Case Reports in Dentistry最新文献

{"title":"Clinical and Radiographic Features of Mandibular Third Molar Gemination: A Case Report and Literature Review.","authors":"Matteo Pellegrini, Giorgia Creminelli, Pierluigi Guerrieri, Andrea Scribante, Danilo Fraticelli, Luca Creminelli","doi":"10.1155/crid/8934034","DOIUrl":"10.1155/crid/8934034","url":null,"abstract":"<p><p><b>Introduction:</b> Gemination and fusion are rare developmental anomalies that can present significant diagnostic challenges. Due to the complexity of distinguishing between these conditions, the term \"double tooth\" is commonly employed in clinical practice. The precise etiology of these anomalies remains uncertain, and their occurrence in permanent dentition-particularly involving molars-is exceptionally rare. This report describes an uncommon case of gemination affecting the mandibular left third molar (tooth 3.8) and provides a comprehensive discussion contextualized within existing literature. The case report was prepared following the CARE guidelines to ensure methodological rigor and completeness. <b>Methods:</b> After an intraoral examination and radiographic assessment-including orthopantomography, periapical radiographs, and cone beam computed tomography (CBCT)-the patient underwent surgical extraction. The procedure involved administering a truncal nerve block to anesthetize the inferior alveolar and lingual nerves, supplemented by local infiltration anesthesia of the buccal nerve. A full-thickness mucoperiosteal flap was elevated, followed by ostectomy and odontotomy to facilitate extraction. The tooth was subsequently removed using a combination of elevators and forceps. <b>Results:</b> Postoperative evaluations conducted at 1.5 and 3 months confirmed complete healing of the surgical site. A detailed analysis of pre- and postoperative radiographic and clinical findings validated the diagnosis of gemination, characterized by coronal continuity with a single root and root canal. <b>Conclusions:</b> Gemination of third molars is exceedingly rare, with only a few cases documented in the literature. To the best of our knowledge, this is the first reported instance of gemination involving the mandibular left third molar (tooth 3.8). This report contributes to the growing body of knowledge on developmental dental anomalies and highlights the importance of thorough differential diagnosis in similar clinical scenarios.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"8934034"},"PeriodicalIF":0.7,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12116212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162887","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":"Treatment of Horizontal Root Fractures in Traumatized Maxillary Central Incisors Using Minimally Invasive Surgical and Prosthodontic Foundation Techniques.","authors":"Katsuyuki Atsumi, Naomi Tanoue","doi":"10.1155/crid/9791300","DOIUrl":"10.1155/crid/9791300","url":null,"abstract":"<p><p><b>Objective:</b> The aim of this study is to present cases of root preservations in which minor surgery and characteristic multifiber foundation were performed to treat maxillary central incisor root fractures near the bone margin. <b>Clinical Considerations:</b> Two patients experienced root fractures of the central incisors due to short- or long-term trauma. Orthodontic extrusion was not employed in both cases; instead, minimal periodontal surgery was performed as pretreatment. In cases where the patient's tooth remained intact, fractured pieces were bonded. However, in cases where the root of the tooth was fractured with the prosthesis, a new restoration was fabricated. The roots were constructed using multiple characteristically placed glass fiber posts and materials with high biocompatibility and hydrophilicity as the foundation. Fractured teeth were esthetically restored using conservative or prosthetic treatment methods, resulting in patient satisfaction. No complications were observed at the 4-year follow-up. <b>Conclusions:</b> Although horizontal root fractures near the alveolar bone are generally considered to have a poor prognosis and esthetic outcome, they can be restored esthetically with minimal invasion by selecting appropriate procedures and materials.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"9791300"},"PeriodicalIF":0.7,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152277","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":"Management of Fused Primary Anterior Teeth: A Case Series.","authors":"Mohamed Salah Shalaby, Osama Ibrahim El Shahawy","doi":"10.1155/crid/6187804","DOIUrl":"10.1155/crid/6187804","url":null,"abstract":"<p><p>Fusion is a developmental dental anomaly that may affect both dentitions. The condition occurs during the developmental stage when two different tooth buds fuse. Depending on the degree of fusion, teeth may be diagnosed with fusion, gemination, or macrodontia. This defect is typically described as primary double teeth. The main clinical problems associated with primary double teeth include dental caries, crowding, occlusal discrepancies, and poor aesthetics. This report presents the clinical experience of managing 13 primary fused anterior teeth. The aim was to preserve and restore the decayed teeth while maintaining function and aesthetics. Treatment varied from the application of preventive measures to the separation of fused teeth. Clinical and radiographic diagnoses were used to determine the appropriate treatment plan. Decay removal was followed by restoration using either composite or zirconia crowns. Some teeth required pulp treatment before final restoration; therefore, pulpectomy was performed, and the canals were sealed with a calcium hydroxide and iodoform mix. Evaluation criteria included clinical success, gingival health, function, and aesthetic preservation. Follow-up periods ranged from 1 to 4 years. The follow-up of the presented cases demonstrated that the selected preventive, restorative, and surgical approaches successfully retained the affected teeth in a stable and healthy condition.