scholarly journals Use of Cast Post-and-cores for the Alteration of Crown Position for the Esthetically Compromised Patient

2014 ◽  
Vol 39 (4) ◽  
pp. 345-348 ◽  
Author(s):  
PA Hansen ◽  
J Veurink ◽  
M Ambrososio
Keyword(s):  
Clinical Appearance ◽  
Crown Position

SUMMARY The authors describe the use of cast post-and-cores, which allow a change in position of the clinical crown to permit the fabrication of two fixed partial dentures. The two fixed partial dentures change the clinical appearance of the patient.

Herpetic Whitlow of the Hand in Infants

2020 ◽  
Author(s):  
Mohammad M. Al-Qattan ◽  
Nada G. AlQadri ◽  
Ghada AlHayaza
Keyword(s):  
Bacterial Infection ◽  
Case Reports ◽  
Case Series ◽  
Individual Case ◽  
Senior Author ◽  
Secondary Bacterial Infection ◽  
Clinical Appearance ◽  
History Of ◽  
Mode Of Transmission ◽  
Time Of Presentation

Abstract Introduction Herpetic whitlows in infants are rare. Previous authors only reported individual case reports. We present a case series of six infants. Materials and Methods This is a retrospective study of six cases of herpetic whitlows in infants seen by the senior author (MMA) over the past 23 years (1995–2017 inclusive). The following data were collected: age, sex, digit involved in the hand, mode of transmission, time of presentation to the author, clinical appearance, presence of secondary bacterial infection, presence of other lesions outside the hand, method of diagnosis, treatment, and outcome. Results All six infants initially presented with classic multiple vesicles of the digital pulp. In all cases, there was a history of active herpes labialis in the mother. Incision and drainage or deroofing of the vesicles (for diagnostic purposes) resulted in secondary bacterial infection. Conclusion The current report is the first series in the literature on herpetic whitlows in infants. We stress on the mode of transmission (from the mother) and establishing the diagnosis clinically. In these cases, no need for obtaining viral cultures or polymerase chain reaction; and no medications are required. Once the vesicles are disrupted, secondary bacterial infection is frequent and a combination of oral acyclovir and intravenous antibiotics will be required.

HISTOPATHOLOGY OF THE PIGMENTED TUMORAL-LIKE LESIONS OF THE SKIN AT HUE HOSPITAL OF MEDICINE AND PHARMACY UNIVERSITY

2018 ◽  
Vol 8 (4) ◽  
pp. 65-69
Author(s):  
Mao Nguyen Van ◽  
Dong Tran Nam
Keyword(s):  
Key Words ◽  
Definitive Diagnosis ◽  
The Other ◽  
Cell Tumour ◽  
Cross Sectional ◽  
Skin Tumour ◽  
Clinical Appearance ◽  
The Face ◽  
The Common ◽  
Difficult Cases

Background: Pigmented tumour of the skin is one of the common tumour in human including the benign pigmented tumours (more common) called Nevi tumours and the malignant one called melanoma which was less frequent but the most poor in prognosis. In addition, the others not belonging to these group had the same clinical appearance, so the application of histopathology and immunohistochemistry for the definitive diagnosis was indespensible. Objectives: 1. To describe the macroscopic features of the pigmented tumoral-like lesions; 2. To classify the histopathologic types of the pigmented cell tumours and the other pigmented tumours of the skin. Materials and Method: Cross-sectional research on 55 patients diagnosed as pigmented tumoral lesions by clinician, then all definitively diagnosed by histopathology combining the immunohistochemistry in difficult cases. Results: There was no difference in gender, the disease was discovered most common in adult, especially with the age over 51 years old (58.1%). the most region located was in the face accounting for 60%, following the trunk and limbs (14.6%, 12.8% respectively). All 3 malignant melanomas happened in foot. The most common color of the lesions was black (65.4%), the other ones were rose, grey and blue. Histopathology and immunohisthochemistry showed that the true pigmented cell tumours were 52.6% encompassing benign ones (Nevi tumour) (41.8%), melanoma (5.4%) and lentigo (5.4%). 47.4% was not the true pigmented cell tumour including pigmented basocellular carcinoma (36.4%) and the others less common as histiofibromas, acanthoma and papilloma. Conclusion: the pigmented tumoral-like lesions of the skin could be the true pigmented cell tumours and the others, so the application of the histopathology and the immunohistochemistry after the clinical discovery helps to determine and classify the disease definitely and for the best orientation of treatment as well. Key words: skin tumour, benign pigmented tumour (Nevi), malignant pigmented tumour (melanoma), pigmented basocellular carcinoma

scholarly journals Oral Squamous Cell Carcinoma on Gingiva, Edentulous Ridge, and Retromolar Pad: A Case Series

