Case Reports in Dentistry最新文献

{"title":"Multidisciplinary Oral Rehabilitation in a Patient With Dental Anomaly: A Case Report With 18-Month Follow-Up.","authors":"Rodrigo Silveira Tosta Figueiredo, Thiago de Almeida Prado Naves Carneiro, Nayara Rodrigues Nascimento Oliveira Tavares, Ângela Braga Caixeta, Michelle Pereira Costa Mundim Soares, Paulo Vinícius Soares","doi":"10.1155/2025/5565892","DOIUrl":"10.1155/2025/5565892","url":null,"abstract":"<p><p>The aim of this case report is to sequentially demonstrate the aesthetic and functional rehabilitation of a smile with a dental fusion anomaly. Endodontic retreatment was performed followed by periradicular surgery on Tooth 12. Periodontal intervention through gingivoplasty and aesthetic rehabilitation with composite resin veneers was performed on Teeth 13 to 23. With a clinical and radiographic follow-up of 18 months, the success of multidisciplinary oral rehabilitation involving endodontics, oral and maxillofacial surgery, periodontics, and restorative dentistry is observed, restoring function, aesthetic satisfaction, and quality of life to the patient.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"5565892"},"PeriodicalIF":0.7,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11876538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558342","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":"Severe Chronic Suppurative Osteomyelitis Following Dental Implant Placement.","authors":"Marcel da Silva Garrote, Alexandre Augustus Costa Barbosa, Maria de Fátima Batista Medeiros Alves Teixeira, Elismauro Francisco Mendonça, Gilberto Fenelon, Orlando Aguirre Guedes, Carlos Estrela","doi":"10.1155/crid/6770915","DOIUrl":"10.1155/crid/6770915","url":null,"abstract":"<p><p>Osteomyelitis is an infection caused by bacterial contamination of the bone marrow, cortical surfaces, and the periosteum. The clinical examination of a patient with severe osteomyelitis secondary to dental implants revealed a large facial swelling, suppuration in the perimandibular region, limited mouth opening, and diffuse pain that started after the placement of five dental implants. Two failed implants were removed, a reconstructive titanium plate was placed, and the patient was treated with antibiotics, but the infection did not resolve. The patient's clinical condition became worse, and she sought hospital care. At presentation, she had a fever and was dehydrated. She was hospitalized for 16 days. Her treatment included surgery for the removal of the reconstructive plate, the implants with peri-implantitis, and bone and necrotic tissue, together with administration of systemic drugs. The diagnosis of osteomyelitis was based on clinical, imaging, and histopathological findings, and she was treated with administration of antibiotics (penicillin, amikacin) for 16 days, followed by cephalosporin for 15 days after hospital discharge. Sixteen days later, her clinical condition was normal. Twelve months later, she received new implants and underwent prosthetic rehabilitation. Imaging tests, surgical elimination of bone and necrotic tissue, and histopathological analyses are essential for an accurate diagnosis. In our case, infection control demanded a careful surgical intervention associated with the administration of systemic antibiotics.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"6770915"},"PeriodicalIF":0.7,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11876536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558343","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":"Idiopathic Intracoronal Resorption of Permanent Molars: A Report of Two Cases.","authors":"Krasimir Hristov, Victoria Zlateva","doi":"10.1155/crid/9610040","DOIUrl":"https://doi.org/10.1155/crid/9610040","url":null,"abstract":"<p><p>Intracoronal resorption (IR) is a condition characterized by the presence of lesions in the dentin of unerupted or erupting teeth, usually located just below the enamel-dentin junction in the occlusal part of the crown. This article presents two cases of IR-one with and one without pulp involvement. In both cases, the teeth were asymptomatic, and the lesions were discovered during routine checkups. The first case presents pre-eruptive IR with pulp involvement in an immature mandibular molar. To preserve the vitality of the growth zone and complete root development, vital pulp therapy was performed through total coronal pulpotomy and application of Biodentine. The second case is also of a mandibular molar with incomplete root development, but although it initially resembled invasive cervical resorption, treatment revealed that the granulation tissue was surrounded by intact enamel and did not affect the pulp or root of the tooth. No carious lesion was found. The tooth was conventionally restored with a composite filling.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"9610040"},"PeriodicalIF":0.7,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11871979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543751","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":"Socket Shield Technique of an Ailing Mandibular Molar With Customized Healing Abutment: Graftless Management of the Hard and Soft Tissue Foundation Around Immediate Dental Implants.","authors":"Sanjay Kumar Sah","doi":"10.1155/crid/9969134","DOIUrl":"10.1155/crid/9969134","url":null,"abstract":"<p><p>It is an established fact that postextraction ridge resorptive changes are inevitable and are very evident in the molar areas. Resorption in the molar sites can cause a reduction in the attached gingiva and affect the long-term success of the osseointegrated implant. To prevent significant postextraction tissue alteration, the socket shield technique (SST) was developed to preserve the buccal plate, over a decade ago. Since then, various studies showcasing modifications of the technique have been published mainly focusing on SST in conjunction with immediate implants in the anterior