Case Reports in Dentistry最新文献

{"title":"Prosthodontic Management of a Patient With a Combination of Hemimandibular Hyperplasia and Hemimandibular Elongation: A Clinical Report.","authors":"Mohammed S Murayshed, Sohil A Kazim, Steven M Morgano","doi":"10.1155/crid/1756924","DOIUrl":"https://doi.org/10.1155/crid/1756924","url":null,"abstract":"<p><p>Hemimandibular hyperplasia and hemimandibular elongation are two distinct forms of condylar hyperplasia that can present clinically with functional and esthetic disturbances. This case report describes prosthodontic treatment of a 59-year-old male patient diagnosed with hemimandibular hyperplasia and hemimandibular elongation. It also discusses challenges associated with these anomalies and describes how they were managed in a prosthodontic rehabilitation.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2026 ","pages":"1756924"},"PeriodicalIF":0.9,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13147205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844347","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":"Camouflage Treatment of a Severe Hyperdivergent Class II Malocclusion by Posterior Interproximal Tooth Reduction and Clear Aligners: A Case Report.","authors":"Antonino Lo Giudice, Giuseppe Palazzo","doi":"10.1155/crid/7107818","DOIUrl":"https://doi.org/10.1155/crid/7107818","url":null,"abstract":"<p><p>Orthognathic surgery is the main treatment option to improve aesthetics and function in severe skeletal discrepancy. Orthodontic camouflage could be considered a treatment option when the patient refuses surgery. However, camouflage treatment can be challenging since it requires an acceptable compromise between achieving a stable occlusion and satisfying the patient's aesthetic expectations. This case report highlights an uncommon camouflage treatment of a severe hyperdivergent skeletal Class II malocclusion using posterior interproximal enamel reduction (IPR) and clear aligners. A 15-year-old female presented with a severe skeletal Class II relationship and severe facial hyperdivergency, a cusp-to-cusp Class II dental relationship, moderate anterior open-bite, and maxillary constriction. Orthognathic surgery was considered the main treatment option; however, the patient refused surgical procedures. Thus, a camouflage treatment was planned with the aim to (1) improve the sagittal, vertical, and transverse occlusal discrepancies, (2) enhance smile aesthetics, avoiding deterioration of lower-third facial aesthetics. The treatment plan included upper and lower posterior IPR and control of upper posterior intrusion, using clear aligners and Class II elastics. Posterior IPR was preliminarily calculated considering posterior Bolton's discrepancy and inserted into the dental VTO before proceeding with the digital setup. After 26 months of nonsurgical orthodontic treatment, normal occlusion was achieved, and the smile aesthetic was improved without deteriorating the facial profile. Residual mandibular growth has significantly contributed to the correction of the malocclusion. This case suggests that the combination of clear aligners, appropriate posterior IPR (based on Bolton's Index), and residual growth may represent a viable alternative in selected severe Class II patients refusing surgery.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2026 ","pages":"7107818"},"PeriodicalIF":0.9,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13140182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844161","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":"Cannabinoid Therapy for Refractory Trigeminal Neuropathic Pain: Quantification of Somatosensory Alterations (QualST) by 3D Stereophotogrammetry-Two Case Reports.","authors":"Alex Moreira Mélo, Luiz Guilherme Spadon-Brito, Júia Carrer Hallak, Glauce Crivelaro do Nascimento, Melissa de Oliveira Melchior, Simone Cecílio Hallak Regalo, Jardel Francisco Mazzi-Chaves, Laís Valencise Magri","doi":"10.1155/crid/7752444","DOIUrl":"https://doi.org/10.1155/crid/7752444","url":null,"abstract":"<p><strong>Background: </strong>Trigeminal neuropathic pain (TNP) is a chronic and debilitating condition frequently resistant to conventional pharmacological therapies. Although cannabinoids have emerged as a potential adjunctive treatment, objective clinical documentation of their effects in orofacial neuropathic pain remains limited.</p><p><strong>Case reports: </strong>We report two female patients with refractory TNP-one post-traumatic and one idiopathic-who experienced insufficient relief despite trials of anticonvulsants, antidepressants, topical agents, and local interventions. Both patients received a balanced tetrahydrocannabinol (THC):cannabidiol (CBD) sublingual formulation (20 mg/mL each) following a structured titration protocol and were monitored over 8 weeks. Outcomes were assessed using the Douleur Neuropathique 4 Questions (DN4), the visual analog scale (VAS), the World Health Organization Quality of Life-BREF (WHOQOL-Bref), and qualitative sensory testing (QualST). Additionally, three-dimensional facial stereophotogrammetry was employed to objectively quantify areas of hyperfunction and allodynia. Treatment resulted in a marked analgesic response (VAS reduction from 9 to 4 and from 10 to 2), qualitative changes in pain phenotype-from shock-like to predominantly burning-and functional improvement in mastication and oral hygiene. Stereophotogrammetry demonstrated a substantial reduction in sensitized regions, with extraoral hyperfunctional area decreasing from 113.72 to 27.54 cm² and complete resolution of allodynia by week 8. WHOQOL-Bref scores improved in both patients, with physical domain scores increasing from 50.0 to 60.7 and from 25.0 to 39.3, accompanied by gains in psychological well-being. No serious adverse events were recorded.