injury in a Brazilian professional basketball player: case report.

    The frequency of dental trauma has increased among children and athletes of all ages who play contact sports. This kind of trauma may result in irreversible damage to the patient. The aim of this report is to present a case of an orofacial trauma involving a professional basketball player who was elbowed by another player. The athlete reported loss of sensitivity in three teeth and computerized tomography showed fractures in three points of the malar bone. After the incident and dental follow-up, the player was made aware of the need to wear a mouthguard.
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9/11. Self-inflicted dental injury presenting as localized anterior tooth surface loss.

    A case of localized anterior tooth surface loss (TSL) with an unusual aetiology is reported.Whilst suffering from a bout of acute depression and anxiety, a 29-year-old female caused significant trauma to her anterior dentition with a pair of fabric scissors.The presentation and management of this case is described. CLINICAL RELEVANCE: Although tooth surface loss is a common clinical finding in many patient groups, practitioners should be aware of possible unusual aetiologies which may be involved.
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10/11. Severe trauma in the primary dentition--diagnosis and treatment of sequelae in permanent dentition.

    A 2-year 6-month male presented after an intrusive injury sustained at 15 months of age. Intra-oral radiographs showed coronal dilaceration of the germ of the permanent central incisor and the presence of a calcified tissue mass in the area of the trauma which was identified after surgical removal as the permanent upper left lateral incisor. Immediate treatment and long-term options are discussed.
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