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Monday, July 18, 2011

Cysts of Oral Cavity (Jaw).

A cyst is a closed sac, having a distinct membrane and division on the nearby tissue. It may contain air, fluids, or semi-solid material. A collection of pus is called an abscess, not a cyst. Once formed, a cyst could go away on its own or may have to be removed through surgery.


Cysts of Oral Cavity (Click the Image to Enlarge)


Classification of Cysts of Oral Cavity:

Cysts of oral cavity can be classified as shown below:

(A.)EPITHELIAL :

(B.)NON EPITHELIAL :

(C.)CYST ASSOCIATED WITH MAXILLARY ANTRUM :

Saturday, July 9, 2011

Case Studies #2 - Horizontal Root Fracture Treatment.

This 13 year old boy has sustained a trauma on tooth 11. The horizontal root fracture has unfortunately been treated by his dentist by performing an endo in the 2 segments. After a while the coronal segment has been retreated by another dentist, with gutta-percha and sealer.

His symptoms never went away, tooth was sensitive to percussion and showed a greyish discoloration. He has been adviced to have the tooth extracted, because everything possible had been done.

But later on by endodontist submitting this article did a conventional retreatment till the fracture level, and filling the coronal segment with MTA. Then, in the same session, he raised a flap and removed the apical fragment in 2 parts. The fracture line is usually not horizontal, but oblique, and left a reverse bevel to the palatal aspect of the root. You can see the apical fractured segment in two parts on the clinical pic. After removing the sutures, he placed sodium perborate for a few days, and finally filled the access opening with composite. The boy is doing well, and in my opinion there is a reasonable chance for tooth to be retained, at least till he is old enough to have an implant.



Horizontal Root Fracture Slide -1
Click the Image to Enlarge




Horizontal Root Fracture Slide -2
Click the Image to Enlarge


Case Studies #1 - 2 Seperate Palatal Canals.

Below are the pics of real case studies.

Details :

IP with acute AP periodontitis.
2 separate palatal canal merging apically as one.
The last picture brlow is 5 years later.



2 seperate palatal canals -1
Click the Image to Enlarge




2 seperate palatal canals -2
Click the Image to Enlarge




2 seperate palatal canals -3
Click the Image to Enlarge


Taking care for Adults Teeth.


How Do I Best Care for My Teeth as an Adult ?

The key to keeping a bright, healthy smile throughout adulthood is to practice proper oral hygiene. Even adults can get cavities, as well as gum disease, that can lead to serious problems. Throughout your adult life, it's important to continue to:
  • Brush twice a day with a fluoride toothpaste to remove plaque-the sticky film on your teeth that's the main cause of tooth decay.
  • Floss daily to remove plaque from between your teeth and under your gumline, before it can harden into tartar. Once tartar has formed, it can only be removed by a professional cleaning.
  • Limit sugary or starchy foods, especially sticky snacks. The more often you snack between meals, the more chances you give the acids in plaque to attack your tooth enamel.
  • Visit your dentist regularly for professional cleanings and checkups.

What Special Dental Issues Should I Be Aware Of as an Adult ?

Even if you brush and floss regularly, you may face certain oral health issues as an adult. Luckily, your dentist can help you meet most of these challenges quite successfully.
  • Gum disease begins as gingivitis, which in this early stage is still reversible. Symptoms of gingivitis include red, swollen or tender gums that tend to bleed when you brush them. If you notice any of these symptoms, see your dentist-before serious problems develop. Advanced stages of gum disease may lead to tooth loss.

Tuesday, July 5, 2011

What is Bad Breath or Halitosis ?

What Is Halitosis?

Halitosis simply means bad breath, a problem that many people experience at one time or another.

Many things can cause bad breath, including:
  • Poor oral hygiene (not brushing and flossing properly)
  • Gum disease
  • Eating certain foods like onions or garlic
  • Tobacco and alcohol products
  • Dry mouth (caused by certain medications, medical disorders and by decreased saliva flow during sleep hence the term "morning breath")
  • Systemic diseases such as cancer, diabetes, liver and kidney disorders.
How Do I Know if I Have Halitosis?

One way to test if you have bad breath is to cover your mouth and nose with your hand, exhale, and smell your breath. Another way is to ask someone you trust whether or not your breath smells bad. Keep in mind that many people experience "morning breath," which is the result of reduced saliva