Case Reports in Dentistry最新文献

{"title":"Retention of a Swallowed Dental Tool in the Small Bowel: Unusual Lodgment and Prolonged Conservative Management.","authors":"Ken Chapman Kigozi, Nevis Agirembabazi, Andrew Marvin Kanyike, Racheal Nalunkuma, Rachael Mukisa Nakandi, Simon Peter Nsingo, Robinson Ssebuufu","doi":"10.1155/crid/5586308","DOIUrl":"10.1155/crid/5586308","url":null,"abstract":"<p><p>Accidental ingestion of foreign bodies during dental procedures is relatively common, with the potential for serious complications, including intestinal perforations and severe pulmonary disorders. Our case report describes the prolonged, asymptomatic retention of a swallowed hex driver in the small bowel of a 38-year-old male, managed conservatively over an extended period. The patient, with a significant medical history of depression, was undergoing a dental procedure involving implant-supported restorations when the incident occurred. Initial x-rays confirmed the presence of the hex driver in the gastrointestinal tract. Despite its stationary position for over a week, it passed naturally without requiring invasive intervention. This case highlights the importance of individualized patient care and deferring recommendations for intervention in certain instances. We recommend a more individualized approach to managing ingested foreign bodies in dental settings, emphasizing the need for tailored strategies based on the patient's specific circumstances and clinical stability.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2024 ","pages":"5586308"},"PeriodicalIF":0.7,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11666312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883256","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":"Guided Bone Regeneration in the Posterior Mandible Using a Resorbable Metal Magnesium Membrane and Fixation Screws: A Case Report.","authors":"Thomas Franke, Tadas Korzinskas","doi":"10.1155/crid/2659893","DOIUrl":"10.1155/crid/2659893","url":null,"abstract":"<p><p><b>Background:</b> Due to bone loss, implant placement in the posterior mandible is often impossible without prior augentative procedures. The reconstruction of bone defects with horizontal and vertical components using particulated bone grafts requires the placement of a mechanically stable structure for stabilization of the grafting material. Although titanium-reinforced membranes and titanium meshes have been shown to be effective in this indication, the necessity of their removal, often in a separate surgical procedure, is seen as a disadvantage. Since the introduction of a new resorbable magnesium metal membrane and fixation screw, a mechanically stable and resorbable system might provide an alternative option for guided bone regeneration (GBR) in the posterior mandible. <b>Case Presentation:</b> A 61-year-old patient was presented with large edentulous areas in all posterior regions and requested fixed dentures in Areas 34-36. Tooth 33 was extracted and treated with an immediate implantation of a ceramic implant, whereas Positions 34-36 were treated with a two-stage approach. The site was augmented horizontally, with a slight vertical component using autologous and allogenic bone and a new completely resorbable magnesium metal membrane and fixation screw. During the initial healing period, the patient reported a tingling sensation at the site of the augmentation. This is an observation that is specific to the magnesium products and is potentially caused by the release of hydrogen gas as the metal degrades and is resorbed. Upon re-entry at 3 months, it was clinically observed that there was a very dense and vascularized bone that was sufficient for placing two 5.5 × 10 mm ceramic dental implants. <b>Conclusion:</b> A completely resorbable magnesium membrane and fixation screw were able to support the bony regeneration in a large GBR situation in the posterior mandible. Due to the use of a new material for GBR, different clinical observations were made compared to the standard material choices.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2024 ","pages":"2659893"},"PeriodicalIF":0.7,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11661873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878414","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":"Aesthetic Clinical Case for Immediate Implant Therapy for Maxillary Central Incisor.","authors":"Gerardo Guzman, Silvia Rojas-Rueda, Franciele Floriani, Carlos A Jurado, Francisco X Apiazu-Flores, Nicholas G Fischer","doi":"10.1155/crid/4199406","DOIUrl":"10.1155/crid/4199406","url":null,"abstract":"<p><p>This case report features a female patient with the chief complaint of needing to replace an anterior crown. After a comprehensive oral assessment and cone beam computed tomography (CBCT) radiographic examination, it was determined that the crown on Tooth #9 was subgingivally fractured. The procedure involved atraumatic extraction of Tooth #9, followed by immediate implant placement. Xenograft bone graft material was placed to complete the space between the buccal bone and the implant. A connective tissue graft (CTG), 1 mm thick and 5 mm wide, was harvested from the palate and placed. The final implant crown was restored using a prefabricated abutment with a titanium base and zirconia ceramic dental material. A well-planned combined treatment, including atraumatic tooth extractions for immediate implants and ideal contouring of soft tissues, can significantly impact the outcome of aesthetic restorations. A single immediate implant-supported crown in the aesthetic zone was able to fulfill the patient's aesthetic expectations at the 2-year follow-up.