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Journal of Case Reports in Dental Medicine
Published by Universitas Hasanuddin
ISSN : 26563045     EISSN : 27218538     DOI : https://doi.org/10.20956/jcrdm
Core Subject : Health,
Dentistry Health Professions
Journal of Case Reports in Dental Medicine is a peer-reviewed, Open Access journal that publishes case reports and case series in all areas of dentistry, medical, including periodontal diseases, dental implants, oral pathology, as well as oral and maxillofacial surgery, pedodontics, conservative dentistry, periodontics, prosthodontics, orthodontics, oral medicine.
Arjuna Subject : -
Articles 132 Documents
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Management of broken rotary file in root canal by using bypass technique: Case report Younesi, Taravat; Alexandrovich, Volodko A.; Younesijadidi, Amirhossein
Journal of Case Reports in Dental Medicine Vol 7, No 3 (2025)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v7i3.242

Abstract

AbstractObjective: In this report it was described the clinical and radiographic outcomes of fracture of a #S1 rotary NiTi file in MB canal of tooth 4.6, at the middle of canal in a 35 year-old female patient. One of the effectual techniques for managing broken instruments is the instrument bypass technique, which is conservative, simple and less invasive for instrument fragment removal.Methods: Conservative treatment was performed, involves proper biochemical preparation followed by placement of calcium hydroxide during first visit and on the second visit bypassing fractured fragment in canal with K-files and rotary NiTi files. Also irrigation was done with 3% NaOCl, ethylenediaminetetraacetic acid (EDTA) and 2% Chlorohexidine (2% CHX), sterile distilled water after changing of irrigation solution type. Periapical X-ray investigations were used to observe radiographic success of this treatment.Results:  In these case, the fractured fragment was successfully bypassed and there was no apical plunging of the separated instrument. The whole treatment was accomplished with minimal damage to the surrounding dentin of the tooth and supporting tissues.Conclusion: As removal of a fractured file is associated with considerable risk, bypassing the fragment should be also considered. Fractured instrument management with a bypass approach is a favorable possible option over ultrasonic retrieval, surgical endodontic, chemical and surgical treatment.
A common drug of paracetamol contributes to oral hypersensitivity: A case report Abnas, Rizqi J.; Marlina, Erni; Usman, Nur A.; Putri, Andi AM.; Israyani, Israyani; Harlina, Harlina
Journal of Case Reports in Dental Medicine Vol 7, No 2 (2025)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v7i2.252

Abstract

Introduction: Paracetamol is the most commonly used analgesic drug in the general population, but it can cause hypersensitivity reactions in certain individuals. This case report describes the diagnosis of erythema multiforme due to hypersensitivity to paracetamol.Case Report: An 11-year-old girl presented to her parents with chief complaints of peeling, bleeding lips, erosive lesions, and pain on the lip commissure. Anamnesis revealed that the complaints had occurred for 5 days. The patient had no history of drug or food allergies. Clinical examination showed red erosion lesions, irregular diffuse border, rough texture, pain on the vermilion of both lips, and fissured lesions, irregular, with bleeding, on the commissure of labium extra. The clinical appearance was characterized as erythema multiforme and treated with triamcinolone acetonide, which gave a good response.Discussion: Reactions to paracetamol may be due to the paracetamol-specific IgE or T cells. Some cases have been reported of hypersensitivity to paracetamol, which causes similar symptoms and can be more severe, like Steven Johnson Syndrome (SJS). An allergy panel is needed to determine the exact hypersensitivity experienced by the patient to support recovery and prevent recurrence.Conclusion: Cases of Erythema multiforme due to paracetamol ingestion are rare. However, it is important to remember that adverse drug reactions may occur in certain individuals. Clinicians should be aware of such occurrences to take appropriate action.Keywords: Erythema Multiforme, Hypersensitivity, Paracetamol, Triamcinolone Acetonide

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