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Borreliosis (Lyme disease) is a chronic multisystem infectious disease transmitted by Ixodes ticks. The etiological agent of borreliosis is the spirochete Borrelia burgdorferi. The symptoms of borreliosis can vary depending on the attacked system and length of infection. Diagnosis is based mainly on clinical symptoms and immunoserological tests. The clinical symptoms of borreliosis also include dysfunction in the tissues and organs of the stomatognathic system. This paper describes a case of a female patient who had experienced a long-term dysfunction of the temporomandibular joint (TMJ). After careful analysis, the symptoms were found to be caused by a chronic form of neuroborreliosis with exacerbations. The findings in this case study show that borreliosis should be considered by doctors and dentists in the differential diagnosis of pain in the area of the TMJ.

Objectives:Technological development and the need for electronic health records management resulted in the need for a computer with dedicated, commercial software in daily dental practice. The alternative for commercial software may be open-source solutions. Therefore, this study reviewed the current literature on the availability and use of open-source software (OSS) in dentistry.Methods:A comprehensive database search was performed on February 1, 2017. Only articles published in peer-reviewed journals with a focus on the use or description of OSS were retrieved. The level of evidence, according to Oxford EBM Centre Levels of Evidence Scale was classified for all studies. Experimental studies underwent additional quality reporting assessment.Results:The screening and evaluation process resulted in twenty-one studies from 1,940 articles found, with 10 of them being experimental studies. None of the articles provided level 1 evidence, and only one study was considered high quality following quality assessment.Twenty-six different OSS programs were described in the included studies of which ten were used for image visualization, five were used for healthcare records management, four were used for educations processes, one was used for remote consultation and simulation, and six were used for general purposes.Conclusions:Our analysis revealed that the dental literature on OSS consists of scarce, incomplete, and methodologically low quality information.

The aim of this retrospective study was to investigate the most frequent complications and assess their overall rate associated with the surgical extraction of impacted teeth in an elderly patient population.Oral health needs of the elders are often associated with surgical procedures for the creation of appropriate conditions for any further prosthetic treatment. One such process is the removal of severely decayed, fractured or impacted teeth detrimental to the fit or appearance of dentures. While broken and decayed teeth leave little doubt for their removal, impacted teeth divide opinion, some extreme regarding their prophylactic removal and the appropriate age for the procedure.Material was selected from the archives of an Out-Patient Dental Surgery Clinic of the Regional Centre of Dentistry in Szczecin, from 2002 to 2013. The database was independently screened by two investigators according to inclusion and exclusion criteria. After selection process, all included records were screened using a data extraction form to obtain the necessary data.The total number of impacted teeth was 73, of which 29% were partially impacted. The overall complication rate was 24.6%. The most common complications were as follows: haematoma, nerve disturbances and local infections.Surgical extraction in patients above 60 years of age is fraught with a high risk of possible complications.