Small Diameter Implants: Specific Indications and Considerations for the Posterior Mandible: A Case Report

2011 ◽  
Vol 37 (sp1) ◽  
pp. 156-164 ◽  
Author(s):  
Brian J. Jackson
Keyword(s):  
Case Report ◽  
Case Reports ◽  
Small Diameter ◽  
Posterior Teeth ◽  
Endosseous Implant ◽  
Implant Dentistry ◽  
Maxilla And Mandible ◽  
Mandibular Posterior Teeth

The field of implant dentistry continues to grow globally as clinicians embrace the evolution of various endosseous implant technologies and the array of enhanced surgical and prosthetic products. The utilization of small diameter implants in limited osseous regions increases patients' ability to choose implants as a viable restorative option. Although small diameter implants have been indicated in the incisor region for the maxilla and mandible primarily, their usage should be considered in select posterior regions. These 2 case reports demonstrate the incorporation of small diameter implants to replace missing mandibular posterior teeth.

Pedicled Lingual Flap to Provide Keratinized Tissue Regeneration Over Dental Implants: A Description of the Technique and a Case Report

2015 ◽  
Vol 41 (2) ◽  
pp. 196-199 ◽  
Author(s):  
Alan S. Herford ◽  
Rahul Tandon ◽  
Luca Pivetti ◽  
Marco Cicciù
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Case Reports ◽  
Tissue Loss ◽  
Pedicle Flap ◽  
Collagen Matrices ◽  
Keratinized Tissue ◽  
Patient Reported ◽  
Implant Dentistry ◽  
Soft Tissue Loss

The aim of this study is to report the efficacy of a lingual pedicle flap for soft tissue pre-prosthetic surgery in implant rehabilitation. While it has been demonstrated that keratinized gingiva is an important factor for implant success, there remains a dearth of case reports concerning the use of a lingual pedicle flap to achieve this desired outcome in such a large reconstructive effort. For this case report, the patient underwent an anterior mandibular resection of an ameloblastoma and subsequent reconstruction, resulting in soft tissue loss. To satisfy the patient's desires, both functionally and esthetically, a bilateral rotated pedicled lingual flap was performed to augment keratinized tissue on the anterior mandibular ridge. An additional vestibuloplasty with two collagen matrices was also performed, and an acrylic splint was then applied to achieve better stabilization. The primary outcome was to evaluate the efficacy of this technique, which, until now, was used only for exposed root coverage. The site demonstrated excellent healing over time, even resulting in an excess of healthy and pink soft tissue, which later had to be corrected with a small gingivectomy. Although the patient reported slight discomfort for a few days after surgery, she was nonetheless pleased both with her ability to function and her appearance. The results of this study show that the bilateral rotated pedicled lingual flap is a viable technique for the correction of soft tissue defects in implant dentistry, providing a good amount of keratinized gingiva.

Syngnathia and Van der Woude Syndrome: A Case Report and Literature Review

2003 ◽  
Vol 40 (1) ◽  
pp. 104-106 ◽  
Author(s):  
Surasak Puvabanditsin ◽  
Eugene Garrow ◽  
Orawan Sitburana ◽  
Filipe M. Avila ◽  
Marcelo Y. Nabong ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Soft Tissue ◽  
Case Reports ◽  
Clinical Implications ◽  
Review Of Literature ◽  
Fibrous Band ◽  
Van Der Woude Syndrome ◽  
Rare Association ◽  
Maxilla And Mandible

Objective Syngnathia is a rare anomaly involving soft tissue or bony adhesions between the maxilla and mandible. We review the literature and present a case of syngnathia associated with Van der Woude syndrome. Syngnathia can have very different etiologies, but this has rarely been reported in Van der Woude syndrome. Treatment of this condition is rarely discussed in the literature because of a paucity of case reports. Results Oral adhesion (syngnathia) in our patient was caused by a mandibular to maxillary fibrous band. Surgical treatment was successful. Clinical implications and review of literature for the treatment of this rare association of syngnathia and Van der Woude syndrome are discussed.

