Medicine and Health Sciences Commons^™

Endodontic Therapy, Crown Amputation, And Soft Tissue Advancement To Treat A Hopeless Tooth, Timothy Daws Dds, Thomas Bolten Dds, Md

The Journal of the Michigan Dental Association

Managing patients with a history of intravenous bisphosphonates and antiresorptive medications poses challenges in clinical decision-making. Extractions are generally discouraged in these patients due to the risk of medication-related osteonecrosis of the jaw (MRONJ). This case study presents an 89-year-old female with metastatic breast cancer on Xgeva, facing a non-restorable tooth (#30). A collaborative approach involving the general dentist, endodontist, and oral surgeon employed endodontic therapy, crown amputation, and soft tissue advancement, avoiding extraction. The technique, akin to coronectomy, mitigates MRONJ risk by preserving bone integrity. Follow-up assessments indicate successful treatment without complications, highlighting the efficacy of this approach in …

N Y State Dent J August-September 2023

The New York State Dental Journal

In the August-September 2023 issue, the reader will find the following feature articles:

• Iatrogenic Indirect Compression of the Inferior Alveolar Nerve by a Dental Implant
• Use of Dentoalveolar and Zygomatic Implants in Restoration of Maxillary Defect Following Fibula Free-flap Reconstruction Failure
• Flapless Approach to Dental Implant Surgery: To Use or Not to Use?

This issue includes regular columns with regional news impacting the New York membership including: editorial and perspectives columns, legal, association activities, component news, continuing education opportunities, and classifieds.

Iatrogenic Indirect Compression Of The Inferior Alveolar Nerve By A Dental Implant, Wesam T. Alsalman Dds, Mds, Saad Mulhi Alharbi Bds, Sbe, Haifa Alharbi Bds, Heba Alkhair Allah Bds, Marwan Abood Bds, Jbp, Abeer Hani Albattah Dds, Mds, Khalid Almas Bds

The New York State Dental Journal

Although there are multiple studies about direct injury to Inferior Alveolar Nerve (IAN) during dental procedures, however, data regarding compression phenomenon on the nerve is limited. The case report aims to review the topic of iatrogenic compression phenomenon of IAN following surgical placement of dental implant and to report a clinical case of compressed IAN with temporary loss of sensation following placement of dental implant in posterior mandible.

Use Of Dentoalveolar And Zygomatic Implants In Restoration Of Maxillary Defect Following Fibula Free-Flap Reconstruction Failure, Paul Canallatos Dds, Ms, Thom Loree Md, Amanda Colebeck Dds, Ms, Maureen Sullivan Dds

The New York State Dental Journal

Oral cancer resections cause tissue defects which result in functional complications such as masticatory dysfunction, dysphagia, articulation and phonation issues. When the defect involves the maxillary arch, obturation is needed whether it be surgical or prosthetic. In cases where surgical procedures become ineffective, prosthetic options could be challenging. This is a case of a 78-year-old male developed the diagnosis of squamous cell carcinoma of the right alveolar ridge. The patient underwent partial maxillectomy and right neck dissection with fibula free-flap reconstruction of the maxillary arch. Despite a positive doppler reading, the fibula free-flap became non-vital seven days post-operatively. At the …

N Y State Dent J June-July 2023

The New York State Dental Journal

In the June-July 2023 issue, the reader will find the following feature articles:

• Understanding Persistent Bleeding in Children
• Sinus Tract vs. Fistula: There is a Difference
• What is the Prevalence of Temporomandibular Joint (TMJ) Condylar Osteoarthritis in an Asymptomatic Oral and Maxillorfacial Surgery Department Population?

This issue includes regular columns with regional news impacting the New York membership including: editorial and perspectives columns, legal, association activities, component news, continuing education opportunities, and classifieds.

What Is The Prevalence Of Temporomandibular Joint (Tmj) Condylar Osteoarthritis In An Asymptomatic Oral And Maxillofacial Surgery Department Population?, John Vorrasi Dds, Laura Mendomo Mvomo

The New York State Dental Journal

The aim of the present study is to determine the prevalence and demographics of temporomandibular joint (TMJ) condylar changes in the asymptomatic general population of a hospital based Oral and Maxillofacial Surgery (OMFS) practice. We retrospectively reviewed cone beam computed tomography (CBCT) scans of 272 TMJs from 136 consecutive patients to detect osteophyte, subchondral cyst, sclerosis, cortical erosions, and flattening. While gender did not appear to play a significant role in TMJ pathology, age was positively correlated with prevalence of condylar changes. Patients 78 years and older were significantly more likely to have osteophyte, cyst, sclerosis, and breakdown than were …

An Osteoma Embedding An Ectopic Wisdom Tooth Within The Maxillary Sinus: A Rare Occurrence, Kayvan Fathimani Dds, Facs, Frcd(C), Fibcsoms

The New York State Dental Journal

Osteomas are frequently reported in the maxillofacial region with much lower incidences in the maxillary and sphenoid sinuses. An unerupted third molar within the maxillary sinus coexisting with a maxillary sinus osteoma is an extremely rare pathologic finding. Such cases can be managed endoscopically or intraorally through a Caldwell-Luc approach. The following case report deals with a patient who presents with an uncommon pathological finding: an osteoma embedding an ectopic tooth within the maxillary sinus.

A Dentist's Role In The Delivery Of Culturally Competent Oral Health Care To Transgender Patients, Laura Rhein Dds, Benjamin Solomowitz Dmd, Michael Mand Dds

The New York State Dental Journal

The importance of delivering patient-centered care is understood by professionals across all healthcare fields. But to deliver such patient-centered care involves understanding various patient populations, especially marginalized populations. Rendering non-biased, non-prejudicial care to marginalized populations is irrefutably critical. To do so, it requires understanding the specific needs of these at-risk populations to deliver high quality patient-centered care. The transgender community is one marginalized population that faces inequities in healthcare. This article seeks to examine current literature to reveal such inequities that the transgender population encounters in dental care and to explore the dentist’s role in the delivery of culturally competent …

Diagnosis And Management Of Nasopalatine Duct Cyst: A Report Of Two Cases And Literature Review, Feiyi Sun Dds, Harry Dym Dds

The New York State Dental Journal

The nasopalatine duct cyst (NPDC) is one of the most common non-odontogenic, non-neoplastic developmental cysts. It arises from the epithelial remnants of the nasopalatine duct within the incisive canal and crosses the midline of the anterior maxilla. Most cases are asymptomatic and either are discovered by chance on radiographs or present as a soft tissue swelling, pain, or drainage in the palate. The present study describes the diagnosis and surgical management of two NPDC cases at the Department of Oral and Maxillofacial Surgery at the Brooklyn Hospital Center.