BACKGROUND Dental injury is the leading cause of litigation in anaesthesia but an underrecognized preventable complication of endoscopy.AIM To determine frequency and effects of dental injury in endoscopy,we present f...BACKGROUND Dental injury is the leading cause of litigation in anaesthesia but an underrecognized preventable complication of endoscopy.AIM To determine frequency and effects of dental injury in endoscopy,we present findings from an audit of outpatient endoscopy procedures conducted at a tertiary university hospital and a systematic review of literature.METHODS Retrospective review of 11265 outpatient upper endoscopy procedures over the period of 1 June 2019 to 31 May 2021 identified dental related complications in 0.284%of procedures.Review of literature identified a similar rate of 0.33%.RESULTS Pre-existing dental pathology or the presence of prostheses makes damage more likely but sound teeth may be affected.Pre-endoscopic history and tooth examination are key for risk stratification and may be conducted succinctly with limited time outlay.Tooth retrieval should be prioritized in the event of dental injury to minimize aspiration and be followed by prompt dental consultation for specific management.CONCLUSION Dental complications occur in approximately 1 in 300 of upper endoscopy cases.These are easily preventable by pre-endoscopy screening.Protocols to mitigate dental injury are also suggested.展开更多
Introduction: Palatal abscess or cellulitis of dental origin is a rare clinical form of circumscribed cellulitis that can sometimes pose a diagnostic problem. It is the consequence of poor or non-treatment of dental c...Introduction: Palatal abscess or cellulitis of dental origin is a rare clinical form of circumscribed cellulitis that can sometimes pose a diagnostic problem. It is the consequence of poor or non-treatment of dental caries or trauma. The aim of this study is to describe the clinical and therapeutic aspects of these two cases of palatal cellulitis of post-traumatic dental origin. Observation: The patients consulted for painful palatal swelling secondary to untreated dental trauma of the 21s. The diagnosis of palatal cellulitis was based on the inflammatory and fluctuating nature of the swelling. A probabilistic bi-antibiotic treatment and an incision and drainage associated with treatment of the portal of entry were carried out. Progression was favourable in both cases. Conclusion: Palatal cellulitis is a rare condition and can be prevented by systematic stomatological consultation after dental trauma. Diagnosis is clinical. However, CT scans are sometimes useful. The course is generally favorable with appropriate treatment.展开更多
<b><span>Objective:</span></b><span> This study aimed to evaluate the age, gender, causes, place of trauma, and type of crown fracture in permanent dentition among patients </span>&...<b><span>Objective:</span></b><span> This study aimed to evaluate the age, gender, causes, place of trauma, and type of crown fracture in permanent dentition among patients </span><span>attending Liaquat University of Medical and Health Sciences Hospital (LUMHS)</span><span>, Jamshoro, Pakistan.</span><span> </span><b><span>Methodology:</span></b><span> This cross-sectional study was conducted at the Operative Dentistry Department of LUMHS hospital over a period of six months. All patients (6</span><span> </span><span>-</span><span> </span><span>40 years of age) who had a history of dental trauma and attending dental OPD were included in this study. The data for all patients were recorded in a predesigned proforma. Data were collected on age, gender, place of trauma (playground, road, home), cause of trauma (fall, playing, road accident, bicycle accident, collisions, fighting) and associated symptoms. The data w</span><span>ere</span><span> analyzed using SPSS 22.0. Mean and the standard deviation w</span><span>as </span><span>computed for a quantitative variable like age. Frequency and percentage were calculated for qualitative