Phenytoin-Induced Gingival Overgrowth Resulting in Delayed Eruption of the Primary Dentition: A Case Report

ABSTRACTSupernumerary teeth occur frequently in permanent dentition, but they are rarely found in primary dentition. Supernumerary teeth of orthodox shape and size that resemble normal dentition are called ‘supplemental teeth’. Supplemental teeth are less common than supernumerary teeth and are often overlooked because of their normal shape and size. Supplemental teeth may cause esthetic problems, delayed eruption and crowding, and they require early diagnosis and treatment to prevent complications. The case reported here is one of bilateral supplemental teeth impeding the eruption of permanent maxillary lateral incisors, and it emphasizes the importance of early diagnosis and treatment during early mixed dentition. (Eur J Dent 2011;5:215-219)

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Delayed Eruption of a Mandibular Primary Cuspid Associated with Compound Odontoma

The Journal of Contemporary Dental Practice ◽

10.5005/jcdp-6-4-152 ◽

2005 ◽

Vol 6 (4) ◽

pp. 152-159 ◽

Cited By ~ 8

Author(s):

Sule Kavaloglu Cildir ◽

Kemal Sencift ◽

Vakur Olgac ◽

Nuket Sandalli

Keyword(s):

Case Report ◽

Common Type ◽

Primary Dentition ◽

Odontogenic Tumor ◽

Delayed Eruption ◽

Compound Odontoma

Abstract Although odontomas are considered to be a common type of odontogenic tumor, they rarely occur solely in the primary dentition. This case report presents an eight and a half-year-old-child with a compound odontoma located in the mandible, which caused the impaction of both primary and permanent canines. Citation Cildir SK, Sencift K, Olgac V, Sandalli N. Delayed Eruption of a Mandibular Primary Cuspid Associated with Compound Odontoma. J Contemp Dent Pract 2005 November;(6)4:152-159.

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The multifactorial aetiology of gingival overgrowth: a case report illustrating diagnosis and management

Dental Update ◽

10.12968/denu.2019.46.7.662 ◽

2019 ◽

Vol 46 (7) ◽

pp. 662-671

Author(s):

Rachael Y Jablonski ◽

Bethany Rushworth ◽

Kathryn A Durey

Keyword(s):

Case Report ◽

Renal Transplantation ◽

Vitamin C ◽

Oral Hygiene ◽

Patient Engagement ◽

Surgical Intervention ◽

Gingival Overgrowth ◽

Vitamin C Deficiency ◽

Specialist Services ◽

Detailed Assessment

Gingival overgrowth is the enlargement of gingival tissues and has various underlying aetiological factors. This case report highlights the multifactorial aetiology of gingival overgrowth for a patient who was prescribed an immunosuppressive strategy following renal transplantation, had poor levels of oral hygiene and a diet deficient in fruit and vegetables. The report highlights the importance of a detailed assessment to identify all underlying factors and demonstrates how a referral to the specialist services for gingival overgrowth led to a diagnosis of vitamin C deficiency. It also illustrates how both patient engagement and a conservative cause-related therapy can achieve a satisfactory resolution without any surgical intervention. CPD/Clinical Relevance: This case report highlights the importance of a detailed assessment to diagnose all relevant underlying aetiological factors involved in the development of gingival overgrowth. It also illustrates how both patient engagement and a conservative cause-related therapy can achieve a satisfactory resolution of gingival overgrowth without any surgical intervention.

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Delayed eruption of premolars with periodontitis of primary predecessors and a cystic lesion: a case report

International Journal of Paediatric Dentistry ◽

10.1046/j.0960-7439.2001.00323.x ◽

2002 ◽

Vol 12 (1) ◽

pp. 53-60 ◽

Cited By ~ 8

Author(s):

Y. Yawaka ◽

M. Kaga ◽

M. Osanai ◽

A. Fukui ◽

H. Oguchi

Keyword(s):

Case Report ◽

Cystic Lesion ◽

Delayed Eruption

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Molariform Mesiodens in Primary Dentition

Case Reports in Dentistry ◽

10.1155/2013/750107 ◽

2013 ◽

Vol 2013 ◽

pp. 1-4

Author(s):

Sachin B. Mangalekar ◽

Tajammul Ahmed ◽

M. Zakirulla ◽

Halawar Sangmesh Shivappa ◽

F. B. Bheemappa ◽

...

