Anas Mando, Mohannad Laflouf, Yasser Alsayed Tolibah
Hyperplastic pulpitis is an irreversible type of pulpitis that primarily affects young patients. It occurs when an inflamed pulp becomes exposed due to factors such as dental caries, dental trauma, or other causes. Root canal treatment is commonly employed to manage hyperplastic pulpitis. However, vital pulp therapy can be considered as a less invasive option. The main objective of this treatment is to preserve the vitality and functionality of the remaining pulp tissue. This case report discusses the potential management of hyperplastic pulpitis in an immature molar using vital pulp therapy instead of a full root canal treatment...
2024: Case Reports in Dentistry
Shalini Mundra, Neetha J Shetty
Excessive gingival display (EGD) is one of the most common aesthetic concerns, and its correction often presents a challenge to periodontists. It has a multifactorial etiology, and this article describes a case involving hypermobile upper lip (HUL), altered passive eruption (APE), and vertical maxillary excess (VME). Upon investigation, a positive collum angle and marked subnasal skeletal depression were observed. In this context, it is noted that during a spontaneous smile, the upper lip retracts and gets lodged in this depression...
2024: Case Reports in Dentistry
Cimara Fortes Ferreira, Edival Barreto Magalhães, Barbara Zini
BACKGROUND: Altered passive eruption (APE) in the esthetic zone can be an esthetic concern to the patient. To restore adequate crown dimensions, crown lengthening procedures may be necessary. METHODS: The present case is a report of a patient with an unsatisfied smile due to a complaint of short clinical crowns. The periodontal diagnosis was APE and deviated maxillary anterior midline. A mock-up was made to assist the provider in evaluating the patient's esthetic concerns and acceptance of the proposed treatment plan...
2024: Case Reports in Dentistry
Karen Berrigan, Bradly Gettleman, Sabita Rao, Janet Jordan, Mark Stieg, Lawrence Johns
Root resorption is a commonly recognized risk of orthodontic treatment and can range from minimal changes at the apex to aggressive and extensive erosion of tooth structure. The following report is aimed at presenting a rare case of idiopathic aggressive preeruptive root resorption in a maxillary second premolar of a young child prior to orthodontic force. During phase I orthodontic treatment, the maxillary premolar required surgical exposure with a bracket and chain to assist in its eruption. Before the exposure, a cone beam computed tomography (CBCT) was captured to aid in localizing the premolar and its relationship to vital structures...
2024: Case Reports in Dentistry
Domenico Sfondrini, Fabio Pagella, Matteo Pellegrini, Martina Ghizzoni, Andrea Scribante, Chiara Tore, Stefano Marelli
INTRODUCTION: A postsurgical ciliated cyst (PSCC) is an epithelial cyst that usually develops in the maxilla, although in rare cases, it can affect the mandible or other facial bones. The typical age of diagnosis is 40-50 years, with no gender prevalence, and the mean cyst development occurs approximately 10-15 years following a surgical or traumatic event. Some epithelial respiratory cells can be trapped into the bone tissue during maxillary surgical procedures or maxillary fractures...
2024: Case Reports in Dentistry
Rewa Kawade, Seema Sathe, Anjali Bhoyar, Bhushan Mundada, Neeraj Chachediya, Aditee Apte
Mucormycosis has been prevalent in the past few years with the COVID-19 pandemic largely affecting the maxilla due to its proximity to the respiratory corridor. Resection of the maxillary dentition along with the maxillary bone itself has a huge psychosocial impact on the patient. When seeking prosthetic rehabilitation, poor esthetics, difficulty in mastication, and social embarrassment are the patients' concerns. Hence, it becomes great responsibility for the clinician to restore the patient's natural teeth while causing him/her minimum discomfort...
2024: Case Reports in Dentistry
Richard Mosch, Maurice Hatzky, Patricia Hatzky, Constantin von See
The fear of a missing tooth often leads to postponing the visit at the dentist. While extraction itself is a major stressful experience for the patient, the presence of visible gaps or missing teeth inside or outside the aesthetic zone is a deal breaker for a lot of patients. Bridging the time spent until inserting any final restoration with a provisional enables the patients to still take part in everyday life. This case report shows a new approach for a fixed dental provisional in the anterior region using a printed wing bridge approach to replace an extracted tooth...