variables like gender, risk factors, and pattern of trauma. </span><b><span>Results:</span></b><span> A total of 82 patients were enrolled. The most frequent age group involved was 13</span><span> </span><span>-</span><span> </span><span>20 years (46%) with males (58.5%) predominance. The majority of trauma cases were due to fall (36.6%) while playing and 19.5% were bicycle accidents. The most commonly affected tooth was right maxillary central incisor (46.6%) followed by left maxillary central incisor (28.4%). Of the 116 teeth examined, 56.0% had a complicated crown fracture and 44.0% had an uncomplicated crown fracture</span><span>. </span><b><span>Conclusion:</span></b><span> </span><span>Safety measures should be implemented where dental traumatic accidents occur most frequently like </span><span>at</span><span> </span><span>home and on the roads.</span>展开更多
Purpose:Dental and orofacial trauma among the adult population constitutes a major public health problem.The impact is not just physical but also psychological.To analyse the impacts of dental and orofacial trauma on ...Purpose:Dental and orofacial trauma among the adult population constitutes a major public health problem.The impact is not just physical but also psychological.To analyse the impacts of dental and orofacial trauma on oral health-related quality of life(OHRQoL)in adults and determine whether the 2 variables are closely interlinked.Methods:This is a systematic review.The terms“dental trauma”,“orofacial trauma”,“oral health”,“oral health related impact life”,“OHRQoL”,“positive and negative affect scale”,“quality of life”,“facial injuries”,“adults”,and“young adults”were researched in the databases of PubMed,ScienceDirect,Scopus and Google Scholar for associated studies up to December 30,2022.A comprehensive search was designed and the articles were independently screened for eligibility by 2 reviewers.The included studies’author,year of publication,the country where the study was conducted,population demographics(number and age),an instrument used for assessing OHRQoL and the relevant result were recorded and compared.The quality of the evidence was assessed using Joanna Briggs Institute checklist for observational studies.Results:Out of 482 unique records,3 articles were included for data extraction.Observational studies were included.Two studies did not mention confounding factors.Different scales were used for dental and orofacial trauma and OHRQoL.OHRQoL has a directly proportional relationship with orofacial trauma.Adolescents with orofacial trauma have a significant impact on this value with a prevalence of 88.4%.Conclusion:The highest impact on OHRQoL was seen immediately after the diagnosis of an orofacial trauma.The impact increases with the severity of the trauma.Therefore,to promote overall dental and general health,health education initiatives should include information on the causes,prevention,and requirement for prompt responses by the populace in seeking dental intervention.展开更多
Patients with obsolete anterior tooth trauma often see a doctor because of dental stain or gingiva tumefaction and suppuration in clinical. In this case, a 28-year-old female patient took root canal therapy for repeat...Patients with obsolete anterior tooth trauma often see a doctor because of dental stain or gingiva tumefaction and suppuration in clinical. In this case, a 28-year-old female patient took root canal therapy for repeated gingiva tumefaction and tooth stain in anterior teeth of left maxillary and giant foreign body at apex shown in X-ray photography. After removing the foreign body at apex by endodontic surgery, internal bleaching and resin repair were conducted. The therapy shows that the usage specification of hot gutta-percha should strictly follow the operational steps, while the necessity of X-ray photography after operation should be confirmed in clinical operation. In addition, internal bleaching and resin repair should be combined to obtain the success in clinical therapy.展开更多
