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Articles 31 - 43 of 43
Full-Text Articles in Medicine and Health Sciences
Median Mental Sinus In Twins, W.C. Ngeow, S. T. Ong
Median Mental Sinus In Twins, W.C. Ngeow, S. T. Ong
Wei Cheong Ngeow
Sinus on the chin can be the result of a chronic apical abscess due to pulp necrosis of a mandibular anterior tooth. The tooth is usually asymptomatic, and a dental cause is therefore not apparent to the patient or the unsuspecting clinician. Not infrequently, the patient may seek treatment from a dermatologist or general surgeon instead of a dentist. Excision and repair of the fistula may be carried out with subsequent breakdown because the dental pathology is not removed. This paper reports the presence of median mental sinus of dental origin in twins. One case healed following root canal therapy …
Understanding The Dental Need And Care During Pregnancy: A Review, W.C. Ngeow, W. L. Chai
Understanding The Dental Need And Care During Pregnancy: A Review, W.C. Ngeow, W. L. Chai
Wei Cheong Ngeow
This paper reviews the oral and dental lesions that are seen during pregnancy. Trimester approach should be adopted in the management of the pregnant patients. A good dental preventive programme is essential. The significance of prescribing fluoride supplements and the use of dental radiography during pregnancy is also briefly reviewed.
Orbital Cellulitis As A Sole Symptom Of Odontogenic Infection, W.C. Ngeow
Orbital Cellulitis As A Sole Symptom Of Odontogenic Infection, W.C. Ngeow
Wei Cheong Ngeow
A case of periapical infection resulting in unilateral maxillary sinusitis and cellulitis of the ipsilateral lower eyelid is presented. The sole symptom was right orbital swelling. The possible pathway for the spread of this type of infection predisposing factors and possible complications are reviewed. The value of radiographic examination and antibiotic therapy are also discussed.
Making Your Own Retrograde Carrier, W. L. Chai, W.C. Ngeow
Making Your Own Retrograde Carrier, W. L. Chai, W.C. Ngeow
Wei Cheong Ngeow
One of the problems faced by manufacturers is the difficulty in constructing a robust and reliable, angled applicator tip. This can be overcome by handmaking your own retrograde carrier. The applicator tip may be bent to about 50 degrees and, if a kink occurs while bending the tip, it can be replaced easily by a new modified needle. Because the wire used is flexible, it can adapt to the bend without a problem. Narrower carriers can also be made using a 20-G needle, perhaps more suitable for retrograde fillings of molar apices. Because the carrier is designed to be used …
Lower Lip Numbness Due To Peri-Radicular Dental Infection, Wei Cheong Ngeow
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
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
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
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
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.
Entrapped Lip Following Sport Injury, W.C. Ngeow, L. Kon
Entrapped Lip Following Sport Injury, W.C. Ngeow, L. Kon
Wei Cheong Ngeow
A case is presented of a patient whose lip became entrapped onto his orthodontic bracket following a blow to his face during a contact sport. The entrapped mucosa had to be released surgically.
The Use Of Gutta-Percha Point To Locate The Origin Of Facial Sinus, W.C. Ngeow
The Use Of Gutta-Percha Point To Locate The Origin Of Facial Sinus, W.C. Ngeow
Wei Cheong Ngeow
Infection from the wisdom teeth usually causes severe swelling at the region of the angle and body of the mandible. Occasionally, it tracts outward to form a cervicofacial sinus. This paper demonstrates the use of gutta-percha point to locate the origin of a cervicofacial sinus due to an asymptomatic impacted wisdom tooth. The advantage of using gutta-percha point is discussed.
Unilateral Comminuted And Complicated Fracture Of The Mandible Due To Dog Attack, W.C. Ngeow, C. B. Lian
Unilateral Comminuted And Complicated Fracture Of The Mandible Due To Dog Attack, W.C. Ngeow, C. B. Lian
Wei Cheong Ngeow
Fractures of the mandible and their management are discussed in detail in textbooks and articles dealing with facial trauma. This paper presents the management and treatment of a case of a unilateral comminuted and complicated fracture of the mandible due to dog attack on a geriatric patient. The attack also severed the patient's right arm. Due to the severity of the trauma, an emergency surgery was performed on the mandible and arm.
An Unusual Dilacerated Root Of A Second Maxillary Molar, W.C Ngeow
An Unusual Dilacerated Root Of A Second Maxillary Molar, W.C Ngeow
Wei Cheong Ngeow
An unusual case of a second maxillary molar with a dilacerated root visible clinically is described. Apicectomy followed by retrograde amalgam filling was performed whereby gingival coverage and gingival seal was achieved.