ABSTRACT
Clinical features of masticator-space abscess (MSA) are very similar to those of parotitis or temporomandibular disorder (TMD), making early differential diagnosis difficult. Local causes of MSA include nerve block anesthesia, infection after tooth extraction, and trauma to the temporomandibular joint (TMJ); the systemic cause is immunodeficiency. Odontogenic causes account for most etiologies, but there are also unusual causes of MSA. A 66-year-old male patient visited the emergency room (ER) presenting with left-side TMJ pain three days after receiving an acupressure massage. He was tentatively diagnosed with conventional post-trauma TMD and discharged with medication. However, the patient returned to the ER with increased pain. At this time, his TMD diagnosis was confirmed. He made a third visit to the ER during which facial computed tomographic (CT) images were taken. CT readings identified an abscess or hematoma in the left masticator space. After hospitalizing the patient, needle aspiration confirmed pus in the infratemporal and temporal fossa. Antibiotics were administered, and the abscess was drained through an incision made by the attending physician. The patient's symptoms decreased, and he was discharged.
Subject(s)
Aged , Humans , Male , Abscess , Acupressure , Anesthesia , Anti-Bacterial Agents , Diagnosis , Diagnosis, Differential , Emergency Service, Hospital , Hematoma , Massage , Needles , Nerve Block , Parotitis , Reading , Suppuration , Temporomandibular Joint , Temporomandibular Joint Disorders , Tooth ExtractionABSTRACT
In published article by Li et al., an author's name was misspelled.
ABSTRACT
Subject(s)
Anti-Bacterial Agents , Bone Marrow , Drug Delivery Systems , Inflammation , Ischemia , Mandible , Necrosis , Osteomyelitis , Oxygen , Plasma , Polymethyl MethacrylateABSTRACT
Subject(s)
Cheek , Facial Bones , Fibrous Dysplasia, Polyostotic , Patient Rights , Pliability , Skeleton , ZygomaABSTRACT
Subject(s)
Adult , Humans , Back Pain , Biopsy , Breast , Carcinoma, Renal Cell , Hematuria , Kidney , Lung , Lymph Nodes , Neoplasm MetastasisABSTRACT
Synovial sarcoma (SS) is a malignant soft tissue tumor comprising 5-10% of all soft tissue sarcomas. This tumor normally occurs in the paraarticular regions of the extremities but is rare in head and neck sites. SS is sometimes difficult to diagnose because it can mimic benign lesions both clinically and radiologically. This paper presents a rare case of a SS of the buccal space of a 25-year old man. The histology examination and immunohistochemistry of the mass led to a diagnosis of synovial sarcoma. The patient was treated primarily with a surgical resection, followed by radiotherapy and chemotherapy. The follow up examination 17-months after surgery showed no signs of tumor relapse or metastasis.
Subject(s)
Humans , Extremities , Follow-Up Studies , Head , Head and Neck Neoplasms , Hydrazines , Immunohistochemistry , Neck , Neoplasm Metastasis , Recurrence , Sarcoma , Sarcoma, SynovialABSTRACT
Thermally induced bone necrosis during implant surgery is a rare phenomenon and a potential contributing factor to implant failure. The frictional heat generated at the time of surgery causes a certain degree of necrosis of the surrounding differentiated and undifferentiated cells. The bone necrosis occurred in the mandible in all three cases, leading to a soft tissue lesion and pain. In each case, radiolucent areas appeared in the middle and apical portions of the implant 4 weeks after surgery. Thermally induced bone necrosis did not improve following systemic antibiotic medication, necessitating surgical treatment. The nonintegrated implants were removed, and meticulous debridement of dead bone and granulation tissue was performed. Then, new implants were implanted along with the placement of autogenous and xenogenic bone covered with a collagen membrane. No further complications occurred after re-operation. The radiolucencies around the new implants gradually resolved entirely, and the soft tissue lesions healed successfully. At 4-5 months after reoperation, implant loading was initiated and the implant-supported restorations have been functioning. The aim of this case report is to present the successful clinical treatment of three cases suspected to be caused by thermally induced bone necrosis after implant drilling.
Subject(s)
Collagen , Debridement , Dental Implants , Friction , Granulation Tissue , Hot Temperature , Mandible , Mandrillus , Membranes , Necrosis , Osteonecrosis , ReoperationABSTRACT
Bisphosphonates are widely used to treat osteoporosis, hypercalcemia of malignant tumor. Despite their clinical benefit, bisphosphonate-related osteonecrosis of the jaw (BRONJ) is a newly documented complication to patients receiving these drugs and first recognized by Marx in 2003. Thus, consideration of prevention and needs regarding unequivocal treatment regimen have emerged. Recently, several authors emphasized reports on appropriate clinical availability of surgical approach. It serves to concern about guideline for surgical and conservative treatment modalities. So, it is the purpose of this paper to review the current literatures about treatment regimens of BRONJ.
