Case Reports in Dentistry最新文献

{"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}

{"title":"Autotransplantation of a Third Molar to Replace Compromised Molar With the Individual Three-Dimensional Printed Ultrasonic Osteotome: A Case Report.","authors":"Cheng Bi, Wen Zhang, Bin Peng","doi":"10.1155/crid/6146337","DOIUrl":"10.1155/crid/6146337","url":null,"abstract":"<p><p>Tooth autotransplantation is widely used to replace congenitally missing teeth or teeth with irreversible damage. This case report presents a personalized ultrasonic osteotome that enables precise preparation, minimizes bone trauma, enhances the initial stability of the transplanted tooth, and contributes to a favorable prognosis. The procedure is as follows: a 25-year-old female patient presented with a porcelain-fused-to-metal crown on Tooth #19, which had detached due to severe decay, rendering the tooth unsalvageable. Tooth #32 exhibited mesial inclination, resulting in decay of Tooth #31. After presenting treatment plan, the patient provided informed consent by signing the necessary documentation to proceed with the autotransplantation of Tooth #32 to replace Tooth #19. Tooth #32 was extracted and immediately scanned chairside using a 3Shape scanner. A custom-designed, tooth root-shaped ultrasonic osteotome was fabricated using 3D printing technology to match the shape of Tooth #32. Tooth #19 was extracted using a minimally invasive technique. The alveolar socket of Tooth #19 was prepared using the customized 3D-printed ultrasonic osteotome and a computer-aided rapid prototyping resin model. Tooth #32 was then transplanted into the socket and secured with figure-eight suspension sutures. To prevent damage to bone cells and periodontal tissues from overheating during socket preparation, the ultrasonic osteotome was designed with a porous, water-cooled system, effectively addressing this issue. After 24 months of follow-up, the transplanted tooth met success criteria, with no signs of pathological radiolucency, root resorption, or pain in the donor tooth. The alveolar socket, prepared with the personalized ultrasonic osteotome, ensured an optimal fit for the donor tooth, maintaining its stability and minimizing postoperative complications. The use of 3D printing technology to create a personalized ultrasonic osteotome represents an innovative advancement in tooth transplantation, supporting the development of digital and minimally invasive techniques in this field.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"6146337"},"PeriodicalIF":0.7,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11772061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053929","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":"Successful Management of Palatal Developmental Groove-Associated Periodontal Defect Using Palatal Access Flap and Odontoradiculoplasty: A Case Report.","authors":"Nicola Alberto Valente, Giulia Bardini","doi":"10.1155/crid/5562567","DOIUrl":"10.1155/crid/5562567","url":null,"abstract":"<p><p>This case report discusses the successful management of a deep palatal developmental groove associated with Stage III generalized Grade C periodontitis. Despite prior nonsurgical periodontal therapy, the disease progressed rapidly, necessitating further intervention. A comprehensive evaluation revealed generalized periodontitis with localized tooth-related predisposing factor due to a developmental groove in the vital upper left lateral incisor. The initial nonsurgical treatment involved scaling and root planing (SRP) coupled with systemic antibiotics. Significant improvement was observed, except for the site with the developmental groove. Surgical intervention was performed using a palatal access flap odontoplasty and radiculoplasty to eliminate the remaining pocket and enhance plaque control. The procedure successfully resolved the condition, with soft tissue healing observed at the 6-month follow-up with a residual probing depth of 3 mm. This case highlights the challenges associated with palatal developmental grooves as localized aggravating factors in periodontitis. The use of surgical techniques like odontoplasty and flap access proved effective in managing periodontal defects associated with developmental grooves, showcasing a successful outcome in this patient.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"5562567"},"PeriodicalIF":0.7,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11759573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047797","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":"Revascularization of an Autotransplanted Mature Tooth After Extraoral Root Resection: A Case Report.","authors":"Juraj Marton, Michal Mozoľa, Radovan Žižka, Zdeněk Pokorný","doi":"10.1155/crid/5545344","DOIUrl":"10.1155/crid/5545344","url":null,"abstract":"<p><p>The outcome of tooth autotransplantation depends mainly on the transplant tooth's anatomy-the type of donor tooth and the developmental stage of root formation. Mature teeth display a higher complication rate due to lower pulp revascularization potential, requiring root canal treatment (RCT) pre- or postoperatively to avoid postoperative complications, which extends treatment duration and cost. This report details a 39-year-old patient's autotransplantation of a mature wisdom tooth to replace the first molar after unsuccessful root canal retreatment. During the surgery, an extraoral root resection of the transplanted tooth was performed prior to placement to avoid the need to elevate the Schneiderian membrane, which displayed imperfect healing following the surgical removal of a cystic lesion in the maxillary sinus. RCT was not performed before nor after the procedure. At the 3-year follow-up, the tooth was asymptomatic. The vitality of the autotransplanted tooth was difficult to determine using standard vitality tests, which depend on patients' subjective responses, but the use of pulse oximetry objectively confirmed this. This case not only shows the possibility of a mature tooth transplant revascularization in an older patient but also gives a possible postoperative protocol of how to objectively confirm and measure the revascularization of the autotransplanted tooth.