Minerva stomatologica
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Minerva stomatologica · Nov 2007
Review Case ReportsSubmandibular cellulitis (Ludwig's angina) associated to a complex odontoma erupted into the oral cavity. Case report and literature review.
The clinical presentation of Ludwig's angina consists in a severe expanding cellulitis causing swelling of the floor of the mouth, tongue and submandibular region, thus resulting in a possible obstruction of the airway and in a rapid progress in deep neck soft tissue infection and mediastinitis with potentially fatal consequences. Frequently, submandibular cellulitis develops from an acute infection spreading from the lower molar teeth. Mandibular fractures, traumatic laceration of the floor of the mouth, and peritonsillar abscesses are other concomitant clinical features. ⋯ The patient was affected by enlargement of submandibular space, marked face swelling causing an evident face deformity, tenderness and redness of the neck and limited movement of the neck and mouth. In the past, Ludwig's angina was frequently fatal, however aggressive surgical and medical therapy have significantly reduced the mortality rate. The reported case can be considered as important, not only because of the rarity of the odontoma eruption in the oral cavity, but mainly for the extent of the clinical manifestation of a lesion usually described in literature as asymptomatic.
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Minerva stomatologica · Nov 2007
Comparative StudyFive-year follow-up of temporomandibular disorders and other musculoskeletal symptoms in dental students.
The aim of this epidemiologic study was to evaluate the intensity and variation of temporomandibular disorders and other musculoskeletal symptoms in a population of dental students during the five years of Dental School. ⋯ A higher risk of developing such symptoms associated with dental work in the laboratory can be hypothesized in case of improper ergonomics.