Aspiration of a primary tooth in a patient with a tracheostomy

Aspiration of a foreign object is uncommon in a patient with a tracheostomy. The following case history describes the consequences of failure to diagnose an aspirated object and how the aspiration of an exfoliated tooth can occur despite the presence of a tracheostomy tube. Dentists play an important role in preventing foreign body aspiration in debilitated patients.     

Histoplasmosis in Australia: a report of a case with a review of the literature

Histoplasmosis is a rare but serious fungal infection commonly presenting as mucosal ulceration of the oral cavity. It is increasingly recognized in Australia but the source of infection remains obscure and it is likely to be under-diagnosed. We report a case of chronic mucosal ulceration which failed to fully respond to periodontal therapy. Histology and culture of a gingival biopsy was consistent with histoplasmosis, and the patient responded favourably to treatment with oral itraconazole. Histoplasmosis may present to general dental practitioners as chronic mucosal ulceration and should be considered in the differential diagnosis of such lesions. Diagnosis is best made by culture and histology of biopsy specimens.     

Dental treatment of a prospective recipient of a liver transplant: a case report

A protocol to treat a carious condition in a young girl scheduled to receive a liver transplantation is described. Teeth with serious caries were filled with amalgam. Those teeth with pulp exposure were extracted. To stop bleeding, sutures and a surgical splint with a periodontal pack were used. All procedures were performed as rapidly as possible to minimize stress. Antibiotics were used sparingly. By improving the oral health of transplant recipients, the chances that the transplanted liver will become infected are much reduced, increasing the likelihood of a successful surgical outcome.     

Management of a mutilated orthodontic case through a multidisciplinary approach- a case report

A female patient aged 35 years reported with mutilated occlusion with mid line shift, aggravation of skeletal Cl II with posterior cross bite on patient's right side. This was a case of Skeletal Class II Div 1 malocclusion which had been treated previously by other operator with extraction of all 1st premolars except in upper right quadrant. Multidisciplinary approach was taken to resolve all the problems as follows: mid line shift & cross bite were corrected by the orthodontist with application of “FORSUS: Fatigue Resistant Device”, the odontome was eliminated by the oral surgeon, reconstruction of a premolar crown was done by the specialist in esthetic conservative dentistry & gingival grafting on a canine was done by the Periodontist. The objective of this presentation is to demonstrate the satisfactory outcome of the multidisciplinary approach in a mutiliated occlusion.1, 2     

Oral care of a patient with a SAPHO syndrome and a nickel allergy

SAPHO is an acronym for Synovitis, Acne, Pustulosis, Hyperostosis and Osteitis. The syndrome is difficult to diagnose because it may present many different manifestations in adults and children. Its origin is still unknown, although some infectious, genetic and immune hypotheses have been put forward. We report the case of a 49‐year‐old woman with SAPHO syndrome, who developed a serious cutaneous allergy following the insertion of a removable partial denture (RPD). The oral care and treatment of this patient are described.     

Bone wax as a cause of a foreign body granuloma in a cranial defect: a case report

Bone wax was used to stop bleeding of the diploic vessels after harvesting cranial bone for reconstruction of an orbital floor defect. After five months a fistula in the overlying skin of the donor site appeared and was eventually surgically explored. Remnants of bone wax and surrounding inflammatory tissue were removed and the fistula was excised. Histological examination revealed a foreign body granuloma. The use of bone wax and possible alternative local haemostatic agents and their complications are discussed.     

Intraoral molluscum contagiosum: a report of a case and a review of the literature

Molluscum contagiosum (MC) occurring on the face, lips, and perioral region is a relatively common manifestation of this infectious disease. MC of the intraoral mucosa has been documented, but is rare. This report details the case of a 52-year-old HIV-seropositive man with MC of the gingiva. A review of the literature discloses only 4 previously reported cases of intraoral MC.     

Streptococcal gingivitis: a report of case with a description of a unique gingival prosthesis

Acute streptococcal gingivitis is an acute inflammation of the oral mucosa. Specific bacterial infections of the gingiva may be due to neisseria gonorrhea, treponema pallidum, streptococci, and other organisms. Streptococcal infections are seen rarely. This case report describes a patient who presented with severe gingival inflammation and pain that was diagnosed as an acute streptococcal infection. Bacterial cultures were obtained from the lesion, and biopsies were obtained from the gingiva of lower incisors for histopathologic evaluation. The patient was successfully treated using conventional periodontal therapy (scaling, root planning, curettage) and antibacterial agents. The reconstructive phase for this patient consisted of the fabrication of a heat-cured acrylic gingival facade to mask the gingival recession. The treatment of acute gingivostomatitis is of importance because of the possibility of systemic secondary infections. When esthetics is important, a gingival prostheses can be considered. The differential diagnosis, etiology, and treatment of acute streptococcal gingivitis are discussed and the literature is reviewed in this report.     

Pindborg's tumor: a propos of a case

The calcifying epithelial odontogenic tumor was first described as an entity by Danish pathologist Jens Pindborg in 1955. It is an uncommon and locally invasive benign odontogenic tumor. The most characteristic findings are the presence of amyloid-like substance and calcified concentric liesegang rings.     

Aspiration of a bridge and a tooth.

This is a rare and unusual case in its presentation, the patient having aspirated a three unit bridge into the right bronchus and a central incisor being found in the stomach following maxillo-facial trauma. This paper also emphasizes the necessity of careful intra-oral examination before proceeding to any therapeutic manoeuvres.     

Dimensional stability of a mark made in a photoplastic wafer as a function of time

This study investigates in vitro the dimensional stability of the Vishay's mark as a function of time. The Vishay was placed between a hardened, 1/2 inch diameter steel ball and a flat tungsten carbide cutting tool blank in an Instron testing machine. A compressive force of 10 pounds applied, and three separate marks made within the photoplastic wafer. The mark was displayed as a 10x image on the Vishay analyzer's monitor. The image was photographed, along with a standard, using a 35 mm camera tripod setup. To evaluate stability of the marks, photographs were taken at 1 hour, 1 day, 3 weeks, and 2.25 years after indentation. Each mark's image was measured three times with a Sigma-Scan digitizing software and reduced to real dimensions. The three marks were treated as a block and time as four repeated measures. An ANOVA was used to compare the mark sizes at these times. The four means across time were not significantly different (P = 0.34). Both Greenhouse-Geisser, and Huynh-Feldt epsilon correction factors for repeated measures were 0.34 which resulted in an adjusted significance level of 0.36. This indicates unequal correlations from one time to another, but does not affect the insignificant differences of these means. The Vishay photoplastic wafer can store mark size for at least 2.25 years in vitro.