Mandana Karimi, Elham Ahmadi, Sepideh Arab, Pooya Raeesi
{"title":"Esthetic Management in Geminated and Supernumerary Maxillary Incisor Teeth With a Conservative Interdisciplinary Approach.","authors":"Mandana Karimi, Elham Ahmadi, Sepideh Arab, Pooya Raeesi","doi":"10.1155/crid/9091745","DOIUrl":"10.1155/crid/9091745","url":null,"abstract":"<p><p>This clinical report describes an 18-year-old male patient that had geminated and supernumerary maxillary incisor teeth causing anterior dental crowding and esthetic problems. In this case, a conservative interdisciplinary approach that included digital analysis, supernumerary tooth extraction, orthodontic space management, and ceramic veneers was done. With these conservative multidisciplinary treatments and digital analysis, the vitality of the geminated tooth was maintained, and the esthetic, function, and patient self-esteem were improved significantly.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"9091745"},"PeriodicalIF":0.9,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12317815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776519","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}
Sayed Shojaedin Shayegh, Zahra Mohammadi, Mohammad Amin Bafandeh, Mohammad Reza Nazemalroaya
{"title":"The Use of an Intraoral Scanner for the Fabrication of Maxillary Obturator Prosthesis in a Young Adult With Oronasal Fistula: A Case Report.","authors":"Sayed Shojaedin Shayegh, Zahra Mohammadi, Mohammad Amin Bafandeh, Mohammad Reza Nazemalroaya","doi":"10.1155/crid/1167521","DOIUrl":"10.1155/crid/1167521","url":null,"abstract":"<p><p><b>Background:</b> Cleft lip and palate require complex treatment, often involving early surgery. Postoperative complications, such as palatal fistulas, can impair speech and feeding. While surgical correction is standard, large fistulas may pose challenges due to age, cost, and recurrence risks. Obturator prostheses provide a nonsurgical alternative, but digital impression techniques for their fabrication are underutilized. This case report explores intraoral digital impressions for creating obturator/speech aid appliances in a patient with cleft palate deformities. <b>Methods:</b> A 17-year-old female with Class III malocclusion on a Class III skeletal base and increased facial proportion and IOFTN score of 5, with cleft palate-related eating difficulties, missing anterior teeth, and worn dentition, underwent intraoral scanning. Digital files were used to fabricate a premolar-to-premolar obturator, with relief areas and teeth arranged on printed casts. <b>Results:</b> The appliance effectively addressed functional and aesthetic concerns. <b>Conclusion:</b> Digital impressions offer precise, efficient, and comfortable fabrication of obturator prostheses compared to conventional methods. Despite initial costs, they reduce chair time, enhance accuracy for dental hard tissues, and improve patient experience, particularly for young patients with cleft lip and palate.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"1167521"},"PeriodicalIF":0.9,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12317820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776520","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}
Esra Uyguc, Ekin Yaylaci, Beril Koyuncu, Ovul Kumbuloglu
{"title":"Implant Osseointegration Adjacent to a Retained Root Fragment: A Case With 11-Year Follow-up.","authors":"Esra Uyguc, Ekin Yaylaci, Beril Koyuncu, Ovul Kumbuloglu","doi":"10.1155/crid/5547549","DOIUrl":"10.1155/crid/5547549","url":null,"abstract":"<p><p><b>Introduction:</b> There is a growing demand for implant dentistry as the first choice of rehabilitation for treating patients with missing teeth. Clinicians can encounter asymptomatic retained root fragments in edentulous spaces. This case report presents the long-term prognosis of an implant resulting in late failure, with an attached root remnant to the fixture 11 years after implant placement. <b>Case Report:</b> A 68-year-old female patient presented to the clinic with complaints of function related to a maxillary right four-unit implant-supported bridge 11 years after the first insertion of the implants. After the removal of the restoration, a root remnant was found as adhered to the fixture of the middle supporting implant. The implant was placed encroaching upon the mesial part of the residual root fragment left unintentionally, which was discovered accidentally during the bridge removal. <b>Conclusion:</b> Clinicians should show ultimate attention when utilizing the retained root remnants in implant sites, considering the potential risk of hindering osseointegration. However, osseointegration of the encroached implant and root fragment is plausible, with no detrimental short-term impacts observed. A risk-benefit evaluation should be assessed individually, as late failures can still occur. <b>Trial Registration:</b> ClinicalTrials.gov identifier: NCT06671678.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"5547549"},"PeriodicalIF":0.9,"publicationDate":"2025-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12301087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733921","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":"The Kang Appliance: A Novel Tooth-Borne Approach to Decompression of Dentigerous Cysts in Pediatric Patients.","authors":"Mary Chapman, Jenny Kang","doi":"10.1155/crid/8858187","DOIUrl":"10.1155/crid/8858187","url":null,"abstract":"<p><p>Dentigerous cysts are common odontogenic cysts that can cause significant disruption to normal tooth eruption and jaw development in pediatric patients. Traditional marsupialization techniques rely on tissue-borne appliances, which often lead to discomfort and frequent dislodgement in young patients. This case report presents a novel tooth-borne appliance, the Kang Appliance, as an effective alternative for marsupialization.