Case Reports in Dentistry最新文献

{"title":"<i>Barbell Technique</i> Associated With <i>Sinus Lift</i> for Horizontal and Vertical Guided Bone Regeneration-Case Report.","authors":"Fernanda Calvo Costa, Thaís Cachuté Paradella, Fernando Vagner Raldi, Michelle Bianchi-de Moraes, Rodrigo Dias Nascimento","doi":"10.1155/crid/3253904","DOIUrl":"10.1155/crid/3253904","url":null,"abstract":"<p><p><b>Background:</b> Dental absences are a worldwide issue, affecting patients both socially and functionally. Implant rehabilitation is the gold standard treatment; however, prior bone reconstructions may be necessary. The Barbell Technique is a guided bone regeneration technique recommended for defects of various morphologies, allowing for vertical and horizontal unidirectional or bidirectional regeneration, that is, both on the buccal and palatal/lingual sides. The objective of this paper is to report a case of bone reconstruction in the posterior maxilla prior to implant rehabilitation, where the Barbell Technique was performed together with a sinus lift. <b>Methods:</b> This study consists of a case report of a 77-year-old male patient with the absence of first and second right bicuspids and a history of implant losses in the area. The initial CT scan showed horizontal and vertical alveolar atrophy, making implant placement impossible. Regeneration was performed using a sinus lift for vertical recovery and the Barbell Technique for horizontal regeneration, using xenogeneic bone covered by a collagen membrane. After 6 months, a new CT scan suggested sufficient bone volume, and two implants were guidedly placed based on digital planning. <b>Results:</b> Comparison of CT scans before and after the grafts showed a horizontal bone gain of 70% and a vertical gain of 33%. Six months after the reconstructive surgery, dental implants were placed, followed by the installation of individual crowns after 45 days. At the 24-month follow-up, no complications related to the implants or prostheses were observed. <b>Conclusion:</b> In this clinical case, for the first time in the literature, the association of the techniques allowed the regeneration of the defect, with the subsequent placement of implants in the ideal position and prosthetic rehabilitation.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"3253904"},"PeriodicalIF":0.7,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122148/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Unique Comparison of Tooth Extraction Before and After Emicizumab Prophylaxis in a Patient With Haemophilia A and Inhibitors.","authors":"Miki Zaizen, Takahiro Yagyuu, Sachiko Yata, Hiroshi Nakamura, Mitsuhiko Imada, Nobuhiro Yamakawa","doi":"10.1155/crid/8128415","DOIUrl":"https://doi.org/10.1155/crid/8128415","url":null,"abstract":"<p><p>Haemophilia A is an inherited X-linked bleeding disorder caused by Factor VIII deficiency; approximately 30% of the patients with haemophilia A develop inhibitors against Factor VIII. Emicizumab has been licenced for the prevention of bleeding in patients with haemophilia A with inhibitors and has demonstrated an 87% reduction in the annualised bleeding rate compared with on-demand therapy in patients with haemophilia A with inhibitors. Emicizumab is approved not only for patients with inhibitors but also for those without inhibitors. However, no reports exist on intraindividual comparisons of perioperative management of tooth extraction before and after emicizumab prophylaxis. This case report describes the perioperative management of similar tooth extractions in the same patient with haemophilia A with inhibitors before and after the initiation of emicizumab. This report provides a unique opportunity for intraindividual comparison of the usage of bypassing agents, postextraction bleeding, and medical costs with and without emicizumab. Furthermore, our report also supports the hypothesis that emicizumab is superior in preventing postoperative bleeding complications.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"8128415"},"PeriodicalIF":0.7,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Young Female With Gingival Lesion of Intraoral Osseous Choristoma: A Rare Case Report.","authors":"Ahmad Khaled Alhakim, Shady Ahmed Moussa, Esam Halboub","doi":"10.1155/crid/7706892","DOIUrl":"10.1155/crid/7706892","url":null,"abstract":"<p><p>Choristoma is a mass of tissue with normal histology similar to a part of the body that is different from the one in which it is located. It differs from the hamartomatous group of pathology which is normal tissue, but disorganized, found in an abnormal location. Documentation of the occurrence of osseous choristoma lesions in the oral cavity has been scarce, and most of the cases have been reported in the tongue. It is very seldom to arise from the interdental gingiva. Indeed, choristoma is considered a developmental anomaly, involving younger individuals, although many cases among older adults have been reported. The differential diagnoses include cartilaginous metaplasia, pleomorphic adenoma, salivary gland tissue, and the lesions of inflammatory or traumatic origin that may give rise to hamartomas in the oral cavity. In this case report, we present a case of osseous choristoma arising from the mandibular, posterior buccal gingiva in a young female patient.