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Case Reports in Dentistry

Hind Alquthami, Abdulaziz M Almalik, Faisal F Alzahrani, Lana Badawi
Endodontic-periodontal diseases often present great challenges to the clinician in their diagnosis, management, and prognosis. Understanding the disease process through cause-and-effect relationships between the pulp and supporting periodontal tissues with the aid of rational classifications leads to successful treatment outcomes. In this report, we present several treatment modalities in patients with different endodontic-periodontal lesions. A modification to the new endodontic-periodontic classification, Al-Fouzan's classification, was also added...
2018: Case Reports in Dentistry
George Borja de Freitas, Evelyne Pedroza de Andrade, Riedel Frota Sá Nogueira Neves, Stefanny Torres Dos Santos, Daniella Cristina da Costa Araújo, Victor Ângelo Montalli
Unicystic ameloblastoma is an odontogenic tumor that affects mainly young patients and usually involves the posterior region of the mandible. In this article, we report on the case a 12-year-old girl presenting with an 8-month history of facial swelling in her lower right quadrant. Radiographic examination revealed a unilocular radiolucent lesion extending from the body of the mandible through to the angle and ascending ramus. An incisional biopsy was performed, and a diagnosis of luminal unicystic ameloblastoma was made based on clinicopathological features...
2018: Case Reports in Dentistry
Sreelakshmi N Nair, Raghavendra Kini, Prasanna Kumar Rao, Gowri P Bhandarkar, Roopashri Rajesh Kashyap, Manjunath Rai, Neel Naik, Athul Santhosh
[This corrects the article DOI: 10.1155/2016/6439026.].
2018: Case Reports in Dentistry
Geórgia Silva, Ana Cristina Normandes, Edson Barros Júnior, Joyce Gatti, Kalena Maranhão, Ana Cássia Reis, Fernanda Jassé, Lucas Moura, Thaís Barros
The increasing demand of patients looking for esthetics has resulted in the development of several techniques to restore anterior teeth. Conservative treatments should always be the first therapeutic option for the solution of aesthetic problems involving morphological changes and usually provide the result that the patient expects. In this context, ceramic laminate veneers, also known as "contact lenses," are capable to provide an extremely faithful reproduction of natural teeth with great color stability and periodontal biocompatibility...
2018: Case Reports in Dentistry
Tsz Leung Wong, Michael George Botelho
This case report illustrates a novel conservative restorative management of a patient with bulimia nervosa who presented with severe localized upper palatal tooth wear and an anterior reverse overjet. This was achieved by using a localized bite raising or supraoccluding appliance, cemented on the lingual side of the lower anterior teeth to create interocclusal space, obviating the need for tooth reduction of the eroded upper palatal and incisal tooth surfaces. Surgical crown lengthening was performed to create a better aesthetic gingival architecture...
2018: Case Reports in Dentistry
Wilson Matsumoto, Victor Garone Morelli, Rossana Pereira de Almeida, Alexandre Elias Trivellato, Cássio Edvard Sverzut, Takami Hirono Hotta
Tooth loss can result in loss of facial esthetics, in addition to its effect on mastication, swallowing, and speech. Adequate planning is required in order for the prosthetic treatment of the teeth and implants to be successful. Here, we present a clinical case demonstrating that improper positioning of an implant can make prosthetic rehabilitation unfeasible, necessitating new surgical and rehabilitation planning to achieve the desired esthetics. The patient had a missing right lateral incisor and cuspid, and a buccally directed implant...
2018: Case Reports in Dentistry
S Nagarajan M P Sockalingam, Mohd Safwani Affan Alli Awang Talip, Ahmad Shuhud Irfani Zakaria
Dens evaginatus is a dental developmental anomaly that arises due to the folding of the inner dental epithelium that leads to the formation of an additional cusp or tubercle on the occlusal surface of the affected tooth. This accessory tissue projection may carry with it a narrow and constricted pulp horn extension. Occasionally, the tubercle easily fractures, thus leading to microexposure of the pulp horn and eventual pulp necrosis. Often, the pulp necrosis occurs at a time the root development of the affected tooth is incomplete...