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"6187804"},"PeriodicalIF":0.7,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120970","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":"Prilocaine-Induced Methemoglobinemia During Surgically Assisted Rapid Palatal Expansion (SARPE) Under General Anesthesia: A Case Report.","authors":"Yusuke Kurosawa, Karen Gomi, Akinori Moroi, Kunio Yoshizawa, Koichiro Ueki","doi":"10.1155/crid/9917154","DOIUrl":"10.1155/crid/9917154","url":null,"abstract":"<p><p>Methemoglobinemia is a condition in which methemoglobin levels in the blood increase. Methemoglobin lacks oxygen-binding ability, resulting in oxygen deprivation in tissues. This high level of methemoglobin in the blood presents as a severely worsening condition. Herein, we report a case of methemoglobinemia caused by the administration of 3% prilocaine hydrochloride containing 0.03 IU/mL feripressin as a local anesthetic during orthognathic surgery. Following drug administration, the patient's atrial oxygen saturation (SpO₂) decreased. We diagnosed methemoglobinemia based on arterial blood gas analysis, which revealed an increased level of methemoglobin. To maintain the SpO₂ level, oxygen was administered. The patient's condition improved over time. Careful monitoring and maintenance of SpO₂ levels are essential to ensure proper diagnosis and effective management.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"9917154"},"PeriodicalIF":0.7,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12084793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095377","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":"Management of Medication-Related Osteonecrosis of the Jaw in Multiple Myeloma Patients With Pentoxifylline and Tocopherol: Case Reports.","authors":"Adepitan A Owosho, Katherine A DeColibus, Layne C Levy, Osariemen Okhuaihesuyi","doi":"10.1155/crid/2765925","DOIUrl":"https://doi.org/10.1155/crid/2765925","url":null,"abstract":"<p><p>Medication-related osteonecrosis of the jaw (MRONJ) is a well-known side effect of bone-modifying agents such as antiresorptive medications including pamidronic and zoledronic acids (intravenous bisphosphonates) and denosumab (anti-RANK ligand humanized monoclonal antibody). The major risk factor for the precipitation of MRONJ in a patient taking antiresorptive medication is dentoalveolar trauma such as dental extractions. Management of MRONJ in oncology patients is exceptionally challenging. In this report, two multiple myeloma patients with longstanding advanced-stage MRONJ were successfully managed with combined pentoxifylline-tocopherol treatment pre- and postextraction/sequestrectomy. In conclusion, based on this report and other published reports, it appears that the use of combined pentoxifylline-tocopherol protocol in the management of MRONJ is effective.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"2765925"},"PeriodicalIF":0.7,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12077977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081345","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":"An Unusual Lingual Ulcerated Capillary Angioma After Dressmaker Needle Trauma, Above Migratory Glossitis Lesion, in a Patient With a History of Cancer: A Case Report.","authors":"Cinzia Casu, Andrea Butera, Clara Gerosa, Andrea Scribante, Martina Salvatorina Murgia, Germano Orrù","doi":"10.1155/crid/9921608","DOIUrl":"10.1155/crid/9921608","url":null,"abstract":"<p><p>Vascular malformations are relatively common benign proliferative lesions of vascular and connective tissue origin that can present in oral regions, such as on the tongue. Etiological factors include genetic mutations or molecular changes related to syndromes, trauma, vascular wall resistance to blood flow, and may form part of other systemic diseases. Clinically, they can be extremely heterogeneous, and they can also cause important diagnostic doubts. Migratory glossitis is a very common oral condition in the general population, linked to immunological factors, sometimes connected with intestinal health problems. The aim of this work is to report an atypical case of ulcerated angioma on the tongue and the contemporary presence of migratory glossitis. A 54-year-old Caucasian female with a history of an intestinal cancer presented a particular exophytic lesion on the tip of the tongue where the hypothetical diagnosis of oral metastasis had been included, also for the rapid onset of the oral lesion. The dressmaker's needle trauma related to the patient's work activity could have been the triggering factor for the appearance of the neoformation. The diagnosis after histological evaluation was ulcerated capillary angioma. Due to the unusual presentation of this type of lesion, it is needed to reconsider current knowledge on the etiopathogenesis of vascular lesions and its clinical inclusion in the differential diagnosis.