The article describes a rare case of radicular cyst associated with deciduous right upper molars in a 5 y.o. male patient. The cyst developed asymptomatically in the maxillary sinus, thus causing considerable displacement of both premolar germs. Due to the severity of surgery, the patient was treated under general anesthesia in a one-day surgery system with use of the enucleation method. The extent of the lesion results in necessity of removal of the second premolar germ. Early diagnosis of the lesion would have resulted in a more conservative treatment plan. The purpose of this article is to lay emphasis on the pedodontist’s role in early diagnosis of such lesions.
The embryonic and fetal development of the orbit comprises a series of sequential
events, starting with the fertilization of the ovum and extending until birth.
Most of the publications dealing with orbital morphogenesis describe the
sequential development of each germinal layer, the ectoderm with its
neuroectoderm derivative and the mesoderm. This approach provides a clear
understanding of the mode of development of each layer but does not give the
reader a general picture of the structure of the orbit within any specified time
frame. In order to enhance our understanding of the developmental anatomy of the
orbit, the authors have summarized the recent developments in orbital
morphogenesis, a temporally precise and morphogenetically intricate process.
Understanding this multidimensional process of development in prenatal life,
identifying and linking signaling cascades, as well as the regulatory genes
linked to existing diseases, may pave the way for advanced molecular diagnostic
testing, developing minimally invasive interventions, and the use of
progenitor/stem cell and even regenerative therapy.
The article describes an unusual case of retrieval of 8 mm fragment of a broken 30-gauge 21 mm dental needle in a 6 y.o. noncooperative autistic male patient. The needle of a computer-controlled local anesthesia device was broken during an attempt to administer local anesthetic, in order to perform conservative treatment of teeth 55 and 54 by a pedodontist. Despite the fact that the patient was under nitrous oxide sedation, an unexpected movement of the patient occurred and resulted in needle breakage. Due to the lack of patient cooperation, the surgical retrieval of a broken needle was performed under general anesthesia as part of one-day surgery procedures. The purpose of the article is to emphasize careful decision-making in proper choice of dental instruments during treatment of noncooperative paediatric patients even under sedation and to suggest dentists to carry out treatment of such patients under general anesthesia.
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