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1.
Cureus ; 16(6): e61782, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38975416

RESUMO

Aesthetics are one of the primary goals of restorative care. Teeth that are traumatized in the anterior maxilla usually avulse or require extraction due to fractures. Rehabilitation is challenging in such a therapeutic state since it presents several anatomical and aesthetic issues. There are circumstances in which traditional implant placement is problematic. There must be enough bone for implant placement to be uneventful and successful. Other surgical therapies may be necessary in addition to implant placement for certain operations, such as extensive grafting, direct or indirect sinus lifts, and nerve lateralization. Certain procedures are required for these operations but are not always achievable. Because single-piece basal implants provide immediate temporization and loading while receiving adequate anchoring from the basal cortical bone, they have been extensively used to rehabilitate resorbed ridges. This case report demonstrates the placement of the basal implant in the anterior zone.

2.
Cureus ; 16(5): e60464, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38883097

RESUMO

The most prevalent kind of odontogenic cysts is radicular cysts, which usually develop from the epithelial remnants in the periodontal ligament as a result of inflammation that follows pulp necrosis. We report a case of a 49-year-old male patient who complained of painless swelling in the maxillary anterior region, which turned out to be a radicular cyst. Upon clinical examination, a soft, nontender swelling that fluctuated was found. A periapical lesion was found upon radiographic assessment. A radicular cyst was tentatively diagnosed based on clinical and radiological features. The treatment plan included enucleation, restoration of the defect with bone graft, and endodontic therapy with antibiotics. Endodontic therapy was administered after the cystic lesion was surgically removed. The diagnosis of a radicular cyst was validated by histopathological analysis. The significance of a multidisciplinary approach for the successful management of radicular cysts is emphasized in this case report, which also underscores the need for a comprehensive clinical and radiographic evaluation for accurate diagnosis. Prompt identification and suitable intervention are essential to avert possible complications and guarantee successful treatment results.

3.
Cureus ; 16(5): e59502, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38826903

RESUMO

BACKGROUND: Implementing recommended radiation safety protocols in the radiology departments is crucial for the safety of the working personnel, patients, and environment. Similarly, adherence and continuous monitoring are essential, and few studies have been conducted in dental radiology settings regarding the occupational safety of employees. Hence, the present study was carried out to assess the knowledge and adherence of personnel to safety protocol in the dental radiology department. MATERIALS AND METHODS: The questionnaire-based study was conducted in a dental institute involving the relevant staff and students, consisting of 25 participants including radiographers (a technician, faculty, and postgraduates) and auxiliary staff. The 14-element questionnaire with questions on radiation exposure, hazards, safety protocols, protective devices, and infrastructure was given to study participants, and data was obtained. RESULTS: Overall, the responses to the questionnaire were favorable in terms of awareness or knowledge of participants about radiation protection and protection devices. Notably, 71.4 % (15) of the participants agreed that they consistently wear PPDs, and 86.5% (18) agreed that the radiology operatory is well-equipped concerning radiation safety measures. On the whole, the responses to the questionnaire were encouraging from the auxiliary staff in terms of radiation protection awareness. CONCLUSION: The perception of study participants provides valuable insight to enhance the adherence to radiation safety protocol in the institutes. The study demonstrated that most participants revealed adequate knowledge of radiation exposure hazards, the need for personnel protection, and adherence to radiation safety protocol. This study would serve as the pilot project and may provide a platform for further multicenter studies to be carried out.

4.
Cureus ; 16(5): e59936, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38854191

RESUMO

In layered zirconia prosthesis, the choice of zirconia composition, framework design, and shade is closely related to the properties of the abutments. This interdependence emphasizes how crucial it is to take a deliberate and tailored approach to meet the unique needs of every therapeutic circumstance. To successfully treat anterior teeth and achieve restorations that look natural, challenges such as incorrect size and shape, atypical gingival contour, and unsightly hues need to be resolved. Ceramodetal restorations have occasionally allowed for the most appealing, authentic replication of natural teeth, despite its proven strength, endurance, and improved aesthetics. Due to their superior cosmetic results, metal-free materials have been used for anterior rehabilitation. Materials like dental zirconia, which offers excellent aesthetics and desired mechanical characteristics, have emerged in response to the increased need for visually appealing and metal-free alternatives. In this case study context, experiences in the clinic using multilayer zirconia prostheses intended exclusively for anterior teeth are discussed.

