11/20. Management of a patient with an accessory maxilla and congenital facial fistula.Although accessory jaws are a rare occurrence, the presence of such accessory tissue may cause some bothersome symptoms. This case report helps identify these unusual developmental lesions so that dentists can refer such patients for definitive care and management.- - - - - - - - - - ranking = 1keywords = fistula (Clic here for more details about this article) |
12/20. Endodontic problems resulting from surgical fistulation: report of two cases.The use of surgical fistulation after endodontic therapy caused clinical problems for two patients. Only one patient was treated successfully for restoration of a molar; for the second, surgery was not advised. analgesics and antibiotics may be better initial therapy than use of fistulation.- - - - - - - - - - ranking = 1.5keywords = fistula (Clic here for more details about this article) |
13/20. Cutaneous sinus of dental origin: a diagnosis requiring clinical and radiologic correlation.Cutaneous sinuses may arise from chronic dental infections. These sinus tracts usually appear as suppurative lesions of the chin or neck. diagnosis is made by palpating the lesion and by radiologic examination demonstrating periapical dental abscess. Treatment with dental extraction or root canal results in resorption of the inflammatory fistula. Since many patients with sinus tracts of dental origin do not have any complaints of tooth or mouth pain, the correct diagnosis may be overlooked by the unsuspecting clinician.- - - - - - - - - - ranking = 0.25keywords = fistula (Clic here for more details about this article) |
14/20. Nonsurgical treatment of extraoral lesions caused by necrotic nonvital tooth.Two cases of extraoral fistula on the chin--caused by necrotic pulp of lower anterior teeth--are being presented. A paste consisting of equal amounts of calcium hydroxide and iodoform mixed with glycerin was used. It is concluded that the positive results of this method of treatment were due to the therapeutic properties of the paste. The historical background of similar pastes is--in retrospect--briefly reviewed.- - - - - - - - - - ranking = 0.25keywords = fistula (Clic here for more details about this article) |
15/20. Labiobuccal mucosal island flap for closure of anterior palatal fistulae. Case report.A method for closure of wide anterior palatal fistulae with a labiobuccal mucosal island flap introduced to the defect along the nasal floor is described. Five operated cases, of which one was a partial failure, are presented. The operations preferable for various types of fistulae are discussed.- - - - - - - - - - ranking = 1.5keywords = fistula (Clic here for more details about this article) |
16/20. Draining fistulas associated with an endodontically treated tooth.A case of periapical actinomycosis is presented. Although apparently uncommon, actinomycosis should be considered when a chronic periapical lesion, often in the maxilla, is associated with an endodontically treated tooth or a previous history of trauma. Histologic examination of the tissue or the presence of "sulfur granules" in the exudate will usually establish the diagnosis. Treatment consists of local curettage and antibiotic therapy.- - - - - - - - - - ranking = 1keywords = fistula (Clic here for more details about this article) |
17/20. Gigantic ameloblastoma of the mandible complicating hypoproteinemia: case report.A case of gigantic ameloblastoma of the mandible complicating hypoproteinemia is reported. The patient, a 73-year-old male, had refused a surgical procedure on an ameloblastoma for 13 years. By the time the tumor had increased in size and fistulas from it had formed, hypoproteinemia and generalized edema had occurred. The tumor was removed when the serum total protein level had recovered to about 5 g/dl following the administration of a plasma protein preparation. After the operation, hypoproteinemia and edema clearly improved. hypoproteinemia is thought to be caused by leakage of plasma or occasional bleeding through the oral fistulas of ameloblastoma, and in this patient's case, poor nutrition because of his masticatory and swallowing difficulties.- - - - - - - - - - ranking = 0.5keywords = fistula (Clic here for more details about this article) |
18/20. Prosthodontic closure of palatal fistula with osseointegrated implants and onlay bone grafts--case report.A case treated with onlay bone grafting and simultaneous osseointegrated implant insertion is reported. The patient had an oronasal fistula in the center of the premaxillary region due to failed repair of a bilateral cleft palate. Four fixtures were inserted with onlay bone grafting of the maxillary alveolar ridge. Twelve months postsurgery, one fixture was lost as a result of severe bone resorption around the fixture, but three fixtures integrated strongly. We constructed an overdenture stabilized with ball attachments connected to the implants 13 months after the first operation. speech and masticatory function improved remarkably with closure of the fistula and good fixation of the denture.- - - - - - - - - - ranking = 1.5keywords = fistula (Clic here for more details about this article) |
19/20. An unusual attempt at surgical repair.gold foil was used in an attempt to repair a periapical surgical site in the lower anterior region. This method of repair was used in the past for surgical closure of persistent oroantral fistulas with some success. In this case, it met with failure.- - - - - - - - - - ranking = 0.25keywords = fistula (Clic here for more details about this article) |
20/20. Implant periapical lesions: clinical, histologic, and histochemical aspects. A case report.A new entity, the "implant periapical lesion," has recently been described. The etiology of this condition could be attributed to overheating of the bone, overloading of the implant, presence of a pre-existing infection or of residual root particles and foreign bodies in the bone, implant contamination during production or during insertion, or placement of the implant in an infected maxillary sinus. In this report, a titanium plasma-sprayed implant had been inserted into the mandible of a 53-year-old patient; after 5 months a fistula developed and periapical radiography showed a large radiolucent image around the apical portion of the implant. The implant was removed, and histologic examination showed necrotic bone and an inflammatory infiltrate inside the hollow portion of the implant. The etiology of the implant failure in this instance could be related to a fracture and vascular impairment of the bone inside the implant during insertion, to external contamination of the implant, or to the poor bone quality of the implant site.- - - - - - - - - - ranking = 0.25keywords = fistula (Clic here for more details about this article) |
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