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Case Conference

Oasis Case Conference – failed root canal treatment on 16. What’s your diagnosis?

This case was submitted by Dr. Mary Dabuleanu from Dabuleanu Dental A CDA Oasis Case Conferences is a two-part presentation of a clinical case. In Part 1, we invite you to watch the short video of the case and provide comments about a possible diagnosis and treatment. You will also have the opportunity of submitting any questions you might have related to the case*. In Part 2, the case presenter shows how the case was managed and answers key questions.     * When you submit comments and questions in conjunction with Part 1 of the case conference, they do not go live on the Oasis Discussions ...

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How would you treat this case?

The following case was presented by a general dentist: 27 year-old Indian male. Patient had ortho treatment done 2 years ago with another dentist. Just after 2 days of debonding of brackets, patient had a fall with sustained tooth injuries to his upper front teeth 11,21,22 causing them to extrude in a retrolined inclination. Patient was treated by an oral surgeon at a private hospital and the patient’s pictures after 2 year plus are shown. Patient claims there were no follow ups after admission in the hospital.                       Patient’s concerns: ...

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Diagnosis and Treatment of the BRONJ Case

Revisit the Case Presentation and Clinical Evaluation This case is presented by:  Dr. Eric T. Stoopler, D.M.D., FDS RCSEd, FDS RCSEng Dr. Juan M. Bugueno, D.D.S. Dr. Kevin Sweeney, D.D.S. Dr. David C. Stanton, D.M.D., M.D., F.A.C.S  We would like to thank all our dentists who submitted their responses to the diagnosis and treatment challenge. Case Diagnosis The Clinical diagnosis was bisphosphonate-related osteonecrosis of the maxilla. Treatment The patient’s oncologist discontinued the ZA therapy. The patient was evaluated by an oral and maxillofacial surgeon who recommended surgical debridement of the affected areas and the patient underwent the procedure five months after cessation ...

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What’s your diagnosis of this case?

This case is presented by:  Dr. Eric T. Stoopler, D.M.D., FDS RCSEd, FDS RCSEng Dr. Juan M. Bugueno, D.D.S. Dr. Kevin Sweeney, D.D.S. Dr. David C. Stanton, D.M.D., M.D., F.A.C.S  Click here to view the BRONJ Case Diagnosis and Treatment Case Presentation A 64-year-old Caucasian female presented for evaluation of symptomatic exposed bone of a two-year duration post extraction of maxillary teeth with immediate placement of four dental implants. Medical history: Is at stage IV breast adenocarcinoma treated with surgery and trastuzumab. Received intravenous zoledronic acid (ZA) 4 mg monthly for approximately two years for metastatic bone disease. Underwent dental surgery ...

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Your Opinion: How would you treat this case?

This case was submitted by Dr. Matt Gilchrist An 11 year-old presented to my office in December 2013 for a routine recall examination. The right bitewing revealed what appeared to be gross decay on the 1-4 occlusal. Upon further review of the bitewing from last year, it was noted that this exact same lesion had been present since the tooth first erupted into the child’s mouth (sorry, no picture, as we were not digital at that time). The tooth has been symptomatic, and a PA was taken which was within normal limits. Clinically there was no evidence of gross decay, ...

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Your Opinion: How would you treat this case?

This case is presented by Dr. Neel Joshi I have a 17-year old female patient who has had viral gastroparesis for the past 4 years.  It’s a chronic condition that causes her to vomit and/or have stomach acids reflux in her mouth multiple times throughout the day. I don’t believe there is an associated eating disorder – she was diagnosed at Sick Kids Hospital. Her teeth have slowly eroded over time – not yet into the pulp or shortened, but I wish there was something I could suggest.  I have made custom Fluoride trays with neutral Fluoride and also have her ...

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Your Opinion: How would you treat this case?

This case is presented by Dr. Donna Bereznicki A 57 year-old new patient presented with what I think is external resorption on the distal cervical of  tooth 35. This particular tooth is asymptomatic, but requires a replacement restoration due to fracture of the existing amalgam. I am waiting for x-rays from the previous DDS which may or may not be available. How would you treat this tooth? Thank you.                    

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Updated post with full-text article: How would you manage this case: crown fracture with complicated chisel-type fracture?

This case was presented in the Dental Traumatology journal (December 2013). We are asking for your feedback on how you would treat this case. The full-text article is now available. Full-text article (PDF) The Clinical Case A 24-year-old male patient came to The Department of Restorative Dentistry and Endodontics at the Dental Clinic in Vojvodina with dental injury of the maxillary left central incisor. The patient reported a sport injury that had occurred the night before during a football match. Clinical and radiographic examination revealed a complicated oblique crown fracture that extended subgingivally on the mesiopalatal area with a single ...

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