RESUMO
Milk-alkali syndrome (MAS) is one of the causes of hypercalcaemia. We report a case of a 75-year-old lady with a history of thyroidectomy, presented with an altered mental state and had an extremely high calcium concentration of 4.96mmol/L. The hypercalcemia was attributed to the ingestion of large doses of calcium supplements, including calcium carbonate and calcium lactate, leading to MAS. She was managed with intravenous fluids, diuretics and withdrawal of calcium supplements. The patient responded well to treatment and regained consciousness. Details of the case including clinical presentations, electrocardiogram (ECG) findings and treatment plan, are discussed in this article.
Assuntos
Hipercalcemia , Idoso , Carbonato de Cálcio/efeitos adversos , Feminino , Humanos , Hipercalcemia/induzido quimicamente , Hipercalcemia/diagnósticoAssuntos
Auxiliares de Odontologia/educação , Ortodontia , Canadá , Humanos , Estados Unidos , Recursos HumanosRESUMO
A case of polyostotic fibrous dysplasia with increased bone density on radiographic presentation but a normal histologic appearance of dense trabecular bone is presented. Peculiar to this case of fibrous dysplasia was that treatment took place relatively late in the patient's life.
Assuntos
Displasia Fibrosa Óssea/patologia , Displasia Fibrosa Poliostótica/patologia , Doenças Maxilares/patologia , Feminino , Displasia Fibrosa Poliostótica/cirurgia , Humanos , Doenças Maxilares/cirurgia , Pessoa de Meia-IdadeRESUMO
This article presents a retrospective study of patients treated for impacted maxillary canines by a combined surgical and orthodontic approach. All patients were assessed radiographically by means of a lateral skull radiograph and an orthopantograph. No posteroanterior radiographs were taken. Facial or lingual position within the arch was not determined, the height and inclination of the canine being deemed more important. At surgery, a facial flap was raised first in all cases. Only if access and isolation were poor was a palatal flap raised. Bone was removed as necessary. One contention of this article is that the amount of bone removed is not important. It is the manner in which the soft tissues and, in particular, the periosteum are handled that ultimately affects the results of the surgical treatment. An attachment was bonded onto the tooth and the wound closed. The tooth was then actively extruded, a removable appliance being preferable because more vertical control of anchorage is possible.