</p><p><strong>Conclusion: </strong>These cases illustrate the potential clinical relevance of cannabinoids as an adjunctive approach for refractory TNP and highlight the importance of multidimensional assessment strategies. The findings should be interpreted cautiously given the descriptive nature of case reports; however, they underscore the need for controlled studies to further investigate the efficacy and safety of cannabinoid-based therapies in orofacial neuropathic pain.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2026 ","pages":"7752444"},"PeriodicalIF":0.9,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13137124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844253","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":"Direct Restorative Closure of Maxillary Midline Diastema Using a 3D-Printed Matrix: A Case Report.","authors":"Yu Toida, Shuhei Hoshika, Kenta Tsuchiya, Midori Kawamura, Chiharu Kawamoto, Atsushi Tomokiyo","doi":"10.1155/crid/6396137","DOIUrl":"https://doi.org/10.1155/crid/6396137","url":null,"abstract":"<p><p>Anterior midline diastema is a common esthetic concern that can adversely affect smile appearance. Direct composite resin restoration has emerged as a conservative treatment option for diastemas associated with tooth size discrepancies, as it allows intraoperative adjustment of tooth morphology and shade. Digital dentistry has improved clinical outcomes by increasing workflow efficiency, enabling integration with other healthcare technologies, and supporting more accurate and predictable treatments. The objective of this case report was to describe the management of anterior midline diastema and spacing in the maxillary anterior region using a 3D-printed matrix to achieve the intended esthetic outcome. An optical impression was acquired using an intraoral scanner. Because the occlusal relationship of the remaining dentition was stable, the maxillomandibular relationship was recorded using the same device. A maxillary incisal matrix was digitally designed using dental CAD software and fabricated with a 3D printer in a transparent photopolymerizable resin. After the matrix was positioned on the maxillary arch, a flowable composite resin was injected into the mold and subsequently light-cured. Occlusal interferences were eliminated, and all restorations were finished and polished using polishing strips and a silicone point. Postoperative instructions were provided. The teeth were successfully reshaped in accordance with the digital design, achieving the planned esthetic and functional improvements. Direct composite restoration using a 3D-printed matrix provides a rapid, convenient, and predictable approach for managing anterior midline diastema. This technique enables precise transfer of the digital design to the clinical setting, allowing improved control of morphology and symmetry. A 3D-printed matrix can therefore be considered a reliable alternative to conventional freehand composite restoration for maxillary anterior esthetic rehabilitation, particularly in cases involving midline diastema and spacing.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2026 ","pages":"6396137"},"PeriodicalIF":0.9,"publicationDate":"2026-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13136590/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844331","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":"Pediatric Lymphangioma of the Tongue, From Diagnosis to Surgery: A Case Report.","authors":"Federica Pulicari, Matteo Pellegrini, Sabrina Darwish, Martina Bosisio, Anita Groppi, Eleonora Segna, Francesca De Martino, Elisabetta Khun, Andrea Scribante, Francesco Spadari","doi":"10.1155/crid/8570180","DOIUrl":"https://doi.org/10.1155/crid/8570180","url":null,"abstract":"<p><strong>Introduction: </strong>Lymphangioma is a rare pediatric benign lesion caused by a congenital malformation of the lymphatic system. Most often (50%-70%) lymphatic malformations affect skin and subcutaneous tissue of the head and neck region, rarely the oral cavity. Intraoral lymphatic malformation occurs most commonly on the dorsum of the tongue, followed by the palate, buccal mucosa, gums, and lips. Lymphatic malformations are clinically and radiologically classified into three types, according to the cystic size: microcystic (< 1 cm), macrocystic (> 1 cm), and mixed. Differential diagnoses for lingual lymphatic