Case Reports in Dentistry最新文献

{"title":"Symptomatic Maxillary Sinus Retention Cyst Following a Prior Sinus Perforation: A Case Report.","authors":"Arta Sinanaj Demiri, Shaqir Demiri, Edin Demiri, Besir Salihu","doi":"10.1155/crid/1849358","DOIUrl":"10.1155/crid/1849358","url":null,"abstract":"<p><p>Maxillary sinus retention cysts (MSRCs) are benign, fluid-filled lesions most often discovered incidentally on radiographic imaging. Although typically asymptomatic, larger cysts may lead to clinical symptoms due to pressure on surrounding sinus structures. This report presents a rare symptomatic case of an MSRC in a 70-year-old female patient with a prior history of sinus perforation following upper molar extraction. The patient experienced severe unilateral facial pain, nasal congestion, debilitating headaches, and dizziness over a 6-month period. Radiographic imaging (CT scan) revealed a well-circumscribed, dome-shaped lesion in the right maxillary sinus without signs of bone erosion. Given the failure of conservative management and the intensity of symptoms, surgical intervention via the Caldwell-Luc approach was performed. Intraoperatively, the cystic lesion was enucleated and sent for histopathological examination. Histology confirmed a benign retention cyst lined with respiratory epithelium, along with inflammatory infiltrates and the unusual presence of cholesterol crystals, which is an uncommon finding in MSRCs. The patient's history of sinus perforation likely contributed to chronic inflammation and cyst formation. This case emphasizes the importance of considering dental history, particularly previous maxillary molar extractions with sinus involvement, in patients presenting with atypical sinus symptoms. While endoscopic sinus surgery is often the preferred approach, the Caldwell-Luc procedure remains valuable in selected cases with complex anatomy or previous surgical alterations. Clinicians should be aware of rare presentations of MSRCs that may require tailored surgical management for symptom resolution and recurrence prevention.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"1849358"},"PeriodicalIF":0.7,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12165754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303223","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 Follow-Up of Multiple Autotransplantations Combined With Orthodontic Treatment After Traumatic Dental Injury: A Case Report.","authors":"Johan Willem Booij, Barbara Disconzi, Marco Serafin, Alberto Caprioglio, Dick Barendregt","doi":"10.1155/crid/7098948","DOIUrl":"10.1155/crid/7098948","url":null,"abstract":"<p><p>In this case report, we present the treatment of an adult patient who had experienced dental trauma resulting in the loss of one tooth and damage to two others. The patient was referred to our clinic 4 years after the accident, where a comprehensive examination revealed external root resorption and loss of supporting tissue. To address the patient's concerns, we developed an interdisciplinary treatment plan, which included orthodontic treatment to level the curve of Spee, reduce the deep bite, and extrude the affected teeth. After that, we extracted the damaged Teeth 2.1 and 2.2 due to their poor prognosis and replaced them with autotransplantation of Teeth 1.4 and 3.1. Before the procedure, both teeth underwent endodontic treatment, and 6 weeks later, they were built up to aesthetically and functionally replace the lost teeth. Additionally, postautotransplantation orthodontic treatment was conducted to close the donor site space and bring the autotransplanted teeth to an ideal position. The interdisciplinary approach and successful treatment of this case suggest that autotransplantation can be a valid option for restoring compromised teeth, especially in adult patients who require orthodontic treatment. In conclusion, autotransplantation offers multiple benefits, including preserving the natural dentition, avoiding the use of dental implants or prostheses, and achieving excellent aesthetic and functional results. Furthermore, this case underscores the importance of individualized treatment planning and collaboration among dental specialists to achieve optimal outcomes for patients.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"7098948"},"PeriodicalIF":0.7,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12163219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303222","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":"Peri-Implant Architecture Management With Customized Healing Abutment in Flowable Composite in Immediate Implants: Two Case Reports and Narrative Review.","authors":"Jorge Andrés Velazco Dávila, Luis Fernando Rosales García, Laura Valeria Torres Agudelo, Gloria Cristina Moreno Abello","doi":"10.1155/crid/5538611","DOIUrl":"10.1155/crid/5538611","url":null,"abstract":"<p><p><b>Background:</b> The management of peri-implant tissue seeks to meet the aesthetic expectations of patients, with a smaller number of procedures that favor the development and maintenance of healthy peri-implant soft tissue. The customized healing abutment technique on immediate implants has demonstrated numerous functions for the success of restorations on implants. <b>Objectives:</b> The objective of the study is to analyze the biological aspects of the customized healing abutment using PEEK and flowable composite to condition the peri-implant tissues by presenting a clinical case of a patient from the oral surgery service of Pontificia Xavierian University. <b>Case Report:</b> A patient underwent the placement of two postextraction implants and customized healing abutments in the posteroinferior area. <b>Discussion:</b> This technique is aimed at maintaining the volume of keratinized mucosa and creating an emergence profile for the future prosthesis and reducing the risk of peri-implantitis. The development of healthy peri-implant soft tissues is essential to achieve the aesthetics and biological success of implant-supported restorations in all stages of healing and tissue maturation, and the abutment is essential because it allows a biological seal that protects the bone tissue. <b>Conclusion:</b> It was demonstrated that the use of the customized healing abutment with PEEK and flowable composite immediately after implant placement after dental extraction keeps the volume of the soft and hard tissues around the implants at the time of definitive rehabilitation.