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Case Reports in Dentistry

Dirceu Tavares Formiga Nery, José Ranali, Darceny Zanetta Barbosa, Helvécio Marangon Júnior, Rafael Martins Afonso Pereira, Patrícia Cristine de Oliveira Afonso Pereira
Oral surgery to remove pyogenic granuloma in a high-risk patient is reported. A 47-year-old man with gastroesophageal reflux disease, diabetes mellitus II, dyslipidemia, and chronic coronary insufficiency (myocardial infarction within 2 years) with episodes of unstable angina was submitted to an excisional biopsy of hemorrhagic lesion in the lingual right mandibular gingiva. During dental treatment, the arterial blood pressure, oxygen saturation, heart rate, and electrocardiogram were monitored. Local anesthesia was performed with 0...
2018: Case Reports in Dentistry
Suraj Arora, Gurdeep Singh Gill, Priyanka Setia, Anshad Mohamed Abdulla, Ganapathy Sivadas, Vaishnavi Vedam
This article aims at providing an insight to the clinical modifications required for the endodontic management of severely dilacerated mandibular third molar. A 35-year-old patient was referred for the root canal treatment of the mandibular left third molar. An intraoral periapical radiograph revealed a severe curvature in both the canals. A wide trapezoidal access was prepared following the use of intermediate-sized files for apical preparation. Owing to increased flexibility, Hero Shaper NITI files were used for the biomechanical preparation and single cone obturation was carried out...
2018: Case Reports in Dentistry
P Santander, E M C Schwaibold, F Bremmer, S Batschkus, P Kauffmann
Background: We report a case of multiple keratocysts first diagnosed in an 8-year-old boy. Case report: The incidental radiographic finding of a cystic lesion in an 8-year-old boy led to the surgical enucleation and further diagnosis of a keratocyst associated with a tooth crown. In the course of dental maturation from deciduous to permanent teeth, the boy presented new lesions, always associated with the crowns of teeth. Gorlin-Goltz (nevoid basal-cell carcinoma) syndrome was suspected, and the genetic analysis detected a previously undescribed germline variant in the PTCH1 gene...
2018: Case Reports in Dentistry
Davide Augusti, Gabriele Augusti
Full-coverage restorations represent a well-known rehabilitation strategy for compromised posterior teeth; in the last years, new ceramic materials like zirconia have been introduced and widely adopted for the prosthetic management of molar and premolar areas. A long-term follow-up of a maxillary premolar rehabilitation using a veneered zirconia crown is presented; after ten years of uneventful clinical service of the tooth-restoration complex, a serious complication-namely, a vertical root fracture (VRF)-occurred...
2018: Case Reports in Dentistry
Hisashi Ozaki, Hiromasa Sakurai, Yukie Yoshida, Hideyuki Yamanouchi, Mitsuyoshi Iino
Maxillectomy for malignant tumor often results in a maxillary defect and serious oral dysfunction. A prosthesis is usually provided for postoperative oral rehabilitation of such patients with maxillary defects. However, the further the resected region extends, the less stable the prosthesis becomes, due to insufficient bone and tooth support. Therefore, in many cases, conventional resection dentures may not be adequate to restore the oral function. Effective utilization of dental and zygomatic implants may help to restore oral function in patients with severe maxillary defects...
2018: Case Reports in Dentistry
H Sevilay Bahadır, Gökhan Karadağ, Yusuf Bayraktar
Dental aesthetics have become highly important in recent years. Treating aesthetic demands with noninvasive or minimally invasive techniques can preserve the natural tissues. A 20-year-old female patient presented to the clinic with aesthetic concerns. After the clinical and radiographic examinations, hypomineralization was identified in the maxillary anterior teeth except the maxillary right canine. An external discoloration was also identified in the maxillary left canine tooth. Moreover, the right canine tooth was identified as a Turner's tooth according to the patient's anamnesis...
2018: Case Reports in Dentistry
Nallan C S K Chaitanya, C M S Krishna Prasad, Reshma Priyanka Danam, Madireddy Nithika, Chintada Suvarna, Jampala Nancypriyanka, Rajkumar Badam
Trismus is the most common sequelae of various pathological processes leading to compromised nutritional state in addition to physical and psychological disabilities. Therapeutic interventions are available to relieve trismus, which range from oral usage of pharmacological agents to intralesional steroid therapy. Intraoral appliance therapy can be employed as an alternative or adjuvant treatment for radiotherapy-induced fibrosis and autoimmune disorders such as scleroderma, psychogenic trismus, and oral submucous fibrosis, decreasing the adverse effects associated with other pharmacological interventions...