esthetic zone. Gluckman gave a collective term called partial extraction therapy (PET) which includes SST, pontic shield technique, and root submergence technique. He suggested using a graft material in the gap between the shield and the implant. Later, Siormpas et al. advocated a root membrane technique (RMT) and suggested that it may not be necessary to use the graft material. With the evolution of the technique, the terms SST and RMT are more similar to each other now, with the only difference in the sequence of shield preparation and implant placement. The shield is prepared first, and osteotomy is done in the former and osteotomy is done before shield preparation in the latter. The SST technique is often ignored as a possibility in the molar sites. Though technique-sensitive, SST with immediate implants in molars with a customized healing abutment ensures the maintenance of the original hard and soft tissue volumes in the most conservative way. The following case report showcases a stepwise, graftless management approach for a nonrestorable right mandibular molar with SST and immediate implant. Long-term randomized controlled trials (RCTs) on molar SST are encouraged to make a recommendation for routine clinical practice.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"9969134"},"PeriodicalIF":0.7,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11858722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504810","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":"The Home Use of Probiotics and Paraprobiotics for the Maintenance of Tongue Eubiosis: A Case Report.","authors":"Salvatore Cannizzaro, Carolina Maiorani, Andrea Scribante, Andrea Butera","doi":"10.1155/crid/5496240","DOIUrl":"10.1155/crid/5496240","url":null,"abstract":"<p><p><b>Aim:</b> Halitosis is the unpleasant odor emitted from the oral cavity during exhalation and phonation. Using oral care products containing specific probiotics and paraprobiotics, combined with lifestyle changes, this study is aimed at resolving the patient's altered breath odor. <b>Case Report:</b> A 49-year-old male patient suffered from retronasal discharge, bacterial plaque on the back of his tongue, and bad breath. He underwent a professional oral hygiene session, received instructions in proper home oral hygiene techniques, and was advised on appropriate lifestyle changes. The use of oral care products based on probiotics and paraprobiotics was recommended. Sixty days later, the patient was reevaluated and was satisfied with the results, as his tongue had improved significantly, and he no longer experienced any bad sensations in his mouth. <b>Conclusion:</b> Systematic removal of bacterial biofilm and the use of probiotics and paraprobiotics can be useful in the prevention and treatment of halitosis.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"5496240"},"PeriodicalIF":0.7,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11850065/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494236","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":"Monolithic CAD/CAM Implant-Retained Overdentures: A Solution for Limited Restorative Space.","authors":"Abdulrahman Almalki","doi":"10.1155/crid/9034722","DOIUrl":"10.1155/crid/9034722","url":null,"abstract":"<p><p>This case report applies computer-aided design and computer-aided design manufacturing (CAD/CAM) technology in fabricating an implant-retained monolithic overdenture for a patient with limited vertical restorative space. Traditionally, a vertical space of 9 to 12 mm is required for conventional overdentures; however, this patient presented with only 6 mm available. Through the integration of CAD/CAM, a novel solution was designed that optimized both function and esthetics within the constrained space.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"9034722"},"PeriodicalIF":0.7,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11846673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484350","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":"Cyclosporin-Induced Gingival Enlargement in a Periodontitis Patient With Pemphigus Vulgaris: A Case Report.","authors":"Wee-Jian Chong, Norliwati Ibrahim, Shahida Mohd-Said","doi":"10.1155/crid/8318894","DOIUrl":"10.1155/crid/8318894","url":null,"abstract":"<p><p><b>Background:</b> Pemphigus vulgaris (PV) is a chronic autoimmune disorder affecting mucous membranes and skin, with potential life-threatening risks. It is typically characterized by blisters within the oral cavity with or without subsequent skin involvement. Given the importance of timely intervention, dental professionals are responsible for diagnosing this condition, as prompt detection and intervention greatly influence the disease progression and prognosis. <b>Case Description:</b> A 44-year-old male patient presented with swollen and bleeding gums, accompanied by multiple chronic ulcers in the oral cavity. He was initially diagnosed with PV in 2018; his case posed significant challenges, including drug-influenced gingival enlargement and the psychological burden of managing a chronic, relapsing condition. <b>Management and Prognosis:</b> The patient received treatment with an immunosuppressive medication (cyclosporin) along with long-term systemic steroids (prednisolone). In November 2022, cyclosporin was replaced with a steroid-sparing medication (methotrexate) to control drug-influenced gingival enlargement. The periodontal condition improved after 3 months of changing the medication regimen, nonsurgical periodontal therapy, and reinforced oral hygiene practices. The patient undergoes regular medical evaluations every 6 months with the dermatology department. <b>Clinical Implications:</b> Effective management of PV necessitates long-term systemic steroid therapy, often supplemented with immunosuppressive agents, to control the disease and minimize relapse risks. Regular clinical assessments are essential for patients receiving steroid and immunosuppressive treatment to monitor potential side effects, including cyclosporin-induced gingival enlargement. If gingival enlargement is compounded by periodontal disease, it can further complicate the management of PV. Drug-induced gingival enlargement has a favorable prognosis and is reversible upon discontinuation or substitution of the causative medication. An interdisciplinary approach involving primary clinicians, dentists, and the healthcare team is crucial to addressing the patient's signs and symptoms effectively.