RESUMO
LITERATURE REVIEW AND CASE REPORT: A literature review of Herpes zoster of the trigeminal nerve is presented. Included are differential diagnosis and treatment modalities that will enable the dental practitioner to identify and manage this disease. A case report is provided to amplify this timely information.
Assuntos
Doenças dos Nervos Cranianos , Herpes Zoster , Odontalgia/etiologia , Nervo Trigêmeo/virologia , Aciclovir/uso terapêutico , Doenças dos Nervos Cranianos/complicações , Doenças dos Nervos Cranianos/diagnóstico , Doenças dos Nervos Cranianos/terapia , Doenças da Polpa Dentária/etiologia , Diagnóstico Diferencial , Feminino , Herpes Zoster/complicações , Herpes Zoster/diagnóstico , Herpes Zoster/terapia , Herpesvirus Humano 3 , Humanos , Pessoa de Meia-IdadeRESUMO
CASE REPORTS: The problem of thermal sensitivity following non-surgical root-canal treatment is explored and case reports are presented. Possible causes for post-treatment discomfort from endodontic and restorative aetiologies are discussed, as are the mechanisms to explain the patients' painful experiences. Treatment of this problem may vary from the simple replacement of a defective restoration to a more extensive non-surgical retreatment of the case, despite radiographic evidence of an acceptable root filling and normal periradicular tissues.
Assuntos
Tratamento do Canal Radicular/efeitos adversos , Dente não Vital/fisiopatologia , Odontalgia/etiologia , Temperatura Baixa , Infiltração Dentária/complicações , Temperatura Alta , Humanos , Dente Molar , Retratamento , Sensação Térmica , Falha de TratamentoRESUMO
OBJECTIVE: This study compared the difference in interpretation of the position of endodontic file tips between two imaging systems: photostimulable storage phosphor luminescence imaging versus radiographic film. STUDY DESIGN: Thirteen patients were selected at random. Preoperative and trial file length radiographs were made with a dual image receptor composed of a Digora Digital Imaging Plate and a piece of Ektaspeed Plus film. Exposure techniques for E-speed film were used. Root length and file length measurements were made from digital images with the Digora system's measuring tools. Measurements were also made on radiographic film with a 7 x measuring magnifier. Root length, file length, and their difference were compared for both film and digital images. RESULTS: Differences were found to be less in digital than in film images. Photostimulable storage phosphor luminescence imaging performed similarly to Ektaspeed Plus film for measuring root lengths, but file tip positions (especially of small file sizes) were difficult to visualize with E-speed film. CONCLUSIONS: The smaller difference between file tip and root apex found with digital imaging suggests that this technique is more accurate to assess trial file length. This imaging modality for assessing file positions during root canal treatment may be beneficial to the practitioner.
Assuntos
Cavidade Pulpar/diagnóstico por imagem , Radiografia Dentária Digital , Tratamento do Canal Radicular/instrumentação , Filme para Raios X , Dente Pré-Molar/diagnóstico por imagem , Dente Canino/diagnóstico por imagem , Humanos , Dente Molar/diagnóstico por imagem , Análise Multivariada , Variações Dependentes do Observador , Odontometria , Ápice Dentário/diagnóstico por imagem , Raiz Dentária/diagnóstico por imagemRESUMO
We report a case of cutaneous odontogenic sinus tract to the chin. The patient first noticed the cutaneous condition in 1977. Inappropriate medical and dental treatment was ineffective. Correct diagnosis and treatment was completed in 1993. We offer diagnostic and treatment guidelines for the management of similar cases.