Alessandro Moreira Freire, Orlando Aguirre Guedes, Lara Borges de Deus, Paulo Eduardo Mafra, Gustavo Silva Chaves, Karolina Kellen Matias, Juliano Gonçalves Miguel, Erica Eugênia Javarez Freire, Daniel de Almeida Decurcio
{"title":"Endoaesthetic Management of Type II Dens Invaginatus Associated With Root Perforation and Apical Abscess: A Case Report.","authors":"Alessandro Moreira Freire, Orlando Aguirre Guedes, Lara Borges de Deus, Paulo Eduardo Mafra, Gustavo Silva Chaves, Karolina Kellen Matias, Juliano Gonçalves Miguel, Erica Eugênia Javarez Freire, Daniel de Almeida Decurcio","doi":"10.1155/crid/2909252","DOIUrl":"https://doi.org/10.1155/crid/2909252","url":null,"abstract":"<p><p>Dens invaginatus (DI) is a developmental anomaly that affects teeth. This case report demonstrates the successful endoaesthetic management of a Type II DI in the maxillary right lateral incisor (Tooth 12). A 12-year-old female patient presented with pain and swelling in Tooth 12, which had previously been diagnosed with DI and accessed endodontically. The patient was also concerned about the aesthetic appearance of her anterior teeth. Clinical, radiographic, and tomographic findings confirmed Oehler's type II DI, with root perforation and an apical abscess in Tooth 12, as well as pulp necrosis in Tooth 13. Nonsurgical root canal treatment was recommended for both teeth, with additional root perforation repair for Tooth 12. Multiple visits were required for nonsurgical endodontic therapy. During the initial visit, the perforation was identified and sealed, followed by chemomechanical preparation and placement of calcium hydroxide paste. Ten months later, the root canals were filled. After endodontic treatment, the patient underwent in-office bleaching, followed by composite resin veneers on the upper anterior teeth, using the preformed metal matrix technique. This resulted in excellent aesthetic outcomes. At the 2-year follow-up examination, the patient remained asymptomatic, and radiographic assessment showed complete resolution of the periapical lesion. This case highlights the importance of multidisciplinary collaboration, precise treatment planning, and patient-centered care in achieving optimal endoaesthetic results in complex cases.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"2909252"},"PeriodicalIF":0.7,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12052460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015335","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}
Jessica Simpson, Moegamat Sallies, Amir H Afrogheh
{"title":"Exploring Paediatric Jaw Osteosarcoma: A Detailed Case Report of a 12-Year-Old Girl and Review of the Literature.","authors":"Jessica Simpson, Moegamat Sallies, Amir H Afrogheh","doi":"10.1155/crid/7428891","DOIUrl":"https://doi.org/10.1155/crid/7428891","url":null,"abstract":"<p><p>Osteosarcoma, the most common primary bone malignancy, rarely affects the jaw, representing only 6%-10% of cases. Jaw osteosarcoma typically occurs in individuals between the ages of 30 and 50 years and is uncommon in children. It often involves the mandible, especially in males, presenting with swelling, tooth mobility, and paraesthesia rather than pain. We present a rare case of jaw osteosarcoma in a 12-year-old girl who exhibited paraesthesia and a significant mandibular mass. Imaging demonstrated extensive mandibular involvement with Codman's triangle formation, and a biopsy confirmed the diagnosis of conventional osteosarcoma. The treatment approach included a hemimandibulectomy, followed by temporary reconstruction using a titanium plate and silastic spacer. This case underscores the importance of comprehensive evaluation and multidisciplinary management in diagnosing and treating osteosarcoma of the jaws in children. A review of 12 similar cases highlights the variability in presentation and treatment outcomes, emphasizing the need for individualized treatment plans to optimize patient prognosis.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"7428891"},"PeriodicalIF":0.7,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12041645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055916","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":"Healing of Extensive Through-and-Through Periradicular Lesion Using Apicoectomy Without Bone Grafting: A Case Report With 3-Year Recall.","authors":"Qamar Hashem","doi":"10.1155/crid/7225338","DOIUrl":"https://doi.org/10.1155/crid/7225338","url":null,"abstract":"<p><p>The pathogenic process of through-and-through lesions leads to erosion and loss of both cortical plates. Endodontic microsurgery (MS)with bone graft and membrane placement (guided tissue regeneration (GTR)) is the proposed treatment for such cases. This article is aimed at discussing an