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"8318894"},"PeriodicalIF":0.7,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11835479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450763","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":"Oral Squamous Cell Carcinoma in Atrophic-Erosive Lichen Planus: 10-Year Rehabilitative Case Report.","authors":"Eduardo Anitua, Laura Piñas, Mohammad H Alkhraisat","doi":"10.1155/crid/5548590","DOIUrl":"10.1155/crid/5548590","url":null,"abstract":"<p><p>Patients with oral lichen planus can sometimes develop malignancy of the process and develop oral squamous cell carcinoma or another type of cancer. Close monitoring of the lesions and early diagnosis is important to increase patient survival. Once cancer treatment has been performed, the therapeutic options for restoring masticatory and phonatory function, in addition to resolving the aesthetic sequelae, are important. In the present clinical case, we show a patient who was treated and followed over a long period of time for both her carcinoma and her subsequent rehabilitation with implants.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"5548590"},"PeriodicalIF":0.7,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442295","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":"Oral Metastasis From Colorectal Adenocarcinoma: Report of a New Case and a Scoping Review.","authors":"Gioele Gioco, Romeo Patini, Denise Marchesini, Cosimo Rupe, Edoardo Staderini, Alberta Lucchese, Eugenio De Corso, Carlo Lajolo","doi":"10.1155/crid/9978193","DOIUrl":"https://doi.org/10.1155/crid/9978193","url":null,"abstract":"<p><p><b>Objectives:</b> This study is aimed at describing an unusual case of oral metastasis from colorectal adenocarcinoma and at performing a scoping review analyzing the available literature on such cases. <b>Materials and Methods:</b> We present a rare case of oral metastasis from colorectal adenocarcinoma in a 37-year-old Italian woman. Clinical oral examination showed the presence of a swollen lesion in the vestibular gingiva of the right mandibular region, associated with Grade III mobility of the second premolar. Radiographic examination revealed a radiolucency apical to the first molar and second premolar associated with the rhizolysis of these teeth. Furthermore, we conducted a scoping literature review of the PubMed, Web of Science, and Scopus databases in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR) guidelines. <b>Results:</b> The second premolar was extracted, and an incisional biopsy of the osteolytic lesion was performed for histological and immunohistochemical examination, which revealed an adenocarcinoma fragment with mucinous characteristics and a morphology and immunophenotype compatible with caudal-related homeobox transcription factor 2 (CDX2) and cytokeratin (CK) 20. In conclusion, the lesion was indicative of oral metastasis from colorectal adenocarcinoma. Furthermore, the review of the existing literature in the English language yielded 112 cases of oral metastases from colorectal adenocarcinoma, which were included in our analysis. <b>Conclusions:</b> Although oral metastasis from colorectal adenocarcinoma has been reported previously, it is a rare manifestation. <b>Clinical Relevance:</b> Because of the rarity of oral metastasis and possible variations in the clinical and histological presentations, correct diagnosis can be challenging and requires careful clinical and histopathological evaluations with adjuvant immunohistochemical studies.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"9978193"},"PeriodicalIF":0.7,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11830109/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442288","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 Rare Case of Atherosclerosis of the Angular Artery Manifested as a Nodular Lesion on the Skin and Review of the Literature.","authors":"Wender Rodrigues Nazário, Marcondes Pedro Souza Novais, Anaíra Ribeiro Guedes Fonseca Costa, Débora de Oliveira Santos, Douglas Magallhães de Paula, Sérgio Vitorino Cardoso, Paulo Rogério de Faria","doi":"10.1155/crid/6001887","DOIUrl":"https://doi.org/10.1155/crid/6001887","url":null,"abstract":"<p><p>Atherosclerosis is an age-related disease affecting the tunica intima of large and medium-sized arteries. Its occurrence in extracranial head and neck arteries is rare, with only five cases reported. This study is aimed at reporting the sixth case of atherosclerosis of the angular artery, a branch of the facial artery, in an elderly male patient with a history of hypertension. Morphological characterization using special stains and a literature review are included. Clinically, a painless, nodular lesion measuring 1.2 cm was observed at the right labial commissure. The lesion was excised, and atherosclerosis of the angular artery was diagnosed. After 6 months, there was no recurrence or other arterial issues. Despite its rarity in the oral and maxillofacial region, dental clinicians must be aware of this condition and its clinical manifestations, especially in elderly patients with chronic systemic diseases, to establish an accurate diagnosis.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"6001887"},"PeriodicalIF":0.7,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11828654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442245","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}