James R Collins, Nathalia Vilela, Claudio M Pannuti
{"title":"Long-Term Benefits of Periodontal Regeneration in Severely Compromised Teeth: A Retrospective Case Series.","authors":"James R Collins, Nathalia Vilela, Claudio M Pannuti","doi":"10.1155/crid/6925321","DOIUrl":"10.1155/crid/6925321","url":null,"abstract":"<p><p>Periodontal regeneration (PR) could represent a viable treatment alternative for severely compromised teeth. This case series presents the long-term benefits of PR with up to 13 years of follow-up. A total of six teeth in five patients were treated for intrabony defects using PR. The treatment involved the elevation of a mucoperiosteal flap, root instrumentation, and filling the bony defect with bone substitutes. Following PR, a significant reduction in probing depth (PD) was observed (mean 9.5 ± 1.87 mm; <i>p</i> = 0.03) along with a statistically significant gain in clinical attachment level (CAL) (mean 8.33 ± 1.03 mm; <i>p</i> = 0.03). Radiographic bone defect fill at the defect site was also verified (mean 9.67 ± 2.25 mm; <i>p</i> = 0.03). This case series demonstrated that PR led to reduced PD with minimal gingival recession, gain in CAL, and bone fill at defect sites, even in complex periodontal defects extending to the apical portion of the root, over a follow-up period of up to 13 years, indicating it as an effective and predictable treatment alternative.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"6925321"},"PeriodicalIF":0.7,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12185179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477272","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":"Coronoidectomy for Alleviating Restricted Mouth Opening in Masticatory Muscle Tendon-Aponeurosis Hyperplasia: Integration With Genetic Mutation Analysis.","authors":"Hongrong Zhang, Weihong Wang, Liang Wen","doi":"10.1155/crid/5591642","DOIUrl":"10.1155/crid/5591642","url":null,"abstract":"<p><p>Masticatory muscle tendon-aponeurosis hyperplasia (MMTAH) is often misdiagnosed as temporomandibular joint disorders, hypertrophic masticatory muscles, or congenital maxillomandibular dysplasia due to overlapping clinical manifestations. This case study is aimed at elucidating a novel genetic association in MMTAH by reporting a patient with pathognomonic features, including chronic limited mouth opening, bilateral coronoid process elongation, tendon hyperplasia in the masseter and temporalis muscles, and concomitant fatty degeneration. Crucially, whole-exome sequencing of peripheral blood identified a heterozygous SYNE1 missense mutation (NM_182961.4:c.26359A>G, p.Met8787Val) in the proband. This variant, located in Exon 146 (Chr6:152122471), is an unreported variant at this locus and predicted pathogenic by in silico tools, suggesting its potential role in MMTAH pathogenesis. The study highlights the importance of genetic screening in atypical presentations to refine diagnosis and understand disease etiology.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"5591642"},"PeriodicalIF":0.7,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12181652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477271","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":"Optimizing Cosmetic Results in Dental Fluorosis: A Case Report of Bleaching and Microabrasion Techniques.","authors":"Priyanka Bhojwani, Anuja Ikhar, Aditya Patel, Manoj Chandak, Shweta Sedani, Jay Bhoptakar, Khyati Manik, Bhuvaneshwari Khanadali","doi":"10.1155/crid/9972925","DOIUrl":"10.1155/crid/9972925","url":null,"abstract":"<p><p>Dental discoloration, particularly due to fluorosis, presents a significant aesthetic challenge for many patients. This article explores the combined use of dental bleaching and enamel microabrasion as effective treatments for managing fluorosis-induced discoloration. Dental bleaching, a widely used method for lightening extrinsic and intrinsic stains, has shown promising results in improving the overall appearance of discolored teeth. Enamel microabrasion, which involves the mechanical removal of superficial enamel stains, can enhance the effectiveness of bleaching by addressing more severe or resistant discoloration. The article reviews the mechanisms of these treatments, their clinical indications, and their outcomes in patients with varying degrees of dental fluorosis. Additionally, potential side effects, such as tooth sensitivity and enamel damage, are discussed, emphasizing strategies to minimize these risks. By combining these methods, clinicians can offer more comprehensive, individualized care for patients seeking cosmetic improvements for fluorotic teeth, with attention to both aesthetic outcomes and long-term dental health.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"9972925"},"PeriodicalIF":0.7,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334080","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}