2024: Case Reports in Dentistry
Shashi Keshwar, Toniya Raut, Neetu Jain, Ashish Shrestha, Mehul Rajesh Jaisani
Adenoid ameloblastoma with dentinoid had been perceived as a rare odontogenic tumor with bridging histopathological features between ameloblastoma and adenomatoid odontogenic tumor. Due to the mixture of histopathological features of two separate and well-recognized entities, adenoid ameloblastoma was also regarded as a hybrid lesion. The diversity in the histopathological presentation among the cases has disaccorded the nature, behaviour, and prognosis of this pathology. Despite the literature acknowledging the histopathological diversity, categorizing all these variations into one and addressing them as a single entity was lagging till the 5th edition of the odontogenic tumor classification by the WHO was forwarded...
2024: Case Reports in Dentistry
Fatima Liliana De Freitas Correia, Beatriz Raquel Yáñez-Ocampo, Cesar Augusto Esquivel Chirino, Daniela Carmona Ruiz, Delina Montes-Sánchez
Mucogingival surgery is a procedure for the treatment of gingival recession, which is a shift of marginal gingival tissue to the cementoenamel junction (CEJ), exposing the surface of the root teeth. One treatment for gingival recession is the Langer and Langer bilaminar technique, which involves the use of the fascia lata (FL) membrane. This membrane is harvested from the aponeurosis of the external muscles. The purpose of this case report was to present the clinical results of a 2-year follow-up using the Langer and Langer bilaminar technique modified with FL in a patient with gingival recession...
2024: Case Reports in Dentistry
Miodrag Popov, Nemanja Marinkovic, Ivan Arsic, Predrag Janosevic, Nenad Nedeljkovic
A 26-year-old woman had a masticatory dysfunction, straight profile, retrognathic maxilla and mandible, and Angle's class I with a tendency to class III malocclusion on both sides, with bilateral posterior crossbites and a 4 mm anterior open bite. Orthognathic surgery and orthodontic camouflage with and without tooth extraction were considered as treatment options. The patient's preferred method of treatment was orthodontic camouflage without extraction. The transpalatal arch had been placed for the bilateral molars' derotation...
2024: Case Reports in Dentistry
Shoufu Sun, Yufan Pan, Jichun Zhang, Yunan Jiang
Drug-influenced gingival enlargement is a common side effect associated with certain medications, particularly calcium channel blockers like nifedipine, which has been extensively documented. However, the occurrence of nifedipine-influenced masticatory mucosa overgrowth in edentulous patients is rare. Here, we present a case of nifedipine-influenced mucosal enlargement persisting in a 67-year-old edentulous patient 3 months after the extraction of all his teeth. The patient underwent flap surgery and alveoloplasty to excise the overgrown tissue, followed by complete denture restoration...
2024: Case Reports in Dentistry
Franciele Floriani, Natália Fiuza Coelho, Ludimila de Azevedo Linhares, Sheila Cristina Stolf, Guilherme Carpena Lopes
This case report details the esthetic rehabilitation of a 32-year-old male patient suffering from sleep bruxism, primarily manifesting as a fracture and significant loss of tooth structure in the anterior maxillary central incisors. To address these concerns, the patient underwent a restorative treatment involving the application of semidirect resin composite veneers on the maxillary incisors and direct resin composite restoration on the incisal regions of the maxillary canines. This approach not only restored the functional integrity of the teeth but also significantly enhanced the patient's esthetic appearance...
2024: Case Reports in Dentistry
E Deliverska, Marusya Genadieva, B Yordanov, J Kirilova
White sponge nevus is a rare genetic autosomal dominant disorder characterized by irregular patches of thick, white diffuse plaques, which mainly affects the oral mucosa and, very rarely, the skin or mucosa of the nose, esophagus, and anogenital region. We present a case of oral white sponge nevus in a 62-year-old woman, the differential diagnosis of which was of particular interest due to other similar white oral lesions, some of which are potentially malignant. The lesions were verified histologically. However, no treatment was performed due to the benign and asymptomatic nature of the lesions...
2024: Case Reports in Dentistry
Karo Parsegian, Roger M Arce, Nikola Angelov
Peripheral ossifying fibroma (POF) is a benign swelling of the gingival connective tissue commonly associated with dental biofilm and biofilm-retentive dental appliances. In the present case report, we described three cases of POF with different clinical presentations and treatment approaches. The treatment consisted of the removal of supra- and subgingival calculus, followed by a flap surgery with excision of the entire lesion ensuring the inclusion of the periosteal bed. The first patient developed POF during her pregnancy that remained clinically noticeable postpartum...
