New technology yields an instant occlusal impression for recording occlusal and near occlusal contacts and excursive movements in a closed position. Occlusal contact areas can be recorded in a material rather than on a tooth, allowing the information to be scanned and digitized for immediate viewing and subsequent examination.
Zygomatico-coronoid ankylosis is an unusual event. Twenty-four cases have been reported so far in the English literature but the exact incidence might be more. In this case report, the management of a 30-year-old male patient with zygomatico-coronoid bony ankylosis is presented following road traffic accident.
Examination revealed moderate head injury with basal skull fracture, fractured mandible and dislocated right temporomandibular joint (TMJ). There were also fractured ribs, right femur and ankle fractures. Craniofacial CT scan showed compound fracture of the left parasymphysis of the mandible with supero-lateral fracture dislocation of the right mandibular condyle. He had mandibular fracture fixation with metal plates and screws and closed reduction of right TMJ. He was subsequently discharged with strict instructions on active jaw exercise. He was lost to follow up for 3 months and on re-presentation in the hospital, mouth opening was 1.4 cm. Repeated CT scan showed bony fusion involving the right zygomatic arch and the coronoid process.
Regarding treatment, surgical approach to the coronoid process was performed intraorally, however, because of persistent restricted mouth opening intraoperatively, a pre-auricular approach using the Bramley-Alkayat incision was used to assess the condyle in order to perform high condylectomy and utilize temporal muscle as inter-positional material.
Teeth with molar incisor hypomineralization (MIH) present with substantial dental tissue loss, requiring restorations with materials able to provide satisfactory clinical performance. This paper presents a clinical report of an 11 years of age patient diagnosed with MIH. Repeated previous treatment with composite resin and glass ionomer was reported. A low-shrinkage composite resin was used as a core build-up material. The tooth was prepared for a complete crown. A preformed-malleable composite-resin-based material (Protemp™ Crown Temporization Material; 3MESPE, St. Paul, MN, USA) was used to fabricate the restoration that was cemented definitively with a self-adhesive resin cement (RelyX® Unicem 2, 3MESPE, Seefeld, Germany). The patient was followed for up-to 18 months with excellent gingival health. There was no noticeable wear or significant discoloration of the restoration. Preformed-malleable composite-resin-based material may be a viable treatment approach to restoring teeth with MIH.
The occurrence of radio-opaque embedded foreign entities on dental radiographs, especially after dental treatment or maxillofacial trauma is not uncommon. Alongside such commonplace radiopacities, there is the occasional report of disparate artifacts being observed as incidental findings on dental pantomographs. One such entity is Susuk, or charm needles that are implanted subcutaneously in the facial region and elsewhere in the body. While this phenomenon has been reported primarily from the South-east Asian region; increasing international travel in the modern age could render these radiopaque entities a diagnostic challenge for the unacquainted clinician. In a deviation from the classically reported needle-type susuks, this paper reports a case involving insertion of multiple, springy type, filamentous, strands in the orofacial region; manifesting on the pantomograph as a meshed- veil that has never been reported in the literature.
Aim: This study so to determine the factors associated with development of fatty liver disease in obese individuals with periodontitis.
Study Design: Hospital based cross-sectional study.
Place and Duration of Study: This hospital-based cross-sectional study was conducted at the Komfo Anokye Teaching Hospital (KATH), Ghana, from March, 2017 to February 2018.
Methodology: Eighty-seven (87) (29 males and 58 females) clinically diagnosed periodontal disease (PD) patients who were obese (BMI ≥ 30 kg/m2) were recruited. A self-designed semi-structured questionnaire was administered to each consented participant for socio-demographic characteristics. Oral hygiene data including dental visits, tooth extraction. Periodontal disease was diagnosed using Basic Periodontal Examination (BPE) by a qualified Restorative Dental surgeon. Blood samples were also collected for selected biochemical measurements.
Results: The prevalence of FLD in this study population is 37.9%. Higher age (RR = 8.4; 95% CI = 1.93-36.62; p = 0.005 for 31-40 years. and RR = 5.48; 95% CI = 1.41-21.30; p = 0.014 for > 40 years), being a female (RR = 2.55; 95% CI = 1.0-6.91; p = 0.035) and severity of periodontal disease (RR = 5.95; 95% CI = 2.17-16.35; p = 0.001 for moderate periodontal state and RR = 7.00; 95% CI = 1.14-42.97; p = 0.036 for advanced periodontal state) significantly increased the risk of developing FLD among the study population. Also, hypertensives were 4 times more likely to develop FLD (RR = 4.24; 95% CI = 1.53-11.75; p = 0.006).
Conclusion: The risk factors for FLD among obese subjects with periodontal disease are age group (31 -40) years, being female, hypertension and severity of periodontal disease. This is important in the primary prevention and control of FLD among these subjects.