Intraductal papilloma with focal usual ductal hyperplasia

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Figure 6 a, b. Intraoperatory stage - installing drainage tube in the nose frontal channel Figure 7. Postoperatory clinical stage after 7 days References esthetist. The postoperatory recovery was remarkable, with significant improvement of vision and movements in the right eye, disappearance of diplopia and partial remission of proptosis. It is a rare case because of the huge mucocele size type 4Awhich lead to extensive bone erosion of the frontal sinus wall with significant facial deformity and exposure of dura.

We believe that drainage and marsupialization of the mucocele was the optimal management of this particular case. In case of a younger patient, a better cosmetic result would have been required, which would have raised serious questions in terms of facial remodeling techniques because of the tumor size and extensive bone destruction in vicinity of dura and the 6 weken diarree. Fronto-ethmoidal Mucocele as a cause of Unilateral Proptosis.

Br J Ophthalmol. Giant mucocele of the frontal sinus. J Craniofac Surg. Mucoceles of the paranasal sinuses with intracranial and intraorbital extension: Report of 28 cases. Frontal sinus mucoceles causing proptosis. Postoperatory clinical stage after 1st day intraductal papilloma with focal usual ductal hyperplasia reports. Ann Acad Med Singapore ; Natvig K, Larsen T: Mucocele of the paranasal sinuses:retrospective clinical and histological study. Laryngol Otol Craniofac Surg8. Har-El G: Endoscopic management of sinus mucoceles.

Laryngoscope 12 A retrospective clinical and histological study. J Laryngol Otol. Irina-Maria Gheorghiu1, dr. Mihai Mitran2, dr. Loredana Mitran3, dr. Suciu4, dr.

Alexandru A. Iliescu5, prof. Andrei Iliescu6 1. The first system affected by a simple dental caries is dento-maxillary system itself and the changes vary in severity. A common way in which a carious process can induce systemic implications is the inflammatory and infectious complications of dental pulp.

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Also, the evolution of a chronic periapical process located on the maxillary teeth can install a common and well known pathology: odontogenic sinusitis. Keywords: dental caries, endodontic local complications, sinusal complications Complicaţiile cariei dentare sunt evolutive şi ele se inter­ co­nec­tează, chiar dacă se răsfrâng asupra unor sisteme şi aparate diferite ale organismului uman.

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O modalitate frecventă prin care un pro­ces carios poate induce afectări sistemice o reprezintă com­pli­caţiile inflamatorii şi infecţioase ale pulpei dentare.

Prin evoluţia spaţială a unui proces cronic periapical localizat la bacterie 8 lettres maxilari se poate instala o patologie frecventă şi cunoscută: sinuzita de cauză odontogenă. Cuvinte-cheie: carie dentară, complicaţii endodontice locale, complicaţii sinusale Dental caries is a plurifactorial disease of the calcified tissues of the tooth.

It is one of the diseases with the highest prevalence seen in the human population, regardless of gender, ethnicity or age. Dental caries involves hard tissues of the tooth: enamel, dentin, and sometimes even cementum. It is characterized by demineralization of the inorganic component of dental tissues and disruption of organic constituent.

In this way, the cavity appears. Through its evolution, tooth decay simply turns into a complicated dental caries, which interests dental pulp. Consequence of dental caries is therefore not only the destruction of hard dental structures, but also pulp inflammation and subsequent damage to the periodontal apical area.

This occurs through the progression of the inflammatory process in combination with microorganisms that colonized the endodontic space.

All resident microorganisms of the mouth can invade the root canal space during necrosis and gangrene of the pulp, thus participating in pathological processes which take place at this level. However, the flora isolated from endodontic space is more limited compared to the flora of the oral cavity.

Although endodontic flora is not as complex as the oral or periodontal ones, some microbial species predominate as a the result of the existence of bacterial synergism. Dental caries represent itself the etiologic factor of various local, loco-regional and systemic pathology. The first consequences of the loss of dental intraductal papilloma with focal usual ductal hyperplasia tissues due to dental caries are changes and disorders of the dento-maxillary system: there are alterations in phonation, physiognomy and mastication function.

Dental caries, whether we are talking about chronic loss of hard dental tissues or the ones with acute character dental caries which develop rapidly or coronal fracture as a result of a carious processchange the morphology of the involved tooth and consequently modify the occlusal contacts with the antagonists teeth. In time another changes will occur in occlusal plane which will eventually turn into occlusal disharmonies and temporomandibular joint dysfunction.

One of the early local consequence is the irreversible damage of the masticatory system and its negative effects on digestive function. The gastrointestinal disorders determine overall metabolic changes. Another very intraductal papilloma with focal usual ductal hyperplasia local complications of dental caries are the affecting of the dental pulp and subsequent the pathology of the apical territory acute and chronic apical periodontitis.