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"7706892"},"PeriodicalIF":0.7,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12119154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical and Radiographic Features of Mandibular Third Molar Gemination: A Case Report and Literature Review.","authors":"Matteo Pellegrini, Giorgia Creminelli, Pierluigi Guerrieri, Andrea Scribante, Danilo Fraticelli, Luca Creminelli","doi":"10.1155/crid/8934034","DOIUrl":"10.1155/crid/8934034","url":null,"abstract":"<p><p><b>Introduction:</b> Gemination and fusion are rare developmental anomalies that can present significant diagnostic challenges. Due to the complexity of distinguishing between these conditions, the term \"double tooth\" is commonly employed in clinical practice. The precise etiology of these anomalies remains uncertain, and their occurrence in permanent dentition-particularly involving molars-is exceptionally rare. This report describes an uncommon case of gemination affecting the mandibular left third molar (tooth 3.8) and provides a comprehensive discussion contextualized within existing literature. The case report was prepared following the CARE guidelines to ensure methodological rigor and completeness. <b>Methods:</b> After an intraoral examination and radiographic assessment-including orthopantomography, periapical radiographs, and cone beam computed tomography (CBCT)-the patient underwent surgical extraction. The procedure involved administering a truncal nerve block to anesthetize the inferior alveolar and lingual nerves, supplemented by local infiltration anesthesia of the buccal nerve. A full-thickness mucoperiosteal flap was elevated, followed by ostectomy and odontotomy to facilitate extraction. The tooth was subsequently removed using a combination of elevators and forceps. <b>Results:</b> Postoperative evaluations conducted at 1.5 and 3 months confirmed complete healing of the surgical site. A detailed analysis of pre- and postoperative radiographic and clinical findings validated the diagnosis of gemination, characterized by coronal continuity with a single root and root canal. <b>Conclusions:</b> Gemination of third molars is exceedingly rare, with only a few cases documented in the literature. To the best of our knowledge, this is the first reported instance of gemination involving the mandibular left third molar (tooth 3.8). This report contributes to the growing body of knowledge on developmental dental anomalies and highlights the importance of thorough differential diagnosis in similar clinical scenarios.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"8934034"},"PeriodicalIF":0.7,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12116212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment of Horizontal Root Fractures in Traumatized Maxillary Central Incisors Using Minimally Invasive Surgical and Prosthodontic Foundation Techniques.","authors":"Katsuyuki Atsumi, Naomi Tanoue","doi":"10.1155/crid/9791300","DOIUrl":"10.1155/crid/9791300","url":null,"abstract":"<p><p><b>Objective:</b> The aim of this study is to present cases of root preservations in which minor surgery and characteristic multifiber foundation were performed to treat maxillary central incisor root fractures near the bone margin. <b>Clinical Considerations:</b> Two patients experienced root fractures of the central incisors due to short- or long-term trauma. Orthodontic extrusion was not employed in both cases; instead, minimal periodontal surgery was performed as pretreatment. In cases where the patient's tooth remained intact, fractured pieces were bonded. However, in cases where the root of the tooth was fractured with the prosthesis, a new restoration was fabricated. The roots were constructed using multiple characteristically placed glass fiber posts and materials with high biocompatibility and hydrophilicity as the foundation. Fractured teeth were esthetically restored using conservative or prosthetic treatment methods, resulting in patient satisfaction. No complications were observed at the 4-year follow-up. <b>Conclusions:</b> Although horizontal root fractures near the alveolar bone are generally considered to have a poor prognosis and esthetic outcome, they can be restored esthetically with minimal invasion by selecting appropriate procedures and materials.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"9791300"},"PeriodicalIF":0.7,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of Fused Primary Anterior Teeth: A Case Series.","authors":"Mohamed Salah Shalaby, Osama Ibrahim El Shahawy","doi":"10.1155/crid/6187804","DOIUrl":"10.1155/crid/6187804","url":null,"abstract":"<p><p>Fusion is a developmental dental anomaly that may affect both dentitions. The condition occurs during the developmental stage when two different tooth buds fuse. Depending on the degree of fusion, teeth may be diagnosed with fusion, gemination, or macrodontia. This defect is typically described as primary double teeth. The main clinical problems associated with primary double teeth include dental caries, crowding, occlusal discrepancies, and poor aesthetics. This report presents the clinical experience of managing 13 primary fused anterior teeth. The aim was to preserve and restore the decayed teeth while maintaining function and aesthetics. Treatment varied from the application of preventive measures to the separation of fused teeth. Clinical and radiographic diagnoses were used to determine the appropriate treatment plan. Decay removal was followed by restoration using either composite or zirconia crowns. Some teeth required pulp treatment before final restoration; therefore, pulpectomy was performed, and the canals were sealed with a calcium hydroxide and iodoform mix. Evaluation criteria included clinical success, gingival health, function, and aesthetic preservation. Follow-up periods ranged from 1 to 4 years. The follow-up of the presented cases demonstrated that the selected preventive, restorative, and surgical approaches successfully retained the affected teeth in a stable and healthy condition.