Quintessence international
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Owing to the overwhelming popularity of oral piercing, general practitioners should be prepared to address complications arising as a result of oral piercing and to provide patients with accurate information. The purpose of this cross-sectional study was to assess the prevalence of early and late complications associated with lip and tongue piercing in a population obtained from a nondental setting. Possible cofactors were evaluated. ⋯ Early complications after oral piercing are frequent. Oral health care might be an important tool to minimize early and late postpiercing complications. Owing to the high prevalence of late complications-especially after median lip piercing-persons with oral piercing should attend regular dental checks and receive professional advice on tooth cleaning and oral hygiene.
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A 50-year-old white woman was referred to the emergency room of the University of Medicine and Dentistry of New Jersey with a major complaint of right facial pain of 3 months' duration. A comprehensive intraoral and extraoral examination was performed. She reported a limited mandibular opening and the need for a soft diet for approximately 1 month. ⋯ A CT scan and MRI revealed a large mass in the right nasopharyngeal submucosa that extended into the nasopharyngeal space. The magnitude of the finding was not anticipated. This case demonstrates several important aspects relative to dental care: Orofacial pain is complex; evaluation of the history of a patient with orofacial pain is quite different from evaluating a patient with dental pain; and more training is required to treat patients with unusual oral and facial pain complaints.
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To the authors' knowledge, this is the first reported case of an odontogenic carcinoma with documented skeletal muscle differentiation (rhabdomyosarcoma). The histology and clinical features of this aggressive odontogenic neoplasm are described. Within the English-language literature, only 2 cases are reported of an odontogenic tumor with muscle differentiation: a benign odontogenic tumor (ameloblastoma) with differentiation into a rhabdomyosarcoma and an odontogenic sarcoma with smooth-muscle differentiation. The general practitioner should be aware that odontogenic lesions may be malignant, even though this is extremely rare, and all tissue removed from the oral cavity should be submitted for biopsy.
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Comparative Study
Physical neurosensory testing versus current perception threshold assessment in trigeminal nerve injuries related to dental treatment: a retrospective study.
To provide a preliminary comparison of traditional clinical neurosensory examination (CNE) and current perception threshold (CPT). ⋯ Following LN injuries, CNE and CPT tests provided similar findings. More disparity was observed between the CNE and CPT methods in the IAN injury evaluation. For LN injury assessments, CNE alone appears to be adequate for assessing nerve injuries.
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Comparative Study
Comparison of lingual and inferior alveolar nerve microsurgery outcomes.
To evaluate the outcomes of published studies involving lingual nerve (LN) and inferior alveolar nerve (IAN) microsurgery and reviewing differences in sensory recovery and timing to repair for both groups. ⋯ Patients undergoing LN and IAN microsurgery benefit from trigeminal nerve microsurgery. No statistically significant differences overall were observed when comparing the outcomes of LN and IAN microsurgery. Patients undergoing trigeminal nerve microsurgery for LN and IAN injuries 6 months after injury derived less sensory recovery; however, significant improvement was still observed, warranting consideration for microsurgery in those patients who might present later for initial surgical consultation.