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2024 ","pages":"4199406"},"PeriodicalIF":0.7,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808209","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":"Correcting Class III Malocclusion Using Multiloop Edgewise Archwire (MEAW) Combines Temporary Anchorage Devices (TADs) With Modified Class III Elastics for Camouflage Treatment of in Adolescent: A Case Report.","authors":"Lam Nguyen Le, Thao Thi Do, Khanh Phuong Vu Le","doi":"10.1155/crid/5546633","DOIUrl":"10.1155/crid/5546633","url":null,"abstract":"<p><p><b>Introduction:</b> One of the most difficult types of malocclusion to cure is Class III malocclusion. Maxillary protraction is a common component of orthodontic/surgical treatments for Class III individuals since maxillary retrognathia is the primary factor contributing to their condition. <b>Objective:</b> A Vietnamese girl of 16 years old presented with severe symptoms of anterior crossbite and Class III malocclusion of the skeletal and dental structures. Among the dental characteristics were a prognathic mandible, retrognathic maxilla, and proclined lower incisors. The medical history revealed no abnormalities. <b>Methods:</b> Since the patient refused to undergo orthognathic surgery, we suggested using multiloop edgewise archwire (MEAW), which combines temporary anchorage devices (TADs) with modified Class III elastics for camouflage treatment of Class III malocclusion. <b>Results:</b> This case illustrated the use of TADs. MEAW combines TADs with modified Class III elastics for camouflage therapy. It is a potentially effective treatment option for adolescents diagnosed with Class III skeletal malocclusion.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2024 ","pages":"5546633"},"PeriodicalIF":0.7,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11604280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751938","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":"Navigating Esthetic Challenges: Immediate Implant Placement and Comprehensive Restorative Solutions-A Clinical Case With 2-Year Follow-Up Study.","authors":"Gerardo Guzman-Perez, Carlos A Jurado, Saad Alresayes, Franciele Floriani, Silvia Rojas-Rueda, Akimasa Tsujimoto","doi":"10.1155/2024/1186299","DOIUrl":"10.1155/2024/1186299","url":null,"abstract":"<p><p><b>Introduction:</b> The esthetics of immediate implant dentistry can be challenging. Clinical considerations for immediate implant placement have demonstrated long-term success rates comparable to traditional delayed implant protocols. However, it is a sensitive technique that requires proper treatment planning as well as meticulous execution to be predictable and successful in the long term. <b>Methods:</b> This clinical situation demands extensive knowledge of soft and hard tissue management for atraumatic tooth extraction followed by implant therapy, along with an understanding of the available materials to meet esthetic needs. This case report features a female patient with the chief complaint of needing to replace an anterior crown due to loss of retention. After a comprehensive oral assessment and cone beam computed tomography (CBCT) radiographic examination, it was determined that the crown on Tooth #9 was fractured at the subgingival level. Furthermore, gingival zenith positions displayed differences at the keratinized mucosa level in Teeth #7, #8, and #9, and the metal marginal areas of the porcelain-fused-to-metal (PFM) crowns in the anterior area of Teeth #5, #7, #8, #9, and #10 were apparent. The procedure involved atraumatic extraction of Tooth #9, followed by immediate implant placement. Crowns on Teeth #5, #7, #8, and #10 were replaced, and veneers on Teeth #6 and #11 were fabricated using press lithium disilicate-reinforced ceramic. Connective tissue graft (CTG) was contoured before final implant restorations. <b>Results:</b> The final implant crown was restored using a prefabricated abutment with a titanium base and lithium disilicate ceramic dental material. A well-planned combined treatment, including atraumatic tooth extractions for immediate implants and ideal contouring of soft tissues, can significantly impact the outcome of esthetic restorations. <b>Conclusions:</b> Single immediate implant-supported crowns in the esthetic zone were able to fulfill the patient's esthetic expectations.