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The Classification of Odontogenic Cysts
Published in Roger M. Browne, Investigative Pathology of the Odontogenic Cysts, 2019
The paradental cyst was first described only recently47 and is probably a specific form of inflammatory collateral cyst. It is found only in association with partially erupted mandibular third molars (Figure 15), when it lies either buccally or distobuccally in the majority of cases.47–49 It is perhaps surprising that, although it has only recently been characterized, in Craig’s series it accounted for 3 to 5% of all odontogenic cysts. Two thirds of them are diagnosed in the third decade and approximately three quarters in males. They are believed to be of inflammatory origin, all the patients giving a history of past recurrent pericoronitis. Occasionally, they are bilateral.
Benign Oral and Dental Disease
Published in John C Watkinson, Raymond W Clarke, Terry M Jones, Vinidh Paleri, Nicholas White, Tim Woolford, Head & Neck Surgery Plastic Surgery, 2018
Konrad S. Staines, Alexander Crighton
Pericoronitis is an acute localized infection which develops around partially erupted teeth, with the most common site being around a partially erupted, impacted wisdom tooth. Presentation is with symptoms of pain aggravated by jaw movement and mastication, trismus and halitosis. On examination an inflamed operculum (gum flap) is invariably present around the affected tooth, associated with localized facial swelling, regional lymphadenopathy and inability to open the jaw to the usual range of movement.
Mandibular fractures
Published in John Dudley Langdon, Mohan Francis Patel, Robert Andrew Ord, Peter Brennan, Operative Oral and Maxillofacial Surgery, 2017
Teeth in the line of a fractured mandible is a common problem. Canines and third molars in particular create points of weakness making fractures at these sites relatively common. Vital, functional or unerupted teeth can be left in situ as long as there is no associated pathology with the tooth. The concern is with retained non-vital or periodontally involved teeth which may encourage infection in the fracture resulting in nonunion or abscess formation. The indications for tooth removal are as follows:The tooth interferes with fracture reduction.The tooth is fractured. Devitalized roots act as a nidus for infection.Tooth with advanced dental caries.Tooth with established periodontal disease.The presence of associated pathology such as cysts or pericoronitis.
Etoposide combined with ruxolitinib for refractory hemophagocytic lymphohistiocytosis during pregnancy: a case report and literature review
Published in Hematology, 2019
Shuoshan Wang, Jingguo Wu, Xiaoli Jing, Yongwei Zhang, Hao Tang, Junlin Wu
A 26-year-old woman in her first pregnancy presented to the emergency department with fever. A pericoronitis abscess in her wisdom teeth was removed 25 days ago. She was first admitted to a local hospital and was considered for sepsis. Despite the early treatment with antibiotics, she had persistent fever and slowly developed into cytopenia, and bone marrow biopsy revealed 1% hemophagocytes. Then she was transferred to our hospital. Physical examination revealed pale face, body temperature (T) 39.2°C, heat rate 102 beats/min and blood pressure 107/67 mmHg. The cardiopulmonary and abdominal examinations yielded unremarkable results, and there was no evidence of lymphadenopathy. She denied cough, abdominal pain, diarrhea, abnormal vaginal secretions, alopecia, rash and joint pain. There was no history of recent travels. She was allergic to sulfonamides, and hypothyroidism was observed at fifth week of pregnancy.
Acute rhinosinusitis – are we forgetting the possibility of a dental origin? A retrospective study of 385 patients
Published in Acta Oto-Laryngologica, 2019
Annina Wuokko-Landén, Karin Blomgren, Hannamari Välimaa
Acute rhinosinusitis (ARS) is either a continuum of a viral upper respiratory infection or bacterial infection [1]. Because the maxillary teeth are located close to the maxillary sinus, ARS may also arise from an odontogenic source (odontogenic sinusitis, OS). Odontogenic infections are a known cause of sinusitis, but often overlooked [2]. OS may follow periapical or periodontal dental infection, pericoronitis or dental implant infection. Iatrogenic factors, such as foreign bodies in the sinus and a non-closing oroantral communication following a tooth extraction, can also result in OS [3]. Odontogenic infection can spread further from the maxillary sinus into the other paranasal sinuses and then opacification of the ethmoids is often present [4].
Determination and identification of antibiotic-resistant oral streptococci isolated from active dental infections in adults
Published in Acta Odontologica Scandinavica, 2018
Juan Pablo Loyola-Rodriguez, Maria Elena Ponce-Diaz, Alejandra Loyola-Leyva, Jose O. Garcia-Cortes, Carlo E. Medina-Solis, Azael A. Contreras-Ramire, Eduardo Serena-Gomez
Nevertheless, there is little information about ARB related to gender and age. There are reports that active oral infection is more frequent in males. However, it has been observed that there is no difference concerning gender [21] as same as declared in this study. Regarding age, it has been reported a wide range of age, from children to adults [18,21]. In this study, we divided the population into three segments and found no statistical difference between groups of age and the presence of multi-resistant antibiotics oral streptococci. Another strength of the present study was that all patients were affected by active dental infections rather than pericoronitis which produces a different bacterial biofilm [21].