september 2011
Authors:
J.W Nolte, I. van der Waal
Source:
NTvT september 2011; 118: 417-419
doi:
10.5177/ntvt2011.09.11154
Section:
Summary:

A 46-year-old man appeared with white lesions of the oral cavity. A previously taken biopsy revealed no classifying diagnosis and treatment with mouth rinse produced no improvement. A new biopsy was taken, on which the pathologist performed additional tests. This resulted in the diagnosis ‘syphilis’. The patient was treated with benzylpenicillin and the oral white lesions disappeared. Although nowadays syphilis is rare, special attention is required when noticing these kinds of lesions of the oral cavity.

Authors:
A.H. te Veldhuis, F. Lobbezoo, E.C. te Veldhuis, M. Naeije, M.K.A. van Selms
Source:
NTvT september 2011; 118: 421-426
doi:
10.5177/ntvt.2011.09.10267
Section:
Summary:

Synovial chondromatosis of the temporomandibular joint is a disease which occurs rarely. A systematic review of the literature was carried out to identify its demographical, etiological, radiological, and clinical characteristics. A total of 191 case presentations were discovered. The mean age of patients was 47. The disease has been identified more frequently in women than in men. Apart from pre-auricular swelling, the most frequently reported clinical characteristics resembled those of temporomandibular disorders. Abnormalitieson radiographs were often evident. Insufficient evidence was found.

Authors:
H.J.A. Meijer, G.M. Raghoebar, R.J. Goené, G.A. van der Weijden
Source:
NTvT september 2011; 118: 431-437
doi:
10.5177/ntvt.2011.09.11114
Section:
Summary:

Oral implantology is a very fast growing and dynamic area of oral healthcare, carried out by an increasing number of oral healthcare providers. Recommendations for routine preventive inspections are needed to control and monitor the quality of treatment. Routine preventive inspection can be divided into inspection of the peri-implant hard and soft tissues and inspection of the prosthetic construction. The most frequently occurring complications, each with its own treatment, are peri-implant mucositis, peri-implantitis, recession of peri-implant tissues, the loosening or fracturing of overdenture attachment components, deterioration of the fit of overdentures, and the loosening of the screw with which a crown is secured on an implant or implant abutment. Carrying out routine preventive inspections will make it possible to detect and treat complications in a timely fashion.

Authors:
L.G.M.de Bont
Source:
NTvT september 2011; 118: 439-443
doi:
10.5177/ntvt.2011.09.11136
Section:
Summary:

In 1985, the dissertation ‘Temporomandibular joint. Articular cartilage structure and function’ was published. Much was known at the time concerning the (clinical) pathogenesis of osteoarthrosis of the temporomandibular joint, the associated radiographical characteristics and the results of nonsurgical treatment. Little was known, however, concerning the processes that lead to the loss of bone tissue and other degenerative changes. The current idea that osteoarthrosis was histopathologically characterized by defects in the joint surfaces did not seem to apply to temporomandibular joints. In temporomandibular joints, the phenomenon was recognized of degenerative changes in the deeper layers of the articular cartilage and the subchondral bone, while the articular surface could be microscopically intact. A dislocated articular disc was seen as part of the disease osteoarthrosis. Clear insight into the origins of osteoarthrosis was not achieved.

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