An incidental radiographic finding of an inverted mesiodens — A case report with a comprehensive review

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 2768-2776
Author(s):  
Rakhi Issrani ◽  
Hessah Alfrhan ◽  
Arunpriya Srinivasan ◽  
Namdeo Prabhu
Keyword(s):  
Developmental Disorders ◽  
Treatment Options ◽  
Radiographic Finding ◽  
Radiographic Examination ◽  
Surgical Removal ◽  
Supernumerary Teeth ◽  
Asymptomatic Patients ◽  
Nasal Floor ◽  
Exact Position

Supernumerary teeth (ST) are uncommon developmental disorders that can be seen in either of the dental arches. Mesiodens is the most common type of ST. The experience of observing one such case is reported along with a literature review. This article describes a clinical case of a 46-year-old female patient with an impacted inverted mesiodens that was diagnosed accidentally during the routine radiographic examination. The mesiodens was very close to the nasal floor. Advanced radiographic investigations (CBCT) was advised for locating the exact position of mesiodens.  The patient was counselled regarding the potential complications of ST and was advised for the surgical removal of the mesiodens, but the patient denied the treatment as ST was not causing any immediate problem. Therefore, the patient is under the continuous follow-up to avoid any complications with the mesiodens.  The present case focuses on the importance of careful clinical and radiographic assessment in the diagnosis of ST, especially when they are asymptomatic. Patients should be educated regarding the same with proper explanations of all the treatment options.

scholarly journals Multiple bilateral supernumerary teeth in a non-syndromic female patient - A case report with a comprehensive review

2020 ◽  
Vol 11 (4) ◽  
pp. 7822-7826
Author(s):  
Rakhi Issrani ◽  
Amal Alrayes ◽  
Arunpriya Srinivasan ◽  
Namdeo Prabhu ◽  
Zafar Ali Khan ◽  
...  
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Developmental Disorders ◽  
Treatment Options ◽  
Review Of The Literature ◽  
Radiographic Assessment ◽  
Supernumerary Teeth ◽  
Supernumerary Tooth ◽  
Comprehensive Review ◽  
Asymptomatic Patients

Supernumerary tooth (ST) are the developmental disorders that could be found in either of the dental arches. Whereas the single ST is quite a common entity, multiple ST are rare, especially when they are not related to any syndromes or disorders. The experience of observing one such case is reported in light of a review of the literature on this condition. This report describes  a case of a non-syndromic 22-year-old female who presented with multiple erupted and impacted ST in the mandibular premolar region. The patient was educated about the complications and consequences associated with ST and was advised for extraction of erupted supernumerary premolars and observation of the impacted ones but the patient denied any treating as ST were not causing any immediate problem. Radiographic assessment plays a pivotal part in early diagnosis and intervention as it aids in avoiding complications associated with ST, especially in non-syndromic cases or when they are asymptomatic. Patients should be counselled regarding the same with proper explanations of all the treatment options.

scholarly journals Eruption Treatment of Impacted Teeth Following Surgical Obstruction Removal

2022 ◽  
Vol 12 (1) ◽  
pp. 449
Author(s):  
Shmuel Einy ◽  
Gal Michaeli-Geller ◽  
Dror Aizenbud
Keyword(s):  
Surgical Procedure ◽  
Treatment Approach ◽  
Treatment Modalities ◽  
Radiographic Examination ◽  
Surgical Removal ◽  
Supernumerary Teeth ◽  
Impacted Tooth ◽  
Impacted Teeth ◽  
The Third

Supernumerary teeth and odontomas are obstacles for spontaneous tooth eruption and may result in impaction. The aim of the study is to present a conservative treatment approach for impacted teeth following surgical obstruction removal by reviewing three treatment modalities: surgery only, which involves the surgical removal of the obstruction and the spontaneous eruption; surgery with immediate traction, which includes surgery combined with immediate active orthodontic brace cementation and traction; and surgery with delayed traction, which combines a surgical procedure of obstacle removal and orthodontic brace cementation with follow-up for the spontaneous eruption. The first two modalities require orthodontic traction either by an additional surgical procedure for orthodontic brace cementation, or combined with the surgical obstacle removal. With the third approach, clinical follow-up is performed via connected ligature wire elongation applied during the surgical procedure for the spontaneous emergence of the impacted tooth. Active orthodontic traction is only employed if the tooth fails to erupt. The visual follow-up via wire elongation serves as a reference during the emergence of the impacted teeth and reduces the need for radiographic examination. The surgical-orthodontic approach saves both further surgery and orthodontics (spontaneous eruption) or further surgery (in failure to erupt).

scholarly journals Multiple, Multiloculated, and Recurrent Keratocysts of the Mandible and Maxilla in Association with Gorlin-Goltz (Nevoid Basal-Cell Carcinoma) Syndrome: A Pediatric Case Report and Follow-up over 5 Years