2018: Case Reports in Dentistry
Zhujun Li, Zhengxi Chen, Jian Sun, Li'an Yang, Zhenqi Chen
A modified Nance Appliance (MNA) is introduced as a treatment option for an adult class II division 2 malocclusion (CII/2) patient with deep overbite and dehiscence on the facial root surface of retroclined upper incisors through the cone-beam computed tomography (CBCT). Indications for this modified MNA as well as a brief description of fabrication procedure and biomechanical analysis of the treatment effects are shown in detail. Root control and absolute intrusion without enlarging the bony defect were achieved...
2018: Case Reports in Dentistry
Rocco Franco, Michele Miranda, Laura Di Renzo, Antonino De Lorenzo, Alberta Barlattani, Patrizio Bollero
Glanzmann's thrombastenia (GT) is the most frequent inherited condition. GT is a genetic autosomal recessive disease caused by the alteration of the genes ITGA2B and ITGB3, located on the chromosome 17. The incidence of GT is calculated in 1 on 1000000. The patients, during their life, show episodes of mucocutaneous bleeding, epistaxis, and gingival bleeding. Some subjects required continuous bleeding transfusion. The aim of this case report is to demonstrate that oral assumption of tranexamic acid is a gold standard to prevent excessive bleeding...
2018: Case Reports in Dentistry
Amanda Phoon Nguyen, Norman Firth, Sophie Mougos, Omar Kujan
An otherwise healthy 20-year-old male presented with an exophytic, polypoid, yellowish lesion involving the dorsal surface of his tongue, which he reported being present since birth and unchanged. This was removed by surgical excision and diagnosed as a leiomyomatous hamartoma. Histological examination revealed a combination of fibrovascular connective tissue, conspicuous smooth-muscle bundles, adipose tissue, minor salivary gland tissue, blood vessels, lymphoid tissue, peripheral nerves, and normal skeletal muscle...
2018: Case Reports in Dentistry
Houda Dogui, Feriel Abdelmalek, Adel Amor, Nabiha Douki
Rehabilitation of endodontically treated molar still remains a challenge. After endodontic treatment, molars lost their mechanical characteristics. In fact, they became fragile and that is in relation with the removal of pulp and surrounding dentin tissues. Endocrown which is a single partial restoration could be considered as a good alternative for restoring molars having large coronal destruction and presenting endodontic treatment difficulties. Through this work, we discuss the indication and use of endocrown to replace single crowns with intraradicular retention and to present a clinical case report of an endocrown-type restoration, fabricated from lithium disilicate ceramic (IPS e...
2018: Case Reports in Dentistry
I Kanimozhi, Mahesh Ramakrishnan, Dhanalakshmi Ravikumar, Ningthoujam Sharna
Complicated crown-root fractures of primary teeth often present with a greater challenge to the pediatric dentist. Extraction of the involved tooth is the routine treatment indicated. But, early loss of this primary tooth may lead to esthetic and psychological problems and also causes a detrimental effect on the development of occlusion and the alveolar bone. The present case report described the management of crown-root fracture in a primary canine by surgical extrusion and showed a satisfactory prognosis at one-year follow-up...
2018: Case Reports in Dentistry
Lilies Anggarwati Astuti, Mochammad Hatta, Sri Oktawati, Rosdiana Natzir, Ressy Dwiyanti
This case report highlights the change of TGF- β 1 gene expressions and TGF- β 1 protein level in gingival crevicular fluid (GCF) and identification of plaque bacteria in a patient with recurrent localized gingival enlargement before and after gingivectomy treatment. A 26-year-old woman came to AG Dental Care Clinic, South Sulawesi, Indonesia, in October 2015 with a chief complaint that her gingiva often bled spontaneously and she felt pain on her gingiva and felt less comfortable and no self-confidence with her anterior and posterior gingival condition on the right maxilla region which is slightly larger than normal...