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"6187804"},"PeriodicalIF":0.7,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prilocaine-Induced Methemoglobinemia During Surgically Assisted Rapid Palatal Expansion (SARPE) Under General Anesthesia: A Case Report.","authors":"Yusuke Kurosawa, Karen Gomi, Akinori Moroi, Kunio Yoshizawa, Koichiro Ueki","doi":"10.1155/crid/9917154","DOIUrl":"10.1155/crid/9917154","url":null,"abstract":"<p><p>Methemoglobinemia is a condition in which methemoglobin levels in the blood increase. Methemoglobin lacks oxygen-binding ability, resulting in oxygen deprivation in tissues. This high level of methemoglobin in the blood presents as a severely worsening condition. Herein, we report a case of methemoglobinemia caused by the administration of 3% prilocaine hydrochloride containing 0.03 IU/mL feripressin as a local anesthetic during orthognathic surgery. Following drug administration, the patient's atrial oxygen saturation (SpO₂) decreased. We diagnosed methemoglobinemia based on arterial blood gas analysis, which revealed an increased level of methemoglobin. To maintain the SpO₂ level, oxygen was administered. The patient's condition improved over time. Careful monitoring and maintenance of SpO₂ levels are essential to ensure proper diagnosis and effective management.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"9917154"},"PeriodicalIF":0.7,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12084793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of Medication-Related Osteonecrosis of the Jaw in Multiple Myeloma Patients With Pentoxifylline and Tocopherol: Case Reports.","authors":"Adepitan A Owosho, Katherine A DeColibus, Layne C Levy, Osariemen Okhuaihesuyi","doi":"10.1155/crid/2765925","DOIUrl":"https://doi.org/10.1155/crid/2765925","url":null,"abstract":"<p><p>Medication-related osteonecrosis of the jaw (MRONJ) is a well-known side effect of bone-modifying agents such as antiresorptive medications including pamidronic and zoledronic acids (intravenous bisphosphonates) and denosumab (anti-RANK ligand humanized monoclonal antibody). The major risk factor for the precipitation of MRONJ in a patient taking antiresorptive medication is dentoalveolar trauma such as dental extractions. Management of MRONJ in oncology patients is exceptionally challenging. In this report, two multiple myeloma patients with longstanding advanced-stage MRONJ were successfully managed with combined pentoxifylline-tocopherol treatment pre- and postextraction/sequestrectomy. In conclusion, based on this report and other published reports, it appears that the use of combined pentoxifylline-tocopherol protocol in the management of MRONJ is effective.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"2765925"},"PeriodicalIF":0.7,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12077977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Unusual Lingual Ulcerated Capillary Angioma After Dressmaker Needle Trauma, Above Migratory Glossitis Lesion, in a Patient With a History of Cancer: A Case Report.","authors":"Cinzia Casu, Andrea Butera, Clara Gerosa, Andrea Scribante, Martina Salvatorina Murgia, Germano Orrù","doi":"10.1155/crid/9921608","DOIUrl":"10.1155/crid/9921608","url":null,"abstract":"<p><p>Vascular malformations are relatively common benign proliferative lesions of vascular and connective tissue origin that can present in oral regions, such as on the tongue. Etiological factors include genetic mutations or molecular changes related to syndromes, trauma, vascular wall resistance to blood flow, and may form part of other systemic diseases. Clinically, they can be extremely heterogeneous, and they can also cause important diagnostic doubts. Migratory glossitis is a very common oral condition in the general population, linked to immunological factors, sometimes connected with intestinal health problems. The aim of this work is to report an atypical case of ulcerated angioma on the tongue and the contemporary presence of migratory glossitis. A 54-year-old Caucasian female with a history of an intestinal cancer presented a particular exophytic lesion on the tip of the tongue where the hypothetical diagnosis of oral metastasis had been included, also for the rapid onset of the oral lesion. The dressmaker's needle trauma related to the patient's work activity could have been the triggering factor for the appearance of the neoformation. The diagnosis after histological evaluation was ulcerated capillary angioma. Due to the unusual presentation of this type of lesion, it is needed to reconsider current knowledge on the etiopathogenesis of vascular lesions and its clinical inclusion in the differential diagnosis.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"9921608"},"PeriodicalIF":0.7,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12074836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143987186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Arteriovenous Fistula: An Unusual Complication of Orthognathic Surgery-Case Report and a Brief Review.","authors":"Josue Gallardo-Caudillo, Freddy Andrés Vivero-Alcivar, Cinthya María Quisiguiña-Salem, Sergio Esquivel-Martin","doi":"10.1155/crid/7742546","DOIUrl":"https://doi.org/10.1155/crid/7742546","url":null,"abstract":"<p><p>Arteriovenous fistulas rarely occur in the head and neck region. They typically arise from blunt or penetrating trauma but can develop as an uncommon complication following bimaxillary orthognathic surgery, a procedure to correct jaw deformities. This report describes a male patient who experienced an arteriovenous fistula after orthognathic surgery. We detail the diagnosis through patient symptoms and imaging, along with successful treatment via endovascular embolization. We also follow the patient for 1 year. This case highlights the importance of recognizing this rare complication to ensure prompt diagnosis and intervention. We discuss key points for preventing, diagnosing, and effectively treating arteriovenous fistulas after orthognathic surgery.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"7742546"},"PeriodicalIF":0.7,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12064318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}