2018 ◽  
Vol 2018 ◽  
pp. 1-8
Author(s):  
P. Santander ◽  
E. M. C. Schwaibold ◽  
F. Bremmer ◽  
S. Batschkus ◽  
P. Kauffmann
Keyword(s):  
Case Report ◽  
Basal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Basal Cell ◽  
Radiographic Finding ◽  
Permanent Teeth ◽  
High Recurrence Rate ◽  
Surgical Removal ◽  
Dental Maturation

Background. We report a case of multiple keratocysts first diagnosed in an 8-year-old boy. Case report. The incidental radiographic finding of a cystic lesion in an 8-year-old boy led to the surgical enucleation and further diagnosis of a keratocyst associated with a tooth crown. In the course of dental maturation from deciduous to permanent teeth, the boy presented new lesions, always associated with the crowns of teeth. Gorlin-Goltz (nevoid basal-cell carcinoma) syndrome was suspected, and the genetic analysis detected a previously undescribed germline variant in the PTCH1 gene. Treatment. This included a surgical removal of the cystic lesions, as well as the affected teeth. Follow-up. Due to the high recurrence rate of the keratocysts, frequent radiological checks were performed over a 5-year period.

Antrochoanal Polyps in Children

2001 ◽  
Vol 15 (5) ◽  
pp. 321-325 ◽  
Author(s):  
Laura J. Orvidas ◽  
Charles W. Beatty ◽  
Amy L. Weaver
Keyword(s):  
Treatment Options ◽  
Surgical Removal ◽  
Antrochoanal Polyp ◽  
Endoscopic Removal ◽  
Endoscopic Procedures ◽  
Telephone Interviews ◽  
Presenting Symptoms ◽  
First Recurrence ◽  
Mean Time

Although relatively rare, antrochoanal polyps represent one of the most common types of polyp diagnosed in children without cystic fibrosis. In an attempt to better define this entity and discuss treatment options, the histories and operative reports of all 25 children (aged 17 years and younger) diagnosed with an antrochoanal polyp between 1970 and 1997 at our institution were reviewed. All 25 children complained of nasal obstruction on presentation; other presenting symptoms included rhinorrhea (48%), snoring (36%), and mouth breathing (32%). All 25 patients were noted to have a mass in the nose on examination, and 16 (64%) also had a mass noted in the nasopharynx. All but 1 patient underwent surgical removal of the polyp: intranasal avulsion only, 2 patients; Caldwell-Luc procedures, 10 patients; intranasal procedures, 8 patients; and endoscopic procedures, 4 patients. Mean time to first recurrence was 44.5 months. Seven patients (29%) who underwent excision at our institution experienced recurrence, 3 after endoscopic procedures and 4 after intranasal procedures (with or without Caldwell-Luc; 1 of these patients had a second recurrence). Complications were unusual and included bleeding after pack removal (8.3%) and facial paresthesias (10%). Follow-up ranged from 2 days to almost 27 years and was aided by telephone interviews. We conclude that surgical treatment of these lesions is safe and effective. Endoscopic removal may result in a higher recurrence rate.

scholarly journals Amelogenesis Imperfecta, hypoplastic type associated with some dental abnormalities: a case report

2010 ◽  
Vol 21 (2) ◽  
pp. 170-174 ◽  
Author(s):  
Emin Murat Canger ◽  
Peruze Çelenk ◽  
Murat Yenísey ◽  
Selcen Zeynep Odyakmaz
Keyword(s):  
Quality Of Life ◽  
Treatment Options ◽  
Masticatory Muscles ◽  
Amelogenesis Imperfecta ◽  
Radiographic Examination ◽  
Temporomandibular Joints ◽  
Related Quality ◽  
Health Related

Amelogenesis imperfecta (AI) is a hereditary disorder expressing a group of conditions that cause developmental alterations in the structure of enamel. AI is a serious problem that reduces oral health-related quality of life and causes some physiological problems. The treatment of patients with AI may upgrade the quality of life and reinforce their self-esteem. Among the treatment options for AI, full-mouth metal reinforced porcelain restoration constitutes an important alternative because of its properties. This paper presents a case of AI of the hypoplastic rough type associated with a group of dental anomalies, and describes the prosthetic management of the patient. A 26-year-old female patient presented with a chief complaint of discolored teeth. Clinical and radiographic examination of the patient confirmed the diagnosis of rough pattern hypoplastic AI. The patient was treated with full-mouth metal reinforced porcelain fixed bridge. The adaptation of the temporomandibular joints and masticatory muscles was carefully observed periodically during 4 months and, after this period, the patient tolerated well her new vertical dimension. The patient received instructions on cleansing of the subpontic and interproximal areas. Follow-up visits were scheduled at 3 months and then at 6 months. No esthetic or functional problems were seen after the follow up period.

scholarly journals Non-surgical removal of dens invaginatus in maxillary lateral incisor using CBCT: Two-year follow-up case report

