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Full-Text Articles in Medicine and Health Sciences

Lower Lip Numbness Due To Peri-Radicular Dental Infection, Wei Cheong Ngeow Dec 1998

Lower Lip Numbness Due To Peri-Radicular Dental Infection, Wei Cheong Ngeow

Wei Cheong Ngeow

Lower lip numbness has always been a sinister symptom. Much has been written about it being the sole symptom of pathological lesions and metastatic tumours in the mandible. It may also be a symptom of manifestations of certain systemic disorders. A case of lower lip numbness resulting from the compression of the mental nerve by a peri-radicular abscess is presented because of the unusual nature of this spread of infection.


Dens Evaginatus On A Wisdom Tooth: A Diagnostic Dilemma. Case Report, Wei Cheong Ngeow, W. L. Chai Oct 1998

Dens Evaginatus On A Wisdom Tooth: A Diagnostic Dilemma. Case Report, Wei Cheong Ngeow, W. L. Chai

Wei Cheong Ngeow

Pericoronitis is the most common odontogenic problem associated with the wisdom tooth in young men and women. Patients may present with problems associated with infection, swelling and pain. However, other associated pathology such as caries, periodontal disease and referred pain from the temporomandibular joint must be investigated when treating pain from the wisdom tooth. The authors wish to present a case in which the pain from a wisdom tooth was due to a fractured dens evaginatus. The importance of this dental anomaly should not be overlooked.


Gaining Access Through A Calcified Pulp Chamber: A Clinical Challenge, W.C. Ngeow, Y. L. Thong Sep 1998

Gaining Access Through A Calcified Pulp Chamber: A Clinical Challenge, W.C. Ngeow, Y. L. Thong

Wei Cheong Ngeow

Dental pulp is prone to dystrophic mineralization; this mineralization can be so extensive that the entire root canal system is obliterated, As a result, root canal treatment can become a difficult if not impossible task, This article presents the endodontic management of a tooth with an obliterated pulp chamber and associated with a discharging sinus in a teenage patient, The role of a calcium hydroxide lining to induce mineralization and cause the obliteration of the pulpal space is also discussed.


Management Of The Fractured Maxillary Tuberosity: An Alternative Method, W.C. Ngeow Mar 1998

Management Of The Fractured Maxillary Tuberosity: An Alternative Method, W.C. Ngeow

Wei Cheong Ngeow

The maxillary tuberosity can fracture during extraction of a molar tooth. If a small bony fragment is affected, the extraction of the tooth and tuberosity continues; however, a conservative approach is advised if the bony fragment is large. In a modified blind surgical technique, the tooth is removed without the fractured bone.


Recurrent Gigantic Pyogenic Granuloma Disturbing Speech And Mastication: A Case Report And Literature Review, M. A. H Ong, W. L. Chai, W.C. Ngeow Mar 1998

Recurrent Gigantic Pyogenic Granuloma Disturbing Speech And Mastication: A Case Report And Literature Review, M. A. H Ong, W. L. Chai, W.C. Ngeow

Wei Cheong Ngeow

A case of gigantic pyogenic granuloma with three recurrences in the lower anterior gingiva is presented. Surgical wide excision of the lesion is the treatment of choice. The tumour must be excised down to the periosteum and the irritants around it removed to avoid recurrence. A contributing factor to the gigantic lesion is hormonal changes during pregnancy. Long-term review for 18 months after the third surgery showed no evidence of recurrence at the surgical site.