目的:分析生物陶瓷iRoot BP Plus在儿童牙外伤导致的牙露髓治疗中的应用效果。方法:回顾性分析2020年12月—2022年12月于漳州卫生职业学院附属口腔医院就诊的70例牙外伤导致的牙露髓患儿的资料。均应用活髓切断术治疗,根据术中应用盖髓...目的:分析生物陶瓷iRoot BP Plus在儿童牙外伤导致的牙露髓治疗中的应用效果。方法:回顾性分析2020年12月—2022年12月于漳州卫生职业学院附属口腔医院就诊的70例牙外伤导致的牙露髓患儿的资料。均应用活髓切断术治疗,根据术中应用盖髓剂的不同分对照组(应用氢氧化钙)、研究组(应用生物陶瓷iRoot BP Plus),各35例。比较两组手术相关指标、牙齿功能及牙齿美观度、牙本质桥形成率及牙齿变色发生率。结果:研究组手术时间、肿胀持续时间及疼痛持续时间均短于对照组,差异有统计学意义(P<0.05)。术后6个月时,研究组固定功能、舒适功能、美观度评分高于对照组,差异有统计学意义(P<0.05);但两组语言功能及咀嚼功能评分比较,差异无统计学意义(P>0.05)。术后3个月、6个月,研究组牙本质桥形成率高于对照组,牙齿变色发生率低于对照组,差异有统计学意义(P<0.05)。结论:在活髓切断术中应用生物陶瓷i Root BP Plus作为盖髓剂相较于应用氢氧化钙盖髓剂效果更佳,能够促进牙齿术后转归,减少根管变色情况。展开更多
文摘BACKGROUND Dental injury is the leading cause of litigation in anaesthesia but an underrecognized preventable complication of endoscopy.AIM To determine frequency and effects of dental injury in endoscopy,we present findings from an audit of outpatient endoscopy procedures conducted at a tertiary university hospital and a systematic review of literature.METHODS Retrospective review of 11265 outpatient upper endoscopy procedures over the period of 1 June 2019 to 31 May 2021 identified dental related complications in 0.284%of procedures.Review of literature identified a similar rate of 0.33%.RESULTS Pre-existing dental pathology or the presence of prostheses makes damage more likely but sound teeth may be affected.Pre-endoscopic history and tooth examination are key for risk stratification and may be conducted succinctly with limited time outlay.Tooth retrieval should be prioritized in the event of dental injury to minimize aspiration and be followed by prompt dental consultation for specific management.CONCLUSION Dental complications occur in approximately 1 in 300 of upper endoscopy cases.These are easily preventable by pre-endoscopy screening.Protocols to mitigate dental injury are also suggested.
文摘Introduction: Palatal abscess or cellulitis of dental origin is a rare clinical form of circumscribed cellulitis that can sometimes pose a diagnostic problem. It is the consequence of poor or non-treatment of dental caries or trauma. The aim of this study is to describe the clinical and therapeutic aspects of these two cases of palatal cellulitis of post-traumatic dental origin. Observation: The patients consulted for painful palatal swelling secondary to untreated dental trauma of the 21s. The diagnosis of palatal cellulitis was based on the inflammatory and fluctuating nature of the swelling. A probabilistic bi-antibiotic treatment and an incision and drainage associated with treatment of the portal of entry were carried out. Progression was favourable in both cases. Conclusion: Palatal cellulitis is a rare condition and can be prevented by systematic stomatological consultation after dental trauma. Diagnosis is clinical. However, CT scans are sometimes useful. The course is generally favorable with appropriate treatment.
文摘<b><span>Objective:</span></b><span> This study aimed to evaluate the age, gender, causes, place of trauma, and type of crown fracture in permanent dentition among patients </span><span>attending Liaquat University of Medical and Health Sciences Hospital (LUMHS)</span><span>, Jamshoro, Pakistan.</span><span> </span><b><span>Methodology:</span></b><span> This cross-sectional study was conducted at the Operative Dentistry Department of LUMHS hospital over a period of six months. All patients (6</span><span> </span><span>-</span><span> </span><span>40 years of age) who had a history of dental trauma and attending dental OPD were included in this study. The data for all patients were recorded in a predesigned proforma. Data were collected on age, gender, place of trauma (playground, road, home), cause of trauma (fall, playing, road accident, bicycle accident, collisions, fighting) and associated symptoms. The data w</span><span>ere</span><span> analyzed using SPSS 22.0. Mean and the standard deviation w</span><span>as </span><span>computed for a quantitative variable like age. Frequency and percentage were calculated for qualitative variables like