Replacement of Mandibular Posterior Teeth With Implants in a Postmandibular Resection Case: A Case Report

2013 ◽  
Vol 39 (2) ◽  
pp. 210-213 ◽  
Author(s):  
Jayanth Christian ◽  
Manita Grover ◽  
Padmanabhan Thallam Veeravalli
Keyword(s):  
Case Report ◽  
Bone Formation ◽  
Treatment Plan ◽  
Segmental Resection ◽  
Prosthetic Rehabilitation ◽  
Posterior Teeth ◽  
Final Treatment ◽  
Complete Obliteration ◽  
Fixed Prosthesis ◽  
Mandibular Posterior Teeth

This case report describes the prosthetic rehabilitation of a patient who was treated for ameloblastoma by segmental resection of the mandible. Because of the size of the defect it was decided to use a healing obturator to facilitate bone formation in the defect. At the end of 3 months, bone formation had led to complete obliteration of the defect with an almost complete fill to the crest of the ridge. The next phase of the treatment was prosthetic rehabilitation. The patient preferred a fixed replacement of teeth as opposed to a removable option. The final treatment plan was an implant-supported fixed prosthesis that was progressively loaded.

scholarly journals A Modified Technique for Fabrication of Magnetic Retained Cheek Plumper in Completely Edentulous Patient with Sunken Cheeks – A Case Report

2021 ◽  
Vol 10 (9) ◽  
pp. 652-655
Author(s):  
Kaligotla Apoorva Vasundhara ◽  
Haragopal Surapaneni ◽  
Kadiyala Krishna Kishore ◽  
Muvva Suresh Babu ◽  
Kavalipurapu Venkata Teja
Keyword(s):  
Case Report ◽  
Muscle Fatigue ◽  
Case Reports ◽  
Mouth Opening ◽  
Previous Literature ◽  
Edentulous Patient ◽  
Modified Technique ◽  
Posterior Teeth ◽  
Present Case Report ◽  
Patients Experience

Current concept of complete denture rehabilitation is more concentrated on the harmonization between the artificial and natural tissues. In certain cases with sunken cheeks, patients need extra support to the dentures. Sunken cheeks are best restored using cheek plumper or cheek lifting appliances. Conventional cheek plumper appliances have issues such as increased weight, hampering the denture retention and muscle fatigue in patients. So, to overcome all these difficulties, literature reported various modifications in fabrication and designing of a cheek plumper prosthesis. The present case report describes the outcomes of a modified check plumper appliance in a completely edentulous patient with sunken cheeks. Cheeks play a crucial role in facial aesthetics due to their extreme visibility.1 the form of the cheeks is determined by the teeth, ridges and contour of the dentures, especially when restoring a completely edentulous patient. During the due course of life, patients experience concaving and hollowing of the cheeks due to extraction of posterior teeth, thinning of tissues due to ageing or weight loss.1 Prosthodontic rehabilitation should not only aim at restoring and replacing the missing teeth, but also restore the facial support. Conventional procedures fulfill the requirements in most of the cases. But, in cases with sunken cheeks, patients need extra support to the dentures. Sunken cheeks are best restored using cheek plumper or cheek lifting appliances. Use of cheek plumper prosthesis in maxillofacial prosthodontics is well documented in the previous literature.2, 3, and 4 Usually denture flanges provide support to the perioral musculature but they fail to mimic the fullness of the cheeks. So, cheek plumper helps in providing a necessary support to the cheeks and thereby enhancing the aesthetics. Usually, cheek plumpers can be un-detachable or conventional type and detachable cheek plumpers. 5 A conventional one is single unit prosthesis with a supporting extension near premolar or molar region. The major disadvantages with un-detachable cheek plumpers are increased weight hampering the retention, difficulty during denture insertion, muscle fatigue and cannot be used in patients with limited mouth opening.6 To overcome the above mentioned problems, the cheek plumper used in the present case was innovated in two aspects. One was the usage of magnet retained attachments for the flanges and the other was to decrease the overall weight of the denture by hollowing the cheek plumper, increasing the retention. The present case report is innovative as compared to the previous literature. None of the case reports have used the hollowing technique for plumpers which attributes to additional decrease in the weight of the denture. The present case report highlights the outcome of a modified check plumper appliance in a completely edentulous patient with sunken cheeks.

scholarly journals Isolated bilateral macrodontia of mandibular second premolars: A case report

2012 ◽  
Vol 06 (03) ◽  
pp. 330-334 ◽  
Author(s):  
Ebru Canoglu ◽  
Harun Canoglu ◽  
Alper Aktas ◽  
Zafer C Cehreli
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Conventional Radiography ◽  
Cone Beam ◽  
Surgical Removal ◽  
Posterior Teeth ◽  
Radiographic Findings ◽  
Orthodontic Therapy ◽  
Local Crowding ◽  
Mandibular Posterior Teeth