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"8858187"},"PeriodicalIF":0.9,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12289358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709401","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":"Generalized Odontodysplasia: A Case Report of the Oldest Reported Patient.","authors":"Freddy Andrés Vivero-Alcívar, Lilibeth Stephania Escoto-Vásquez, Oscar Rohel Hernández-Ortega, Raymundo Ramírez-Lugo, Adriana Molotla-Fragoso","doi":"10.1155/crid/5602411","DOIUrl":"10.1155/crid/5602411","url":null,"abstract":"<p><p>Odontodysplasia is a dental anomaly that affects the maturation and formation of teeth, resulting in hypoplasia and hypocalcification of both enamel and dentin. It can affect one or several quadrants of the dentition, although generalized involvement is extremely rare. The exact cause is unclear, but trauma, infection, and nutritional or metabolic deficiencies have been suggested as possible contributing factors. Diagnosis requires a combination of clinical and radiological findings. Clinically, it presents as small teeth with yellow or brown discoloration, and it can affect both the primary and permanent dentition. Radiographically, there is reduced radiodensity, giving rise to a blurred or \"ghost tooth\" appearance. Histologically, these teeth show aprismatic enamel, interglobular dentin, and the presence of enamel-like calcifications known as enameloid conglomerates. Treatment depends on the extent of tooth involvement and the patient's age. This paper reports the case of a 31-year-old woman who presented with this rare anomaly in its generalized form, making her the oldest patient with this diagnosis reported in the literature.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"5602411"},"PeriodicalIF":0.7,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12279413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683372","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":"Maxillary Cystic Ameloblastic Fibroma in an 8-Year-Old Girl: A Case Report Featuring a Rare Histological Variant.","authors":"Nasser Raqe Alqhtani","doi":"10.1155/crid/7645367","DOIUrl":"10.1155/crid/7645367","url":null,"abstract":"<p><p><b>Objective:</b> This report is aimed at outlining the unusual cystic variant of ameloblastic fibroma to facilitate its demarcation from other odontogenic lesions, including dentigerous cysts and cystic ameloblastomas. <b>Case Report:</b> An 8-year-old girl with no significant medical history presented to the oral surgery department with a painless swelling in the right maxillary region, first noticed 1 month ago, which gradually increased in size, accompanied by monocortical expansion of the buccal cortex. Cone beam computed tomography revealed a well-demarcated unilocular low-density lesion in the right posterior maxilla, measuring approximately 3 × 2 cm; the central bony lesion involved an unerupted first permanent molar. Conservative enucleation of the lesion was performed, along with the removal of the impacted tooth. Microscopic examination showed a benign mixed cystic odontogenic tumor, displaying odontogenic epithelial strands with stellate-shaped fibroblasts in a myxoid cell-rich stroma. The epithelial cells were rounded to cuboidal, with no mitotic activity or signs of malignancy. The overall histological image suggested a cystic ameloblastic fibroma. <b>Conclusion:</b> Clinically and radiographically, cystic ameloblastic fibroma may resemble a dentigerous cyst due to the involvement of an impacted tooth with the lesion. However, these two entities can be clearly histologically differentiated, as the distinctive odontogenic epithelial strands in a myxoid cell-rich stroma that are seen in cystic AF will be absent in a dentigerous cyst.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"7645367"},"PeriodicalIF":0.7,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12263257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643852","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":"Crown-Root Fracture Treated With Super-Bond-A Case Report With 55 Months Clinical Follow-Up.","authors":"Yongwei Li, Hanlin Deng, Chan Lu, Shujie Li, Jiaqin Tang, Linyin Huang, Yingjiao Nong, Lihua Liang","doi":"10.1155/crid/6104187","DOIUrl":"10.1155/crid/6104187","url":null,"abstract":"<p><p>Crown-root fragment reattachment is an efficient method for restoring fractured teeth but is prone to failure due to complications such as microleakage or improper alignment, particularly when moisture control is compromised. In this case, the maxillary left central incisor that had sustained a complicated crown-root fracture was successfully reattached through a meticulously planned adhesive protocol. Specifically, precise visual reattachment on a small periodontal flap using the Super-Bond adhesive system in a controlled moisture led to favorable long-term results. The 55-month follow-up shows that conservative reattachment can restore function and appearance and preserve periodontal health.