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  International Journal of Medical and Dental Case Reports (2018), No.1, Vol 5 Issue  
 
 CASE REPORT
A recurrence case of keratocystic odontogenic tumor
Tejavathi Nagaraj, Haritma Nigam, Arundhati Biswas, C. K. Sumana
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ABSTRACT

Keratocystic odontogenic tumor is a rare, benign, intraosseous tumor of odontogenic origin with a potential of aggressive and infiltrative behavior. It shows specific histopathological features, and follow-up is characterized by a high rate of recurrence. Moreover, therefore, to reduce the chances of recurrences, along with the surgical modalities like enucleation, chemical and thermal cauterization may be used to deal with the problem of satellite microcysts. We present a case of odontogenic keratocyst with recurrence in a 60-year-old male who reported with the chief complaint of pain in left mandible.

Keywords: Enucleation, Keraocystic odontogenic tumor, recurrence

How to cite the article: Nagaraj T, Nigam H, Biswas A, Sumana CK. A recurrence case of keratocystic odontogenic tumor. Int J Med Dent Case Rep 2017;4:1-4.

Received 20 December 2017;

Accepted: 11 January 2018

 
 CASE REPORT
Paradental cyst of mandibular third molar - A case report
Subash Beloor Vasudev, Asha R. Iyengar, Ramya Madhuri Kotni, Divya Tiwari, Ritika Agarwal
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ABSTRACT

The term paradental cysts (PC) was first introduced by Craig in 1976 and is described as “A cyst of uncertain origin found primarily on the distal or facial aspect of a vital mandibular third molar, consisting of intensely inflamed connective tissue and epithelial lining.” It is included in the group of rare lesions constituting 1-5% of all odontogenic cysts. PC is often associated with mandibular third molars and less frequently, with the second and first molars and rarely with premolars or canines/incisors. Not many cases of PC have been reported in maxillary teeth. The PC has been misdiagnosed as dentigerous cyst, lateral radicular cyst, pericoronal abscess, or some other entity related to the inflammatory conditions of the dental follicle. Lesions like dentigerous cyst may transform to an ameloblastoma, squamous cell carcinoma, or mucoepidermoid carcinoma which requires moderate to extensive surgical interventions with varied prognosis. Lateral radicular cyst and pericoronal abscess require minimal intervention. On the other hand, the topography, behavior, and clinical management are different with a better prognosis for PC. Therefore, it is important to diagnose PC by correlating the radiographic and histologic findings from other entities.

Keywords: Dentigerous cyst, mandibular third molars, odontogenic cysts, paradental cyst

How to cite this article: Vasudev SB, Iyengar AR, Kotni RM, Tiwari D, Agarwal R. Paradental cyst of mandibular third molar - A case report. Int J Med Dent Case Rep 2017;4:1-4.

Received: 23 December 2017;

Accepted: 28 January 2018

 
 CASE REPORT
The squamous cell papilloma of gingiva with mild dysplasia: A case report
Mayur A. Dhavan, Lalitha B. Shiggaon, Alka S. Waghamre, Anuradha Bhatsange
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ABSTRACT

Squamous papillomas are benign proliferating lesions caused by human papillomavirus. Periodontitis is a multifactorial disease affecting the oral cavity with main etiologic factor as a microbial biofilm. Recently, viruses have shown association with periodontitis. Periodontal pockets and gingival sulcus of patients with periodontal diseases exhibit the presence of human papillomaviruses (HPV). This could link periodontitis to HPV associated squamous cell carcinoma. HPV most commonly affects the oral cavity with a predilection for the tongue, hard and soft palate, gingiva, buccal mucosa, and uvula. Hence, we present a case report of chronic periodontitis patient with squamous cell papilloma of gingiva with mild dysplasia.

Keywords: Gingiva, human papillomaviruses virus, mild dysplasia, periodontitis, squamous papilloma

How to cite this article: Dhavan MA, Shiggaon LB, Waghamre AS, Bhatsange A. The squamous cell papilloma of gingiva with mild dysplasia: A case report. Int J Med Dent Case Rep 2017;4:1-3.