5.
Cureus ; 16(5): e60774, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38903299

RESUMO

Chronic traumatic ulcers (CTUs) of the oral cavity are frequently brought on by repeated mechanical stress, such as biting or friction from dental appliances, or sharp or broken carious teeth. Although they are frequently disregarded, patients with nonhealing ulcers in the mouth should have CTUs taken into consideration. This report highlights the significance of differential diagnosis and suitable treatment options by discussing a case of a CTU that persisted on the tongue's right lateral border.

6.
Cureus ; 16(5): e61182, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38933609

RESUMO

A smooth, red, oval, or rhomboid patch on the dorsal midline is the classic presentation of median rhomboid glossitis (MRG), a rare and benign lesion of the tongue. MRG is still not fully understood, which presents diagnostic hurdles and calls for additional clinical investigation. It is frequently associated with candidal infections. We describe a case of a 42-year-old man who initially appeared to have either mechanical irritation or thermal injury related to a painless patch on the dorsum surface of the tongue. We document a case of MRG that was consulted for a standard dental examination in this case report. This article also highlights a dentist's need to identify the lesion and provide appropriate education for the patient.

7.
Cureus ; 16(3): e55522, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38576654

RESUMO

The frenum is a mucous membrane fold that connects the lip and cheek to the gingiva, periosteum, and alveolar mucosa. When the frena are linked too closely to the gingival border, there may be issues with plaque removal, and the overall gingiva may be affected. In addition, the maxillary frenum may provide aesthetic difficulties or interfere with the aesthetic outcome in cases of midline diastema, which may result in a recurrence after treatment. A labial frenectomy, a frequently performed surgical operation in the specialty of dentistry, is used to address such an abnormal frenum. This article describes a case study of a maxillary labial frenectomy using a traditional scalpel approach and topical application of ozonated olive oil.

8.
Cureus ; 16(1): e51652, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38318549

RESUMO

An abutment having edentulous space on both sides is referred to as a pier abutment. The rehabilitation of a patient whose primary concern when they first came to the hospital was missing teeth is discussed in this case report. When using a pier abutment for a fixed dental prosthesis, there is a problem with fulcrum and torqueing pressures at the intermediate abutment. Forces on the pier abutment may become localized as a result of using a rigid connector. It has been suggested that non-rigid connectors be used to overcome this. Here, using a non-rigid connector as a stress breaker resulted in less stress being placed on the prosthetic assembly and abutment. This article offers a clinical case report that details the use of a non-rigid connector in a pier abutment scenario for rehabilitation.

9.
Cureus ; 16(1): e52273, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38357065

RESUMO

The oral cavity is frequently affected by gingival pyogenic granuloma (PG), a benign tumor that is known for its quick growth and tendency to hemorrhage. The clinical presentation, diagnostic procedure, and treatment of a patient with gingival pyogenic granuloma are all detailed in this case study. A female individual aged 25 years in otherwise good condition arrived with a sessile gingival tumor in the anterior mandibular region that was expanding quickly. During dental hygiene procedures, there was intermittent bleeding and discomfort related to the lesion. Based on histology analysis and clinical examination, PG was diagnosed. The course of treatment included surgical excision followed by a histological analysis to ensure total eradication. Appointments for follow-up revealed adequate healing and no indications of recurrence. This case study aims to demonstrate the need for prompt diagnosis, appropriate treatment, and diligent follow-up to effectively manage gingival pyogenic granuloma. Dental professionals can better treat patients and achieve better results with a thorough understanding of this common oral lesion and its management.