The sinusal pathology is a frequent consequence of these complications of dental caries in posterior maxilary teeth.

intraductal papilloma with focal usual ductal hyperplasia

Also, the initial disorder represented by tooth decay can induce systemic alterations e. The dental caries, even though considered a disease of minor importance, can trigger many other complications and disorders of the different organs and systems of the entire body. The most important and frequent complications of dental caries is pulp inflammation in its acute form: acute pulpitis, the most common, or chronic pulpitis.

Lack of endodontic treatment or improper treatment make it possible for other pathologies: periapical inflammation, known as acute apical periodontitis, or chronic apical periodontitis. The latter clinical entity, chronic apical periodontitis CAPis unfortunately a common and severe complication of advanced cavities which were not treated appropriately.

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The chronic apical periodontitis can often lead to tooth loss. Important loss of tooth hard structure as a result of dental caries tooth 46 Figure 2. Advanced dental caries with pulp complication tooth 23 References of the body. Locally it is responsible for odontogenic sinusitis, in maxillary posterior teeth.

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Chronic apical periodontitis can also lead to dental focal disease. This is a pathological condition characterized by a large variety of functional disorders and organic tissue alterations due to focal chronic infections. For here lies the importance that should be given to both corect diagnosis and also adequate endodontic treatment of pulp inflammation and of apical periodontitis. Maxillary posterior teeth, the premolars and molars, have neighborly relations with the maxillary sinus.

Thus, the maxillary sinus diseases are often a consequence of dental pathology in those teeth. An untreated common maxillary lateral tooth decay leads to further loss of pulp vitality, apical periodontal damage as a chronic apical periodontitis by its evolution and frequently causes odontogenic sinusitis.

Simptome de hiperplazie ductală focală atipică

The morphofunctional alterations in apical teritory, as a consequence of loss of pulp vitaly in a complicated caries represent the etiology of odontogenic sinus disease: maxillary sinusitis and oro-antral communication. These pathological entities appear both as a result of evolution of chronic periapical processes, but at the same time due to high risk dental treatment maneuvers or incorrectly performed ones in the maxillary posterior teeth.

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The sinusal complications are related to local topography of posterior teeth, namely to the proximity of molars and premolars with maxillary sinus. The apical portion of the upper posterior teeth are situated at different distances to maxillary sinus, depending 1. Aas J. Andreescu C. Editura Cerma, Bucureşti, A global perspective on changes in the burden of caries and periodontitis: implications for dentistry. J Oral Rehabil. Odontogenic maxillary sinusitis based on overextension of root canal filling material.

Ned Tijdschr Tandheelkd. Treatment of pulps in teeth affected by deep caries - A systematic review of the literature. Singapore Dent J.

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The human oral microbiome. J Bacteriol. Gafar M. Status of bacterial colonization in infected root canal. Chronic apical periodontitis in the proximity of maxillary sinus tooth 14 on the location of the tooth in the dental arch and the root morphology of the tooth.

The maxillary sinus pathology as a local-regional complication of a dental caries appears thus as a result of: periapical lesions in posterior maxillary teeth; chronic apical periodontitis; radicular cysts; tooth abscesses etc.

Through their evolution, they can cause maxillary sinus infection indirectly by contiguity: colonization and progression of organisms is through the channels that makes the connection of alveolar bone process with sinus septum.

Another way, the direct damage to the maxillary sinus, is due to a marked evolution of the osteolytic apical lesion which destroys the sinusal wall between the infected root apex and the maxillary sinus. The pathology represented by a carious process is maintained and amplified when there is no adequate and proper instituted therapy which addresses intraductal papilloma with focal usual ductal hyperplasia the initial lesion, and associated secondary disorders. The treatment should correct in a complete and rigorous manner these impairments present in the mouth cavity or in other organs or systems of the body.

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That is why it is a priority, for any dental practitioner who wants to perform an activity for the greatest benefit of the patient, to know, in their entirety, the main ways and means of developing complications of dental caries.

Intraductal papilloma with focal usual ductal hyperplasia A. Cariologie şi odontoterapie restauratoare. Medicală, Bucureşti, Marsh PD. Dental plaque as a biofilm and a microbial community - implications for health and disease.

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BMC Oral Health. PUFA — An index of clinical consequences of untreated dental caries. Community Dent Oral Epidemiol. Popa MP, D. Carol Davila, Bucureşti, Clinical consequences of untreated dental caries evaluated using PUFA index in orphanage children from India. J Int Oral Health. Wolff MS, Larson C. The cariogenic dental biofilm: good, bad or just something to control?

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