ABSTRACT
Anterior teeth crown fracture of a growing child requires immediate attention, not only because of damage to the dentition but also due to unsightly smile and facial appearance affected by trauma to the child. Thus esthetic management of anterior tooth fracture has been one of the most important aspects of dentistry and when it has to be done using the tooth’s own structure, it sounds psychologically more acceptable. And with the development of resin-based materials that offer high bond strength values, it has made possible to undoubtedly go for reattachment technique with ease. For further simplification, single visit rotary endodontics using ProTaper Universal system is recommended as it is designed to offer better features like flexibility and less chairside time than hand instrumentation. Presented here is one such case in which a combination of single visit rotary endodontics and adhesive reattachment using flowable composites has been carried out to reframe the broken tooth and comply with the patient’s concern. The treatment was found to be successful both functionally and aesthetically at the 18-month follow-up.
ABSTRACT
“Dental fluorosis,” a specific disturbance in tooth formation and an esthetic condition, is defined as a chronic, fluorideinduced condition, in which enamel development is disrupted and the enamel is hypomineralized. Fluorosis can be prevented by having an adequate knowledge of the fluoride sources, knowing how to manage this issue and therefore, avoid overexposure. Controlling the fluoride intake is the best preventive measure for dental fluorosis, however when this is already installed and causing esthetic problems to the patient, many treatment techniques are recommended. This article describes an esthetic rehabilitation of a case of severe fluorosis using a new system for placing direct composite veneer, the Uveneer System (Ultradent) which simulates predictable shape and symmetry of natural teeth. In cases of severe dental fluorosis, the tooth enamel usually becomes porous and tooth whitening methods are not recommended. Therefore, minimally invasive technique of direct composite veneering using facial templates is the treatment of choice as it is easy to use, enhance clinical productivity, saves time, requires minimal preparation and is cost effective.
ABSTRACT
We report a case of variant origin of the right coronary artery from the left posterior aortic sinus. This was observed routinely during a medico legal autopsy of a 58 year old male who died in a road traffic accident. Initially it was believed that the right coronary artery was absent since there was no obvious right coronary artery ostium from the anterior aortic sinus. However it was found later that the right coronary ostium was present just beside the left coronary ostium in the left posterior aortic sinus and the right coronary artery was arising from the left posterior aortic sinus. The right coronary artery had an intramural course between the aorta and pulmonary trunk, which is considered as very dangerous and life threatening. We believe that the present case report will be enlightening to the cardiologist and cardiothoracic surgeon. It is also true that the conduction of medico legal autopsies of coronary arteries is important for the medico legal resolution.
Se presenta un caso de variación de origen de la arteria coronaria derecha desde el seno aórtico posterior izquierdo. Esto se observó de forma rutinaria durante una autopsia médico-legal de un hombre de 58 años que murió en un accidente de tránsito. Inicialmente se creía que la arteria coronaria derecha estaba ausente ya que no había un ostium observable desde el seno aórtico anterior. Sin embargo, se descubrió más tarde que el ostium de la arteria coronaria derecha estaba presente justo al lado del ostium de la arteria coronaria izquierda en el seno aórtico posterior izquierdo y la arteria coronaria derecha se originaba del seno aórtico posterior izquierdo. La arteria coronaria derecha presentó un recorrido intramural entre la aorta y el tronco pulmonar, que se considera como muy peligroso y potencialmente mortal. Creemos que el presente trabajo será esclarecedor para el cardiólogo y el cirujano cardiotorácico. También consideramos que el conocimiento de la anatomía de las arterias coronarias es importante durante el desarrollo de la autopsia médico-legal para lograr alcanzar una correcta resolución del proceso medicolegal.
Subject(s)
Humans , Male , Middle Aged , Anatomic Variation , Coronary Vessel Anomalies , Sinus of Valsalva/abnormalities , Autopsy , Coronary Vessels/anatomy & histology , Sinus of Valsalva/anatomy & histologyABSTRACT
Oncofertility is an emerging fi eld, merging oncology and reproductive endocrinology. Any woman facing a cancer diagnosis is devastated especially if she is young. Young women diagnosed with cancer face an additional burden of compromise of future fertility. Oncofertility aims to explore and expand fertility options to address reproductive concerns of young women with cancer diagnosis. Th is review aims to highlight the available and emerging options for young women diagnosed with gynecological cancers to enable them to realize their dream of parenthood.