Evaluation of the xerostomia, taste and smell impairments after Covid-19

The purpose of this study was to explore the effects of coronavirus disease 19 (Covid-19) on the oral cavity by evaluating the oral findings in the patients who recovered after treatment. This study involved confirmed Covid-19 patients whose treatment completed at least two weeks ago. A questionnaire consist of eight parts was applied to explore the oral findings after Covid-19. Also stimulated salivary flow rate was evaluated with a salivary flow test. 177 patients reached and 107 of them participate in the study. Regarding gender significant differences were found in terms of the presence of taste impairment after treatment (p=0.007), the degree of taste (p=0.021) and smell (p=0.010) impairment. 18 % (5/27) of the patients evaluated were showed hyposalivation. No significant differences were observed regarding salivary flow between males (mean±SD: 1.14±0.65) and females (mean±SD: 1.12±0.43), (p=0.928); among the patients having treatment at home (mean±SD: 1.03±0.48) or hospital (mean±SD: 1.33±0.65), (p=0.187). In some of the patients? taste [15], smell [23] impairment, and xerostomia [43] still observed at least two weeks after the treatment is completed. The most frequent finding in patients after the treatment was xerostomia. Taste and smell impairments were more frequently observed in females

Gigantic peripheral osteoma of the mandible: a case report

Osteomas are osteogenic lesions that have a limited growth potential. They are comprised of histologically and radiographically normal bone. Osteomas are categorized as central, peripheral or extraskeletal according to location. Clinically, peripheral osteomas (PO) are unilateral, sessile or pedunculated and have mushroom-like lesions ranging from 10 to 40 mm in diameter. Osteomas affecting the mandible are rare. In this report, we presented a gigantic peripheral mass on the left mandible in a 55-year old patient exhibiting clinical signs related to neoplasia

Prognosis of a case with paresthesia associated with prolonged touching of an endodontic paste to the inferior alveolar nerve

Paresthesia is described as an abnormal sensation, such as burning, pricking, tickling, tingling, formication or numbness. Several conditions can cause paresthesia. This article presents a case of paresthesia caused by the extrusion of endodontic paste (Endomethasone®) into the mandibular canal. The clinical manifestations comprised the numbness on the right side of the mandible and right lower lip, appearing after endodontic treatment. After a mandibular block and infiltration anesthesia a mucoperiostal flap was raised and the extruded Endomethasone® was removed successfully. A therapy with antibiotic, B vitamin complex and an analgesic were prescribed. The patient reported an improvement in pain and headache after one week later and in burning after two weeks. After a four months follow-up, she became symptom free. Also sixteen months later she had any symptoms. Normalization of sensation shows that the neurotoxic effects of Endomethasone® are reversible after more than one month from the first touch of Endomethasone® to the inferior alveolar nerv

Non-syndromic supernumerary premolars

Objective: The objective of this study was to estimate the incidence of non-syndromic supernumerary premolars, to classify them and to identify the complications related to them. Study Design: This retrospective cohort study was composed of 8400 panoramic radiographs of patients who presented at our Oral and Maxillofacial Surgery Services from January 1998 to May 2008. The number of supernumerary premolars, their localization, the ages and the sex of the patients, any associated complications and treatment methods were estimated. Results and Conclusion: A total of 20 supernumerary premolar teeth were found in 10 of the 8400 patients (0.24%) with 7 of those being females and three males. Three patients had pain localized to the mental foramen and one patient had resorption in the root of the adjacent tooth. In these series, 18 supernumerary premolar teeth were extracted. In contrast with previous studies, this study suggested that this phenomenon is more frequently encountered in females than in males. The presence of complications associated with the supernumerary premolars in 4 patients necessitated consideration of surgical intervention as a treatment choice for these teeth. Otherwise, they should be kept under observation. © Medicina Oral S. L

Some morphological features related to mandibular third molar impaction

Objective: The aim of this study was to evaluate the effect of some morphological features of the mandible and mandibular permanent molars on impaction of mandibular third molars with panoramic measurements in a Turkish patient group. Study design: Standardized panoramic radiography variables compiled from 140 patients retrospectively were eva- luated. Predictive variables included mesio-distal crown width and inclination of the mandibular molars, vertical and horizontal surface dimension between distal surface of the lower second molar tooth and anterior surface of its ramus, length and width of the mandible ramus and corpus, angle of the mandible gonion, the number of the lower third molar roots, and angulations of roots of the lower third molars. Results and Conclusions: According to the data obtained in this study, the vertical height of the anterior border of the ramus, length of the posterior basal corpus, mesio-distal diameters of the first, second and the third molars, 1/3 root angle of the third molar, number of third molar roots, inclination of the first molar to increase, vertical height of the posterior border of the ramus, vertical height of alveolar crest, and height and the width of the retro-molar space to decrease are all in direct proportion to the possibility of impaction of the third molar

Prevalence of impacted premolars in a Turkish population and considerations for surgical treatment

Objective: The aim of this study was to identify the prevalence, associated pathology and symptoms, and treatment of impacted premolars in a Turkish population. Study Design: This retrospective study examined panoramic radiographs and clinical records of 9,000 patients who presented consecutively at our oral and maxillofacial surgery clinics between January 1998 and January 2009. In addition to demographic data (patient sex and age), data was compiled on the number and location of impacted missing maxillary and mandibular premolars, retained deciduous molars, associated pathologies and symptoms, and treatment methods. Results: A total of 105 impacted maxillary or mandibular premolars were observed in 93 patients (1.03%). Of these, 48 (51.6%) were female (age range: 13-57 years) and 45 (43.4%) were male (age range: 13-58 years). Impacted mandibular second premolars accounted for 55.2% (n=58) of all impacted premolars. Migration was observed in only 11.83% of patients (n=11). Pathological changes and symptoms were noted in 15.05% of patients. Conclusion: Our results suggest that the prophylactic extraction of non-migrated impacted premolars may not be necessary. If the patient is cooperative, a "wait and see" approach may be preferable. Orthodontic or prosthetic treatment options should also be considered when planning treatment of non-migrated impacted premolars. Migrated impacted premolars should be kept under observation and should only be removed if they are associated with pathology or if extraction is required for prosthetic or orthodontic treatment. © Medicina Oral S. L