2024: Case Reports in Dentistry
Daisuke Tomita, Shugo Haga, Fumi Tanzawa, Taira Miyazawa, Haruhisa Nakano, Koutaro Maki
In addition to affecting oral functions such as temporomandibular joint function, mastication, and speech, malocclusion caused by skeletal maxillary prognathism also entails sociopsychological implications. Surgical orthodontic treatment to improve occlusion and oral function and to correct esthetic disharmony is important to improve patients' quality of life. We report the case of a 32-year-old woman who visited our hospital with a chief complaint of proclined upper front teeth. Clinical examination revealed maxillary overgrowth and severe labial inclination of the maxillary incisors with palatal gingival recession...
2024: Case Reports in Dentistry
Besir Salihu, Zana Agani, Arta Sinanaj Demiri
Excessive display of the gums when smiling, known as gummy smiles, can lead to aesthetic concerns and emotional discomfort for individuals. In recent times, there has been a notable rise in the popularity of gummy smile surgery as a cosmetic procedure aimed at addressing this problem. A novel technique known as lip repositioning has emerged and gained recent popularity, either on its own or in conjunction with other approaches. In specific situations, it offers a simpler, less intricate alternative to more extensive surgical procedures, resulting in a pleasing and satisfactory camouflage effect while reducing postoperative complications...
2024: Case Reports in Dentistry
Teresa Pinho, Duarte Rocha, Sara Gonçalves, Maria Luís Martins
Scissor bite does not correct spontaneously. It gradually worsens by overeruption, negatively affecting masticatory function. It is intended with this manuscript to evaluate the different treatment strategies to correct this malocclusion in adult patients, exploring treatment with clear aligners, bite ramps, and MS (miniscrews), especially in this case of a patient with unilateral right scissor bite, with high dental compensation in the three planes of space, asymmetrical sagittal dental position, overeruption on the scissor bite condition, and a high mandibular arch constriction and maxillary expansion...
2024: Case Reports in Dentistry
Pascal Grün, Florian Pfaffeneder-Mantai, Patrick Bandura, Benedikt Schneider, Anna Sophia Bandura, Dritan Turhani
INTRODUCTION: Extensive comminuted fractures are associated with tooth loss that ultimately leads to dimensional changes in the hard and soft tissues of the alveolar ridge. Reconstruction of the lost mandibular anterior ridge is very complex due to the natural curvature of the region. Case Presentation . In this case report, the combination of the modified shell technique with autologous bone plates and the guided bone regeneration (GBR) technique was performed on an 18-year-old patient after a comminuted fracture, to ensure new bone formation in the anterior ridge with a natural curvature...
2024: Case Reports in Dentistry
Shuman Deng, Qi Gao, Li Zhang, Jing Xie, Ying Chen, Xuezhen Peng
Crowns have been recommended to treat decayed teeth and rebuild teeth function. The dental management of children with autism is a tremendous challenge for pediatric dentists due to the impaired behaviors and communication disorders. In this context, a 5-year-old boy with autism was treated to solve carious lesions under the assistance of general anesthesia. The posterior occlusal function was restored, and the crossbite existing in the primary anterior teeth was approached merely by NuSmile® zirconia crowns (ZCs) rather than orthodontic intervention...
2024: Case Reports in Dentistry
Gabriel Mulinari-Santos, Fabio Luiz Ferreira Scannavino, Erica Dorigatti de Avila, Luiz Antonio Borelli Barros-Filho, Leticia Helena Theodoro, Luiz Antonio Borelli Barros, Rafael Scaf de Molon
Contemporary dentistry has increased the demand for predictable functional and esthetic results in a short period of time without compromising the long-term success of rehabilitation. Recent advances in surgical techniques have provided alternatives that allow the prosthetic rehabilitation of complex implant-supported cases through minimally invasive techniques. In this context, immediate dentoalveolar restoration (IDR) was described aiming at restoring function and esthetics through the reconstruction of lost periodontal tissues followed by immediate implant placement in order to minimize treatment time and surgical morbidity in a one-stage approach...
2024: Case Reports in Dentistry
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