Congenital defect of maxillary primary central incisor associated with exposed pulp and gingiva: case report

2004 ◽  
Vol 28 (1) ◽  
pp. 39-42
Author(s):  
Tomiko Sano ◽  
Mieko Tomizawa ◽  
Hiroko Ida-Yonemochi ◽  
Yoshihiro Tanabe ◽  
Tadashi Noda

This report describes a rare case of hypoplastic primary incisor in which the pulp was exposed at the crown portion and covered by the gingiva in a 1-year-11-month-old boy. The patient was referred to us due to swelling of his labial cervical gingiva of the maxillary right primary central incisor, and on examination, extended to the hypoplastic labial surface. Radiographically, there was a round radiolucent area on the crown including the edge. Surgical removal of the swollen gingiva revealed a large defect of the labial aspect of the incisor, showing pulpal tissue inside. The tooth was treated by vital pulpotomy. Histopathologically, the removed gingival tissue contained many pieces of dysplastic tooth elements in the lamina propria portion which should have been connected to the exposed pulp. The findings suggested that pulp exposure resulted from focal dental hypoplasia not from resorption of the tooth.

2018 ◽  
Vol 8 (4) ◽  
pp. 61-64
Author(s):  
Bashu Raj Pandey ◽  
Sushil Subedi ◽  
Bijayata Shrestha ◽  
Rajib Chaulagain

Impacted tooth is frequently encountered in dental practice. But the impacted tooth associated with supernu­merary tooth and dentigerous cyst in anterior region is very rare case. The present case reports the successful management of impacted right central incisor with multiple odontome and dentigerous cyst by surgical inter­vention and orthodontic extrusion. Close eruption technique was applied after enucleation of cyst and extrac­tion of odontome. Thirty grams traction force was applied after bonding in the labial surface of impacted tooth. Subsequently fixed orthodontic technique was applied to get impacted central incisor into occlusion.


2016 ◽  
Vol 6 (3) ◽  
pp. 189-193
Author(s):  
VK Ravindranath ◽  
Aarti B Madhaswar ◽  
Prateek N Daga

ABSTRACT Obstructive sleep apnea (OSA) is the most common type of sleep apnea and is caused by complete or partial obstructions of the upper airway. In this study we are presenting a case report of 11-year-old male patient with enlarged adenoids and tonsils, convex profile, receded chin, lower lip trap, class II skeletal and dental relationship with increased overjet. Surgical removal of enlarged adenoids was done before commencement of twinblock therapy. After this, two-step advancement with expansion in both arches utilizing twin blocks was planned. Four months into the treatment, patient reported with history of facial trauma with avulsed maxillary left central incisor. Twin block was then modified with pontic as replacement for maxillary left central incisor. Sagittal correction resulting in class I molar relationship was achieved in next 6 months. Fixed appliance therapy was followed. The design of the appliance and the results achieved after the postfunctional therapy are presented in this case report. How to cite this article Madhaswar AB, Ravindranath VK, Daga PN. Multidisciplinary Approach for Correction of Obstructive Sleep Apnea. J Contemp Dent 2016;6(3):189-193.


2020 ◽  
Vol 44 (2) ◽  
pp. 112-115
Author(s):  
Ok Hyung Nam ◽  
Ho Yeon Kang ◽  
Hyeonjong Lee ◽  
Sung Chul Choi ◽  
Seung-Il Shin ◽  
...  

The present case report describes a rare case of dens evaginatus on the labial surface of mandibular incisor and interdisciplinary management including endodontic and periodontal treatment. A 10-year-old girl presented unusual whitish tubercle-like structure penetrated through the buccal gingiva of mandibular later incisor. In cone-beam computed tomographic view, pulpal tissue was extended from the principal root to the tubercle. Following full thickness flap reflection, the tubercle was carefully removed, resulting in dentin and pin-point pulp exposure. In order to prevent pulp necrosis and facilitate periodontal attachment to this area, Biodentine and enamel matrix derivative were applied. Gingival defect was compensated using a collagen matrix. Up to 2 years, harmonious gingiva state and no loss of tooth vitality were observed. In summary, dens evaginatus on mandibular later incisor could be successfully treated by means of interdisciplinary approach.


2015 ◽  
Vol 9 (1) ◽  
pp. 103-105 ◽  
Author(s):  
Caroline Dias ◽  
Luciane Closs ◽  
Fernando Barletta ◽  
Eduardo Reston ◽  
Maximiano F Tovo ◽  
...  

This paper describes the clinical course of a pediatric patient developing cervical external root resorption (CERR). An 11-year old male patient had sustained dental trauma and was diagnosed with crown fracture affecting the incisal and middle thirds of the maxillary right permanent central incisor and the maxillary right permanent lateral incisor with pulp exposure and CERR after 24 months. Diagnosis and treatment of CERR are a challenge for dental practitioners. In this case, preservation of natural dentition is shown as a successful treatment in a 6-year follow-up.


2012 ◽  
Vol 37 (1) ◽  
pp. 5-8
Author(s):  
L Gonçalves-Sena ◽  
AC Guimarães Rosa Dutra ◽  
P Corrêa-Faria ◽  
AM Botelho ◽  
ML Ramos-Jorge ◽  
...  

Autogenous tooth fragment bonding offers advantages over restorations with composite resins and porcelain, including better esthetics, greater durability, reestablishment of the natural function of the dental element and short execution time. A case is presented of a 14-year-old male patient who suffered an oblique crown fracture of the permanent right maxillary central incisor (11) due to a traumatic fall. The clinical examination revealed pulp exposure with no invasion of the biological space. Due to the extension of the fracture, endodontic treatment and the placement of an intra-root esthetic pin was needed. The tooth was restored using the autogenous fragment bonding method. Excellent esthetic and functional results were observed after two years of follow up.


Author(s):  
Megha Narayan ◽  
Rajat Kumar Singh ◽  
Aparna Singh ◽  
Siddharth Anand ◽  
Sulekha Sulekha

AbstractTraumatic injuries to maxillary anterior teeth while playing are common in children and adolescents. Sequelae of such trauma include broken, lost, aspirated, and swallowed tooth. At times, the broken tooth fragments get embedded in the adjoining soft tissue and frequently get neglected during diagnosis. The present case report discusses the case of a 13-year-old adolescent who had broken tooth fragment emerged in the lower lip and its surgical excision to prevent detrimental reactions and scarring.


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