Received: 2 January 2018;

Accepted: 6 February 2018

 
 CASE REPORT
Management of multiple odontogenic keratocyst in a case of Gorlin-Goltz syndrome and literature review
Shruthi Saralaya, Venkatesh Anehosur, Deepthi Shetty, Rajarshi Ghosh
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ABSTRACT

Gorlin-Goltz syndrome represents a series of multiorgan abnormalities known to be the consequence of abnormalities in the human patched gene and increases the risk of developing various cancerous and non-cancerous tumors. It is a rare autosomal dominant syndrome with a high level of penetrance and variable expressiveness. We present a case of Gorlin-Goltz syndrome with no familial history, who was incidentally diagnosed with syndrome and presenting with multiple odontogenic keratocysts, palmar pits, bilamellar calcification of falx cerebri, and bifid ribs. This case highlights the importance of early diagnosis, the need for awareness of diagnostic criteria in cases with no typical skin lesions followed by multidisciplinary approach to delay the progress of the syndrome. Thus, it is important that different heath specialists be aware of the main features of this syndrome so as to diagnose the condition at earliest to provide appropriate surgical treatment.

Keywords: Gorlin-Goltz syndrome, odontogenic keratocysts, PTCH1 gene

How to cite this article: Saralaya S, Anehosur V, Shetty D, Ghosh R. Management of multiple odontogenic keratocyst in a case of Gorlin-Goltz syndrome and literature review. Int J Med Dent Case Rep 2018;5:1-3

eRceived 12 January 2018;

Accepted 26 February 2018

 
 CASE REPORT
Asymptomatic painless swelling in anterior maxilla - A clue for the diagnosis of radicular cyst: A case report
Sourav Chandra, Neha Subbaiah M, Pratibha Shashikumar, Annapoorna B M
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ABSTRACT

The most frequently occurring odontogenic cyst of the jaw is the radicular cyst which occurs as a well-defined radiolucency around the apex of the tooth involved, more common in maxilla than mandible. Odontogenic cysts can be either developmental or inflammatory in origin. The most common inflammatory odontogenic cyst is the apical periodontal cyst (dental root end cyst) or what is most commonly known as the radicular cyst. Although non-surgical is the trending treatment of choice in management of a periapical cyst, surgical approach is recommended in extensive periapical lesions. The present case report was an asymptomatic painless swelling on the roof of hard palate for 12 months. The cyst was managed by enucleation followed by apicoectomy and orthograde obturation of the offending teeth. For definitive diagnosis of radicular cyst of maxilla which is extending extensively, stepwise clinical, radiological, and laboratory evaluation are essential.

Keywords: Apical periodontal cyst, enucleation, radicular cyst

How to cite this article: Chandra S, Subbaiah MN, Shashikumar P, Annapoorna BM. Asymptomatic painless swelling in anterior maxilla - A clue for the diagnosis of radicular cyst: A case report. Int J Med Dent Case Rep 2018;5:1-4.

Received 02 February 2018;

Accepted 05 March 2018

 
 CASE REPORT
Diagnosis and management of mandibular hyperdontia in a non-syndromic patient: A rare case report
Suman Panda, Megha Gupta
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ABSTRACT

Odontogenic anomalies are frequently observed by the pediatric dentist in their routine practice. These anomalies may pose a challenge to the dentist considering the magnitude of severity and the developing dentition of the child. Hyperdontia in the mandibular anterior region is a rare occurrence. We describe a case report of an 8-year-old child presenting with the concurrent occurrence of geminated tooth and a supplemental tooth in the mandibular anterior (incisor) region. Timely extraction of the geminated tooth was done to avoid tooth material arch length discrepancy. The surgical removal of the geminated teeth alleviated the mandibular anterior crowding in the patient, improved esthetics, and prevented the malocclusion due to the tooth material arch length discrepancy from progressing to a more severe form. The patient is presently being monitored every 3 months and will be evaluated for the orthodontic treatment once he attains the complete permanent dentition. It is very important for the dentists to have sound knowledge of the odontogenic anomalies seen in children. Early diagnosis and prompt treatment will help to achieve better occlusion, function, and esthetics in the patient and prevent malocclusion.

