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Data and Picture Interpretation Stations: Cases 1–45
Published in Peter Kullar, Joseph Manjaly, Livy Kenyon, Joseph Manjaly, Peter Kullar, Joseph Manjaly, Peter Kullar, ENT OSCEs, 2023
Peter Kullar, Joseph Manjaly, Livy Kenyon, Joseph Manjaly, Peter Kullar, Joseph Manjaly, Peter Kullar
Treatment includes treating the dental cause (i.e. root canal, apicoectomy or dental extraction) in addition to medical therapy of systemic antibiotics, saline nasal irrigation and nasal steroid drops. If this does not control the symptoms, ESS may be required.
Psychogenic Factors in Benign Chronic Orofacial Pain
Published in Eli Ilana, Oral Psychophysiology, 2020
More recent data show the high percentage of surgical treatment (including tooth extractions) performed on these patients, often with no relief from their pain.42,45,46,55 Remick et a l42 reported that of 58 AO patients, 21 (36%) accounted for 65 different dental and surgical treatments, with only 1 patient showing less pain as a result. Discomfort was worse in 3 patients after treatment, and in the vast majority (80%) it was unchanged. The ineffective dental and surgical treatments performed included 11 treatments involving tooth extraction (up to 4 extractions in 1 patient); 10 cases of endodontic therapy; 3 of surgical exploration; 2 of apicoectomy; 2 of occlusal adjustment; and some cases of Caldwell-Luc (n = 2), TMJ athroplasty (n = 1), and laryngeal biopsy (n = 1). Of the 21 patients, 17 underwent two or more procedures. It is interesting to note that 69% of the patients in this group suffered from some specific psychiatric illness.
Radiosurgical Techniques
Published in Jeffrey A Sherman, Oral Radiosurgery, 2020
An apicoectomy or root resection is a surgical procedure used to remove the apical portion of the root of a tooth and curette the adjacent periapical tissue. This procedure is indicated when there is extensive destruction of the periapical tissue or bone, or when cystic material is evident at the root apex.
Evaluating tooth extraction as a stand-alone treatment for odontogenic sinusitis
Published in Acta Oto-Laryngologica, 2023
Emi Tsuchiya, Momoko Takeda, Eri Mori, Ikuko Takakura, Ryoto Mitsuyoshi, Nobuyoshi Otori, Katsuhiko Hayashi
The causes and pathogenic mechanisms underlying odontogenic sinusitis (OS) include direct bacterial infections of the maxillary sinus mucosa arising from apical or marginal periodontitis [1–3]. Extraction of the causative tooth is reasonable because, in the long term, treatment of the causative tooth is essential to eliminate the source of infection. However, there has been no consensus regarding the preservation or extraction of the causative tooth [4,5], and several dental treatments for OS, including tooth extraction, root canal treatment (RCT), and apicoectomy, have been reported [6]. This prospective study aimed to statistically analyse the cure rates of OS and the contributing factors of cure after a stand-alone treatment with a tooth extraction in patients diagnosed with OS and indicated for causative tooth extraction.
Frequency and type of tooth extractions in adults vary by age: register-based nationwide observations in 2012–2017
Published in Acta Odontologica Scandinavica, 2023
Miira M. Vehkalahti, Irja Ventä, Maria Valaste
The register system of the SII places under the same main category all patients who received any oral surgical procedure. Thus, it was impossible to distinguish numbers of those patients who received just tooth extractions, while the data offered the information of the numbers of tooth extractions. In addition to tooth extractions and other tooth-based procedures, such as hemisection, apicoectomy and coronectomy, there are other types of oral surgical treatments; most of them infrequent, whereas e.g. the placement of a dental implant is frequent in the private dental care, where per year about 20,000 patients receive implants [21]. This indicates that patients with oral surgical procedures other than tooth extractions made up only a minor part of all patients receiving oral surgical procedures. Consequently, the rates of patients undergoing oral surgical treatments only slightly overestimate the actual rates of patients receiving tooth extractions.
Notch – a possible mediator between Epstein-Barr virus infection and bone resorption in apical periodontitis
Published in Acta Odontologica Scandinavica, 2020
Aleksandar Jakovljevic, Nadja Nikolic, Jelena Carkic, Miroslav Andric, Maja Miletic, Katarina Beljic-Ivanovic, Tanja Jovanovic, Jelena Milasin
The apical periodontitis samples were collected from 64 consecutive patients (aged 18–68 years; mean age 35.7 ± 13.1 years; 27 males and 37 females) at the Department of Oral Surgery, School of Dental Medicine, University of Belgrade, during the period from October 2016 to March 2017. All patients included in the study were in good general health (American Society of Anesthesia level I or II), and required surgical apicoectomy due to the failure of conventional root canal treatment. Patients with periodontally involved teeth (probing depth > 4 mm, with periodontal bone loss), vertical root fracture, immunocompromised, or patients treated with antibiotics, antiviral or immunosuppressive therapy 3 months before the examination were excluded from the study. Clinical, radiographic and histopathological features of apical periodontitis lesions were gathered from all included patients based on previously reported criteria [26].