Oral ◽  
2021 ◽  
Vol 1 (2) ◽  
pp. 159-167
Author(s):  
Lucio Lo Russo ◽  
Eleonora Lo Muzio ◽  
Giuseppe Colella ◽  
Maria Eleonora Bizzoca ◽  
Vera Panzarella ◽  
...  
Keyword(s):  
Case Series ◽  
Medical Consultation ◽  
Clinical Aspects ◽  
University Hospitals ◽  
Clinical Appearance ◽  
Oral Cancers ◽  
Presenting Symptoms ◽  
Medical Evaluation ◽  
Significant Incidence ◽  
Advanced Stages

(1) Background: Gingival cancer has a significant incidence and is often diagnosed at advanced stages. The aim of this paper is to highlight its clinical aspects on the basis of a case series analysis in order to promote awareness and improve the diagnosis process. (2) Methods: Oral cancers diagnosed and treated at three Italian University Hospitals over ten years were retrospectively investigated. Cancer location on the gingiva, edentulous ridge, and retromolar pad was addressed. Data regarding clinical features, stage at the diagnosis, and time from presenting symptoms to first medical consultation were retrieved. (3) Results: Thirty-three cancers located on the gingiva, edentulous ridge, and retromolar pad were retrieved from 276 total oral cancer cases (11.9%). A median of 50 days (range 2–300) passed for the patient to seek for a medical evaluation. At the time of diagnosis, 63.3% were advanced stage cancers, mainly located at the mandible (91%), especially in the retromolar pad (48.5%) and the edentulous alveolar ridge (24.2%). Lesions were red (45.5%), red and white (45.4%), or white (9.1%), appearing as an ulcer (69.7%), exophytic mass (12.1%) or flat lesion (12.1%). Sixty-six percent of cancers were completely asymptomatic, regardless their clinical appearance. A statistically significant association between the time from the presentation of symptoms to the first medical consultation and the cancers stage was found. (4) Conclusions: The clinical appearance of gingival cancer is very polymorphous; its understanding may be significant to improve patient education and early medical consultation.

scholarly journals Leishmania mexicana in a central Texas cat: clinical presentation, molecular identification, sandfly vector collection and novel management

2021 ◽  
Vol 7 (1) ◽  
pp. 205511692199959
Author(s):  
Kaitlin Hopke ◽  
Alyssa Meyers ◽  
Lisa Auckland ◽  
Sarah Hamer ◽  
David Florin ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Success ◽  
Leishmania Species ◽  
Canine Leishmaniosis ◽  
Leishmania Mexicana ◽  
Cutaneous Lesions ◽  
Clinical Appearance ◽  
Significant Clinical Improvement ◽  
Central Texas ◽  
The Right

Case summary This case report documents the clinical appearance, diagnosis and novel treatment of a central Texas cat with cutaneous leishmaniosis. The cat presented with a linear erosion on the right pinnal margin, an ulcerated exophytic nodule on the right hock and a swelling in the right nostril. Cytological and histopathological findings were consistent with leishmaniosis. PCR confirmed the presence of Leishmania mexicana, a species endemic to Texas. An epidemiological investigation was conducted by trapping sandflies from the cat’s environment. Sandflies collected were identified as Lutzomyia species, known vectors of Leishmania species. Given the lack of validated medical therapies for L mexicana in cats, treatments typically prescribed for canine leishmaniosis were administered. Allopurinol achieved clinical success but was discontinued due to suspected drug-related neutropenia. Topical imiquimod also improved lesional skin but was not sustainable due to application difficulty. Oral administration of artemisinin resulted in significant clinical improvement of cutaneous lesions without reported adverse events. Nearly 8 months after the initiation of artemisinin therapy, the cat remained systemically healthy with stable lesions. Relevance and novel information This case report demonstrates endemic feline leishmaniosis in central Texas and provides the clinician with alternative therapeutic options for medical management.

The changing clinical appearance of pulmonary tuberculosis

Lung ◽  
1976 ◽  
Vol 153 (4) ◽  
pp. 275-287 ◽  
Author(s):  
F. Mühlberger ◽  
R. Roost
Keyword(s):  
Pulmonary Tuberculosis ◽  
Clinical Appearance

Primary Implant Stability in Calcium Phosphate Cement: Clinical, Radiographic and Histological Analysis

2012 ◽  
Vol 727-728 ◽  
pp. 1131-1135 ◽  
Author(s):  
Vânia Barbosa Coutinho ◽  
José Alberto Silva ◽  
Luís Alberto Santos ◽  
Marcus Vinícius Lia Fook
Keyword(s):  
Calcium Phosphate ◽  
Calcium Phosphate Cement ◽  
Calcium Sulfate ◽  
Histological Analysis ◽  
Primary Stability ◽  
Filling Material ◽  
Implant Stability ◽  
Extraction Socket ◽  
Clinical Appearance ◽  
Osseointegrated Implants