unusual treatment protocol for a large through-and-through lesion without the use of bone grafting or membrane. A 26-year-old Air Force pilot traveling at high altitudes presented to the Endodontic division for management of pain and swelling related to the upper left anterior lesion concerning Teeth #21, #22, and #23. Following a thorough clinical examination, medical history, and clinical and radiographic examination, the diagnosis of the presence of a through-and-through lesion related to previously treated teeth. The treatment plan included endodontic MS without the use of GTR due to his work nature. Over 3 years, routine follow-ups were essential for tracking the damaged area's healing process, which ultimately resulted in full recovery. This case emphasizes how crucial it is to obtain a thorough history and use a multidisciplinary approach to diagnose and manage through-and-through lesions, achieving positive outcomes.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"7225338"},"PeriodicalIF":0.7,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12041628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041728","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}
Othman Zuhir, Muzaffar Apipi, Jaswinder Singh, Yee Chin Lim
{"title":"Suspected Emphysematous Cellulitis of the Face Secondary to Untreated Nondisplaced Angle of the Mandible Fracture: A Case Report.","authors":"Othman Zuhir, Muzaffar Apipi, Jaswinder Singh, Yee Chin Lim","doi":"10.1155/crid/6247721","DOIUrl":"https://doi.org/10.1155/crid/6247721","url":null,"abstract":"<p><p>Facial cellulitis with palpable crepitus is a rare complication following a nondisplaced angle of mandible fracture. We report a case of a male in his mid-20s who presented with suspected emphysematous cellulitis of the face 3 days after an assault. Clinical examination revealed diffuse facial swelling with palpable subcutaneous crepitus over the left cheek and submandibular region. The patient had trismus and suppuration of the lower left third molar but no intraoral soft tissue injury. An orthopantomogram (OPG) showed a left nondisplaced angle of mandible fracture and multilocular bubble-like radiolucencies, suggesting submasseteric and submandibular gas accumulation. Due to financial constraints, advanced imaging and histological evaluation were not performed, limiting diagnostic certainty. Incision and drainage were performed, followed by intermaxillary fixation (IMF), and the infection was resolved with intravenous antibiotics. Open reduction internal fixation (ORIF) was not pursued due to cost limitations, but the fracture healed successfully within 6 weeks of IMF. This case underscores the importance of recognising gas-forming infections following mandibular trauma, the diagnostic challenges in resource-limited settings, and the role of early intervention in preventing severe complications.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"6247721"},"PeriodicalIF":0.7,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12037252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991348","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":"Rapidly Expanding Odontogenic Myxoma: An Entity With Diagnostic Challenges-A Case Report.","authors":"Suwarna Dangore-Khasbage, Rajanikanth Kambala, Hanadi Sabban, Aakanksha Tiwari, Monika Khubchandani","doi":"10.1155/crid/5741422","DOIUrl":"https://doi.org/10.1155/crid/5741422","url":null,"abstract":"<p><p>Odontogenic myxoma is a rare benign odontogenic tumor having locally aggressive behavior. It frequently affects the females in the second or third decade of life and commonly occurs in the mandibular posterior region as a slow-growing lesion. The aggressive behavior is often seen in maxillary lesions. However, this case report describes odontogenic myxoma with aggressive or rapidly expanding behavior occupying the ramus and angle of the mandible in few months. An 18-year-old girl reported with a chief complaint of gradually increasing painless swelling in the posterior region of the mandible for 4 months. Extraoral examination revealed diffuse, firm to hard, nontender swelling on the left mandibular posterior region and intraorally missing mandibular left third molar with expansion in the buccal and lingual aspect in the mandibular posterior region. Radiographic features depicted large well-defined multilocular radiolucency and impacted mandibular left third molar. Based on clinical features and radiographic findings, ameloblastic fibroma, dentigerous cyst, unicystic ameloblastoma, and odontogenic keratocyst were the entities considered in differential diagnosis. However, the histopathological examination confirmed it as odontogenic myxoma which was then treated surgically. This concludes that though radiographic examination is the first step meant for diagnosis, odontogenic myxoma depicts variety of radiographic features mandating histopathological examination for confirmation of the diagnosis.