Keywords: Dental fusion, gemination, supernumerary teeth, supplemental teeth, tooth anomaly

How to cite the article: Panda S, Gupta M. Diagnosis and management of mandibular hyperdontia in a non-syndromic patient: A rare case report. Int J Med Dent Case Rep 2018;5:1-3.

Received 12 February 2018;

Accepted 07 March 2018

 
 CASE REPORT
Congenital insensitivity to pain - A rare case report
Tejavathi Nagaraj, Haritma Nigam, Sita Gogula, Swati Saxena
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ABSTRACT

Congenital insensitivity to pain is defined as persistent occurrences of infections and inexplicable fever, anhidrosis (inability to sweat), and lack of response to deleterious stimuli, self-mutilating performance, mental abnormalities, and injuries to oral cavity. This syndrome can be diagnosed by clinical features, and genetic test is considered as a diagnostic tool. The diagnosis of this syndrome should be done earlier to provide greater lifespan to the patient, thus preventing ejections. In the present case, 3-year-old boy came to our department with the chief complaint of shaking upper front teeth for 1 day and his parents gave a history of congenitally absence of pain and temperature sensations since birth.

Keywords: Genetics, pain, self-mutilation

How to cite this article: Nagaraj T, Nigam H, Gogula S, Saxena S. Congenital insensitivity to pain – A rare case report. Int J Med Dent Case Rep 2018;4:1-4

Received: 01 February 2018;

Accepted: 05 March 2018

 
 CASE REPORT
Precocious puberty in a 30-month-old Nigerian girl: A case report
S. E. Eyam, E. E. L. Ekpe
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ABSTRACT

The development of secondary sexual characteristics before the expected age and sex is termed precocious puberty. It is usually due to excessive sex steroids production. Cases of precocious puberty are uncommon worldwide with a prevalence of 1/5000–1/10000 per children population and a female to male ratio of 10:1. In Nigeria, the prevalence is unknown with only a few reported cases, probably due to superstitious and religious beliefs. A high proportion of reported cases globally are of the gonadotropin-dependent (central) type. A case is being reported of a 30-month-old female non-identical twin in Cross River State, South-South of Nigeria, who presented with a 6-month history of bleeding per vagina, premature breast development and pubic hair distribution (Tanner stage 3). The patient had appropriate serum concentrations of the pituitary gonadotrophins and gonadal hormones for age. Precocious puberty was not a finding in the family history, and twin and other siblings had normal growth pattern. Radiological and endocrine investigations were diagnostic of precocious puberty. Hence, being proactive with a high index of suspicion is required of clinicians to be able to identify endocrine abnormalities that are increasing in prevalence and are going unnoticed in our environment, among the pediatric age group.

Keywords: Gonadotrophins, hormones, pediatric, precocious, puberty, steroids

How to cite this article: Eyam SE, Ekpe EEL. Precocious puberty in a 30-month-old Nigerian girl: A case report. Int J Med Dent Case Rep 2018;5:1-3.

Received: 02 January 2018;

Accepted: 27 March 2018

 
 CASE REPORT
Lobular capillary hemangioma: A case report
Tejavathi Nagaraj, Sita Gogula, H. N. Santosh, Haritma Nigam, C. K. Sumana
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ABSTRACT

Lobular capillary hemangioma also known as pyogenic granuloma is a rapidly growing benign neoplasm of oral cavity and mucous membrane. The present case is about a 65-year-old male patient who had reported with a chief complaint of pain in the right posterior back tooth region since 2–3. Lobular capillary hemangioma is normally presented on the gingiva as a response local irritation such as calculus, fractured tooth, minor trauma, rough dental restorations, and foreign materials. Here, in this case, we excised the lesion and the histopathological report confirms the diagnosis.

Keywords: Gingiva, hemangioma, vascular malformation

How to cite this article: Nagaraj T, Gogula S, Santosh HN, Nigam H, Sumana CK. Lobular capillary hemangioma: A case report. Int J Med Dent Case Rep 2017;4:1-3.

