scholarly journals Biologic restoration: A successful treatment option for immediate esthetics – A case report

2021 ◽  
Vol 1 ◽  
pp. 17-22
Author(s):  
Deep Shah ◽  
K. C. Ponnappa ◽  
Neha Subbaiah ◽  
M. C. Ponappa

Crown fractures mainly in the anterior region are the most common outcome of traumatic injuries. The common cause is ascribed to falls, motor vehicle accidents, and contact sports. Out of all the dental trauma injuries, dentoalveolar trauma contributes to about 25%, which may vary from simple crown fracture of enamel and/or dentin to complicated crown root fractures. In this case report, an undergraduate dental student reported with a fractured crown due to a fall an hour earlier. The clinical and radiographic assessment leads to the diagnosis of an uncomplicated crown fracture. Fracture line was extending obliquely till the middle third of the crown involving enamel and dentin. Tooth segment adaptation was evaluated, and decision was made to attempt for reattachment procedure. The tooth was isolated using rubber dam and tooth fragment was reattached using flowable composite. Follow up period was noted for 6 months. Tooth segment reattachment is a minimally invasive procedure with immediate aesthetic and it is not time consuming. This procedure has a predicable long-term prognosis with minimal complication due to advances in adhesive technique. Various factors should be taken into consideration for maximizing the benefits. Thus, this simple procedure is an alternative to the other complex restorative procedure for restoring tooth function, form, and esthetics. Recent advances in flowable composites can be used for a much more predictable result pertaining to strength and aesthetics.

Author(s):  
Sumit Raj ◽  
Pradeep Chouksey ◽  
Adesh Shrivastava ◽  
Rakesh Mishra ◽  
Manas Prakash ◽  
...  

AbstractExtradural hematoma (EDH) is a common intracranial pathology following motor vehicle accidents, comprising approximately 0.2 to 6% of all head injuries. The association of EDH with subperiosteal intraorbital hematomas is rarely reported. We report a case of a traumatic subfrontal EDH with subperiosteal hematoma (orbital EDH) successfully treated with needle aspiration, demonstrating that in appropriate patients, needle aspiration can result in the resolution of symptoms without an invasive procedure.


2016 ◽  
Vol 6 (1) ◽  
pp. 52-56

ABSTRACT Crown fractures of the anterior teeth are a common form of dental trauma mainly affecting children and adolescents. One of the options for managing crown fractures is the reattachment of the fractured fragment when the tooth fragment is available with minimal or no violation of the biological width. Reattachment of fractured fragments can provide good esthetics, as it maintains the tooth's original anatomic form, color, and surface texture. It also restores function and is a relatively simple procedure. This case report deals with the esthetic management of a crown-root fracture that was successfully treated with endodontic treatment followed by reattachment of fractured fragment with fiber post. How to cite this article Shaikh SAH, Shenoy VU, Sumanthini MV, Pawar RB. Esthetic Rehabilitation of a Fractured Permanent Maxillary Central Incisor by Reattachment. J Contemp Dent 2016;6(1):52-56.


2021 ◽  
Vol 8 (2) ◽  
Author(s):  
Aljohani M ◽  
◽  
Alanazi S ◽  

This case report describes a case of aortic injury with pseudo-aneurysm in a 3-year-old Saudi boy following a motor vehicle accident. The diagnosis was suspected on computed tomography scan, and emergency surgery was performed. A Dacron graft was inserted to repair the injured aorta. Postoperatively, absent femoral, and distal pulses were noted, and thromboembolectomy was performed with good outcome. We believe that our study makes a significant contribution to the literature because it raises awareness of aortic injury and rupture in pediatric patients with multi-organ trauma following motor vehicle accidents. A high index of suspicion and early intervention are essential in improving outcomes.


PEDIATRICS ◽  
1985 ◽  
Vol 76 (4) ◽  
pp. 605-610
Author(s):  
TANIA R. GUNN ◽  
PUI M. MOK ◽  
DAVID M. O. BECROFT

Acute subdural hemorrhage following the trauma of a difficult birth is a recognized cause of an increase in head circumference and anemia soon after birth.1 Although major subdural hemorrhages occurring in the fetus before the onset of labor are relatively rare, in most reported cases these also have been traumatic, the result of motor vehicle accidents or assaults.2-7 With few exceptions, there have been associated uteroplacental or other fetal injuries. In 1977, MacDonald et al8 believed they were making the first case report of an infant born with hydrocephalus and anemia due to bilateral subdural hematomas in which there was no history of maternal trauma.


Author(s):  
Meisam Jafari Kafiabadi ◽  
Mehrdad Sadighi ◽  
Amir Sabaghzadeh ◽  
Farsad Biglari ◽  
Saber Barazandeh Rad ◽  
...  