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"5741422"},"PeriodicalIF":0.7,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12011459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057434","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":"Oral Granular Cell Tumour on the Mandibular Gingiva in an Adult: A Rare Case Report.","authors":"Yosuke Iijima, Keisuke Sawada, Mami Yamazaki, Miki Yamada, Shunsuke Hino, Norio Horie, Takahiro Kaneko","doi":"10.1155/crid/3774958","DOIUrl":"https://doi.org/10.1155/crid/3774958","url":null,"abstract":"<p><p><b>Introduction:</b> Granular cell tumours are rare benign tumours. In the oral cavity, these tumours are predominantly found on the tongue. This report describes a rare case of a granular cell tumour arising on the gingiva. <b>Case Presentation:</b> A 75-year-old man was referred to the department with a mandibular gingival mass. Intraoral examination revealed a relatively firm mass in the lingual gingiva around the left mandibular premolar. Biopsy results led to a diagnosis of granular cell tumour. <b>Conclusion:</b> Oral granular cell tumours can, in rare cases, occur in areas other than the tongue, such as the gingiva.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"3774958"},"PeriodicalIF":0.7,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12008477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045840","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":"Case of Pulp Regeneration Following Autologous Transplantation of an Incompletely Rooted Tooth.","authors":"Hiroyuki Kimura, Tsuyoshi Kumano, Taro Eida","doi":"10.1155/crid/7121013","DOIUrl":"https://doi.org/10.1155/crid/7121013","url":null,"abstract":"<p><p>Autologous tooth transplantation is a procedure that involves the replacement of a natural tooth with another at a new site or a surgically created recipient wound. With an appropriate selection of indications, studies report over 90% survival rates for transplanted teeth, even after 10 years. In this report, we presented a case of an incomplete rooted maxillary right third molar that was transplanted into the mandibular right first molar area. We also evaluated the stability of periodontal tissue, root development, and pulp regeneration after autologous tooth transplantation. The patient was a 20-year-old female who presented with the chief complaint of caries in the right mandibular first molar. The affected tooth was diagnosed as suitable for extraction because the crown decay progressed from the subgingival region to the furcation. Autologous tooth transplantation was performed using a right maxillary third molar with an incomplete root as the donor's tooth. After 6, 9, and 11 years of follow-up, radiographs showed stable periodontal tissue and a root apical condition. Root formation in the transplanted tooth proceeded smoothly without any problems. Root canal treatment was not required because the pulp demonstrated signs of vital response, and no stenosis or calcification of the pulp cavity was observed. The transplanted tooth also had a satisfactory occlusal function. Autologous tooth transplantation is a useful option for occlusal reconstruction following tooth extraction.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"7121013"},"PeriodicalIF":0.7,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12033063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143987210","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":"Cone Beam Computed Tomography Evaluation of Stafne Bone Defect: A Case Series and Review of Radiographic Features.","authors":"Ibrahim Yamany, Hanadi Sabban","doi":"10.1155/crid/4058835","DOIUrl":"https://doi.org/10.1155/crid/4058835","url":null,"abstract":"<p><p><b>Background:</b> Stafne's bone defects (SBDs) are rare, intraosseous lesions not only localized in the mandible but also asymptomatic by default and found occasionally at radiographically investigations. The size and location of these defects can vary, although most are located in the posterior mandible. Since anterior variants are less frequently reported, diagnostic imaging is crucial for distinguishing SBDs from other diseases. This case series documents both familiar and unusual appearances, highlighting the diagnostic value of cone beam computed tomography (CBCT) in the evaluation of SBDs. <b>Case Presentation:</b> This study evaluated four instances of SBDs using CBCT. In Case 1, a 48-year-old man without any clinical symptoms had a characteristic posterior SBD located beneath the inferior alveolar canal. Case 2 described a 28-year-old woman's