Abstract: Introduction: Pleomorphic adenoma is a benign neoplasm that develop at the expense of the salivary gland. It evolves without symptoms; the reason why late consultations are often observed. The size of its volume can have an important functional implication. Observation: A 22 years old patient was referred by a dental surgeon for a palatal swelling evolving for two years. Intraoral examination presented an ovoid palatal mass not crossing the median line. It was covered with normal mucosal. The swelling on palpation was non tender and with a firm consistency. The scanner presented a well limited homogenous lesion located at the palate. Excision was done under general anaesthesia. Palatal silicone plate was used to protect the operated wounds. Post operation evolution was simple. Discussion: Pleomorphic adenoma is one of the most frequents benign salivary glands tumours. It is relatively rare intraorally, but when it occurs it is mostly located at the palate. It is recommended to use a palatal plate after surgery to facilitate healing and promote oral functions like phonation, as well as feeding. However, most often we are faced with unforeseen events that do not permit us to follow the usual pattern. Conclusion: Oral surgeon must be able to adapt to any situation in order to provide quality services regardless of the context.
Traumatic injury to the primary teeth can cause significant alteration of the
underlying permanent dentition because of the close anatomic relationship between
the developing permanent teeth and the apices of the overlying primary incisors. Aim:
This case report describes a rare complication of odontoma -like malforamtion along
of the permanent tooth, resulting from the intrusion of the predecessors at very young
age.Clinical and radiographic examination revealed unerupted left maxillary central
incisor blocked by a compound odontoma.The treatment plan was the surgical
removal of the odontoma. Clinical and radiological follow-ups have been established
to monitor the eruption of the permanent tooth.
Residual diastema closure treatment is popular treatment in esthetic
dentistry. Indeed these median anterior diastems can compromise the harmony of a
patient's smile. Thinks to the advances in the field of adhesive dentistry, practioners
can use direct composite restoration to solve these situations. This restorative
approach is simple, fast, predictable and less expensive than indirect restorations. It
present many adventages such us conservative and esthetic treatment, adequate
interproximal contact establishment, an esthetic emergence profile with parodontal
papilla respect. In this article, we will describe, through clinical cases, the closure of
diastema inter incisor by direct composite resin.
Implant dentistry serves as an excellent treatment option to restore the edentulous areas. People with existing natural dentition often have a hard time psychologically accepting the idea of a removable appliance. Patients' preference for choosing which partial edentulous space has never been explored. We present one unique case that had two Kennedy’s partial edentulous situations (one tooth missing) with one in the esthetic zone (maxillary premolar) and the other in a non-esthetic zone (maxillary molar). The patient opted for restoring the mandibular tooth, first as part of his self reliance test for using implant supported restoration. A two stage surgery saw an endosseous (5.3 × 10 mm) implant fixture placed over which porcelain fused to metal restoration was screwed to the abutment. While the patient was happy with the outcome of the mandibular prosthesis, he never turned to restore the maxillary partial edentulous space
An insincere student can always outsmart his peer and finish his allotted work without actually delivering the deserved goods to his patient. Such a probability is more in institutes with less teacher student ratio and with overburdened staff. An elderly male patient undergoing complete denture treatment by an intern had received a denture with poor aesthetics and stability. The patient was anxious, embarrassed and demanded an immediate replacement of the denture. Examination of the maxillary complete denture revealed severely proclined denture teeth as a major source of the problem. Treatment planning involved an attempt to correct existing dentures using a novel chairside approach which, if found unsatisfactory, would result in the fabrication of new denture. The technique involved using a centric relation record to do a clinical remount on a mean value articulator following which the faulty anterior teeth were removed and replaced using a denture over impression. The advantage of this chairside technique is that it allows a clinician/patient to perform/approve a denture trial, while disadvantage is the union between the artificial teeth and the denture base is with self - cure repair resin
Aim: The purpose of this study is to evaluate the prevalence and various reasons given for permanent teeth extractions in a dental clinic of a Teaching Hospital in Maiduguri, Nigeria. Materials & Methods: The clinical records of patients who attended the clinic and the work book of the oral surgery clinic were collected and analyzed according to gender, age and reasons for extraction. The age ranges from 16 to 75 years but this was then grouped according to age groups of ten years each. Results: Dental caries was the leading cause of extraction (69.9%) disimpation/pericoronitis was 10.9% while periodontal disease, dento-alveolar abscess, failed amalgam restorations, trauma, removal of supernumerary teeth and endodontic failure accounted for 8.6%, 4.0%, 3.8%, 1.2%, 1.0% and 0.6% respectively, 77.5% of all extraction occurred within the age of 16 – 35 years, 90.3% of all extraction were within the age of 16 45 and of the 77.5% extraction in the 16 – 35 years age group, 75.6% of these were due to caries. More extractions were carried out in females (53.6%) than in male (46.4%). Conclusion: Extraction as a result of dental caries is growing at an alarming rate yet there is no oral health policy in place while place in Nigeria and some developing economics therefore is an urgent need for formulation of oral health policies and effective institution of appropriate dental health care strategies that will ensure and promote oral health care. Clinical Significance: is to evaluate and analyze the level of loss of teeth in order to dense a means of halting or reducing the rate of tooth extraction
Many clinical trials & case control studies have been published about the effectiveness of Homoeopathic remedies for oral & maxio facial problems. In dentistry, Homoeopathic remedies have been proposed for oral ulcers, sialorrhoea, neuralgia, tempro mandibular joint disorders, xerostomia, oral lichen plannus & bruxism. It is incumbent on physicians to be aware of & to have working knowledge of complementary medicine that has become a rule rather than exception especially in dentistry. The current case is an example of this complementarity. Homoeopathy is useful for toothache, early dental abscess, dry socket, diseases of pulp & periapical region, trigeminal neuralgia, post-surgical bleeding, decay of milk teeth.The current case is such an example where both Allopathy & Homoeopathy systems of medicine were used simultaneously. One study mentions that Homoeopathic medicines can be taken together with allopathic drugs without causing interaction between them.