malformation include other vascular malformations, neurofibromas, thyroglossal cysts, and congenital hypothyroidism. Treatment is usually multidisciplinary. Early diagnosis is essential to prevent functional complications such as difficulties in speech, mastication, swallowing, and, in severe cases, airway obstruction. Imaging techniques including ultrasound, MRI, and CT are fundamental to assessing the lesion's extension and relationship with surrounding structures. Histopathological confirmation remains the gold standard for definitive diagnosis. Therapeutic approaches include surgical excision, sclerotherapy, laser therapy, and in selected cases, systemic pharmacological treatments. Complete surgical removal may be challenging due to the infiltrative nature of the lesion and proximity to vital anatomical structures. Recurrence is relatively common, especially in microcystic and mixed types. Prognosis is generally favorable when appropriate management is achieved, although long-term follow-up is required.</p><p><strong>Methods: </strong>A 4-year-old female patient presented for a clinical consultation visit due to a lesion on the dorsum of the tongue. The local objective clinical examination revealed a lesion of the dorsum of the tongue, raised, erythematous, and nonbleeding. The size was about 10-12 mm and was not painful on palpation. Topical miconazole therapy was recommended at first, suspecting a fungal superinfection. Head and neck MRI with and without contrast was prescribed for suspected vascular lesions, but the result was not conclusive. In the end, surgical excision was programmed, and histological analysis confirmed the lymphatic malformation.</p><p><strong>Results: </strong>This case shows the efficacy of surgical treatment in tongue lymphatic malformation. In fact, the surgical treatment successfully confirmed the nature of the lesion, alleviating patient discomfort and improving the patient's quality of life. Postoperative healing was uneventful at 1-month follow-up.</p><p><strong>Conclusions: </strong>Recognition of lymphatic malformations in rare locations such as the oral cavity is essential to prevent misdiagnosis and ensure timely, appropriate management.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2026 ","pages":"8570180"},"PeriodicalIF":0.9,"publicationDate":"2026-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13136523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844341","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":"Delayed Foreign Body Granuloma Following Sinus Augmentation With Deproteinized Bovine Bone: A Case Report.","authors":"Yaniv Mayer, Yoni Friedlander, Omri Emodi","doi":"10.1155/crid/5283720","DOIUrl":"https://doi.org/10.1155/crid/5283720","url":null,"abstract":"<p><p>This report describes an uncommon granulomatous foreign body reaction that developed after lateral sinus augmentation with deproteinized bovine bone mineral (DBBM). The patient presented 5 months postoperatively with an extraoral draining fistula and intraoral swelling that failed to resolve with multiple courses of antibiotics and was initially misdiagnosed as a chronic infection. Early surgical exploration with subsequent histopathological analysis identified multinucleated giant cells enclosing residual graft particles, establishing a diagnosis of a noninfectious foreign body granuloma. Following thorough debridement and a 12-month recovery period, implant placement was carried out successfully, with clinically stable results maintained at 30 months of follow-up. This case illustrates the importance of considering foreign body reactions when evaluating persistent postoperative complications after sinus augmentation and emphasizes the essential role of tissue biopsy in reaching an accurate diagnosis.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2026 ","pages":"5283720"},"PeriodicalIF":0.9,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13130845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822021","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":"Incidentally Detected Odontogenic Keratocyst With Inconclusive Histopathology: A Case Report Emphasizing Clinicoradiologic Correlation.","authors":"Ghaida AlJamal, Wlla E Al-Hammad, Saleh N Almohammed, Rima A Safadi, Abdalla Hazza'a, Taiseer H Al-Khateeb","doi":"10.1155/crid/6449344","DOIUrl":"https://doi.org/10.1155/crid/6449344","url":null,"abstract":"<p><p>Odontogenic keratocysts (OKCs) are locally aggressive developmental odontogenic cysts that may complicate diagnosis and management. A 61-year-old male underwent CBCT for implant planning. The scan showed a pericoronal lesion with a scalloped margin and minimal expansion suggestive of OKC. The lesion was enucleated; however, histopathology was inconclusive because of inflammation and recommended clinicoradiologic correlation. Follow-up was advised because of the lesion's recurrence potential. This case highlights the need for a systematic review of the full CBCT volume and multidisciplinary correlation when classic histologic features are obscured by inflammation.