Needle fracture during dental local anesthetic injections is a rare but significant, potentially serious complication. Various approaches for the location and removal of broken needles have been described; however, there are several difficulties concerns related to potential complications critical anatomic challenges peculiar head neck region. In this case, we describe diagnostic utilized in lo...

Introduction: This clinical case aimed at showing the designing procedure for Removable Partial Denture (RPD) framework from an optical impression. The patient presented partially edentulous mandibular arch (Kennedy Class III) where RPD was planned for economic reasons. Optical impression was chosen due to the presence of a strong gag reflex and a small mouth opening. The impression was then se...

The authors describe a rare case of Chiari type I malformation presenting as persistent dysphagia. A fifty-eight year-old woman showing a nearly one-year history of swallowing difficulty was transferred to our department for neurological evaluation of aspiration pneumonia. Neurological examination revealed absence of bilateral gag reflexes, and mild weakness of the right upper extremity. Magnet...

BACKGROUND AND PURPOSE Bedside evaluation of dysphagia may be challenging in left middle cerebral artery (MCA) stroke due to frequently existing aphasia. Here we analyse the predictive value of common bedside screening tests and of two items of cortical dysfunction, aphasia and buccofacial apraxia (BFA), for the detection of dysphagia. METHODS We prospectively examined 67 consecutive patients...

PURPOSE Our aim in this study is to investigate efficacy of topical lidocaine spray for sedated esophagogastroduodenoscopy (EGD) in children. METHODS The endoscopy of children aged between 3-18 years who underwent EGD in our endoscopy unit. Intravenous (IV) midazolam and ketamine were used for sedation. Prior to sedation, endoscopy nurse applied topical lidocaine 10% with pump spray at 1 mg/k...