Received: 23 December 2017;

Accepted: 11 January 2018

 
 CASE REPORT
An innovative approach for faster orthodontic tooth movement – A case report
Sourav Chandra, Mrudul Vaidya, B. S. Avinash, H. Jyothikiran, N. Raghunath
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ABSTRACT

Wilckodontics also known as Periodontally Accelerated Osteogenic Orthodontics (PAOO) is a technique used to reduce orthodontic treatment time and achieve faster tooth movement as compared with conventional orthodontics. This present case demonstrates the use of piezosurgery to facilitate rapid orthodontic tooth movement in relatively shorter treatment time. The total treatment time required to complete the orthodontic treatment was 13 months for this case.

Keywords: Accelerated orthodontics, periodontally accelerated osteogenic orthodontics, regional acceleratory phenomena, Wilckodontics

How to cite the article: Chandra S, Vaidya M, Avinash BS, Jyothikiran H, Raghunath N. An innovative approach for faster orthodontic tooth movement – A case report. Int J Med Dent Case Rep 2018;5:1-4.

Received 02 February 2018;

Accepted 22 March 2018

 
 CASE REPORT
Nonsyndromic oligodontia - A rare case report
Tejavathi Nagaraj, C. K. Sumana, Sita Gogula, Haritma Nigam
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ABSTRACT

Oligodontia is a rare congenital disorder which clinically presents as missing six or more teeth in deciduous, permanent, or both dentitions. Usually, oligodontia is seen as a part of few syndromes rarely occurs as an isolated entity. Msh homeobox 1 and paired box 9 genes are found to be responsible for nonsyndromic oligodontia. We present a case report a 17-year-old male patient, who had the absence of multiple teeth. General physical examination revealed there was no abnormality in either hair or nails, perspiration was normal and no congenital clefts of lip or palate were seen suggesting that he was not suffering from any syndromes. Hence, in our case, oligodontia was not associated with any syndrome which is a rare finding.

Keywords: Congenital, developmental, nonsyndromic, oligodontia

How to cite the article: Nagaraj T, Sumana CK, Gogula S, Nigam H. Nonsyndromic oligodontia - A rare case report. Int J Med Dent Case Rep 2018;4:1-3.

Received: 11 November 2017;

Accepted: 3 January 2018

 
 CASE REPORT
Indian male with recurrent Kimura’s disease: A case report
Sushmini Hegde, Kavya Shankar M, Arsha Donly
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ABSTRACT

Kimura’s disease (KD) is an inflammatory disease of unsure etiology which presents as a painless subcutaneous swelling in the head and neck region that involves major salivary glands and regional lymph nodes. KD mainly had seen in head and neck area, and typically presents as tumor-like lesions that could be easily misdiagnosed. The maxillofacial involvement of KD is scarce. Kimura disease is occasionally puzzled with angiolymphoid hyperplasia with eosinophilia, which is usually associated with skin of the head and neck region. The anatomic sites of involvement of KD include posterior-auricular, cervical, and inguinal, epitrochlear lymph nodes, and salivary gland involvement. Here, we report a case of a 33-year-old Indian patient with KD who presented with unilateral nodular swelling in the right cheek region. The diagnosis of KD was made due to the previous history of surgeries, characteristic histopathologic findings along with peripheral eosinophilia, and high serum immunoglobulin E levels. Keywords: Eosinophilia, Kimura, nephrotic syndrome, parotid gland

How to cite the article: Hegde S, Shankar K, Donly A. Department of Oral Medicine and Radiology, The Oxford Dental College, Bengaluru, Karnataka, India. Int J Med Dent Case Rep 2018;5:1-2.

