Friday, December 19, 2014

For your patients who watch Dr. Oz...

The British Medical Journal is taking Dr. Oz to task over the information he provides on his show. According to an article in the Washington Post, the reserachers examined 40 episodes and found 479 separate medical recommendations. Of those recommendations, they were able to find medical research that supported 46% of his recommendations.  15% of his recommendations were actually contradicted by current medical research and 39% has no medical research available.

Most clinicians in the US have probably had a patient that came with concerns about something they heard from Dr. Oz. A little more evidence that you can't believe everything you read on the internet OR hear from Dr. Oz!

Thursday, December 11, 2014

Periapical Cemental Dysplasia

A 42 yr old, white, female presented for evaluation of #22.  She was asymptomatic, with a prior RCT on #22.  A large nodular, irregular, radiopacity found within a large radiolucent area on the periapical radiograph. Tooth is normal to palpation, percussion and probings.

Pre-Op Radiograph

CBCT shows the radiographic findings from multiple angles.

Sagittal slice shows complete obturation with no missed lingual canal.
DX: Prior RCT with possible periapical cemental dysplasia.  Apical surgery recommended with biopsy.

Surgical acess

Removal of calcific nodules

Crypt completely cleaned out to normal bone

MTA retrofill placed.
Biopsy report indicated Periapical Cemental Dysplasia (anterior focal osseous dysplasia)  Recurrence would be unusual, but other areas of dysplasia can arise as well as truamatic bone cysts are also common.