Keyword(s):

Rare Case ◽

Treatment Plan ◽

Permanent Dentition ◽

Primary Dentition ◽

Occlusal Surface ◽

Radiographic Examination ◽

Supernumerary Tooth ◽

Dentigerous Cysts ◽

Delayed Eruption ◽

Maxillary Arch

Mesiodens is a midline supernumerary tooth commonly seen in the maxillary arch, and incidence of molariform mesiodens in the maxillary midline is rare in permanent dentition and extremely uncommon in primary dentition. A midline supernumerary tooth in the primary dentition can cause ectopic or delayed eruption of permanent central incisors which will further alter occlusion and may compromise esthetics and formation of dentigerous cysts. This paper reports a rare case of the presence of a molariform mesiodens in the primary dentition. On clinical and radiographic examination, flaring of the primary central incisors was seen, with a molariform mesiodens consisting of multiple lobes or tubercles on the occlusal surface with the well-formed root. The treatment plan consisted of the extraction of the supernumerary tooth and regular observation of permanent central incisors for proper eruption and alignment.

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Aggressive periodontitis of the primary dentition associated with idiopathic immune deficiency: case report and treatment considerations

Journal of Clinical Pediatric Dentistry ◽

10.17796/jcpd.29.1.724584t234465907 ◽

2005 ◽

Vol 29 (1) ◽

pp. 27-31 ◽

Cited By ~ 4

Author(s):

Enrique Bimstein ◽

Michael McIlwain ◽

Joseph Katz ◽

Greg Jerrell ◽

Robert Primosch

Keyword(s):

Immune Deficiency ◽

Case Report ◽

Primary Teeth ◽

Aggressive Periodontitis ◽

Primary Dentition ◽

Permanent Teeth ◽

Gingival Inflammation ◽

Adequate Treatment ◽

Treatment Considerations ◽

Topical Applications

The present case, of a child with an idiopathic immune deficiency and aggressive periodontitis in the primary dentition, serves as an example for the treatment considerations in these cases. Extraction of all the primary teeth proved to be the most adequate treatment. It allowed the child to eat properly and prevented unwanted infections that could endanger the life of the child. The newly erupted permanent teeth have been subjected to careful oral hygiene, clorhexidine topical applications, and have mild gingival inflammation and no attachment loss.

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Incidental Radiographic Discovery of a Screw in a Primary Molar: An Unusual Case Report in a 6 Year Old Child

Case Reports in Dentistry ◽

10.1155/2013/296425 ◽

2013 ◽

Vol 2013 ◽

pp. 1-3

Author(s):

Farhin Katge ◽

Sajjad Mithiborwala ◽

Thejokrishna Pammi

Keyword(s):

Case Report ◽

Clinical Examination ◽

Unusual Case ◽

Foreign Bodies ◽

Primary Dentition ◽

Carious Lesion ◽

Pulp Chamber ◽

Primary Molar ◽

Traumatic Lesions ◽

Unusual Case Report

Dentists often find foreign bodies in the primary dentition of children who habitually place objects in their mouths. The objects are frequently embedded in exposures that result from carious or traumatic lesions or from endodontic procedures that have been left open for drainage. Such bodies are often detected on routine radiographs and, less frequently, during clinical examination. We report a case of a 6-year-old boy who had inadvertently embedded a screw in his mandibular right first primary molar and had forgotten about it until it became symptomatic. The screw was impacted in the exposed pulp chamber due to a large carious lesion in the affected molar. This case report considers the possible medical and dental consequences of placing foreign bodies in the mouth.

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