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Medication-Related Osteonecrosis of the Jaw (MRONJ) Mistaken for Acute Apical Abscess. 与药物相关的颌骨骨坏死（MRONJ）被误认为是急性牙尖脓肿。
Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995) Pub Date : 2024-05-01
Mona Meshkin, Christian McDermott, Rebekah Lucier Pryles, Brooke Blicher
{"title":"Medication-Related Osteonecrosis of the Jaw (MRONJ) Mistaken for Acute Apical Abscess.","authors":"Mona Meshkin, Christian McDermott, Rebekah Lucier Pryles, Brooke Blicher","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The objective of this case study is to report on the diagnosis and treatment of medication-related osteonecrosis of the jaw (MRONJ), which was originally misdiagnosed and mistreated as endodontic disease. A patient was referred for worsening odontalgia despite root canal therapy on tooth No. 19 and a course of oral antibiotics. Examination demonstrated slight buccal swelling and tenderness in the left masseter and a 7-mm diameter area of exposed bone on the mandibular left lingual torus. Further history-taking revealed prior bisphosphonate therapy for metastatic breast cancer. MRONJ was identified as the likely diagnosis, and the patient was appropriately referred to oral and maxillofacial surgery where the diagnosis was confirmed and surgical debridement performed. The case study demonstrates how the symptomatology and presentation of MRONJ can resemble endodontic disease and that timely and appropriate treatment requires eliciting an in-depth medical history, reaching a complete pulpal and periapical diagnosis, and remaining attentive to the presence of exposed bone on examination.</p>","PeriodicalId":72651,"journal":{"name":"Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)","volume":"45 5","pages":"248-251"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Embracing Hygiene as Its Own Complementary Industry Within Dentistry. 将卫生作为牙科的补充产业。
Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995) Pub Date : 2024-05-01
Melissa K Turner
{"title":"Embracing Hygiene as Its Own Complementary Industry Within Dentistry.","authors":"Melissa K Turner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Within the dental industry, it seems as if both dental business owners and clinicians are still attempting to regain footing since the pandemic, unsure of what exactly the future holds. The important thing to note, though, is that even without the pandemic, the dental industry has been and is poised to experience significant and multiple changes simultaneously, some of which will be unprecedented. Today, dentistry is in the midst of seeing these changes take place, and dental professionals are learning how to successfully navigate through them.</p>","PeriodicalId":72651,"journal":{"name":"Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)","volume":"45 5","pages":"262-265"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Management of Oral Manifestations of Herpes Simplex Virus, Varicella Zoster Virus, and Human Papillomavirus. 单纯疱疹病毒、水痘带状疱疹病毒和人类乳头瘤病毒口腔表现的处理。
Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995) Pub Date : 2024-04-01
Lauren Elkada, Aviv Ouanounou
{"title":"Management of Oral Manifestations of Herpes Simplex Virus, Varicella Zoster Virus, and Human Papillomavirus.","authors":"Lauren Elkada, Aviv Ouanounou","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Human herpes virus is a family of DNA viruses that includes herpes simplex virus (HSV) and varicella zoster virus (VZV). HSV-1 and HSV-2 are fairly common and result in oral and genital lesions. Recurrent infections of herpes include lesions on the lips resulting in pain and possibly societal stigma, making adequate treatment of these conditions crucial. VZV is the cause of chicken pox and shingles. Acyclovir and other nucleoside analogues have been the gold standard of treatment for HSV and VZV, but newer, more effective treatments are being developed, which is beneficial regarding the issue of resistance to standard antivirals. Human papillomavirus (HPV) is also a DNA virus with different subtypes that result in four common oral benign lesions. The significance and treatments of HSV, VZV, and HPV are discussed, along with certain developing treatments of herpes labialis (HSV).</p>","PeriodicalId":72651,"journal":{"name":"Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)","volume":"45 4","pages":"192-197; quiz 198"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Modified Socket-Shield Technique: Simplifying the Root Sectioning Process. 改良插座-屏蔽技术：简化牙根切片过程
Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995) Pub Date : 2024-04-01
Gebin Zhu, Stuart J Froum, Sirajuta Praisonta, Ines Fernandez Guallart, Mazen Natour, Yung Chen Paul Yu, Sang-Choon Cho
{"title":"A Modified Socket-Shield Technique: Simplifying the Root Sectioning Process.","authors":"Gebin Zhu, Stuart J Froum, Sirajuta Praisonta, Ines Fernandez Guallart, Mazen Natour, Yung Chen Paul Yu, Sang-Choon Cho","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Socket wall resorption leading to a loss of surrounding bone following tooth extraction has been documented in the dental literature. The use of various socket-shield techniques has been suggested as a solution to this issue. In these approaches, the tooth root is sectioned in two, and the coronal two-thirds of the buccal root is preserved in the socket. This allows the periodontium along with the bundle and buccal bone to remain intact, thus preventing or minimizing bone remodeling. According to the literature, this procedure is highly technique sensitive, especially when it comes to sectioning the root. Additionally, the procedure requires significant time, and several complications may occur, such as fenestration or luxation of the remaining root, requiring its complete extraction. This case report presents a modified socket-shield technique using a trephine bur guided by a computer-designed surgical guide to simplify root sectioning, thus reducing surgical time while increasing predictability of the outcome.</p>","PeriodicalId":72651,"journal":{"name":"Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)","volume":"45 4","pages":"199-202"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140860712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cementoblastoma Mimicking Pathology of Endodontic Origin: A Case Report. 模仿牙髓病病理的牙髓母细胞瘤：病例报告
Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995) Pub Date : 2024-04-01
Shraya Sharma, Brooke Blicher, Rebekah Lucier Pryles, Darcy A Kerr, Rocco Addante
{"title":"Cementoblastoma Mimicking Pathology of Endodontic Origin: A Case Report.","authors":"Shraya Sharma, Brooke Blicher, Rebekah Lucier Pryles, Darcy A Kerr, Rocco Addante","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Interdisciplinary care in the management of complex pathology is critical to ensure patients receive predictable, evidence-based treatment. The authors report the unique case of a healthy 38-year-old female patient who presented to a private endodontics practice with a radiopaque lesion associated with the root of tooth No. 20. The patient experienced mild and occasional palpation tenderness associated with the tooth. Extraoral examination and intraoral soft tissues presented without any abnormalities. Intraoral radiographs revealed a radiopacity overlying the apex of tooth No. 20. A cone-beam computed tomography scan of the region revealed a well-delineated bulbous radiopaque lesion attached to the lingual aspect of the apical third of the root of tooth No. 20. The lesion could not be distinguished from the root outline and presented with a radiolucent halo along its periphery. The differential diagnosis at the time consisted of cementoblastoma, condensing osteitis, hypercementosis, and periapical cemento-osseous dysplasia. The patient was referred to an oral and maxillofacial surgeon for evaluation and treatment. Tooth No. 20 was subsequently treated with an excisional biopsy and concurrent extraction of the tooth. Histologic examination of the lesion supported the diagnosis of cementoblastoma.</p>","PeriodicalId":72651,"journal":{"name":"Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)","volume":"45 4","pages":"210-212"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140870392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Closing the Gap: How Oral Health and Sleep Health Are Imperative to Overall Health. 缩小差距：口腔健康和睡眠健康对整体健康的重要性。
Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995) Pub Date : 2024-04-01
Ashley Spooner
{"title":"Closing the Gap: How Oral Health and Sleep Health Are Imperative to Overall Health.","authors":"Ashley Spooner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The healthcare landscape has long been characterized by a noticeable separation between the medical and dental fields, influencing how both oral and overall health are perceived and managed today. Long ago, tooth extraction was perceived as a form of entertainment, with barber-surgeons conducting procedures in front of crowds.1 Dentistry's transformation into a profession in the mid-1800s established a separate educational path, intensifying the divergence between medical and dental healthcare.2,3 The US Surgeon General's Oral Health in America reports in 2000 and 2021 highlighted the need to close the gap between dental and medical healthcare. Oral health is crucial to reducing chronic inflammation, affecting patients' overall health and quality of life.4 Dental-medical integration is imperative for collaborative care addressing chronic inflammation, overactive sympathetic responses, and oxidative stress.</p>","PeriodicalId":72651,"journal":{"name":"Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)","volume":"45 4","pages":"218-220"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140860713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Novel Concept for Developing a Precise and Predictable Post and Core Complex Using the Injectable Resin Technique (Part 2). 使用注射树脂技术开发精确且可预测的桩核复合体的新概念（第二部分）。
Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995) Pub Date : 2024-04-01
Douglas A Terry, John O Burgess, John M Powers, Markus B Blatz
{"title":"A Novel Concept for Developing a Precise and Predictable Post and Core Complex Using the Injectable Resin Technique (Part 2).","authors":"Douglas A Terry, John O Burgess, John M Powers, Markus B Blatz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Post and core systems have long been used in dentistry for the purposes of replacing missing coronal tooth structure, retaining the core, and providing sufficient retention and resistance form to the final restoration to re-establish original form and function. While Part 1 of this two-part article provided a history of post and core systems and materials and discussed empirical data regarding fiber-reinforced post systems, this second part of the article focuses on an alternative approach for developing a fiber-reinforced post and core system using a monoblock system via the injectable resin technique and a recently developed fiber-optic post. The present article explains the concept of a ferrule effect and demonstrates the novel restorative procedure.</p>","PeriodicalId":72651,"journal":{"name":"Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)","volume":"45 4","pages":"184-190; quiz 191"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140861771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Innovations in Orthodontics: Skeletal Versus Dentoalveolar Expansion Utilizing Clear Aligners and TAD-Assisted Expanders. 正畸学的创新：利用透明矫治器和 TAD 辅助扩张器进行骨骼扩张与牙槽骨扩张。
Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995) Pub Date : 2024-04-01
Marianna Evans, Daniel Berant
{"title":"Innovations in Orthodontics: Skeletal Versus Dentoalveolar Expansion Utilizing Clear Aligners and TAD-Assisted Expanders.","authors":"Marianna Evans, Daniel Berant","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hypoplastic maxilla is a common skeletal anomaly that compromises function and esthetics. Beyond just a narrow-appearing smile, this abnormality presents significant restorative challenges in adult patients as it is often associated with crowding, compromised axial inclination of the teeth, lack of alveolar bone support, root proximity, and occlusal trauma.1 Recent research also confirms association of maxillary deficiency with nasal stenosis and a predisposition to compromised nasal airflow and pharyngeal collapse during sleep.2,3 Maxillary transverse skeletal deficiency is often but not always associated with posterior dental cross-bite. In most cases, maxillary posterior teeth are flared buccally and mandibular posterior teeth are excessively lingually inclined masking the underlying skeletal problem.4 Advances in 3D imaging in dentistry, namely ultra-low radiation cone-beam imaging technology, have significantly enhanced clinicians' ability to diagnose and subsequently treat a maxillary transverse deficiency.5.</p>","PeriodicalId":72651,"journal":{"name":"Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)","volume":"45 4","pages":"214"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Implant Placement When an Impacted Tooth and Supernumerary Teeth Are Present in the Maxilla. 当上颌出现阻生牙和多生牙时的种植体植入。
Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995) Pub Date : 2024-04-01
Igor V Kaplansky, Gregori M Kurtzman
{"title":"Implant Placement When an Impacted Tooth and Supernumerary Teeth Are Present in the Maxilla.","authors":"Igor V Kaplansky, Gregori M Kurtzman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The presence of impacted and/or supernumerary teeth in the maxillary anterior region can cause complications when attempting to perform restorations with implants. Extracting these structures can lead to adverse issues related to the adjacent dentition and require osseous grafting to provide a base to house the planned implant, but such an approach increases treatment time and cost. In this case report, a patient presented with an impacted permanent canine oriented on the horizontal plane with several supernumerary teeth coronal to the impacted canine. CBCT analysis revealed a very thin buccal plate over the impacted supernumerary teeth. The proposed treatment followed the principles of partial extraction therapy (PET) whereby the impacted structures were treated like bone, and implants were placed in contact with them or through them to achieve the desired osseointegration and provide long-term survival of the restored implants.</p>","PeriodicalId":72651,"journal":{"name":"Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)","volume":"45 4","pages":"e1-e4"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140861772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Successful Regenerative Therapy of Periodontal Defects Associated With Tongue Piercing: A Clinical Report. 成功再生治疗与穿刺舌头有关的牙周缺陷：临床报告
Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995) Pub Date : 2024-04-01
Sultan Albeshri, Dennis P Tarnow, Philip Kang
{"title":"Successful Regenerative Therapy of Periodontal Defects Associated With Tongue Piercing: A Clinical Report.","authors":"Sultan Albeshri, Dennis P Tarnow, Philip Kang","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Oral piercing habits are associated with various degrees of complications. Tongue piercing increases the risk of gingival recession and infrabony defects, subsequently leading to localized periodontitis. In the case presented, the patient had persistent swelling and suppuration around her mandibular anterior teeth attributed to tongue piercing jewelry that was placed approximately 12 years prior. Intraoral examinations revealed a localized deep pocket, purulent discharge, swelling, plaque accumulation, bleeding on probing, gingival recession, and teeth mobility. The patient was diagnosed with localized stage III, grade C periodontitis. Following full-mouth debridement and the placement of an extracoronal lingual splint, minimally invasive, papillae-sparing incisions were made, and regenerative therapy with bone allograft and collagen membrane was used to manage the infrabony defects. During the 18-month postoperative follow-up, complete soft-tissue healing was observed along with a significant reduction in pocket depth and the absence of bleeding on probing or suppuration. Radiographic evaluation showed evidence of bone fill. The reported case demonstrates how careful diagnosis and treatment planning are crucial for managing different periodontal defects and emphasizes the importance of proficient periodontal management, which can save teeth that would otherwise be extracted and replaced with implant therapy or fixed bridgework.</p>","PeriodicalId":72651,"journal":{"name":"Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)","volume":"45 4","pages":"204-208"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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