Adepitan A Owosho, Katherine A DeColibus, Layne C Levy, Osariemen Okhuaihesuyi
{"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}
Cinzia Casu, Andrea Butera, Clara Gerosa, Andrea Scribante, Martina Salvatorina Murgia, Germano Orrù
{"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}
Josue Gallardo-Caudillo, Freddy Andrés Vivero-Alcivar, Cinthya María Quisiguiña-Salem, Sergio Esquivel-Martin
{"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}
Priscilla Sergi, Subhi Tayeb, Carlo Barausse, Gerardo Pellegrino, Lorenzo Roccoli, Stefano Ratti, Pietro Felice
{"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}
Juan Martín Pesántez Alvarado, Milton Fabricio Lafebre Carrasco
{"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}
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":"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":0.9,"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}