Notes

Earwig mums take in the fecal matter of the juveniles through household living.
Given the complexities of the present cases, the positive outcomes can be attributed to the use of magnification during endodontic procedures and meticulous attention to tooth preparation and obturation techniques.Osteoblastoma is a rare benign osteoblastic tumor accounting for less than 1% of all bone tumors; approximately 10% to 12% of cases occur in the maxillofacial skeleton. This case report describes the clinical, imaging, and histopathologic findings of an atypical osteoblastoma occurring in the mandible of a 60-year-old man. The characteristics of the lesion and the differential diagnosis from other bone pathoses are reviewed.Munchausen syndrome (MunS), or factitious disorder imposed on self, is an exceedingly rare and immensely difficult syndrome to identify and manage and is considered a diagnosis of exclusion. Few reports exist in the dental literature to date, so the objective of this article is to describe a case of MunS in a 60-year-old woman who sought treatment for bilateral jaw pain and uncontrolled jaw movements. The patient's symptoms started 19 months previously, following placement of a 6-unit metal-ceramic bridge. Her pain started as a mild, intermittent ache that lasted for 30 minutes. However, gradually her symptoms became severe and constant. In addition, she started to experience episodes of uncontrolled jaw contractions that were associated with bilateral episodes of stabbing and shooting pain. Results from her comprehensive clinical assessment and investigations suggested that the patient had masticatory myalgia pain disorder and oromandibular dystonia. She experienced significant relief of symptoms with pharmacologic intervention. However, after an intermittent period of relief, she returned to the clinic with an inconsistent history, irregular clinical examination, and history of erratic behavior. check details The patient was referred to a psychiatrist, who eventually rendered a diagnosis of MunS. This article will also address considerations for the dental team, including how to identify cases of MunS, relevant courses of action, including appropriate referral, and the consequences of overdiagnosis of MunS.A "gummy smile," considered to be exposure of more than 3.0 mm of gingival tissue during a forced smile, negatively affects smile esthetics. The present case series describes the clinical indications and technique for applying botulinum neurotoxin type A (BoNTA) to correct a gummy smile and assesses the outcomes and satisfaction levels of 3 patients. The patients were told about the risks and benefits of the procedure and advised that their gummy smile was likely to recur within 6 months posttreatment. After the exposed gingival tissue of the patients was measured with a ruler, photographs were taken, and the patients recorded their pretreatment level of satisfaction with their smile on a visual analog scale (VAS), the patients were treated with BoNTA. The BoNTA was diluted in 1 mL of sterile saline according to the manufacturer's instructions, and an extraoral point of application was marked 1 mm lateral to each of the patient's nasal wings, close to the insertion of the elevator muscles of the upper lip and the nasal wings. At each location, 4 U was injected by tilting the syringe 45° in relation to the skin. Fourteen days after treatment, the gingival tissue exposed during a smile was again measured with a ruler, new photographic records were taken, and the patients' level of satisfaction with the treatment and the esthetic result was determined. Repositioning of the upper lip was observed in all patients. No adverse effects or complaints were reported. All 3 patients reported that they were satisfied with the outcome and wanted to continue therapy with BoNTA as needed. The results of the reported cases suggest that the application of BoNTA constitutes a safe, effective treatment for the correction of gummy smile and is well accepted by patients. However, for the treatment to be successful, it is essential that clinicians master the facial topographic anatomy and the technique to be employed.Tooth autotransplantation is the movement of a tooth from its socket into another socket within the same patient. This case report discusses the viability of tooth autotransplantation in a patient with diabetes mellitus. A 23-year-old woman presented with the chief complaint of pain from a carious mandibular right second molar, which was deemed nonrestorable. Autotransplantation of a viable third molar was therefore suggested as the treatment of choice. Six months after surgery, the patient was recalled for reevaluation of the reimplanted tooth. Pulpal sensitivity was assessed, revealing a normal pulpal response. The patient reported no pain or symptoms of infection. At the 1-year and 2-year follow-ups, clinical examinations confirmed that the transplanted tooth was vital, and the patient was able to chew food normally without experiencing pain on the mandibular right side. Dental autotransplantation may be considered a conservative approach to replacing a missing tooth, especially for young patients with growing jaws or patients with limited financial means who cannot afford other treatment options.The objective of the present study was to assess the influence of energy and hydroelectrolytic beverages on the color stability and fluorescence of composite resins. Three composite resins (Amelogen, Filtek Z350 XT, and Filtek Bulk Fill) were analyzed at 4 different time periods at baseline (T0) and after 1 (T1), 2 (T2), and 3 (T3) months of storage. Thirty specimens of each material were prepared and divided into subgroups (n = 10) based on the type of solution in which they were immersed for 1 hour a day at 37°C distilled water (control), Red Bull, and Gatorade. Color stability and fluorescence tests were performed at each timepoint. Three-way repeated-measures analysis of variance (ANOVA) tests were used to evaluate the influences of material, immersion solution, and time on the color stability and fluorescence values (α = 0.05). The Bonferroni test was used as a post hoc test to compare the mean values between the groups (α = 0.05). For color change, ANOVA showed a statistically significant influence of all isolated factors and their interactions.
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