Mostrando entradas con la etiqueta Oral Surgery. Mostrar todas las entradas
Mostrando entradas con la etiqueta Oral Surgery. Mostrar todas las entradas


CLINICAL CASE : Brain abscess secondary to a dental infection in an 11 year old child

Clinical Case

A primary molar dental abscess was implicated as the cause of a brain abscess in an 11-year-old boy.

This case report describes the neurological signs and symptoms, and acute management of a brain abscess in a child.

A brain abscess is provisionally diagnosed from the patient’s medical history, as well as the presence of signs and symptoms such as fever, headache, nausea, vomiting, focal neurological deficit, altered mentation, speech alterations, papillary edema, and neck stiffness or seizures.

A definitive diagnosis of brain abscess is confirmed through imaging.

The dental source of infection is identified by the exclusion of more probable foci such as the ears, heart, lungs, eyes or sinuses.

Read Also: EMERGENCY : Multidisciplinary approach in the immediate replantation of a maxillary central incisor

Introduction : Dental abscesses and facial cellulitis put dentists on alert for potentially life-threatening conditions such as sepsis or airway obstruction, but the risk of a brain abscess is a complication of odontogenic infection that dentists rarely consider.

This report describes the case of an 11-year-old boy whose brain abscess and associated neurological signs were most likely attributable to an abscessed primary molar.

The description of the neurological signs and symptoms, and the history and management of this case will inform dentists about the real possibility of a brain abscess of dental origin.


°Canadian Dental Association
°Dr. Hibberd / Dr. Nguyen


Early Premolar Extraction: An Uncommon but Very Effective Treatment Option


The terminology “serial extraction” in Orthodontics was first described in the late 1920’s when Kjellgren decided to plan the extraction of certain deciduous and permanent teeth at early stages of the dentition development.

Since the extractions are under taken at the transitional dentition. This type of treatment is defined as “Early Treatment” in Orthodontics.

The main indication for this treatment approach is for patients with severe crowding caused by tooth size arch discrepancies. In other words, when maxillary and/or mandibular arches cannot accommodate teeth, extraction becomes an interesting option.

Although this treatment option has been used for almost a century in the contemporary orthodontics it’s indication is very specific.

Since it’s an irreversible approach (permanent teeth are early extracted) the clinician should carefully diagnosis the case before selecting this option.

Read Also: ORTHODONTICS : Serial extraction of primary teeth

In addition, as time passed by, orthodontics specialty has dramatically evolved and developed several options to gain space instead of extracting teeth.

On the other hand, the idea to early extract permanent teeth continues to be an interesting treatment option in clinical orthodontics mainly in severely crowded patients.

The aim of this paper is to present a case report of a ten-year-old male patient who presented severe crowding and treatment option was to extract four first premolars at early stages of the dentition development.


° Adeniyi M J, A O Soladoye. Plasma Lipid Profile and Uric Acid in High Fat Fed Female Rats Treated with Oral Contraceptive. Biomed J Sci & Tech Res 1(3)-2017. BJSTR. MS.ID.000256. DOI: 10.26717/BJSTR.2017.01.000256


Surgical excision of mucocele with local anesthesia in an 8-month-old baby


Mucoceles are common disorders of the minor salivary glands, occurring specially on the lower lip.

Their occurrence in newborn babies has rarely been reported.

In addition, the surgical removal of oral lesions in babies has often been performed with general anesthesia, which option is usually related to the patients' ages, irrespective of the lesion's size and the access to anatomic region where it is located.

The present report, however, details the treatment of a mucocele excision performed in an 8-month-old baby with local anesthesia.

This case illustrates well that knowledge of the lesion and dentist's experience in the attendance of babies is important, as often only conservative treatment with local anesthesia is required.

Therefore, clinicians and parents should be reassured that early surgical intervention under local anesthesia will provide a swift and satisfactory resolution to the problem.

Mucoceles are probably the most common disorders of the minor salivary glands, typically presenting as single bluish or translucent asymptomatic nodules, especially on the lower lip.

Read Also: Dental do's and don’ts during pregnancy

They are fluctuant and movable because of their mucinous contents. The diameter may range from a few millimeters to a few centimeters.

If left without intervention, episodic decreases and increases in size may be observed, corresponding to rupture and subsequent mucin production.

The majority of mucoceles are extravasation type in which there is pooling of mucus in the connective tissue presumably arising from trauma to a salivary duct.


Odontologia Clínico-Científica
Carla Vecchione Gurgel / Natalino Lourenço Neto / Dafna Geller-Palti / Vivien Thiemy Sakai / Thaís Marchini de Oliveira / Maria Aparecida de Andrade Moreira Machado

ORAL SURGERY : Guideline on Pediatric Oral Surgery

oral surgery

The American Academy of Pediatric Dentistry (AAPD) intends this guideline to define, describe clinical presentation, and set forth general criteria and therapeutic goals for common pediatric oral surgery procedures that have been presented in considerably more detail in textbooks and the dental/medical literature.