gender, risk factors, and pattern of trauma. </span><b><span>Results:</span></b><span> A total of 82 patients were enrolled. The most frequent age group involved was 13</span><span> </span><span>-</span><span> </span><span>20 years (46%) with males (58.5%) predominance. The majority of trauma cases were due to fall (36.6%) while playing and 19.5% were bicycle accidents. The most commonly affected tooth was right maxillary central incisor (46.6%) followed by left maxillary central incisor (28.4%). Of the 116 teeth examined, 56.0% had a complicated crown fracture and 44.0% had an uncomplicated crown fracture</span><span>. </span><b><span>Conclusion:</span></b><span> </span><span>Safety measures should be implemented where dental traumatic accidents occur most frequently like </span><span>at</span><span> </span><span>home and on the roads.</span>
文摘Purpose:Dental and orofacial trauma among the adult population constitutes a major public health problem.The impact is not just physical but also psychological.To analyse the impacts of dental and orofacial trauma on oral health-related quality of life(OHRQoL)in adults and determine whether the 2 variables are closely interlinked.Methods:This is a systematic review.The terms“dental trauma”,“orofacial trauma”,“oral health”,“oral health related impact life”,“OHRQoL”,“positive and negative affect scale”,“quality of life”,“facial injuries”,“adults”,and“young adults”were researched in the databases of PubMed,ScienceDirect,Scopus and Google Scholar for associated studies up to December 30,2022.A comprehensive search was designed and the articles were independently screened for eligibility by 2 reviewers.The included studies’author,year of publication,the country where the study was conducted,population demographics(number and age),an instrument used for assessing OHRQoL and the relevant result were recorded and compared.The quality of the evidence was assessed using Joanna Briggs Institute checklist for observational studies.Results:Out of 482 unique records,3 articles were included for data extraction.Observational studies were included.Two studies did not mention confounding factors.Different scales were used for dental and orofacial trauma and OHRQoL.OHRQoL has a directly proportional relationship with orofacial trauma.Adolescents with orofacial trauma have a significant impact on this value with a prevalence of 88.4%.Conclusion:The highest impact on OHRQoL was seen immediately after the diagnosis of an orofacial trauma.The impact increases with the severity of the trauma.Therefore,to promote overall dental and general health,health education initiatives should include information on the causes,prevention,and requirement for prompt responses by the populace in seeking dental intervention.
文摘Patients with obsolete anterior tooth trauma often see a doctor because of dental stain or gingiva tumefaction and suppuration in clinical. In this case, a 28-year-old female patient took root canal therapy for repeated gingiva tumefaction and tooth stain in anterior teeth of left maxillary and giant foreign body at apex shown in X-ray photography. After removing the foreign body at apex by endodontic surgery, internal bleaching and resin repair were conducted. The therapy shows that the usage specification of hot gutta-percha should strictly follow the operational steps, while the necessity of X-ray photography after operation should be confirmed in clinical operation. In addition, internal bleaching and resin repair should be combined to obtain the success in clinical therapy.
文摘目的:分析生物陶瓷iRoot BP Plus在儿童牙外伤导致的牙露髓治疗中的应用效果。方法:回顾性分析2020年12月—2022年12月于漳州卫生职业学院附属口腔医院就诊的70例牙外伤导致的牙露髓患儿的资料。均应用活髓切断术治疗,根据术中应用盖髓剂的不同分对照组(应用氢氧化钙)、研究组(应用生物陶瓷iRoot BP Plus),各35例。比较两组手术相关指标、牙齿功能及牙齿美观度、牙本质桥形成率及牙齿变色发生率。结果:研究组手术时间、肿胀持续时间及疼痛持续时间均短于对照组,差异有统计学意义(P<0.05)。术后6个月时,研究组固定功能、舒适功能、美观度评分高于对照组,差异有统计学意义(P<0.05);但两组语言功能及咀嚼功能评分比较,差异无统计学意义(P>0.05)。术后3个月、6个月,研究组牙本质桥形成率高于对照组,牙齿变色发生率低于对照组,差异有统计学意义(P<0.05)。结论:在活髓切断术中应用生物陶瓷i Root BP Plus作为盖髓剂相较于应用氢氧化钙盖髓剂效果更佳,能够促进牙齿术后转归,减少根管变色情况。