Kaique Alberto Preto, Gabriela Lopes-Santos, Cléverson Teixeira Soares, Ana Paula Moura Martins Delazari, Denise Tostes Oliveira
{"title":"Palisaded Encapsulated (Solitary Circumscribed) Neuroma Affecting the Lip Aesthetics: Case Report and Literature Review.","authors":"Kaique Alberto Preto, Gabriela Lopes-Santos, Cléverson Teixeira Soares, Ana Paula Moura Martins Delazari, Denise Tostes Oliveira","doi":"10.1155/crid/9705734","DOIUrl":"10.1155/crid/9705734","url":null,"abstract":"<p><p>Palisaded encapsulated (solitary circumscribed) neuroma (PEN) is a benign nerve sheath tumor, considered a reactive rather than a neoplastic lesion, predominantly found in the head and neck skin and oral mucosa. In the lip regions, less than 20 cases of PEN have been reported, and the differential diagnosis is a challenge. We present a 40-year-old male with a long-standing asymptomatic nodule on the lower lip, causing significant aesthetic discomfort, and a literature review of this tumor in the lips. After surgical excision, the histopathological analysis associated with immunohistochemical markers was essential for establishing the PEN diagnosis in the lower lip. Although rare, the PEN in the lip region can cause significant patient aesthetic discomfort, and histopathological analysis is crucial to distinguish this benign neural tumor from other long-standing lesions in the vermillion of the lips.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"9705734"},"PeriodicalIF":0.7,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334081","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":"Symptomatic Maxillary Sinus Retention Cyst Following a Prior Sinus Perforation: A Case Report.","authors":"Arta Sinanaj Demiri, Shaqir Demiri, Edin Demiri, Besir Salihu","doi":"10.1155/crid/1849358","DOIUrl":"10.1155/crid/1849358","url":null,"abstract":"<p><p>Maxillary sinus retention cysts (MSRCs) are benign, fluid-filled lesions most often discovered incidentally on radiographic imaging. Although typically asymptomatic, larger cysts may lead to clinical symptoms due to pressure on surrounding sinus structures. This report presents a rare symptomatic case of an MSRC in a 70-year-old female patient with a prior history of sinus perforation following upper molar extraction. The patient experienced severe unilateral facial pain, nasal congestion, debilitating headaches, and dizziness over a 6-month period. Radiographic imaging (CT scan) revealed a well-circumscribed, dome-shaped lesion in the right maxillary sinus without signs of bone erosion. Given the failure of conservative management and the intensity of symptoms, surgical intervention via the Caldwell-Luc approach was performed. Intraoperatively, the cystic lesion was enucleated and sent for histopathological examination. Histology confirmed a benign retention cyst lined with respiratory epithelium, along with inflammatory infiltrates and the unusual presence of cholesterol crystals, which is an uncommon finding in MSRCs. The patient's history of sinus perforation likely contributed to chronic inflammation and cyst formation. This case emphasizes the importance of considering dental history, particularly previous maxillary molar extractions with sinus involvement, in patients presenting with atypical sinus symptoms. While endoscopic sinus surgery is often the preferred approach, the Caldwell-Luc procedure remains valuable in selected cases with complex anatomy or previous surgical alterations. Clinicians should be aware of rare presentations of MSRCs that may require tailored surgical management for symptom resolution and recurrence prevention.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"1849358"},"PeriodicalIF":0.7,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12165754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303223","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}
Johan Willem Booij, Barbara Disconzi, Marco Serafin, Alberto Caprioglio, Dick Barendregt