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2024 ","pages":"1186299"},"PeriodicalIF":0.7,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11563714/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630390","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":"Effective Management of a Fractured Tooth in a Child Using an Aesthetic Pediatric Crown: A Case Report and Review of Literature.","authors":"Stephan Lampl, Deepa Gurunathan, Deepak Mehta, Jogikalmat Krithikadatta, Desigar Moodley","doi":"10.1155/2024/6888443","DOIUrl":"10.1155/2024/6888443","url":null,"abstract":"<p><p><b>Background:</b> Traumatic dental injuries in children present unique challenges, requiring evidence-based and individualized approaches. Accidental falls are a common cause, resulting in a spectrum of clinical presentations. Managing tooth injuries in mixed dentition adds complexity to treatment decisions. <b>Methods:</b> This case report details the conservative management of an 8-year-old with a fractured permanent lateral incisor following a fall. The child's physical status was assessed, ruling out abuse and associated neurological issues. A novel pediatric full crown fabricated from a hybrid glass material was chosen for its minimally invasive preparation and aesthetic properties. <b>Results:</b> Procedural details, including crown sizing, contouring, and bonding, are outlined. One-year follow-up revealed no discoloration, pain, or adverse effects. The hybrid glass material demonstrated longevity in bonding, maintaining both function and esthetics. The discussion encompasses the choice of crown materials and the advantages of hybrid glass material. <b>Conclusion:</b> The case highlights successful conservative restoration in mixed dentition using a pediatric full crown with a hybrid glass material. This approach achieved functional and aesthetic improvements, preserved tooth vitality, and ensured patient satisfaction.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2024 ","pages":"6888443"},"PeriodicalIF":0.7,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11561179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630387","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":"Mesenchymal Chondrosarcoma of the Mandible, a Big Dilemma: Report of a Rare Case in Mesenchymal Chondrosarcoma of the Mandible-Report of a Case With Discussion of Diagnostic and Therapeutic Dilemmas.","authors":"Abbas Karimi, Samira Derakhshan, Farzaneh Mosavat, Zahra Gholamhoseini, Monir Moradzadeh Khiavi","doi":"10.1155/2024/8884697","DOIUrl":"10.1155/2024/8884697","url":null,"abstract":"<p><p>Chondrosarcomas are a group of malignant neoplasms with cartilaginous matrix production mostly found in flat and peripheral long bones. Mesenchymal chondrosarcoma is one of the most unusual and rare histological variants of chondrosarcoma, with a distinct histopathological appearance and biologically aggressive behavior. The amount of cartilage in mesenchymal chondrosarcoma may be so abundant that it is easily found in random sections or so scarce that numerous sections are required to discover it. In such cases, it is tough to make an accurate diagnosis, which leads to a big dilemma for pathologists and surgeons regarding diagnosis and treatment. Here, we report a mandibular mesenchymal chondrosarcoma in a 38-year-old male with a diagnosis of malignant small round cell tumor in incisional biopsy without any bone or chondroid formation. After ruling out lymphoma, a complete lesion excision was done. Diagnosis of mesenchymal chondrosarcoma was confirmed with small foci of chondroid material and strong positivity of tumoral cells for CD99 and S100. We highlight the fact that incisional biopsy frequently fails to provide sufficient tissue to establish the diagnosis of mesenchymal chondrosarcoma. Adequate tissue with multiple sections, detailed histopathological examination, and adjunctive IHC study are the keys to a definitive diagnosis.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2024 ","pages":"8884697"},"PeriodicalIF":0.7,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11535178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584788","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 Multiple Myeloma Identified Following the Diagnosis of Amyloidosis of the Tongue.","authors":"Hideka Kanemoto, Kyoichi Obata, Koichi Kadoya, Kisho Ono, Hotaka Kawai, Yuki Kunisada, Mayumi Yao, Soichiro Ibaragi","doi":"10.1155/2024/8836103","DOIUrl":"10.1155/2024/8836103","url":null,"abstract":"<p><p>Amyloidosis is a disease in which amyloid protein is deposited in organs and tissues, resulting in functional impairment. Amyloidosis occurs in 12%-30% of patients with multiple myeloma, but in rare cases, amyloidosis may precede the diagnosis of multiple myeloma. Our patient was a 76-year-old Japanese male on dialysis. Multiple nodules accompanied by ulcers were observed on his tongue. He had no subjective symptoms or clinical findings associated with multiple myeloma. The histopathological findings suggested amyloidosis. We suspected both systemic and localized amyloidosis and performed a comprehensive systemic examination. Since the patient had been on dialysis for only a short period of time (~3 months), dialysis-related amyloidosis was ruled out. After blood and urine tests, a diagnosis of multiple myeloma was made. Chemotherapy treatment was started, but the patient's multiple myeloma could not be suppressed and the tongue amyloidosis worsened, leading to his death 2 years and 2 months after the initial diagnosis.