unusual anterior mandibular SBD, which was accompanied with scalloping and tooth diversion. In Case 3, a 59-year-old woman had a unique case of bilateral SBDs with combined buccal and lingual depressions. In Case 4, a 47-year-old man had a large anterior SBD with partial root exposure and fenestration. In all cases, CBCT interpreted detailed three-dimensional imaging, assessing diagnosis and effective differentiation from other mandibular pathologies. <b>Conclusions:</b> CBCT proved to be essential in accurately diagnosing SBDs in every instance, particularly when it came to spotting unusual signs like anterior and bilateral lesions. The findings confirmed that SBDs are benign and typically do not require treatment. The improved radiographic capabilities of CBCT support the argument for conservative management strategies and improve diagnostic accuracy.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"4058835"},"PeriodicalIF":0.7,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11991811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003882","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":"Nonsyndromic Extraosseous Palate Neurofibroma of a 30-Year-Old Woman: A Case Report.","authors":"Fahimeh Akhlaghi, Fatemeh Mashhadiabbas, Milad Baseri, Sanaz Gholami Toghchi, Maryam Mohammadalizadeh Chafjiri, Ardeshir Khorsand","doi":"10.1155/crid/6778806","DOIUrl":"https://doi.org/10.1155/crid/6778806","url":null,"abstract":"<p><p>Neurofibroma (NF) is a benign peripheral nerve sheath tumor which consists of Schwann cells, perineurial-like cells, and fibroblasts. The NF can be central or peripheral, alone or multiple which is a manifestation of Type I neurofibromatosis. NFs are mostly found in the tongue, oral mucosa, and lips when appearing in the mouth cavity, but they are rare at palate in a solitary form. We report a case of a solitary NF originating in the hard palate in a 30-year-old woman. The patient had an asymptomatic, nonulcerated, sessile, pink, and smooth nodule measuring 15 × 25 × 5 mm with a firm consistency and defined border on the left side of the posterior part of the hard palate. She had a similar history about 12 years ago which was diagnosed as a benign myxoid tumor which was excised that time. The lesion was excised with a 3-mm safe margin. The periosteum was excised, but the palatal bone was intact and was not excised. IHC was positive for S-100 immunostaining. Eventually, the mass was diagnosed as a NF. The important point is that following the patient with NF is necessary, because it could be the primary sign of Type I neurofibromatosis. The follow-up of this patient is continuing, and until the accomplishment of this report, no relapse was evident.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"6778806"},"PeriodicalIF":0.7,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015336","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}
Jelena Vidas Hrstić, Mario Jakobović, Sanja Šegović, Gabriel Tokić, Ivana Brekalo Pršo
{"title":"Periapically Extruded Calcium Silicate Cements in Retreated Teeth: A Case Report and Literature Review.","authors":"Jelena Vidas Hrstić, Mario Jakobović, Sanja Šegović, Gabriel Tokić, Ivana Brekalo Pršo","doi":"10.1155/crid/9045789","DOIUrl":"10.1155/crid/9045789","url":null,"abstract":"<p><p>Calcium silicate-based materials, known for their bioactive properties, are increasingly being used in endodontic therapy. Accidental extrusion of these materials into the periapical tissue is a relatively common phenomenon that can impede periapical healing. The aim of this article is to present three endodontically retreated case reports with moderate to extensive periapical lesions and to review the literature on this topic. The comprehensive search and analysis of the relevant literature included a review of 51 articles, of which nine case reports/series from 2010 to 2023 were considered. Based on the summarized data, over 80% of the retreated cases showed complete healing of the periapical lesions, while the success rate in initially treated teeth was over 90%. Healing of periapical lesions is the most common therapeutic outcome, even in cases where extrusion occurs. Despite this conclusion, extrusion of materials into periapical tissues should be avoided. Further case reports on the extrusion of calcium silicate-based materials other than MTA are recommended. When evaluating the success rate of periapical healing in such cases, it is recommended to extend the follow-up periods to several years.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"9045789"},"PeriodicalIF":0.7,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11971511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796705","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}