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Extrusion of Root Canal Sealer in Periapical Tissues - Report of Two Cases with Different Treatment Management and Literature Review


Background: Extrusion of root canal sealers may cause damage to the surrounding anatomic structures. Clinical symptoms like pain, swelling and paresthesia or anesthesia may be present. The purpose of this presentation is to describe two cases of root canal sealer penetration into periapical tissues. A different treatment management was followed in each case.

Case reports: A 55 year-old man underwent root canal retreatment of the right mandibular first molar tooth due to a periapical lesion. Postoperative periapical radiographs revealed the presence of root canal sealer (AH26) beyond the apex in the distal root in proximity to the mandibular canal. The patient reported pain for the next 7 days. Radiographic examination after 1 year showed complete healing of the periapical area and a small absorption of the root canal sealer. A 42 year-old woman was referred complained of swelling and pain in the area of the right maxillary first incisor. Radiographic examination showed extrusion of root canal sealer in the periapical area associated with a periapical lesion. Surgical intervention was decided upon, which included removal of the sealer, apicoectomy of the tooth and retrograde filling with MTA. After 1 year, complete healing of the area was observed.

Conclusion: In conclusion, cases of root canal sealer extrusion, surgical treatment should be decided on only in association with clinical symptoms or with radiographic evidence of increasing periapical lesion.

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Adhesion to Enamel of Teeth Affected by Molar Incisor Hypomineralization: Literature Review

. Diagnosis and treatment of molar incisor hypomineralization. Compend Contin Educ Dent, 2006;27:604-610. 20. Lygidakis NA, Chaliasou A, Siounas G. Evaluation of composite restorations in hypomineralised permanent molars: a four year clinical study. Eur J Paediatr Dent, 2003;4:143-148. 21. Mejàre I, Bergman E, Grindefjord M. Hypomineralized molars and incisors of unknown origin: Treatment outcome at age 18 years. Int J Paediatr Dent, 2005;15:20-28. 22. Kotsanos N, Kaklamanos EG, Arapostathis K. Treatment management of first permanent molars in children

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Papillon-Lefévre Syndrome: Case Report and Genetic Analysis


Backgroung/Aim: Papillon Lefévre syndrome is a rare autosomal recessive genodermatosis. The characteristic findings of the disease are early loss of primary and permanent teeth and palmoplantar keratoderma. Notwithstanding that many etiologic factors like genetic mutations, bacterial agents, immunologic changes have been identified, the pathogenesis has not been fully understood. Although dentists play an important role in the diagnosis and treatment of Papillon Lefévre syndrome, it is appropriate to treat the disease with a multidisciplinary approach.

Case Report: In this case report, the clinical, radiological and genetic examination of the patient with Papillon Lefévre syndrome who has a homozygous mutation in the CTSC gene will be presented.

Conclusions: Dentists should have knowledge about treatment management of these patients. Teeth can be preserved longer with early diagnosis and appropriate treatment of the disease.

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Lung Cancer - Clinical Implications

Karcinom Pluća - Kliničke Implikacije

Karcinom pluća je najčešće maligno oboljenje kod muškog pola, a u žena na drugom mestu (nakon raka dojke). Klinička podela na nemikrocelularni (NSCLC) i mikrocelularni (SCLC) odražava različito biološko ponašanje i sledstveno razlike u terapijskom pristupu. Od velike važnosti bi bilo postojanje biomarkera koji bi omogućili razlikovanje ova dva tipa karcinoma pluća, naročito u slučajeva kada nije izvodljiva invazivna dijagnostika kao i u praćenju efekata terapije i ranom otkrivanju relapsa bolesti. Rezultati velikih retrospektivnih ili prospektivnih studija ukazuju na izvesnu vrednost specifičnih markera ili kombinacija ovih markera za dijagnostičke i diferencijalno dijagnostičke svrhe. Merenje četiri serum tumor markera, CYFRA 21-1, CEA, NSE i ProGRP ima opravdanja da bi se identifikovao vodeći marker i na taj način predpostavio verovatni histološki tip tumora. Serijska određivanja odgovarajućeg tumor markera može takođe biti od pomoći da se utvrdi kompletnost uklanjanja tumora i utvrdi relaps bolesti u okultnom kliničkom stadijumu.