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2024 ","pages":"8836103"},"PeriodicalIF":0.7,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11535175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584785","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":"Mandible Reconstruction With Custom-Made Plates in Medication-Related Osteonecrosis of the Jaw-A Case Series.","authors":"Eiji Mitate, Taichi Demura, Youta Yamauchi, Yasuhisa Sawai, Miho Hasumoto, Satoshi Wada, Hiroyuki Nakano, Noboru Demura","doi":"10.1155/2024/9251185","DOIUrl":"10.1155/2024/9251185","url":null,"abstract":"<p><p><b>Background</b>: Restoration of the mandibular region after segmental resection surgery is crucial for masticatory function and facial aesthetics. The precision of three-dimensional printers has advanced in recent years, enabling the development of fully customized reconstruction plates. In recent years, three-dimensional printing technology has been applied in the field of dental and oral surgery. Among these, the selective laser melting method has been developed. This case report was aimed at exploring the utility in restoring mandibular morphology. <b>Cases:</b> Patients diagnosed with medication-related osteonecrosis of the jaw (MRONJ) in Oral and Maxillofacial Surgery at Kanazawa Medical University Hospital who underwent mandibular disarticulation and immediate completely customized reconstruction plate (COSMOFIX) were included. Case 1 involved a female in her 70s with MRONJ on the right side of the mandible. Case 2 involved a female who received bisphosphonates for extensive metastatic breast cancer, resulting in MRONJ affecting the bilateral mandible. Case 3 involved a woman who developed MRONJ on the right side of the mandible during alendronate treatment for osteoporosis. Completely customized reconstruction plates were used for reconstruction after segmental resections. <b>Findings:</b> The three patients adapted to the remaining bone. The reconstructed and preoperative mandibular morphologies were similar. <b>Conclusions</b>: In conclusion, the use of completely customized reconstruction plates obviates the need for bending and other adaptations, reduces surgical time, and improves postoperative aesthetics. Of significance, preparing completely customized reconstruction plate requires about 3 weeks; thus, careful case selection and scheduling are indispensable.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2024 ","pages":"9251185"},"PeriodicalIF":0.7,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11527530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559132","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":"Traumatic Ulceration of the Vestibular Mucous Membrane After Insertion of Four Mini-Implants in the Atrophied Mandible: A Case Report.","authors":"Domagoj Kilić, Sanja Peršić-Kiršić, Asja Čelebić","doi":"10.1155/2024/4662194","DOIUrl":"10.1155/2024/4662194","url":null,"abstract":"<p><p>This clinical report describes how a decubital ulcer arose from the direct contact of the vestibular movable mucous membrane against mini-implant balled-type heads after the mini-implant insertion in the edentulous atrophic mandible of a 78-year-old patient who was not wearing a conventional mandibular complete denture for more than 10 years. Due to severe alveolar ridge atrophy, mini-implant insertion (2.0 mm wide) was an option without extensive surgical procedures. The patient signed the informed consent. A few days after the implant insertion, injury, inflammation, and induration of the vestibular movable mucous membrane were observed on the movable vestibular mucosa on the right side, opposing the mini-implants. The cause of inflammation was attributed to increased perioral muscle tonus which pushed the movable mucosa onto the mini-implant heads and caused mechanical trauma. During the period of edentulism, the perioral muscle tonus increased, directing the mucous membrane of the lips and cheeks against residual ridge to enable food comminution. To treat the persistent decubitus, a bulk of dental composite resin was placed around mini-implant heads and light-cured to protect the mucosa from further mechanical trauma, as the patient did not possess an old mandibular denture to cover the mini-implant heads. Vestibuloplastic surgery (disinsertion of movable attachments and deepening of the vestibulum) was also done. After the surgery, a silicone splint, resembling an occlusal rim, was made to protect the mucous membrane, keep medicaments for faster epitalization in place, to decrease perioral muscle tonus before the new dentures' delivery, and to prevent movable tissue relapse. The custom impression, jaw relationship determination, and try-in of the artificial teeth setup were made with sutures still in place. After the denture delivery and implant loading, the patient was instructed to sleep with the dentures to protect the movable mucous membrane. One year later, almost no peri-implant marginal bone loss was observed, attached and peri-implant mucosa were healthy, and the patient was delighted.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2024 ","pages":"4662194"},"PeriodicalIF":0.7,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11527536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559133","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}