Teetheritis, often mistaken as a simple oral local disease, may in fact pose a serious threat to the whole body ‘ s health. It not only leads to haemorrhage, pain and even loss of teeth, it is also closely related to a wide range of systemic diseases and may even cause life-threatening complications. I still remember very clearly one patient who had received a few years ago, whose case raised my awareness of the potential harm of dental choreography and prompted me to write this paper with a view to raising public awareness of oral health.
It was a normal afternoon when a 43-year-old male patient came to the clinic and complained about a week-long back pain, chest problems, breathing difficulties and a combination of dizziness and weakness. During the consultations, I asked him, as usual, in detail about his medical history and symptoms, including the oral aspects. He stated that there was no discomfort at the mouth, which made it easy for me to ignore the possibility of diarrhea at the outset. In order to fully assess his condition, I conducted a detailed medical examination for him and arranged the necessary laboratory examinations. The results came out quickly, with his blood sugar as high as 9.6 mmol/L, his blood potassium as low as 2.69 mmol/L, HC-reacting proteins as high as 279.49 mg/L, white cell counts of 15.4 x 109/L, while the blood plate count was abnormally reduced to 18 x 109/L. I immediately arranged for an emergency chest CT, which showed double pulmonary hyperinflammation stoves, small knots, and inflammatory bulges, but no unusual CT vascular imaging of the pulmonary artery. In combination with the patient ‘ s symptoms, signs and visual tests, I realized that his condition was more complex than I expected, so I admitted him to the hospital and sent him to the intensive care ward for close observation and treatment.
Since the patient has a history of diabetes, I initially doubted whether it was an infectious endometriosis, but both the heart ultrasound and myocardial markers were normal. At the same time, I have considered the possibility of fungi infection and pneumococcal pneumonia, with the corresponding empirical treatment. In view of the increased respiratory distress of the patient, I used a non-respiratory device to help him. The following day, in order to make the diagnosis clearer, I arranged for him to have a fibre bronchopneumatic lens examination, and collected bronchial pneumatic pneumatic fluid for mNGS, as well as blood samples for mNGS and conventional bacterial culture. The fibre bronchial lens examination showed that the patient ‘ s bronchial walls were smooth and there was no apparent bulge or oedema. However, on the third day of admission, the patient ‘ s condition was in a state of extreme heat, and the oxidation index deteriorated. Even when pure oxygen was given, the oxygen fraction pressure in the patient ‘ s blood and gas analysis could not exceed 60 mmHg, and blood pressure declined. The slab count was further reduced to 8 x 109/L during the review. A review of the chest CT showed progress and a clear integration. In order to eliminate the infection in other areas, I arranged for him to have his head and face CT, but it was not unusual.
At that point, the results of the mNGS were returned in time, showing a higher volume of bacterial DNA in the blood and pneumatic pneumatic slurry. This finally led me to identify the cause of the disease: acute pneumonia caused by the blood sprouting of the single tooth cyst. And the previous bacteriary growth has not been seen, which reminds me once again that conventional cultures may not be able to effectively detect this anaerobic bacteria. After a clear diagnosis, I adjusted the treatment to target anti-infection treatment with a left oxen fluorine and amamine. At the same time, I invited a dentist. Although the patient had not previously complained about his oral discomfort, a careful examination by a dentist revealed that his right-hand grinding of his teeth contained dental and coronary inflammation and was accompanied by a small septic secretion. We immediately carried out a thorough oral clean-up and lead and, in part, anti-bacterial treatment with the use of rinsed pagodas and ménitrazine. In addition, I have taken measures for him, such as regular sub-pital ventilation and regular bronchial snorkeling, to improve the patient ‘ s pulmonary oxidation and to ensure the flow of airways. As a result of the joint efforts of our medical team, the patient ‘ s condition has gradually improved, the inflammation indicators have gradually returned to normal, white cell counts have declined and the slab count has risen. The pulmonary oxidation and blood pressure stabilized and were eventually successfully removed from the respirator, transferred to the general ward for further rehabilitation and discharged one month later.
This case has raised my awareness of the potential harm of dental choreography and the importance of new molecular diagnostic techniques, such as mNGS, and has given more attention to the role of multidisciplinary collaboration in the treatment of complex cases. The prevention of dental chorus is more important than treatment and it is essential to maintain good oral hygiene practices, which include brushing teeth at least twice a day for at least two minutes each, using fluorine toothpaste and mastering the correct method of brushing teeth; the use of line-cleaning teeth on a daily basis and the removal of toothbrushes; and the conduct of regular specialized oral examinations and tooth cleaning and the removal of tooth stones. In addition, maintaining a healthy lifestyle, such as the cessation of alcohol and tobacco, a balanced diet, and increased immunity, can also help prevent the occurrence and development of dental disease. Dental health is an important component of the whole body ‘ s health. This case reminds us that dental chorus is not just a problem of oral parts, that it can pose a serious threat to overall health and that it can develop as rarely as in the case of serious complications. We should focus on oral health, develop good oral hygiene practices, conduct regular oral examinations, and prevent and treat diarrhea at an early stage in order to effectively protect the whole body.
Invasive tooth choreography