10.
Cureus ; 15(11): e48669, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-38090466

RESUMO

Benign vascular tumors known as hemangiomas usually appear in early childhood and adulthood. It rarely occurs in the oral cavity and is most frequently observed in the head and neck area. Oral hemangiomas are always clinically significant and need to be diagnosed as soon as possible and treated appropriately. Because the tongue is a highly mobile muscular organ and is, therefore, more prone to trauma and associated consequences, tongue hemangiomas pose a significant risk to patients. We are presenting a case of hemangioma on the dorsal surface of the tongue in a female patient of two years of age. The case report describes the lesion's diagnostic features and available treatment options while highlighting the importance of color Doppler ultrasonography, particularly for diagnosis and treatment.

11.
Cureus ; 15(11): e48308, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-38058347

RESUMO

The dentistry specialty known as periodontology focuses on problems with the tissues that support and surround teeth. A thorough understanding of basic sciences and health care is necessary for periodontology. To ensure that the dentition has adequate form, function, esthetics, and comfort, it is essential to have a thorough understanding of the relationship between periodontal tissues and how it relates to other branches of dentistry, such as restorative dentistry, orthodontics, prosthodontics, and implants. The periodontal ligament is a soft tissue between the alveolar bone and teeth. Since the alveolar bone is the foundation for successful dental treatment, proceeding with subsequent dental procedures, including restorative dentistry, implants, and prosthetic uses, is only possible with sufficient bone support. The current review article aims to assess the perception of undergraduate students regarding periodontics and its range of practice. It also gives a general overview of the field of periodontology by outlining current practices, exploring how students perceive this branch's range of courses, and emphasizing more recent and sophisticated developments.

12.
Cureus ; 15(11): e48885, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-38106765

RESUMO

Ludwig's angina is a condition that could be fatal, causing severe diffuse cellulitis bilaterally that affects the submandibular, sublingual, and submental areas. It has an acute onset and progresses rapidly. A common and potentially deadly complication is airway impairment. Prompt diagnosis and treatment planning have the opportunity to save lives. An elective tracheostomy is recommended for the patient to maintain an open airway, followed by addressing potential affected spaces due to a widespread odontogenic infection. This infection has extended to the neck, causing elevation of the ventral surface of the tongue and floor of the mouth, leading to airway obstruction and the manifestation of stridor. In the latter stages of the illness, additional attention should be paid to maintaining the airway before surgical decompression and antibiotic treatment. In advanced cases, the usual protocol of care still includes surgical drainage of the infection, judicious administration of parenteral antibiotics, and airway management. A case report's objectives are to improve clinical knowledge, facilitate better diagnosis and treatment, and add to the body of medical research by offering a thorough and educational description of a particular patient's experience with this illness.

13.
Cureus ; 15(11): e48999, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-38111416

RESUMO

The most common illness affecting the salivary glands is submandibular gland sialoliths. The size of the sialolith and the patient's clinical history mainly influence how this salivary system abnormality is treated. This diagnosis is suggested by a history of salivary gland pain or swelling, particularly during mastication. Palliative therapy combined with conservative therapies, such as the milking of the ducts, can effectively treat small and accessible stones. When a stone or stones are large and inaccessible, surgical therapy should be considered if conservative approaches have not proven to be effective. A case of sialolithiasis affecting the left submandibular salivary gland is described in this article. Under local anesthesia, sialolith was removed following the opening of the duct. The wound was closed with sutures, and the patient was advised to practice tongue exercises and to maintain good oral hygiene.

14.
Cureus ; 15(11): e49704, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-38161886

RESUMO

The value of having excellent teeth has increased in today's culture, even from a merely cosmetic perspective. There are several ways to address issues that arise in the area of high aesthetic sensitivity. Every modality has its benefits and drawbacks. One of the most aesthetically pleasing restorations is porcelain laminate veneers (PLVs). It has been demonstrated that the use of PLVs to address functional and/or aesthetic issues is a viable treatment option, particularly in the anterior aesthetic zone. As long as suitable procedures and guidelines are followed, these restorations are conservative and long-lasting. A patient with an anterior diastema is the main focus of this case study. This case report is essential for expanding dental knowledge, training dental practitioners, proving the effectiveness of treatments, and directing treatment choices for instances that are comparable to it. PLVs were used on the patient to close the diastema in the anterior maxillary arch and achieve a good cosmetic outcome.

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