Atypical hard tissue formation around multiple teeth

Author(s):  
Valerie G.A. Suter ◽  
Peter A. Reichart ◽  
Dieter D. Bosshardt ◽  
Michael M. Bornstein
Keyword(s):  
Development ◽  
1977 ◽  
Vol 41 (1) ◽  
pp. 279-287
Author(s):  
J. A. Sofaer

The semidominant gene ‘crooked’ (Cd) in the mouse produces anomalies of the axial skeleton (resulting in a crooked tail), microphthalmia and dental abnormalities, including small molars with simplified cusp patterns that are equivalent to patterns passed through during normal morphodifferentiation. A series of embryonic litters from Cd/ + × Cd / + matings was used to investigate the embryological basis for the dental abnormalities. Microphthalmic embryos were classed as Cd/Cd, and their most normal litter mates were selected as controls (+ / + or Cd / +). An additional set of control embryos came from the inbred strain CBA/Cam (+ / +). Serial sagittal sections of the heads of these embryos were examined microscopically, and the maximum anteroposterior diameters of the developing upper and lower first molars were measured. Reduction in the rates of growth and morphodifferentiation of Cd/Cd first molars, relative to those of litter mate controls, was associated with the appearance of an adjacent abnormal proliferation of the dental lamina. Some proliferations in older embryos showed signs of early tooth germ formation, but many were seen to have regressed and no examples of supernumerary teeth have been found in Cd/Cd adults. Small size of Cd/Cd molars may therefore result from competitive inhibition of molar growth by a transient abnormal laminal proliferation, and Cd/Cd cusp patterns from the relatively premature onset of hard tissue formation during normal but retarded sequences of morphodifferentiation.


2021 ◽  
Vol 33 (2) ◽  

When pulpal necrosis occurs in immature teeth, one of the treatment alternatives is the creation of an artificial apical barrier through the placement of an apical plug. However, controlling the mineral trioxide aggregate (MTA) during placement has proven difficult. Several studies evaluated the use of resorbable barriers to act as an internal matrix to prevent accidental extrusion of MTA. The aim of this case report was to document the effectiveness of Surgicel as a modified internal matrix for proper placement of MTA during management of immature teeth with necrotic pulp using the apical plug technique. A 12-year-old female patient reported with the chief complaint of a badly mutilated lower right second premolar. The tooth suffered enamel hypoplasia and had a defective coronal structure. It was asymptomatic except for slight tenderness to percussion. Based on the clinical and radiographic findings, a diagnosis of pulpal necrosis with symptomatic apical periodontitis was made. The 3- and 6-month followup showed radiographic evidence of continued root and hard tissue formation. Based on these findings, we infer that Surgicel can be used as a modified internal matrix to prevent extrusion of the MTA into the periapical area and allow for proper MTA placement. Keywords: Apexification; Apical plug; Mineral trioxide aggregate; Calcium hydroxide; Surgicel; Modified internal matrix


Author(s):  
H. J. Höhling ◽  
J. Althoff ◽  
R. H. Barckhaus ◽  
E.-R. Krefting ◽  
G. Lissner ◽  
...  

2008 ◽  
pp. 110306233438005
Author(s):  
Weibo Zhang ◽  
X. Frank Walboomers ◽  
Gerjo J.V.M. van Osch ◽  
Juliette van den Dolder ◽  
John A. Jansen

2019 ◽  
Vol 152 (Supplement_1) ◽  
pp. S48-S48
Author(s):  
Sakshi Sakshi ◽  
Riya Kuklani

Abstract Ameloblastic fibroma (AF) is an uncommon benign odontogenic true mixed tumor comprising neoplastic epithelial and mesenchymal tissues. It constitutes only approximately 2% of odontogenic tumors and is defined by the World Health Organization (WHO) as “neoplasm composed of proliferating odontogenic epithelium embedded in cellular ectomesenchymal tissue that resembles the dental papilla and epithelial strands and varying degrees of inductive changes and dental hard tissue formation.” The tumor is most common in the first and second decades of life with a slight male predilection. The most common site is the posterior mandible and 75% of the cases are associated with an unerupted tooth. Radiologically, it may present as a unilocular or multilocular lesion. The treatment of choice could range from aggressive curettage for a small unilocular lesion to wide local excision for a large multilocular lesion. The prognosis is usually good, with a recurrence rate of approximately 20%. Here we present a case of a 13-year-old male with a multilocular expansile cystic lesion associated with nonvital tooth 20 and tooth 21 since 2016. An incisional biopsy was performed and the microscopic examination revealed small masses of cellular fibrous and myxoid connective tissue containing long narrow cords of odontogenic epithelium. The odontogenic islands were basophilic with peripheral nuclear palisading of the basal cell layer, consistent with an ameloblastic fibroma. Complete curettage was performed and the patient is being followed up with no recurrence since 2 months. We reviewed the literature with regard to clinical, histopathological, and radiological findings and reached the conclusion that malignant transformation of ameloblastic fibroma into ameloblastic fibrosarcoma is uncommon but well documented. AF needs to be distinguished from ameloblastoma and ameloblastic fibrosarcoma, since these two tumors can be locally invasive and have greater potential for recurrence than ameloblastic fibroma.


2015 ◽  
Vol 97 (1) ◽  
pp. 80-89 ◽  
Author(s):  
Seunghye Kim ◽  
Je Seon Song ◽  
Mijeong Jeon ◽  
Dong Min Shin ◽  
Seong-Oh Kim ◽  
...  

2007 ◽  
Vol 361-363 ◽  
pp. 1327-1330 ◽  
Author(s):  
Masaru Murata ◽  
J. Hino ◽  
Toshiyuki Akazawa ◽  
Katsutoshi Ito ◽  
Yukito Hirose ◽  
...  

The aims of this study are to confirm the capacity of hard tissue induction by human demineralized dentin matrics (DDM) and calcified dentin matrics (CDM) in subcutaneous tissues of nude mice, and to report a human pioneering trial following the autotransplantation of DDM for bone augmentation in a case of the atrophied upper jaw. Human DDM and CDM particles were prepared from adult, extracted vital teeth, and were implanted into the subcutaneous tissues of 4-week-old nude mice. DDM induced bone and cartilage independently at 4 weeks after implantation, while CDM did not induce a hard tissue formation. Autogenous DDM prepared from the non-functional second molar of a 58-year-old female were grafted on the atrophied jaw and received to the host. Human dentin can be recycled as autogenous biomaterials for local bone engineering.


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