Received 10 March 2018;

Accepted 15 April 2018

 
 CASE REPORT
Fusion in primary maxillary incisors: A case report
Hazim Mohamed Rizk, Mohamed Al-Ruthea
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ABSTRACT

Developmental anomalies of the dental hard tissue are frequently encountered in the clinical practice. Tooth fusion, an unusual anomaly in the shape of the tooth, results of union of two separate tooth germs. This paper describes the management of 4-year-old child presenting with a carious fusion of tooth 51 and 52. Keywords: Developmental anomalies, fusion, gemination, primary incisors

How to cite this article: Rizk HM, Al-Ruthea M. Fusion in primary maxillary incisors: A case report. Int J Med Dent Case Rep 2018;5:1-4.

Received 20 March 2018;

Accepted 1 May 2018

 
 CASE REPORT
Incidental-imaging finding in the practice of oral diagnosis/oral medicine. A case report: Phleboliths in the maxillofacial region with literature review
Jonathan F. Carrera, Mel Mupparapu, Juan M. Bugueno
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ABSTRACT

Aim: This case describes multiple phleboliths found incidentally during a routine dental examination.

Background: Phleboliths are pathological entities that are often associated with hemangiomas or vascular malformations in the maxillofacial region.

Case Report: A 56-year-old female presented for comprehensive dental examination. Extraoral examination showed no facial skin abnormalities, lymphadenopathy, or salivary gland enlargement. Intraoral examination disclosed normal oral tissues, partially edentulous jaws, multiple dental restorations, recurrent caries, and marginal periodontal disease. Dental radiographs were obtained including an orthopantomograph, which revealed multiple well-defined, rounded radiopaque masses with laminated appearance, approximately 6-8 mm in diameter, located on the right side, and mainly superimposed on the coronoid process of the mandible. Magnetic resonance imaging with contrast confirmed the presence of low signal intensity foci suggestive of phleboliths, involving the inferior aspect of the right temporalis muscle, and extending anteriorly to the lateral pterygoid muscle within the retro antral fat of the right face, most compatible with a slow flow vascular malformation. Computed tomography angiography of head and neck with contrast verified the presence of multiple phleboliths involving the muscles of mastication on the right face and with no evidence of hemodynamically significant stenosis of the cervical and head blood vessels.

Conclusion: Phleboliths in the maxillofacial area are mostly asymptomatic, and could represent the presence of a serious vascular anomaly.

Clinical Significance: Dentists should be aware of these calcified bodies to avoid the risk of hemorrhage during oral and maxillofacial treatments. The clinician must be vigilant when considering, particularly, surgical procedures in the head and neck region.

Keywords: Incidental findings, oral medicine, vascular malformation

How to cite the article: Carrera JF, Mupparapu M, Bugueno JM. Incidental-imaging finding in the practice of oral diagnosis/oral medicine. A case report: Phleboliths in the maxillofacial region with literature review. Int J Med Dent Case Rep 2018;5:0-0.

Received: 12 April 2018;

Accepted: 01 June 2018

 
 CASE REPORT
Hemisection: A ray of hope for the management of periodontally compromised mandibular molars - A case report and review
Sourav Chandra, Pratibha Shashikumar, Doiphode Minu Vijay, Bhawna Kumari
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ABSTRACT

Advances in dentistry and increased awareness of the patient have led to a shift in various treatment modalities such as hemisection, root amputation, and bicuspidization of teeth which would have been extracted few years back. Molars are the first permanent teeth to erupt in the oral cavity and are most commonly extracted due to caries and periodontitis. The loss of posterior molar teeth can result in several undesirable sequelae including mesial migration of teeth, loss of vertical dimension of occlusion, supraeruption of opposing teeth, alveolar bone loss, and a decrease in chewing ability. Hemisection is one of the treatment options for patients with severe bone loss and compromised periodontium. Under specific condition, only the diseased root is removed and the remaining part of the tooth is preserved to support a fixed prosthesis, thus increasing the pericemental area.

Keywords: Class III furcation defect, hemisection, mandibular molar treatment

How to cite the article: Chandra S, Shashikumar P, Vijay DM, Kumari B. Hemisection: A ray of hope for the management of periodontally compromised mandibular molars - A case report and review. Int J Med Dent Case Rep 2018;5:1-4.

Received: 01 May 2018;

Accepted: 15 June 2018

 
 
     
 
   
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