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"5545344"},"PeriodicalIF":0.7,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11759570/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047794","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":"Implantoplasty-Aided Prosthetic Rehabilitation for the Management of Peri-Implantitis in Maxilla Reconstructed With Free Fibula Flap: A Clinical Report.","authors":"Ajay Yerramsetti, Manju Vijayamohan, Maya Rajan Peter, Pramod Subhas","doi":"10.1155/crid/7502566","DOIUrl":"10.1155/crid/7502566","url":null,"abstract":"<p><p>For managing peri-implantitis, a variety of treatment modalities involving both surgical and nonsurgical methods including implantoplasty have been proposed. Implants that are placed in a free fibula flap are more prone to peri-implantitis due to the absence of firm, keratinized mucosa. Prosthetic design that offers adequate hygiene access should be designed whenever possible; otherwise, it may lead to the accumulation of plaque or biofilm that may lead to peri-implant diseases. Implantoplasty, which is performed in advanced peri-implantitis cases that cause exposure of implant threads, has been proposed as a reliable approach to preventing progressive peri-implant bone loss by modifying the exposed implant surface. This clinical report details the management of severe peri-implant bone loss in a maxilla reconstructed with a free fibula flap by combining soft tissue management, implantoplasty, and prosthetic rehabilitation.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"7502566"},"PeriodicalIF":0.7,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11756935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029467","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":"Intraoral Pleomorphic Adenoma of the Minor Salivary Glands: A Case Series of 10 Cases With Emphasis on Histopathological Features.","authors":"Neetu Jain, Shashi Keshwar, Ashish Shrestha, Mehul Rajesh Jaisani, Iccha Kumar Maharjan, Navin Agrawal","doi":"10.1155/crid/9151514","DOIUrl":"10.1155/crid/9151514","url":null,"abstract":"<p><p>Pleomorphic adenoma (PA), the most common salivary gland tumor, presents unique challenges due to its diverse clinicopathologic features. The objective of this case series is to highlight the implication of detailed histopathological examination to guide appropriate diagnosis. This study reviews 10 cases of PA diagnosed at B.P. Koirala Institute of Health Sciences, Nepal, between 2011 and 2023. Patients ranged from 16 to 71 years, with a male-to-female ratio of 1:2.3. Most lesions (eight cases) were located on the palate, with additional cases, one on the upper lip and one on the cheek mucosa. Lesion sizes ranged from 1 to 3 cm² and durations from 2 months to 4 years. Clinically, all lesions were well encapsulated, nontender, and nonulcerated and had normal overlying mucosa. Histopathologically, cases included classical PA, myxoid, and cellular types. Common findings were ductal structures filled with eosinophilic material, a \"swarm bee\" appearance, plasmacytoid cells, and myxoid stroma. Squamous differentiation and psammoma bodies were observed in some cases. No osseous or cartilaginous components were detected. All cases were excised, with no recurrences reported during at least 2 years of follow-up. Hence, proper diagnosis is crucial for effective management and long-term outcomes of PA.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"9151514"},"PeriodicalIF":0.7,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014116","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 Case of an Oral Elastofibromatous Lesion: A Clinicopathological Analysis With a Literature Review.","authors":"Sawako Ono, Masanori Masui, Kyoichi Obata, Tomoya Nakamura, Yoshihiko Furuki, Satoko Nakamura, Hidetaka Yamamoto","doi":"10.1155/crid/5556176","DOIUrl":"https://doi.org/10.1155/crid/5556176","url":null,"abstract":"<p><p>Elastofibromatous changes of the oral mucosa, such as an elastofibroma (EF) or an elastofibromatous lesion (EFL), are not well recognized, and the second such case in Japan is reported. A 72-year-old man wearing a complete maxillary denture presented with a small nodule on the hard palate. Histopathological examination showed abundant fibrous tissue with numerous elastic fibers on Elastica van Gieson (EvG) staining. The diagnosis of an oral EFL was made. In the review of oral EF and EFL, no cases with recurrence were identified, but such lesions may resemble neoplastic lesions macroscopically. Accurate diagnosis using EvG stain is needed to recognize oral EFs and EFLs.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"5556176"},"PeriodicalIF":0.7,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11742071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014107","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":"Lip Melanosis Postdermal Filler Injection: Second Case Report and Literature Review.","authors":"Abdulrahman Abdullah Altariqi, Azizah Fahad Bin Mubayrik","doi":"10.1155/crid/4265486","DOIUrl":"10.1155/crid/4265486","url":null,"abstract":"<p><p>Oral pigmentation can arise from various factors, including physiological and pathological, or as a manifestation of an underlying systemic disease. We present an atypical case of dermal filler-related complication, in which clinical lip pigmentation was observed. This condition can pose a diagnostic challenge in accurately identifying its cause.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"4265486"},"PeriodicalIF":0.7,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984113","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":"Long-Term Outcomes of Surgical Decompression in Treating Calcifying Odontogenic Cyst Associated With Compound Odontoma: A 9-Year Follow-Up Case Report and Literature Review.","authors":"Álvaro Alarcón, Rodrigo Barison, Benjamín Martínez, Sergio González","doi":"10.1155/crid/2844784","DOIUrl":"10.1155/crid/2844784","url":null,"abstract":"<p><p>A calcifying odontogenic cyst (COC) is a cystic lesion originating from odontogenic epithelium, exhibiting ameloblastomatous features and containing focal accumulations of ghost cells. The standard treatment for COC typically involves enucleation followed by surgical curettage. However, if the cyst is large or closely associated with anatomical structures, decompression may be considered as a preliminary step before enucleation. A 12-year-old male patient presented with swelling in the anterior mandibular region. Radiological assessment revealed an extensive radiolucent area crossing the mandibular midline, accompanied by radiopaque areas within the lesion. The diagnosis of COC associated with compound odontoma was confirmed. The treatment plan involved decompression, followed by enucleation. After over 9 years of follow-up, the patient showed satisfactory and effective outcomes, with no signs of recurrence. This therapeutic approach minimizes the morbidity and cost associated with extensive and invasive reconstructive surgeries.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"2844784"},"PeriodicalIF":0.7,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11730012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984745","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}