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"5538611"},"PeriodicalIF":0.7,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12140825/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235532","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":"<i>Barbell Technique</i> Associated With <i>Sinus Lift</i> for Horizontal and Vertical Guided Bone Regeneration-Case Report.","authors":"Fernanda Calvo Costa, Thaís Cachuté Paradella, Fernando Vagner Raldi, Michelle Bianchi-de Moraes, Rodrigo Dias Nascimento","doi":"10.1155/crid/3253904","DOIUrl":"10.1155/crid/3253904","url":null,"abstract":"<p><p><b>Background:</b> Dental absences are a worldwide issue, affecting patients both socially and functionally. Implant rehabilitation is the gold standard treatment; however, prior bone reconstructions may be necessary. The Barbell Technique is a guided bone regeneration technique recommended for defects of various morphologies, allowing for vertical and horizontal unidirectional or bidirectional regeneration, that is, both on the buccal and palatal/lingual sides. The objective of this paper is to report a case of bone reconstruction in the posterior maxilla prior to implant rehabilitation, where the Barbell Technique was performed together with a sinus lift. <b>Methods:</b> This study consists of a case report of a 77-year-old male patient with the absence of first and second right bicuspids and a history of implant losses in the area. The initial CT scan showed horizontal and vertical alveolar atrophy, making implant placement impossible. Regeneration was performed using a sinus lift for vertical recovery and the Barbell Technique for horizontal regeneration, using xenogeneic bone covered by a collagen membrane. After 6 months, a new CT scan suggested sufficient bone volume, and two implants were guidedly placed based on digital planning. <b>Results:</b> Comparison of CT scans before and after the grafts showed a horizontal bone gain of 70% and a vertical gain of 33%. Six months after the reconstructive surgery, dental implants were placed, followed by the installation of individual crowns after 45 days. At the 24-month follow-up, no complications related to the implants or prostheses were observed. <b>Conclusion:</b> In this clinical case, for the first time in the literature, the association of the techniques allowed the regeneration of the defect, with the subsequent placement of implants in the ideal position and prosthetic rehabilitation.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"3253904"},"PeriodicalIF":0.7,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122148/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182164","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 Unique Comparison of Tooth Extraction Before and After Emicizumab Prophylaxis in a Patient With Haemophilia A and Inhibitors.","authors":"Miki Zaizen, Takahiro Yagyuu, Sachiko Yata, Hiroshi Nakamura, Mitsuhiko Imada, Nobuhiro Yamakawa","doi":"10.1155/crid/8128415","DOIUrl":"10.1155/crid/8128415","url":null,"abstract":"<p><p>Haemophilia A is an inherited X-linked bleeding disorder caused by Factor VIII deficiency; approximately 30% of the patients with haemophilia A develop inhibitors against Factor VIII. Emicizumab has been licenced for the prevention of bleeding in patients with haemophilia A with inhibitors and has demonstrated an 87% reduction in the annualised bleeding rate compared with on-demand therapy in patients with haemophilia A with inhibitors. Emicizumab is approved not only for patients with inhibitors but also for those without inhibitors. However, no reports exist on intraindividual comparisons of perioperative management of tooth extraction before and after emicizumab prophylaxis. This case report describes the perioperative management of similar tooth extractions in the same patient with haemophilia A with inhibitors before and after the initiation of emicizumab. This report provides a unique opportunity for intraindividual comparison of the usage of bypassing agents, postextraction bleeding, and medical costs with and without emicizumab. Furthermore, our report also supports the hypothesis that emicizumab is superior in preventing postoperative bleeding complications.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"8128415"},"PeriodicalIF":0.7,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182260","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":"Young Female With Gingival Lesion of Intraoral Osseous Choristoma: A Rare Case Report.","authors":"Ahmad Khaled Alhakim, Shady Ahmed Moussa, Esam Halboub","doi":"10.1155/crid/7706892","DOIUrl":"10.1155/crid/7706892","url":null,"abstract":"<p><p>Choristoma is a mass of tissue with normal histology similar to a part of the body that is different from the one in which it is located. It differs from the hamartomatous group of pathology which is normal tissue, but disorganized, found in an abnormal location. Documentation of the occurrence of osseous choristoma lesions in the oral cavity has been scarce, and most of the cases have been reported in the tongue. It is very seldom to arise from the interdental gingiva. Indeed, choristoma is considered a developmental anomaly, involving younger individuals, although many cases among older adults have been reported. The differential diagnoses include cartilaginous metaplasia, pleomorphic adenoma, salivary gland tissue, and the lesions of inflammatory or traumatic origin that may give rise to hamartomas in the oral cavity. In this case report, we present a case of osseous choristoma arising from the mandibular, posterior buccal gingiva in a young female patient.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"7706892"},"PeriodicalIF":0.7,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12119154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175312","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":"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}