Extraction of the lower third molar is one of the most common procedures performed in oral surgery. In general, impacted tooth extraction involves sectioning the tooth’s crown and roots. In order to divide the impact...Extraction of the lower third molar is one of the most common procedures performed in oral surgery. In general, impacted tooth extraction involves sectioning the tooth’s crown and roots. In order to divide the impacted tooth so that it can be extracted, high-speed air turbine drills are frequently used. However, complications related to air turbine drills may occur. In this report, we propose an alternative tooth sectioning method that obviates the need for air turbine drill use by using a low-speed straight handpiece and carbide bur. A 21-year-old female patient presented to the institute’s dental hospital complaining of symptoms localized to the left lower third molar tooth that were suggestive of impaction. After physical examination, tooth extraction of the impacted left lower third molar was proposed and the patient consented to the procedure. The crown was divided using a conventional straight low-speed handpiece and carbide bur. This carbide bur can easily cut through the enamel of crown. On post-operative day number five, suture was removed and the wound was extremely clear. This technique could minimise intra-operative time and reduce the morbidity associated with air turbine drill assisted lower third molar extraction.展开更多
Gastrointestinal toxicities(GIT), including oral mucositis,nausea and vomiting, and diarrhea, are common side effects of chemotherapy and targeted agents in patients with advanced colorectal cancer and pancreatic canc...Gastrointestinal toxicities(GIT), including oral mucositis,nausea and vomiting, and diarrhea, are common side effects of chemotherapy and targeted agents in patients with advanced colorectal cancer and pancreatic cancer. Being often underreported, it is still difficult to precisely establish their burden in terms of both patient's quality of life and cancer care costs. Moreover, with the use of more intensive upfront combination regimens, the frequency of these toxicities is rapidly growing with a potential negative effect also on patient's outcome, as a result of dose reductions, delays or even discontinuation of active treatments. Thus, identifying patients at higher risk of developing GIT as well as an optimal management are paramount in order to improve patient's compliance and outcome. After the description of the main treatment-induced GIT, we discuss the current knowledge on the pathophysiology of these side effects and comment the scales commonly used to assess and grade them. We then provide a critical update on GIT incidence based on the results of key randomized trials conducted in patients with metastatic colorectal cancer and advanced pancreatic cancer.展开更多
Supernumerary tooth in the upper central incisor region is called mesiodens. Mesiodens causes serious complications such as displacement, retarded eruption, and rotation in the adjacent permanent incisors, inducing in...Supernumerary tooth in the upper central incisor region is called mesiodens. Mesiodens causes serious complications such as displacement, retarded eruption, and rotation in the adjacent permanent incisors, inducing inhibition of oral development. This report was aimed to provide epidemiology of mesiodens in Japanese children. Using dental record, panoramic radiographs and images of cone-beam computed tomography in 128 non-syndromic child patients, patients’ age at their first visit, gender composition, shape of mesiodens, position of mesiodens, posture of mesiodens, and age distribution of the patients based on each complication were investigated. In addition to the survey, patient age was compared between the groups with and without each complication. Patients’ age ranged 3 - 10 years old. Male-to-female ratio was approximately 3:1. Conical shape (75%) and inverted position (49%) were the most frequent among the patients. Displacement was the commonest complication. Age comparison indicated that patients with displacement or retarded eruption consulted the dentist younger than those without the complications. The present study provided etiology of mesiodens in Japanese children that will contribute to daily clinical practice in the field of pediatric dentistry.展开更多
文摘Extraction of the lower third molar is one of the most common procedures performed in oral surgery. In general, impacted tooth extraction involves sectioning the tooth’s crown and roots. In order to divide the impacted tooth so that it can be extracted, high-speed air turbine drills are frequently used. However, complications related to air turbine drills may occur. In this report, we propose an alternative tooth sectioning method that obviates the need for air turbine drill use by using a low-speed straight handpiece and carbide bur. A 21-year-old female patient presented to the institute’s dental hospital complaining of symptoms localized to the left lower third molar tooth that were suggestive of impaction. After physical examination, tooth extraction of the impacted left lower third molar was proposed and the patient consented to the procedure. The crown was divided using a conventional straight low-speed handpiece and carbide bur. This carbide bur can easily cut through the enamel of crown. On post-operative day number five, suture was removed and the wound was extremely clear. This technique could minimise intra-operative time and reduce the morbidity associated with air turbine drill assisted lower third molar extraction.
文摘Gastrointestinal toxicities(GIT), including oral mucositis,nausea and vomiting, and diarrhea, are common side effects of chemotherapy and targeted agents in patients with advanced colorectal cancer and pancreatic cancer. Being often underreported, it is still difficult to precisely establish their burden in terms of both patient's quality of life and cancer care costs. Moreover, with the use of more intensive upfront combination regimens, the frequency of these toxicities is rapidly growing with a potential negative effect also on patient's outcome, as a result of dose reductions, delays or even discontinuation of active treatments. Thus, identifying patients at higher risk of developing GIT as well as an optimal management are paramount in order to improve patient's compliance and outcome. After the description of the main treatment-induced GIT, we discuss the current knowledge on the pathophysiology of these side effects and comment the scales commonly used to assess and grade them. We then provide a critical update on GIT incidence based on the results of key randomized trials conducted in patients with metastatic colorectal cancer and advanced pancreatic cancer.
文摘Supernumerary tooth in the upper central incisor region is called mesiodens. Mesiodens causes serious complications such as displacement, retarded eruption, and rotation in the adjacent permanent incisors, inducing inhibition of oral development. This report was aimed to provide epidemiology of mesiodens in Japanese children. Using dental record, panoramic radiographs and images of cone-beam computed tomography in 128 non-syndromic child patients, patients’ age at their first visit, gender composition, shape of mesiodens, position of mesiodens, posture of mesiodens, and age distribution of the patients based on each complication were investigated. In addition to the survey, patient age was compared between the groups with and without each complication. Patients’ age ranged 3 - 10 years old. Male-to-female ratio was approximately 3:1. Conical shape (75%) and inverted position (49%) were the most frequent among the patients. Displacement was the commonest complication. Age comparison indicated that patients with displacement or retarded eruption consulted the dentist younger than those without the complications. The present study provided etiology of mesiodens in Japanese children that will contribute to daily clinical practice in the field of pediatric dentistry.