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"9921608"},"PeriodicalIF":0.7,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12074836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143987186","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":"Arteriovenous Fistula: An Unusual Complication of Orthognathic Surgery-Case Report and a Brief Review.","authors":"Josue Gallardo-Caudillo, Freddy Andrés Vivero-Alcivar, Cinthya María Quisiguiña-Salem, Sergio Esquivel-Martin","doi":"10.1155/crid/7742546","DOIUrl":"https://doi.org/10.1155/crid/7742546","url":null,"abstract":"<p><p>Arteriovenous fistulas rarely occur in the head and neck region. They typically arise from blunt or penetrating trauma but can develop as an uncommon complication following bimaxillary orthognathic surgery, a procedure to correct jaw deformities. This report describes a male patient who experienced an arteriovenous fistula after orthognathic surgery. We detail the diagnosis through patient symptoms and imaging, along with successful treatment via endovascular embolization. We also follow the patient for 1 year. This case highlights the importance of recognizing this rare complication to ensure prompt diagnosis and intervention. We discuss key points for preventing, diagnosing, and effectively treating arteriovenous fistulas after orthognathic surgery.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"7742546"},"PeriodicalIF":0.7,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12064318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021656","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 Report of Dental Management of Patient With Arnold Chiari I Malformation.","authors":"Amani M Harrandah","doi":"10.1155/crid/2868368","DOIUrl":"https://doi.org/10.1155/crid/2868368","url":null,"abstract":"<p><p>Arnold Chiari malformation (CM) is a neurological disorder marked by the downward displacement of the cerebellar tonsils through the foramen magnum into the spinal canal, impacting the brain's posterior fossa, often associated with myelomeningocele, a form of spina bifida where the spinal cord protrudes through a spinal defect. Diagnosis is commonly made using MRI, with surgical intervention sometimes needed to relieve pressure on the brain and spinal cord. There are six types of CMs; Type I (CM1) is the most prevalent and is often identified in adulthood. CM1 involves herniation of the cerebellar tonsils through the foramen magnum, potentially causing symptoms such as headaches exacerbated by coughing, neck pain, dizziness, and sensory disturbances. Severe cases may include dysphagia, motor control issues, and sleep apnea. In dental treatment, CM patients should avoid prolonged neck hyperextension, which can increase discomfort, and metal appliances may need removal before MRI imaging. This case report documents the first case of CM1 at Umm Al-Qura University Dental Teaching Hospital and describes a tailored dental treatment plan designed to address the patient's specific needs.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"2868368"},"PeriodicalIF":0.7,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12055305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006430","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":"Spontaneous Exposure of Mandibular Torus: A Case Report and Surgical Management.","authors":"Priscilla Sergi, Subhi Tayeb, Carlo Barausse, Gerardo Pellegrino, Lorenzo Roccoli, Stefano Ratti, Pietro Felice","doi":"10.1155/crid/8869192","DOIUrl":"https://doi.org/10.1155/crid/8869192","url":null,"abstract":"<p><p><b>Background:</b> Oral exostoses, including mandibular tori, are benign bony outgrowths that can lead to functional impairments when large. Spontaneous exposure of a mandibular torus is a rare event that requires surgical intervention. <b>Case Presentation:</b> A 33-year-old male presented with bilateral mandibular tori. The right mandibular torus had spontaneously exposed, causing pain during mastication, swallowing, and phonation. Surgical removal of the exposed torus and extraction of a carious tooth were performed under local anaesthesia. <b>Conclusion:</b> The patient recovered without complications, and no recurrence of symptoms was noted during the 1-year follow-up. This case highlights the need for prompt surgical intervention in cases of spontaneous torus exposure and the importance of histological analysis.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"8869192"},"PeriodicalIF":0.7,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12055322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021576","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 Radicular Cyst With Extensive Bone Loss Requires Surgical and Endodontic Management: Case Presentation and Literature Review.","authors":"Juan Martín Pesántez Alvarado, Milton Fabricio Lafebre Carrasco","doi":"10.1155/crid/9977128","DOIUrl":"https://doi.org/10.1155/crid/9977128","url":null,"abstract":"<p><p>The radicular cyst is an inflammatory pathology affecting the periapical bone tissue associated with teeth exhibiting pulp necrosis. Without timely endodontic intervention, this pathology can lead to significant bone tissue destruction due to its growth pattern, necessitating both endodontic and surgical approaches to halt its progression and remove the involved tissue. This case study details the management of a 23-year-old patient with a history of prior trauma, presenting with pressure in the anterior maxillary region. Tomographic examination revealed a hypodense area involving Teeth 2.1, 2.2, and 2.3. A surgical approach involving enucleation and endodontic treatment was undertaken. The diagnosis was confirmed histopathologically, and follow-up radiographs demonstrated satisfactory bone filling.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"9977128"},"PeriodicalIF":0.7,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12052440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001187","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}