2018: Case Reports in Dentistry
Aminah M El Mourad
The selection of an appropriate treatment plan for cases of dental fluorosis depends on the severity of the condition. Ceramic veneers are considered the treatment of choice for moderate to severe cases of fluorosis given the optimum aesthetics, wear resistance, biocompatibility, and long-term results of these veneers. This case report describes a step-by-step rehabilitation of fluorosed teeth, using ceramic veneers in a 26-year-old Yemeni male. The patient presented at the restorative dentistry clinics at King Saud University complaining of an unpleasant smile and generalized tooth discoloration...
2018: Case Reports in Dentistry
Tengku Aszraf Tengku Shaeran, A R Samsudin
Introduction: Dislodgement of orthodontic appliance into operation wounds may occur while performing orthognathic surgery. Its occurrence is commonly associated with bonded upper molar tube. Case Report: A 25-year-old gentleman presented with recurrent upper right vestibular abscess three months following a bimaxillary orthognathic surgery. A bonded molar orthodontic tube had dislodged into the wound during the operation. The clinical presentation initially mimics an odontogenic infection until our investigations revealed that it originated from the dislodged appliance...
2018: Case Reports in Dentistry
E I Ogbureke, M A Couey, N Vigneswaran, C D Johnson
Periapical granuloma is a pathological diagnosis associated clinically and radiographically with a nonvital tooth and a periapical radiolucency, respectively. It is frequently seen as a sequela of long-standing pulpal necrosis. Often times, a draining fistula is observed near the nonvital tooth. We report an unusual case of a large draining focal fibrous hyperplasia in association with a large periapical granuloma treated at our clinic. The diagnosis was made by the clinical presentation, radiologic and histopathologic findings...
2018: Case Reports in Dentistry
Sara Dhoum, Kaoutar Laslami, Fatimazahraa Rouggani, Amal El Ouazzani, Mouna Jabri
This work is to discuss the management of an endo-perio lesion, which represents a challenge to clinicians when it comes to diagnosis and prognosis of the involved teeth and especially with an altered general condition. A 50-year-old female patient with uncontrolled diabetes type 2 is suffering from a purulent discharge coming from the upper right canine. Endodontic and periodontal treatments were realized with 36 months radiological and clinical follow-up with the collaboration of her internist doctor.
2018: Case Reports in Dentistry
Mathieu Lemaitre, Sarah Cousty, Mathieu Marty
Oral candidiasis is caused by fungi of the genus Candida and one of the most common opportunistic fungal infections of the human oral cavity. Given the clinical variability of this disease, microbiological techniques are often required for clinical confirmation, as well as establishing a differential diagnosis with other diseases. The aim of this brief technical report is to illustrate a simple chair-side method, which can provide immediate microscopic diagnosis of this disease. We present the case of a 14-year-old boy suffering from a denture-related erythematous stomatitis, diagnosed and followed-up with a simplified direct microscopy technique...
2018: Case Reports in Dentistry
Stefan Ihde, Łukasz Pałka, Maciej Janeczek, Piotr Kosior, Jan Kiryk, Maciej Dobrzyński
The aim of this article was to present the clinical application of a new, smooth surfaced one-piece bicortical screw implant with immediate loading protocol. An 18-year-old, healthy male patient with a history of total dislocation and replantation of teeth 11 and 21 in early childhood was admitted to the clinic. Teeth 11 and 21 were extracted, and two long one-piece implants were inserted at extraction sockets in one surgical session under local anesthesia. Temporary composite crowns were placed in the patient on the same day...
2018: Case Reports in Dentistry
S Nagarajan M P Sockalingam, Khairil Aznan Mohamed Khan, Elavarasi Kuppusamy
Anterior crossbite is relatively a common presentation in the mixed dentition stage. If left untreated, it can lead to a host of problems and may complicate future orthodontic treatment. One of the major difficulties in performing anterior crossbite correction in young children is treatment compliance. In most cases, poor compliance is due to the unacceptability of the removable appliance used. This article describes three cases of successful correction of anterior crossbite of patients in mixed dentition using short-span wire-fixed orthodontic appliances...