2018: Case Reports in Dentistry
Gianluca Tenore, Ahmed Mohsen, Giorgio Pompa, Edoardo Brauner, Andrea Cassoni, Valentino Valentini, Antonella Polimeni, Umberto Romeo
The aim is to discuss four cases of gingival reactive hyperplastic lesions in patients with a history of excision of oral neoplastic lesions and rehabilitation by a free revascularized flap of the iliac crest. One female and 3 male patients were referred due to the presence of exophytic lesions at the rehabilitated sites. The clinical examination revealed that the poor oral hygiene was the common trigger factor in all the cases, in addition to trauma from the upper left second molar in the first case, pericoronitis related to a partially erupted lower right third molar in the third case, and poor stability of an upper removable partial denture in the fourth case...
2018: Case Reports in Dentistry
Saturnino Marco Lupi, Arianna Rodriguez Y Baena, Claudia Todaro, Gabriele Ceccarelli, Ruggero Rodriguez Y Baena
This case report discusses about an innovative bone regeneration method that involves the use of autologous periosteal micrografts, which were used for a maxillary sinus floor lift in a 52-year-old female patient. This method allows for harvesting of a graft that is to be seeded on a PLGA scaffold and involves collection of a very little amount of palatal periosteal tissue in the same surgical site after elevation of a flap and disaggregation of it by using a Rigenera® filter. Histological samples collected at the time of implant installation demonstrate a good degree of bone regeneration...
2018: Case Reports in Dentistry
Manveen Kaur Jawanda, R V Subramanyam, Harshaminder Grewal, Chitra Anandani, Ravi Narula
Background: Sebaceous carcinoma (SC) is an uncommon cutaneous malignancy, usually occurring predominantly in the eyelids and only occasionally involving the oral cavity. Sebaceous carcinoma (SC) is a rare malignancy. Only 10 cases of sebaceous carcinoma of the oral cavity have been reported so far. Case Presentation: A 40-year-old female presented with a mass on the left side of the middle third of the face. Radiographic findings were inconclusive. Resection of the mass was consistent with the diagnosis of primary sebaceous carcinoma...
2018: Case Reports in Dentistry
O Marouane, N Douki, F Chtioui
Stained enamel opacities are frequently encountered in dental practice. However, due to the risk of unaesthetic outcome, managing such lesions by resin infiltration techniques alone is not advised. Therefore, performing external bleaching before resin infiltration procedure is mandatory to eliminate stains from the hypomineralized lesions in order to aesthetically infiltrate them. In this work, we describe clinical cases in which external bleaching and resin infiltration techniques were used for managing stained enamel hypomineralized lesions related to traumatic dental injuries and molar incisor hypomineralization...
2018: Case Reports in Dentistry
Bianca Tozi Portaluppe Bergantin, Daniela Rios, Daniela Silva Barroso Oliveira, Edmêr Silvestre Pereira Júnior, João Adolfo Costa Hanemann, Heitor Marques Honório
Periodontal diseases have several causes, amongst them, by foreign bodies. In this case report, an 11-year-old child who lived in a rural area and has never been treated by a dentist presented an extensive horizontal bone loss and edema on the region of tooth 44. The diagnosis of foreign body was obtained after biopsy, since an elastic band around the middle of the root tooth was found. The elastic band was not radiopaque, and the patient did not inform that she found the elastic band on the floor of the school and introduced the tooth by herself...
2018: Case Reports in Dentistry
Hayati Murat Akgül, Fatma Çağlayan, Sevcihan Günen Yılmaz, Gözde Derindağ
Aim: Garre's osteomyelitis is a local thickening of the periosteum caused by a slight irritation or infection. We aimed to present the extraoral, intraoral, and radiographic findings and postoperative pursuits of two patients diagnosed with Garre's osteomyelitis. In this case report, although clinical findings indicate infection source, these clinical findings are strongly supported by cone-beam computed tomography images. In addition, it can be seen that when we have followed the case I, we have chosen the right path in treatment...
2018: Case Reports in Dentistry
Guilherme da Gama Ramos, Danilo Lazzari Ciotti, Samuel Rehder Wimmers Ferreira, Maide Rehder Wimmers Ferreira Margarido, Raquel Adriano Dantas, Marina Nottingham Guerreiro
In the past, aesthetics had a secondary role in implant rehabilitation. Nowadays, the search for a perfect and harmonious aesthetic has stimulated the development of new materials and techniques. Due to this aesthetic requirement, the hybrid abutment (titanium link + zirconia) emerged as an alternative to metallic pillars. The hybrid abutment made a more favorable aesthetic possible, provided reliable mechanical properties, and increased biocompatibility to the surrounding tissues. Additionally, the individual zirconia abutment improves the emergency profile and the final white aesthetics...
2018: Case Reports in Dentistry
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