Preoperative evaluation

Medical : Important considerations in treating a pediatric patient include obtaining a thorough medical history, obtaining appropriate medical and dental consultations, anticipating and preventing emergency situations, and being prepared to treat emergency situations.

Dental : It is important to perform a thorough clinical and radiographic preoperative evaluation of the dentition as well as extraoral and intraoral soft tissues.

Radiographs can include intraoral films and extraoral imaging if the area of interest extends beyond the dentoalveolar complex.

Read Also: Management of Facial Space Infection in a 9-Year-Old Child - A Case Report

Behavioral considerations Behavioral guidance of children in the operative and perioperative periods presents a special challenge. Many children benefit from modalities beyond local anesthesia and nitrous oxide/oxygen inhalation to control their anxiety.

Management of children under sedation or general anesthesia requires extensive training and expertise. Special attention should be given to the assessment of the social, emotional, and psychological status of the pediatric patient prior to surgery.


°Guideline on Pediatric Oral Surgery


EMERGENCY : Reimplantation of avulsed dry permanent teeth after three days


Avulsion is a traumatic injury which results in loss of the tooth from the alveolus, while reimplantation is the technique of reinserting an avulsed tooth into the alveolus or tooth socket after its loss.

The success of reimplantation depends on many factors among which are the time lapse before the tooth is reimplanted in the socket and the storage medium of the avulsed tooth.

Other factors which may affect the success of reimplantation include the condition of the tooth, particularly the periodontal ligament tissue remaining on the root surface, sex, age, type of tooth reimplanted, stage of root formation, type of cleansing procedure following contamination of the root surface, duration of splinting, and the use of antibiotics.

With favorable conditions such as the periodontal ligament remaining on the root surface, the tooth stored in adequate storage medium for not more than 60 minutes, and immediate reimplantation after the accident, the tooth may be retained for as long as 5 to 10 years and few for a lifetime, but some fail soon after reimplantation.

Read Also: ORAL SURGERY : Guideline on Pediatric Oral Surgery

Unfavorable conditions include teeth out of the mouth for more than 6 hours in no storage media and without periodontal ligament on the root surface.

In such cases, the reimplanted tooth fails with subsequent loss of the tooth.

This is because dry storage affects pulp revascularization and survival of the periodontal ligament cells along the root surface resulting in either replacement resorption or loss of the tooth.


°Nigerian Journal of Clinical Practice
°IN Ize-Iyamu, BDO Saheeb


ORAL SURGERY : Conservative treatment of the dentigerous cyst: report of two cases in childrens

Dentigerous Cyst

The purpose of this paper is to present two cases of dentigerous cyst associated to permanent teeth in children treated by conservative techniques.

Dentigerous cyst is the most common developmental cysts of the jaws.

Conservative treatment is very effective to this entity and aims at eliminating the cystic tissue and preserving the permanent tooth involved in the pathology.

Two techniques are described as conservative treatment for these cysts, marsupialization and the decompression. Two children presented with dentigerous cysts.

A female child was affected by a large lesion at the right side of the mandible associated to tooth 45. The other lesion arose at the left maxilla associated to tooth 21 of a male child. Each dentigerous cyst promoted severe tooth displacement.

The first patient was treated with decompression and the second with marsupialization.

Read Also: ORAL SURGERY : Guideline on Pediatric Oral Surgery


Dentigerous cyst is the most common odontogenic development cyst. It can involve any included tooth, although molars and canines are the most affected ones. Cystic formation involving the crown of premolars and incisives is rare.


°Brazilian Journal of Oral Sciences
°Manoela Carrera; Danilo Borges Dantas; Antônio Mareio Marchionni; Marília Gerhardt de Oliveira; Miguel Gustavo Setúbal Andrade


Mucocele of the lower lip in a 1 year old child


Mucocele is a common oral lesion, but it is rarely observed in the infant.

The aim of this study is to present the case report of a 1 year old male patient, with a mucocele of the lower lip, describing the clinical characteristics and surgical treatment performed under local anesthesia with no recurrence observed after nine months follow-up, and also to show the histological features of this benign oral lesion.

INTRODUCTION: Mucocele is a common benign lesion of the oral mucosa that etymologically means a cavity filled with mucus (muco means mucus and coele means cavity), which is the secretory product of salivary glands.

Read Also: ORAL PATHOLOGY : Guideline on Dental Management of Heritable Dental Developmental Anomalies

The mechanisms for the development of these lesions are two, mucus extravasation, generally regarded as being of traumatic origin, and mucus retention, resulting from obstruction of the duct of a minor or accessory gland.

The mucus extravasations phenomenon is ussually formed secondary to rupture of an excretory duct of a salivary gland, which leads to an outpouring of saliva into the surrounding tissues.

The resulting pool of glandular secretion is first surrounded by inflamamatory cells and later by reactive granulation tissue consisting of fibroblasts.


° Pediatric Dental Journal
° Janaina Merli Aldrigui / Patricia Eberson da Silva / Flávia Caló Aquino Xavier