{"title":"Long-Term Follow-Up of Multiple Autotransplantations Combined With Orthodontic Treatment After Traumatic Dental Injury: A Case Report.","authors":"Johan Willem Booij, Barbara Disconzi, Marco Serafin, Alberto Caprioglio, Dick Barendregt","doi":"10.1155/crid/7098948","DOIUrl":"10.1155/crid/7098948","url":null,"abstract":"<p><p>In this case report, we present the treatment of an adult patient who had experienced dental trauma resulting in the loss of one tooth and damage to two others. The patient was referred to our clinic 4 years after the accident, where a comprehensive examination revealed external root resorption and loss of supporting tissue. To address the patient's concerns, we developed an interdisciplinary treatment plan, which included orthodontic treatment to level the curve of Spee, reduce the deep bite, and extrude the affected teeth. After that, we extracted the damaged Teeth 2.1 and 2.2 due to their poor prognosis and replaced them with autotransplantation of Teeth 1.4 and 3.1. Before the procedure, both teeth underwent endodontic treatment, and 6 weeks later, they were built up to aesthetically and functionally replace the lost teeth. Additionally, postautotransplantation orthodontic treatment was conducted to close the donor site space and bring the autotransplanted teeth to an ideal position. The interdisciplinary approach and successful treatment of this case suggest that autotransplantation can be a valid option for restoring compromised teeth, especially in adult patients who require orthodontic treatment. In conclusion, autotransplantation offers multiple benefits, including preserving the natural dentition, avoiding the use of dental implants or prostheses, and achieving excellent aesthetic and functional results. Furthermore, this case underscores the importance of individualized treatment planning and collaboration among dental specialists to achieve optimal outcomes for patients.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"7098948"},"PeriodicalIF":0.7,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12163219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303222","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}
Jorge Andrés Velazco Dávila, Luis Fernando Rosales García, Laura Valeria Torres Agudelo, Gloria Cristina Moreno Abello
{"title":"Peri-Implant Architecture Management With Customized Healing Abutment in Flowable Composite in Immediate Implants: Two Case Reports and Narrative Review.","authors":"Jorge Andrés Velazco Dávila, Luis Fernando Rosales García, Laura Valeria Torres Agudelo, Gloria Cristina Moreno Abello","doi":"10.1155/crid/5538611","DOIUrl":"10.1155/crid/5538611","url":null,"abstract":"<p><p><b>Background:</b> The management of peri-implant tissue seeks to meet the aesthetic expectations of patients, with a smaller number of procedures that favor the development and maintenance of healthy peri-implant soft tissue. The customized healing abutment technique on immediate implants has demonstrated numerous functions for the success of restorations on implants. <b>Objectives:</b> The objective of the study is to analyze the biological aspects of the customized healing abutment using PEEK and flowable composite to condition the peri-implant tissues by presenting a clinical case of a patient from the oral surgery service of Pontificia Xavierian University. <b>Case Report:</b> A patient underwent the placement of two postextraction implants and customized healing abutments in the posteroinferior area. <b>Discussion:</b> This technique is aimed at maintaining the volume of keratinized mucosa and creating an emergence profile for the future prosthesis and reducing the risk of peri-implantitis. The development of healthy peri-implant soft tissues is essential to achieve the aesthetics and biological success of implant-supported restorations in all stages of healing and tissue maturation, and the abutment is essential because it allows a biological seal that protects the bone tissue. <b>Conclusion:</b> It was demonstrated that the use of the customized healing abutment with PEEK and flowable composite immediately after implant placement after dental extraction keeps the volume of the soft and hard tissues around the implants at the time of definitive rehabilitation.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"5538611"},"PeriodicalIF":0.7,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12140825/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235532","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}
Fernanda Calvo Costa, Thaís Cachuté Paradella, Fernando Vagner Raldi, Michelle Bianchi-de Moraes, Rodrigo Dias Nascimento
{"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":"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}
Ahmad Khaled Alhakim, Shady Ahmed Moussa, Esam Halboub
{"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}