2018: Case Reports in Dentistry
Marina Consuelo Vitale, Maria Francesca Sfondrini, Giorgio Alberto Croci, Marco Paulli, Lorenzo Carbone, Paola Gandini, Andrea Scribante
Mucocele (also known as ranula or salivary gland mucous cyst) of the newborn is a lesion present on the intraoral cavity, with the potential to interfere with respiration and feeding. In the present report, a case of mucocele in a 4-month female patient has been described. As conventional surgery can be followed by several complications such as intraoperative bleeding, difficulties in wound healing, and maintenance of sterility during surgery, in the present case, the use of diode laser has been planned. A topic anesthesia with lidocaine gel was performed...
2018: Case Reports in Dentistry
Daniel Amaral Alves Marlière, Tony Eduardo Costa, Saulo de Matos Barbosa, Rodrigo Alvitos Pereira, Henrique Duque de Miranda Chaves Netto
Dentofacial deformities (DFD) presenting mainly as Class III malocclusions that require orthognathic surgery as a part of definitive treatment. Class III patients can have obvious signs such as increasing the chin projection and chin throat length, nasolabial folds, reverse overjet, and lack of upper lip support. However, Class III patients can present different facial patterns depending on the angulation of occlusal plane (OP), and only bite correction does not always lead to the improvement of the facial esthetic...
2018: Case Reports in Dentistry
Mônica Fernandes Gomes, Luigi Giovanni Bernardo Sichi, Lilian Chrystiane Giannasi, José Benedito Oliveira Amorim, João Carlos da Rocha, Cristiane Yumi Koga-Ito, Miguel Angel Castillo Salgado
Ectodermal dysplasia (ED) is a rare hereditary disorder affecting the development of ectoderm-derived organs and tissues. The aim of this study was to describe phenotypic features and the therapeutic approach in dentistry among three patients with ED, correlating their data with the literature. Additionally, to investigate the salivary gland disorders and their impacts on oral microbiota, we performed salivary tests, including salivary flow rate, salivary buffering capacity, and concentration levels of mutans streptococci, lactobacilli, and yeasts...
2018: Case Reports in Dentistry
Arturo Garrocho-Rangel, Andrea Gómez-González, Adriana Torre-Delgadillo, Socorro Ruiz-Rodríguez, Amaury Pozos-Guillén
The aim of the present article is to review the etiological risk factors and the general and oral management of anterior disc displacement with reduction caused by a chin trauma, and to describe the diagnostic process and the treatment provided to an affected 7-year-old girl. The patient also experienced frequent and severe cephaleas, which may be related to cervical vertebrae deviation. The patient was successfully treated with an intraoral occlusal splint and analgesics. Pediatric dentists must always be aware of the early signs and symptoms of temporomandibular joint disorders in their patients, especially in cases of orofacial trauma history, with the aim of providing an opportune resolution and preventing its progression later in life...
2018: Case Reports in Dentistry
Rakshit Vijay Khandeparker, Purva Vijay Khandeparker, Anirudha Virginkar, Kiran Savant
Dentigerous cysts represent the second most common odontogenic cysts of the jaws after radicular cysts and are usually associated with the crowns of unerupted permanent teeth and rarely deciduous teeth. They are usually solitary in their presentation. Multiple and bilateral dentigerous cysts are an extremely rare presentation in the absence of developmental syndromes or systemic diseases or the use of prescribed certain medications. We hereby present a case of a bilateral dentigerous cyst of the maxilla in a 10-year-old child involving the crowns of unerupted permanent second premolar on the right side and the unerupted permanent canine on the left side...
2018: Case Reports in Dentistry
Nikolaos Soldatos, Georgios E Romanos, Michelle Michaiel, Ali Sajadi, Nikola Angelov, Robin Weltman
Background: The placement of an implant in a previously infected site is an important etiologic factor contributing to implant failure. The aim of this case report is to present the management of retrograde peri-implantitis (RPI) in a first maxillary molar site, 2 years after the implant placement. The RPI was treated using an air-abrasive device, Er,Cr:YSGG laser, and guided bone regeneration (GBR). Case Description: A 65-year-old Caucasian male presented with a draining fistula associated with an implant at tooth #3...
2018: Case Reports in Dentistry
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