ABSTRACTIsolated bilateral macrodontia of mandibular second premolars is an extremely rare dental anomaly with only 5 cases reported to date. This case report presents clinical and radiographic findings of isolated bilateral macrodontia in a 12-year-old child. The patient was referred to the clinic with local crowding of mandibular posterior teeth. Radiographic findings revealed the presence of impacted macrodont mandibular second premolars and their distinct morphological appearance, characterized by large, multitubercular, molariform crowns, and tapering, single roots. Following surgical removal of the impacted premolars, orthodontic therapy was initiated to correct the malocclusion. Along with the features and treatment of this rare anomaly, this case report also illustrates the benefits, in terms of treatment planning and surgical technique, of supplementing conventional radiography with cone-beam computed tomography to localize the macrodont premolars and accurately establish their relationship with the neighboring roots and anatomic structures. (Eur J Dent 2012;6:330-334)

scholarly journals Full Mouth Rehabilitation Performed Using Customized Broadrick’s Flag to Restore Mandibular Posterior Teeth-A Case Report

2019 ◽  
pp. 24-28
Author(s):  
Rahul Patil ◽  
Omkar Shetty
Keyword(s):  
Case Report ◽  
Occlusal Plane ◽  
Posterior Teeth ◽  
Correct Orientation ◽  
Curve Of Spee ◽  
Survey Point ◽  
Custom Made ◽  
Full Mouth Rehabilitation ◽  
Mandibular Posterior Teeth ◽  
Posterior Restorations

Full mouth rehab is an extremely challenging procedure. It needs proper planning and thorough knowledge about the steps involved in the procedure. The patient’s occlusal plane has to be restored in harmony with the tmj and the prosthesis which is to be fabricated. An instrument called the “Occlusal plane analyzer” is used to assist the Prosthodontist in the development of an initial mandibular occlusal plane that is commensurate with the curve of Spee when posterior restorations are designed in diagnostic casts and later as an integral of definitive restorations as well as guidelines for the actual tooth preparations. After complete examination of the reported case, it was planned for full mouth rehabilitation. Pankeymann philosophy was planned to be used for rehabilitation. Bopa being one of the important steps as per the philosophy for restoration of mandibular posterior teeth, it was discussed in detail. The article demonstrates the making and use of a custom made broad rickocclusal plane analyser (bopa) on a semi adjustable articulator to determine the correct orientation of the occlusal plane. Key Words – clear acrylic guide, anterior survey point (A.S.P), posterior survey point (P.S.P), central survey point (C.S.P).

Fournier's gangrene as Amyand's hernia complication

2019 ◽  
Vol 98 (7) ◽  
pp. 291-296
Keyword(s):  
Case Report ◽  
Case Reports ◽  
Rare Condition ◽  
Sporadic Case ◽  
Fournier’S Gangrene ◽  
Amyand’S Hernia ◽  
Fournier's Gangrene ◽  
Randomized Controlled Studies ◽  
Based Medicine ◽  
Hernia Complication

Introduction: Fournier’s gangrene is a rare but fast deteriorating and serious condition with high mortality. In most cases, it is characterized as necrotizing fasciitis of the perineum and external genitals. Amyand’s hernia is a rare condition where the appendix is contained in the sac of an inguinal hernia. Inflammatory alterations in the appendix account only for 0.1 % of the cases when Amyand’s hernia is verified. Fournier’s gangrene as a complication of a late diagnosis of appendicitis located in the inguinal canal is described in the literature as rare case reports. Case report: The case report of a 70-year-old patient with Fournier’s gangrene resulting from gangrenous appendicitis of Amyand’s hernia. Conclusion: Fournier’s gangrene as a complication of Amyand’s hernia is a rare condition. Only sporadic case reports thereof can be found in the literature. Because of the rarity of this pathology and the lack of randomized controlled studies, it is difficult to determine the optimal treatment according to the principles of evidence-based medicine. An appropriate approach for this condition appears to be the combination of guidelines developed in Amyand’s therapy according to Losanoff and Basson, along with the recommended “gold standard” therapy for Fournier’s gangrene. This means early and highly radical surgical debridement, adequate antibiotic therapy and intensive care.