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Lower Lip Reconstruction Using Unilateral Nasolabial Gate Flap (Fujimori Technique)

with Fujimori Gate Flaps. Egypt. J Plast Reconstr Surg. 2003;27(2):319-324. 4. Sajjadian A. Lip Reconstruction Procedures Treatment & Management. Available online at Updated Nov. 20, 2011. 5. Johnson JT. Fine-Needle Aspiration of Neck Masses. Available online at Updated April 2012. 6. Fujimori R. Nasolabial (Gate) Skin-Muscle-Mucosal Flap to Lower Lip, in Strauch B, Vasconez LO, Hall-Findaly EJ (eds): Grabb’s Encyclopedia

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The Level of Dental Anxiety in Students of the First Year of Studies From Lublin Universities

dental patients: implications for treatment management. J Am Dent Assoc. 2013;144:1244-51. 9. Kisely S, Sawyer E, Siskind D, Lalloo R. The oral health of people with anxiety and depressive disorders - a systematic review and meta-analysis. J Affect Disord. 2016;200:119-32. 10. Elmore JL, Bruhn AM, Bobzien JL. Interventions for the Reduction of Dental Anxiety and Corresponding Behavioral Deficits in Children with Autism Spectrum Disorder. J Dent Hyg. 2016;90:111-20. 11. Shim YS, Kim AH, Jeon EY, An SY. Dental fear

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Differences in Pharyngeal Characteristics According to Angle Class of Malocclusion

:925-940. 4. Grauer D, Cevidanes LS, Styner MA, Ackerman JL, Proffit WR . Pharyngeal airway volume and shape from cone-beam computed tomography: relationship to facial morphology. Am J Orthod Dentofacial Orthop , 2009; 136:805-814. 5. Farsaris N, Athanasiou AE, Goumas P . Obstructive sleep apnea syndrome: Contemporary concepts regarding etiology, clinical characteristics, diagnosis and treatment management. Hell Orthod Rev , 2003; 6:2-48. 6. Pirilä-Parkkinen K, Löppönen H, Nieminen P, Tolonen U, Pääkkö E, Pirttiniemi P . Validity of upper airway assessment

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The Impact of Combustion Technology of Sewage Sludge on Mobility of Heavy Metals in Sewage Sludge Ash/Wpływ Technologii Spalania Komunalnych Osadów Ściekowych Na Mobilność Metali Ciężkich Z Popiołów

;19:617-627. DOI: 10.2478/v10216-011-0044-5. [13] Werther J, Ogada T. Progress in Energy and Combustion Sci. 1999;25:55-116. [14] Bień J, Neczaj E, Worwąg M, Grosser A, Nowak D, Milczarek M, et al. Kierunki zagospodarowania osadów w Polsce po roku 2013. Eng Environ Protect. 2011;4:375-384. [15] Integrated Pollution Prevention and Control. Reference Document on Best Available Techniques in Common Waste Water and Waste Gas Treatment, Management Systems in the Chemical Sector. European Commission. 2003. [16] Fytili D

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Influence of Endodontic Procedure on Postoperative Pain – Evidence from Systematic Reviews

calcium hydroxide on the post-treatment pain in endodontics: a systematic review. J Conserv Dent, 2014;17:200-207. 23. Dalopoulou A, Economides N, Evangelidis V. Extrusion of root canal sealer in periapical tissues - report of two cases with different treatment management and literature review. Balk J Dent Med, 2017;21:12-18. 24. Peng L, Ye L, Tan H, Zhou X. Outcome of root canal obturation by warm gutta-percha versus cold lateral condensation: a meta-analysis. J Endod, 2007;33:106-109. 25. Wong AW, Zhang S, Li SK, Zhang C, Chu CH. Clinical studies on

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Comparison of three and four-field radiotherapy technique and the effect of laryngeal shield on vocal and spinal cord radiation dose in radiotherapy of non-laryngeal head and neck tumors

-guided radiotherapy for laryngeal sparing in head and neck cancer. Oral Oncol. 2010;46(4):283-286. [15] Hamdan A, Geara F, Rameh C, et al. Vocal changes following radiotherapy to the head and neck for non-laryngeal tumors. Eur Arch Otorhinolaryngol. 2009;266(9):1435-1439. [16] Rancati T, Schwarz M, Allen AM. Radiation dose-volume effects in larynx and pharynx. Int J Radiat Oncol Biol Phys. 2010;76(3Suppl):S64-S69. [17] Paulino AC, Arceci RJ. Nasopharyngeal Cancer Treatment & Management. . 2015. [18

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