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2026 ","pages":"6449344"},"PeriodicalIF":0.9,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13131060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822047","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":"Novel Case Report of a Rare Symptomatic Orofacial Burkitt's Lymphoma.","authors":"Mona Shameli, Pedram Hajibagheri, Amirreza Hendi, Mahsa Koochaki","doi":"10.1155/crid/9669783","DOIUrl":"https://doi.org/10.1155/crid/9669783","url":null,"abstract":"<p><p>Burkitt lymphoma is a very fast-growing non-Hodgkin lymphoma (NHL) characterized by rapid tumor progression and increased lymphocyte proliferation. It often involves the jaw and facial bones. The current case report represented a 37-year-old male patient with Burkitt's lymphoma who sought dental care for persistent and dull pain and paresthesia on the left side of his mandible extending to the periauricular region. The initial diagnosis suggested a dental origin, leading to the lower left third molar (LL8) extraction. Despite this, the patient continued to experience worsening pain, which radiated to the lower extremities, accompanied by fatigue and weakness. The patient was referred to an oral and maxillofacial medicine specialist, where ultrasonography (US) revealed hypoechoic masses. A subsequent biopsy of a submandibular mass confirmed the diagnosis of Burkitt's lymphoma. The patient was referred to an oncologist and underwent chemotherapy and radiotherapy. After 3 years of follow-up, the patient is in remission. This unique case presentation related to systemic involvement as well as generalized bone pain (suggesting systemic involvement or more advanced disease) alone underscores the importance of a thorough diagnostic approach when facing unusual or persistent symptoms. It can also significantly impact future patient care by highlighting the need for a comprehensive evaluation and the importance of maintaining a high level of suspicion, particularly in cases where the initial diagnosis does not fully explain the patient's symptoms.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2026 ","pages":"9669783"},"PeriodicalIF":0.9,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13127233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822064","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 Gingival Osseous Choristoma Misdiagnosed as Fibroma.","authors":"Yilin Wang, Chu Xu, Ting Chen","doi":"10.1155/crid/9494235","DOIUrl":"https://doi.org/10.1155/crid/9494235","url":null,"abstract":"<p><p>Osseous choristoma is a rare, nonneoplastic lesion defined by the presence of organized lamellar bone within soft tissue. It most frequently affects the dorsal tongue. Gingival involvement is extremely rare, with only nine cases documented in the English-language literature. This report describes a 20-year-old woman who presented with a well-circumscribed, painless, firm, and sessile nodule on the buccal gingiva of the left posterior mandible. Panoramic radiography revealed no pathological alterations. The initial clinical impression was fibroma. Surgical excision was performed. Histopathology revealed well-demarcated nodules of mature lamellar bone within a fibrous stroma, confirming the diagnosis of osseous choristoma. No recurrence was detected at the 6-month follow-up. This case constitutes the tenth reported instance of gingival osseous choristoma. A review of the nine previous cases is also provided to enhance diagnostic precision and clarify clinicopathologic features.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2026 ","pages":"9494235"},"PeriodicalIF":0.9,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13125941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822035","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":"Natural Crown Space Maintainer for Cervical Crown-Root Fracture in a Young Athlete.","authors":"Oyku Peker Gonulal, Meryem Sahin, Onur Kesici","doi":"10.1155/crid/8851093","DOIUrl":"https://doi.org/10.1155/crid/8851093","url":null,"abstract":"<p><p>Repetitive traumatic injuries are frequently observed among children and adolescents, particularly in those engaged in contact sports, where the risk is significantly elevated. The loss of anterior teeth may adversely affect an individual's psychological and social well-being, making such injuries especially important in younger patients. Dental practitioners, and pediatric dentists in particular, often encounter crown-root fractures in their clinical practice. Fiber-reinforced splinting systems have recently emerged as an alternative to traditional space maintainers in dental treatment. In this report, we describe the management of a 13-year-old male patient with a cervical crown-root fracture, in whom the natural crown was repositioned and stabilized using a fiber-reinforced space maintainer.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2026 ","pages":"8851093"},"PeriodicalIF":0.9,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13109623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785340","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}