ABSTRACT
A 3-year-old had spontaneous gingival hemorrhage and bilateral limb weakness with inability to bear weight. He had no preceding oral trauma or recent infection, took no regular medications, and had no recent use of aspirin or nonsteroidal anti-inflammatory drugs; his diet was limited to primarily chicken nuggets and milk. What is the diagnosis and what would you do next?
Subject(s)
Ascorbic Acid , Gingival Hemorrhage , Musculoskeletal Pain , Scurvy , Child, Preschool , Humans , Male , Diagnosis, Differential , Gingival Hemorrhage/blood , Gingival Hemorrhage/diagnosis , Gingival Hemorrhage/etiology , Musculoskeletal Pain/blood , Musculoskeletal Pain/diagnosis , Musculoskeletal Pain/etiology , Scurvy/blood , Scurvy/complications , Ascorbic Acid/bloodSubject(s)
Mandible , Mandibular Neoplasms , Humans , Male , Mandibular Neoplasms/diagnostic imaging , Mandibular Neoplasms/surgery , Middle AgedABSTRACT
It is essential for practitioners who place dental implants to be able to diagnose and treat common complications or know when to refer to a specialist. Common complications can include nerve injuries, infections, sinus membrane perforations, and edema. This article discusses these complications, incidence rates, tips to avoid common complications, and management options when a patient returns with a complication.
Subject(s)
Dental Implants , General Practitioners , Sinus Floor Augmentation , Dental Implantation, Endosseous/adverse effects , Dental Implants/adverse effects , Humans , Maxillary Sinus , Retrospective StudiesABSTRACT
The use of 3-dimensional (3D) cone-beam computed tomography (CBCT) imaging in the dental office has become a common imaging modality. The authors present an overview of multiple treatments that would benefit from the use of this technology. From preoperative, intraoperative, to postoperative patient management, 3D technology plays a vital role in the dental practice. With the incorporation of 3D CBCT, intraoral scanners, and 3D printing, a dental provider can accurately plan and execute the treatment with greater confidence. The contemporary dentist, however, has many options for incorporating the digital workflow based on the specific practice needs.
Subject(s)
Dental Offices , Imaging, Three-Dimensional , Cone-Beam Computed Tomography , Humans , Printing, Three-DimensionalABSTRACT
Omental infarction is an uncommon cause of acute abdomen but one that clinically mimics more serious and common causes of acute abdomen like appendicitis and cholecystitis. Historically, it was diagnosed only intraoperatively during surgery for presumed appendicitis or other causes of acute abdomen. But with the increase in the use of imaging, especially abdominal computed tomography (CT) scan in the work-up for acute abdomen, more cases of omental infarction are being diagnosed preoperatively. This has also led to the observation that omental infarction is a self-limiting condition which can be managed conservatively. Currently, conservative management and surgery are the only treatment options for omental infarction with no consensus as to the best treatment modality. Having a patient with both acute appendicitis and omental infarction simultaneously is extremely rare with only two reported cases in the literature thus far. Here, we present a 10-year-old obese female who presented to our hospital with acute abdomen and was found to have acute appendicitis and omental infarction. The patient underwent laparoscopic appendectomy and resection of the infarcted omentum and had uneventful recovery and was discharged on the second postoperative day. In this report, we present a review of current literature on omental infarction and highlight the importance of imaging especially abdominal CT scan in the nonoperative diagnosis and treatment of omental infarction.