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"6104187"},"PeriodicalIF":0.7,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12263255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643851","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 Treatment of Bilateral Peg-Shaped Lateral Incisor and Restoration of a Harmonious Smile: A Case Report.","authors":"Abdullah Alshehri","doi":"10.1155/crid/3371424","DOIUrl":"10.1155/crid/3371424","url":null,"abstract":"<p><p>Peg-shaped lateral incisors are the most prevalent tooth size discrepancy, which can have a number of functional and aesthetic implications in affected people. This case report presents a conservative treatment approach to treat bilateral peg laterals and restore aesthetic harmony. A 21-year-old male patient complained about the shape and unaesthetic appearance of his two front teeth which negatively impacted his smile. The patient presented with bilateral peg laterals in the maxillary arch, and he had a stable occlusion with normal overjet and overlap and good periodontal health. Digital smile design (DSD) analysis revealed a discrepancy in crown width between Teeth #13 and #23 and gingival height discrepancy between Teeth #11 and #21, and #12 and #22. Accordingly, it was planned to perform a crown lengthening procedure to overcome the gingival height discrepancy of Teeth #12 and #21, place a full-contour resin composite restoration on Teeth #12 and # 22 and increase the mesiodistal width of Tooth #13. The patient underwent home teeth whitening for 2 weeks, followed by a 1-week observation period to ensure colour stability of the tooth. Laser gingivectomy was performed to correct the gingival height discrepancy, and incremental resin composite was used to restore the peg-shaped laterals. The restoration was contoured, finished and polished to obtain a smooth and glossy finish. The aesthetic treatment achieved excellent results, and the patient was pleased and excited with his new smile.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"3371424"},"PeriodicalIF":0.7,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12263263/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643850","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}
Anna Tomimatsu, Atsushi Kasamatsu, Masumi Igari, Chisato Hashimoto, Shuko Koide, Yutaro Kase, Manabu Iyoda, Dai Nakashima, Katsuhiro Uzawa
{"title":"Excision of a Solitary Neurofibroma in the Right Masseter Muscle via a High Perimandibular Approach: A Case Report and Review of the Literature.","authors":"Anna Tomimatsu, Atsushi Kasamatsu, Masumi Igari, Chisato Hashimoto, Shuko Koide, Yutaro Kase, Manabu Iyoda, Dai Nakashima, Katsuhiro Uzawa","doi":"10.1155/crid/8838385","DOIUrl":"10.1155/crid/8838385","url":null,"abstract":"<p><p>We present a case of solitary neurofibroma in the masseter muscle that was excised via the high perimandibular approach (HPMA). A 52-year-old Japanese man complained of an uncomfortable feeling in his right buccal region. On examination, the buccal mucosa appeared normal, and overall, there were no skin disorders on the patient's body. Computed tomography revealed a well-defined 33 × 22-mm mass in the right masseter muscle showing a low density in the center and a slightly higher density at the margin of the mass. Magnetic resonance imaging also showed a hyperintense area on T1-weighted and T2-weighted images in the masseter muscle. An excisional biopsy was scheduled for the diagnosis of the intramasseteric mass. It was performed via the HPMA with the patient under general anesthesia. The final diagnosis was a neurofibroma. The patient recovered after the surgery without postoperative complications, including facial nerve damage and trismus. He was satisfied with the esthetic outcome, and the tumor has not recurred over a 24-month follow-up period. Altogether, these outcomes indicate that the HPMA is an effective and useful option for excision of a tumor in the masseter muscle.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"8838385"},"PeriodicalIF":0.7,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12255488/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627398","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":"Symmetrically Erupted Upper Fourth Molars and an Impacted Fifth Molar: A Case Report.","authors":"Jian Shi, Ye Bi, Zhi Wu","doi":"10.1155/crid/3575942","DOIUrl":"10.1155/crid/3575942","url":null,"abstract":"<p><p><b>Introduction:</b> Supernumerary teeth are often asymptomatic and impacted within the jawbone, typically identified during routine radiographic examinations. While cases of impacted fourth molars have been reported, bilaterally erupted fourth molars are exceedingly rare. This case report presents a unique instance of symmetrically erupted maxillary fourth molars, along with an impacted fifth molar in the right upper jaw. <b>Case Presentation:</b> A 38-year-old male presented with food impaction and discomfort in the area of the left maxillary third molar. Clinical examination revealed bilaterally erupted fourth molars, and a panoramic radiograph incidentally uncovered an impacted fifth molar in the right maxilla. Cone beam computed tomography confirmed these findings. The left maxillary fourth molar was diagnosed with periapical periodontitis. Both the left maxillary third and fourth molars were extracted under local anesthesia. Periodic follow-up of the right fourth and fifth molars was recommended based on symptom progression and patient preference. The patient expressed satisfaction with the treatment plan and surgical outcome. <b>Conclusion:</b> This report documents a rare case of symmetrically erupted fourth molars with an associated impacted fifth molar in the maxilla. The treatment strategy and surgical approach should be tailored to the patient's symptoms and willingness to undergo the recommended procedures.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"3575942"},"PeriodicalIF":0.7,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12253987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627400","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}