Background: Floating knee injury is defined as ipsilateral fractures of the femur and tibia. It was mostly seen among young men and is generally caused by high-velocity trauma such as motor vehicle accidents and falling from height. Although isolated fractures of the femur or tibia are relatively common in children, floating knee injuries are rare in adolescents and even less frequent in younger children. Case Report: In this study, we reported a case of bilateral floating knee injuries of a 10-month old girl infant. Radiographic examinations revealed diaphyseal fracture of the left femur and proximal metaphyseal fracture of tibia compatible with floating knee injury type B according to the classification proposed by Letts et al. To the best of our knowledge, there was not any previous report of bilateral infantile floating knee injury in the literature. Conclusion: Pediatric floating knee injuries are relatively uncommon and extremely rare among infants. The preferred method of treatment is a surgical fixation for all fractures of all ages.


2020 ◽  
Vol 9 (8) ◽  
pp. e278985863
Author(s):  
Ana Ferreira Souza ◽  
Gabriela Alves de Cerqueira ◽  
Marina Borges Tersi ◽  
Fernanda Pinto Murad ◽  
Giselle Maria Marchi

Dental trauma is one of the most common causes of post-eruptive intrinsic color changes in teeth. The dissatisfaction with smile aesthetics is one of the main motivators for seeking dental procedures such as tooth bleaching, which stands out for being a little-invasive procedure with immediate and satisfactory aesthetic results. The objective of this paper is to describe a case report of a 24-year-old patient who attended the Postgraduate Program in Dental Clinic Practice at the Piracicaba Dental School – University of Campinas, which involved as main complaint tooth darkening after trauma in childhood. Internal bleaching of a dental element was performed using sodium perborate and distilled water associated with in office external bleaching with 37% hydrogen peroxide to provide a more harmonious smile to the patient. The association of bleaching techniques is an alternative widely indicated and effective in cases where it is desirable to maintain the integrity of dental elements, especially in young patients, avoiding more invasive restorative procedures and resulting in patient satisfaction.


2017 ◽  
pp. 131-146

Background: Concussion is a change in brain function following an applied or directed force to the head or body with or without loss of consciousness. Common causes of concussion include falls, motor vehicle accidents, and sport-related accidents. Despite heightened awareness, as well as potential preventative approaches, the occurrence of concussion has increased in the United States and ranges from 1.6-3.8 million persons yearly. Once managed acutely, disposition plus education are pivotal to successful outcomes. Complex pathology and/or poor compliance to post-injury recommendations may prolong symptomatology and require a multi-faceted rehabilitation plan. This may also pose longterm clinical challenges related to function for activities of daily living, many of which are impacted by vision. Therefore, an interprofessional, collaborative treatment team, augmented with vision specialists and inclusive of neuro-optometry (OD), neuroophthalmology, and occupational therapy (OT), becomes integral to optimized assessments and therapeutic remediation for visually symptomatic individuals with concussion. Case Report: In this case report, a 44-year-old female post-concussion is initially managed with an incomplete care team rendering an incomplete recovery. This is followed by an exacerbation of her original clinical manifestations, a functional decompensation, and a return presentation to her care team. In response, a more complete inter-professional care team is assembled, including OT and OD, and a re-tooled management plan is constructed, exemplifying seamless ‘handoffs’. Conclusion: This case demonstrates the importance of appropriately recognizing and managing visual deficits in a patient’s postconcussive recovery. Further, the incorporation of an inter-professional vision team, including OT and OD, is highlighted, drawing particular attention to synergistic skill sets and seamless interplay. If properly coordinated and launched at the start of the care timeline, patients benefit from an expedited and more complete functional recovery. Overall, this case illustrates that the inter-disciplinary vision team is integral to successful concussion management in the setting of visual dysfunction.


Crisis ◽  
2009 ◽  
Vol 30 (1) ◽  
pp. 6-12 ◽  
Author(s):  
D.P. Doessel ◽  
Ruth F.G. Williams ◽  
Harvey Whiteford

Background. Concern with suicide measurement is a positive, albeit relatively recent, development. A concern with “the social loss from suicide” requires careful attention to appropriately measuring the phenomenon. This paper applies two different methods of measuring suicide data: the conventional age-standardized suicide (count) rate; and the alternative rate, the potential years of life lost (PYLL) rate. Aims. The purpose of applying these two measures is to place suicide in Queensland in a historical and comparative (relative to other causes of death) perspective. Methods. Both measures are applied to suicide data for Queensland since 1920. These measures are applied also to two “largish” causes of death and two “smaller” causes of death, i.e., circulatory diseases, cancers, motor vehicle accidents, suicide. Results. The two measures generate quite different pictures of suicide in Queensland: Using the PYLL measure, suicide is a quantitatively larger issue than is indicated by the count measure. Conclusions. The PYLL measure is the more appropriate measure for evaluation exercise of public health prevention strategies. This is because the PYLL measure is weighted by years of life lost and, thus, it incorporates more information than the count measure which implicitly weights each death with a somewhat partial value, viz. unity.


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