Subject(s)
Humans , Bisphosphonate-Associated Osteonecrosis of the Jaw , Diphosphonates , Hypercalcemia , Osteonecrosis , OsteoporosisABSTRACT
Subject(s)
Aged, 80 and over , Female , Humans , Bandages , Bone Density , Bone Remodeling , Cheek , Diphosphonates , Hypercalcemia , Jaw , Molar , Necrosis , Neoplasm Metastasis , Osteonecrosis , Osteoporosis , Osteoporosis, Postmenopausal , Suppuration , Surgery, Oral , Tooth , Tooth ExtractionABSTRACT
Subject(s)
Female , Humans , Male , Eating , Salivary Ducts , Salivary Gland Calculi , Salivary Glands , Submandibular GlandABSTRACT
Subject(s)
Female , Humans , Bicuspid , Chronic Pain , Congenital Abnormalities , Dental Caries , Head , Hemangiosarcoma , Hyperbaric Oxygenation , Incidence , Molar , Mucositis , Neck , Necrosis , Osteoradionecrosis , Porphyrins , Prostheses and Implants , Sutures , Tongue , XerostomiaABSTRACT
Subject(s)
Humans , Middle Aged , Cheek , Incidence , Mouth , Pleura , Solitary Fibrous TumorsABSTRACT
Subject(s)
Female , Humans , Angiomyoma , Leiomyoma , Lower Extremity , Mouth , Muscle, Smooth, Vascular , Smooth Muscle Tumor , Subcutaneous TissueABSTRACT
Subject(s)
Humans , Basal Cell Nevus Syndrome , Early Diagnosis , Hypertelorism , Odontogenic Cysts , PenetranceABSTRACT
OBJECTIVE: In organotypic culture of immortalized human oral keratinocytes (IHOK), the change of the growth and differentiation was investigated according to the fibroblast type and the involvement of mitogen-activated protein (MAP) kinase. MATERIALS & METHODS: IHOK was cultured three dimensionally with gingival fibroblast (GF), dermal fibroblast (DF) and immortalized gingival fibroblast (IGF). We characterized biologic properties of three dimensionally reconstructed IHOK by histological, immunohistochemical, and Western blot analysis. We also investigated whether MAP kinase pathway was involved in epithelial-mesenchymal interaction by Western blot analysis. RESULTS: The best condition of three dimensionally cultured IHOK was the dermal equivalent consisting of type I collagen and IGF. IGF increased the expression of more proliferating cell nuclear antigen (PCNA), involucrin than GF and DF in response to co-culture with IHOK. Extracellularly regulated kinase (ERK) pathway was activated in organotypic co-culture with IGF. CONCLUSION: The organotypic co-culture of IHOK with dermal equivalent consisting of type I collagen and IGF resulted in excellent morphologic and immunohistochemical characteristics and involved ERK pathway. The epithelial-mesenchymal interaction was activated according to the fibroblast type.
Subject(s)
Humans , Blotting, Western , Coculture Techniques , Collagen Type I , Fibroblasts , Keratinocytes , MAP Kinase Signaling System , Phosphotransferases , Proliferating Cell Nuclear AntigenABSTRACT
OBJECTIVES: Pericoronitis was the most common indication for mandibular third molar surgery and there are no universally acceptable predictive criteria for pericoronitis occurrence. This study was designed to analyze the correlation of the pericoronitis and the eruption state of the mandibular third molar using panoramic radiographs statistically. MATERIALS AND METHODS: 218 patients whose chief complaint was the extraction of the mandibular third molar were examined. The presence and absence of pericoronitis, age, sex, position of extraction site, angulation, impaction degree, position to the anterior border of mandibular ramus, distance between distal cementoenamel junction of second molar and mesial cementoenamel junction of the mandibular third molar were assessed. Then the correlation of pericoronitis and the eruption state of the mandibular third molar were analyzed by Student's t-test and chi-square test. RESULTS: There was no correlation between Pericoronitis and age, sex, position of the mandibular third molar. The angulation(P=0.005), impaction degree(P=0.043), relation with anterior border of mandibular ramus(P=0.003), distance between distal cementoenamel junction of second molar and mesial cementoenamel junction of the mandibular third molar(P<0.05) were correlated with pericoronitis. CONCLUSIONS: The occurrence of the pericoronitis can be predicted by the eruption state of the mandibular third molar such as angulation, impaction degree, relation with anterior border of mandibular ramus, distance between distal cementoenamel junction of second molar and mesial cementoenamel junction of third molar.
Subject(s)
Humans , Molar , Molar, Third , Pericoronitis , Tooth CervixABSTRACT
OBJECTIVES: Pericoronitis was the most common indication for mandibular third molar surgery and there are no universally acceptable predictive criteria for pericoronitis occurrence. This study was designed to analyze the correlation of the pericoronitis and the eruption state of the mandibular third molar using panoramic radiographs statistically. MATERIALS AND METHODS: 218 patients whose chief complaint was the extraction of the mandibular third molar were examined. The presence and absence of pericoronitis, age, sex, position of extraction site, angulation, impaction degree, position to the anterior border of mandibular ramus, distance between distal cementoenamel junction of second molar and mesial cementoenamel junction of the mandibular third molar were assessed. Then the correlation of pericoronitis and the eruption state of the mandibular third molar were analyzed by Student's t-test and chi-square test. RESULTS: There was no correlation between Pericoronitis and age, sex, position of the mandibular third molar. The angulation(P=0.005), impaction degree(P=0.043), relation with anterior border of mandibular ramus(P=0.003), distance between distal cementoenamel junction of second molar and mesial cementoenamel junction of the mandibular third molar(P<0.05) were correlated with pericoronitis. CONCLUSIONS: The occurrence of the pericoronitis can be predicted by the eruption state of the mandibular third molar such as angulation, impaction degree, relation with anterior border of mandibular ramus, distance between distal cementoenamel junction of second molar and mesial cementoenamel junction of third molar.
Subject(s)
Humans , Molar , Molar, Third , Pericoronitis , Tooth CervixABSTRACT
