Tuesday, May 6, 2008

Latest news in Dentistry

Treatment and resolution of a mental nerve paresthesia

NOTE: This case is a classic example of inadequate apical cleaning, which can be achieved only by non tapered endo instruments

Several such highly infected cases and with sinuses heal beautifully without the need for apical resection if you use the above mentioned instruments, try it today.

The purpose of the present case report (triple O May 2008 online issue) is to present the treatment and resolution of a mental nerve paresthesia (MNP) stemming from apical pathosis of a mandibular canine tooth and the follow-up of 3 years.

A 28-year-old man was referred to the Selçuk University Faculty of Dentistry Oral-Maxillofacial Surgery Clinic by his dentist in March 2004. The patient had a complaint of slight swelling and numbness of the left skin mucosa of the lower lip and left chin. He also stated that certain swelling disappeared after therapy subsequent to antibiotic and analgesic prescription of the dentist. Even though the certain swelling almost disappeared, the numbness of the lower lip and the pain of the adjacent teeth was refractory.
Radiographic examination revealed a unilocular lesion surrounding the apical portion of the left lower canine tooth. RCT was carried out 3 weeks back. Patient was given antibiotic which did not help and so it was decided to operate on the tooth with apical resection.

At the follow-up appointment, 10 weeks later after first visit, the patients was free of pain and there was a complete resolution of paresthesia and related tooth was asymptomatic. At the recall visit after 3 years from the initial treatment, the patient was still in comfort without any previous symptoms. Panoramic and periapical view of the area showed that peripical radiolucency had been diappeared and the tooth was restored with composite filling without problem.

Message:
ENDO is easy, but good endo is not easy

Botox ? Is it Safe ?

We had brought you an update about the use of Botox in dentistry
Now a recent animal study has shown that botox can move from injection site to brain.
Scientists injected rats' whisker muscles with botulism toxin. Tests of the rodents' brain tissue found that botulism had been transported to the brain stems, the researchers said in the Journal of Neuroscience published April 2. 2008.
Botulism neurotoxin can disrupt nerve cells' ability to communicate and may change spinal cord circuitry, the authors wrote in the study. Full report here

Eruption rates in Diabetes Mellitus Children

It is published in May 2008 issue of Pediatrics (American Journal)
OBJECTIVE. The objective of this study was to evaluate tooth eruption in 6- to 14-year-old children with diabetes mellitus.

METHODS. Tooth eruption status was assessed for 270 children with diabetes and 320 control children without diabetes. Data on important diabetes-related variables were collected. Analyses were performed using logistic regression models.

RESULTS. Children with diabetes exhibited accelerated tooth eruption in the late mixed dentition period (10–14 years of age) compared to healthy children. For both case patients and control subjects the odds of a tooth being in an advanced eruptive stage were significantly higher among girls than boys. There was also a trend associating gingival inflammation with expedited tooth eruption in both groups. No association was found between the odds of a tooth being in an advanced stage of eruption and hemoglobin A1c or duration of diabetes. Patients with higher body mass index percentile demonstrated statistically higher odds for accelerated tooth eruption, but the association was not clinically significant.

CONCLUSIONS. Children with diabetes exhibit accelerated tooth eruption. Future studies need to ascertain the role of such aberrations in dental development and complications such as malocclusion, impaired oral hygiene, and periodontal disease. The standards of care for children with diabetes should include screening and referral programs aimed at oral health promotion and disease prevention.


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