The Calcium Phosphate Cement (CFC) has been used as filling material for bone defects because of osteoconductivity properties, bioactivity and biocompatibility. Recent studies, mostly in animals, indicate its use as an adjunct to treatment with osseointegrated implants. Thus this work aims reporting the event in which post-extraction socket was filled with CFC-based α-tricalcium phosphate and calcium sulfate and after four months, the implant was installed through the cement which was not reabsorbed with good primary stability. Upon reopening of the implants after six months, the clinical appearance of peri-implant region was considered normal. Radiographically, there wasnt radiopaque appearance of CFCs in the alveolar region of the test anymore. Histologically, remaining CFC in direct contact with bone without intervening fibrous connective tissue was noticed. Its concluded that the CFC showed osteoconductive behavior. The material tested seems to be an acceptable option for filling the post-extraction socket with the purpose of maintaining bone volume, however, more research is needed to generalize the indication.

Development of secondary unilateral coronal suture synostosis with a sagittal suture synostosis in a nonsyndromic patient

2012 ◽  
Vol 9 (2) ◽  
pp. 116-118 ◽  
Author(s):  
Leonardo Rangel-Castilla ◽  
Steven W. Hwang ◽  
Andrew Jea ◽  
William E. Whitehead ◽  
Daniel J. Curry ◽  
...  
Keyword(s):  
Surgical Intervention ◽  
Early Stage ◽  
Sagittal Synostosis ◽  
Clinical Appearance ◽  
Syndromic Craniosynostosis ◽  
Intervention Failure ◽  
Frontoorbital Advancement ◽  
Coronal Synostosis ◽  
Second Procedure

Multiple-suture synostosis is typically associated with syndromic craniosynostosis but has been occasionally reported in large series of nonsyndromic children. The diagnosis of multiple fused sutures usually occurs at the same time, but rarely has the chronological development of a secondary suture synostosis been noted. The development of secondary bicoronal suture synostosis requiring surgical intervention has only been reported, to date, after surgical intervention and is hypothesized to arise from a disruption of inhibitory factors from the dura. The disinhibition of these factors permits the sutures to then fuse at an early stage. The authors report on a patient who developed secondary unilateral coronal synostosis after the diagnosis of an isolated sagittal synostosis. The secondary synostosis was identified at the time of the initial surgical intervention and ultimately required a second procedure of a frontoorbital advancement. The clinical appearance of this phenomenon may be subtle, and surgeons should monitor for the presence of secondary synostosis during surgery as it may require intervention. Failure to identify the secondary synostosis may necessitate another surgery or result in a poor cosmetic outcome. The authors recommend close clinical follow-up for the short term in patients with isolated sagittal synostosis.

Severity of Disease Correlated With Fever Reduction in Febrile Infants

PEDIATRICS ◽  
1989 ◽  
Vol 83 (6) ◽  
pp. 1016-1019
Author(s):  
Raymond C. Baker ◽  
Tracy Tiller ◽  
Judith C. Bausher ◽  
Paul S. Bellet ◽  
William H. Cotton ◽  
...  
Keyword(s):  
Clinical Improvement ◽  
Reliable Indicator ◽  
Haemophilus Influenzae Type ◽  
Clinical Appearance ◽  
Routine Administration ◽  
Before And After ◽  
Viral Illness ◽  
Occult Bacteremia ◽  
A Prospective Study ◽  
Seriously Ill

A prospective study of the effects of fever reduction on the clinical appearance of infants at risk for occult bacteremia was undertaken to study the hypothesis that infants with bacteremic illness fail to improve clinically following defervescence compared with infants with benign viral illness. A total of 154 children were enrolled in the study, including 19 with bacteremia: 13 with occult Streptococcus pneumoniae bacteremia, two with occult Haemophilus influenzae, type b bacteremia, and four with Haemophilus meningitis and bacteremia. There were no differences in degree of temperature reduction with acetaminophen between the bacteremic and nonbacteremic groups of infants. Among infants with bacteremia but without meningitis, differences from nonbacteremic children were detected in clinical appearance prior to fever reduction but not following defervescence. All patients with meningitis appeared seriously ill before and after defervescence. It was concluded that clinical improvement with defervescence is not a reliable indicator of the presence of occult bacteremia. Lack of clinical improvement with defervescence may be a reliable indicator for the presence of meningitis. Because there were differences in clinical appearance prior to fever reduction, routine administration of acetaminophen may interfere with the clinical evaluation by the physician.

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