Hemangiomatosis of the greater omentum – a case report

2019 ◽  
Vol 98 (4) ◽  
pp. 178-180
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Histological Examination ◽  
Case Reports ◽  
Greater Omentum ◽  
Surgical Removal ◽  
Consumption Coagulopathy ◽  
Cavernous Hemangiomas ◽  
Mesodermal Origin ◽  
Benign Tumours

Cavernous hemangiomas are benign tumours of mesodermal origin. Even though various localizations of hemangioma have been described in the literature, its occurrence in the greater omentum is very rare. Only symptomatic hemangiomas are indicated for surgical treatment. There are case reports presenting resection or surgical removal of the greater omentum with hemangioma because of mechanical syndrome, consumption coagulopathy, bleeding, infection or suspicion of a malignancy. This article presents a case report of a patient operated on for a suspicion of carcinomatosis of the greater omentum. Histological examination found hemangiomatosis in the resected greater omentum.

Monobloco – cimentação de pino e preenchimento em único passo em dente tratado endodonticamente

2020 ◽  
Vol 10 (37) ◽  
pp. 10-19
Author(s):  
Patrícia Ferronato Araújo ◽  
Ana Carolina Portes Pasmadjian ◽  
Antonio Setsuo Sakamoto Junior
Keyword(s):  
Composite Resin ◽  
Case Reports ◽  
Single Step ◽  
Resin Cement ◽  
Endodontically Treated Teeth ◽  
Posterior Teeth ◽  
Elasticity Module ◽  
Post And Core Technique ◽  
Post And Core ◽  
Root Fiber

The literature reports several materials for the restoration of endodontically treated teeth, with coronal destruction that requires an intra-root fiber post to stabilize the prosthetic part. The intra-radicular post of composite resin reinforced with fiberglass can be used as retainers in rehabilitating endodontically treated teeth due to their adhesiveness, pleasing aesthetics, and elasticity module close to the dentin less wear on the remaining structure. This clinical case reports the step-by-step application of dual resin cement (Rebilda DC Dentine - Voco) used as the cementation material of the post and material for the filling core in a single step, in an upper right lateral incisor. Moreover, it describes the advantages and indications of the post-and-core technique, also called “monobloc” which can be used in both anterior and posterior teeth. This protocol minimizes the adhesive interfaces, the chair time, and the steps of the clinical procedure.

Linezolid Induced Skin Reactions in a Multi Drug Resistant Infective Endocarditis Patient: A Rare Case

2020 ◽  
Vol 15 (3) ◽  
pp. 222-226 ◽  
Author(s):  
Asha K. Rajan ◽  
Ananth Kashyap ◽  
Manik Chhabra ◽  
Muhammed Rashid
Keyword(s):  
Case Report ◽  
Infective Endocarditis ◽  
Rare Case ◽  
Case Reports ◽  
Multidrug Resistant ◽  
The Body ◽  
Prior History ◽  
Skin Reactions ◽  
Rare Case Report ◽  
Multiple Drugs

Rationale: Linezolid (LNZ) induced Cutaneous Adverse Drug Reactions (CADRs) have rare atypical presentation. Till date, there are very few published case reports on LNZ induced CADRs among the multidrug-resistant patients suffering from Infective Endocarditis (MDR IE). Here, we present a rare case report of LNZ induced CARs in a MDR IE patient. Case report: A 24-year-old female patient was admitted to the hospital with chief complaints of fever (101°C) associated with rigors, chills, and shortness of breath (grade IV) for the past 4 days. She was diagnosed with MDR IE, having a prior history of rheumatic heart disease. She was prescribed LNZ 600mg IV BD for MDR IE, against Staphylococcus coagulase-negative. The patient experienced flares of cutaneous reactions with multiple hyper-pigmented maculopapular lesions all over the body after one week of LNZ therapy. Upon causality assessment, she was found to be suffering from LNZ induced CADRs. LNZ dose was tapered gradually and discontinued. The patient was prescribed corticosteroids along with other supportive care. Her reactions completely subsided and infection got controlled following 1 month of therapy. Conclusion: Healthcare professionals should be vigilant for rare CADRs, while monitoring the patients on LNZ therapy especially in MDR patients as they are exposed to multiple drugs. Moreover, strengthened spontaneous reporting is required for better quantification.

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