Open Medicine ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. 767-771
Author(s):  
Babita Pradhan ◽  
Yuan Gao ◽  
Libang He ◽  
Jiyao Li
Keyword(s):  
Three Dimensional ◽  
Sinus Tract ◽  
Radiographic Examination ◽  
Surgical Removal ◽  
Computed Tomographic ◽  
Gutta Percha ◽  
Dimensional Reconstruction ◽  
Maxillary Lateral Incisor ◽  
Dens Invaginatus

AbstractA 14-year female presented with an atypical looking tooth #7 with a sinus tract on tooth #8. A gutta-percha point inserted into the sinus tract confirmed the affected tooth #7. A radiographic examination of tooth showed a lateral radiolucency with respect to tooth #7. Cone-beam computed tomographic imaging was done for the three-dimensional reconstruction analysis. Dens invaginatus (Oehler’s type III) with pulp necrosis and chronic apical periodontitis was the definitive diagnosis. Use of the dental operating microscope and ultrasonics helped in the removal of the invaginated structure. At the two year follow-up, no clinical and radiographic evidence of infection was observed.

scholarly journals Successful Conservative Management of a Dislocated IUD

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Hasan Ali Inal ◽  
Zeynep Ozturk Inal ◽  
Ender Alkan
Keyword(s):  
Conservative Management ◽  
Low Cost ◽  
Rare Complication ◽  
Abdominal Cavity ◽  
Surgical Removal ◽  
Uterine Perforation ◽  
Contraceptive Devices ◽  
Asymptomatic Patients ◽  
Intrauterine Contraceptive

Background. Intrauterine contraceptive devices (IUDs) are widely utilized all over the world owing to their low cost and high efficacy. Uterine perforation is a rare complication that may occur at IUD insertion resulting in extrauterine location of the IUD. Traditionally, surgical removal of dislocated IUDs has been recommended.Case. A 68-year-old patient who had an IUD (Lippes loop) inserted 32 years ago and whose routine examination incidentally revealed a dislocated IUD in the abdominal cavity. The patient remained asymptomatic during three years of follow-up and the IUD was left in place.Conclusion. Asymptomatic patients, whose vaginal examinations and ultrasonography or X-ray results reveal a dislocated IUD, may benefit from conservative management.

scholarly journals Radiographic examination in the diagnosis of a curious case associating odontoma to agenesis and supernumerary teeth

2021 ◽  
Vol 69 ◽  
Author(s):  
Jéssica de Oliveira Alvarenga FREIRE ◽  
Giovanna de Souza BIANCO ◽  
Thais Sumie Nozu IMADA ◽  
Leda Maria Pescinini SALZEDAS ◽  
Carla Renata Sanomiya IKUTA
Keyword(s):  
Developmental Disorders ◽  
Panoramic Radiography ◽  
Incidental Finding ◽  
Permanent Tooth ◽  
Developmental Period ◽  
Radiographic Examination ◽  
Tooth Agenesis ◽  
Supernumerary Teeth ◽  
Supernumerary Tooth ◽  
Etiologic Agents

ABSTRACT Developmental disorders of human dentition may result in various abnormalities according to etiologic agents and the developmental period involved. The size, shape and number of teeth may be affected. Dental abnormalities can occur singly or in multiples in an individual and may or may not be associated with syndromes. Complementary radiographic examinations are valuable for diagnosis, especially in lesions that are asymptomatic and detected only through examination. The present study is intended to report a case of an incidental finding in panoramic radiography of an odontoma, a supernumerary tooth and permanent tooth agenesis in the same non-syndromic individual. According to the literature, the association of hypodontia and hyperdontia (called concomitant hypo-hyperdontia) is most common. The association of hyperdontia and odontoma is uncommon but still reported. However, regarding the association of hypodontia and odontoma no reports were found, as well as the association of the three pathologies.

scholarly journals CLIPPED OR CLIPLESS CHOLECYSTECTOMY

2018 ◽  
Vol 25 (06) ◽  
pp. 805-809
Author(s):  
H. Sabiha Akhtar ◽  
Zia Farooq ◽  
Hassan Rathore ◽  
Muhammad Umar Farooq ◽  
Arooj Ahmad
Keyword(s):  
Treatment Options ◽  
P Value ◽  
Surgical Removal ◽  
Biliary Leakage ◽  
Group A ◽  
The Difference ◽  
Group B ◽  
Trial Setting ◽  
Selection Of

Background: Cholecystectomy is the surgical removal of the inflamedgallbladder. Advancement in technology has led to many treatment options and methods ofcholecystectomy but the selection of right method depends upon severity of disease alongwith available resources and expertise. Objective: To compare the frequency of biliary leakagewith clipless versus clipped laparoscopic cholecystectomy for management of cholecystitis.Material & Methods: Study design: Randomized control trial. Setting: Unit 1, Departmentof Surgery, Jinnah hospital, Lahore. Duration: It was conducted for a period of six monthsfrom July 2016 to January 2017. Data collection: A total of 130 patients were included in thestudy using nonprobability consecutive sampling and were randomly divided in two groups byusing lottery method. In group A, clip-less Harmonic scalpel was used along with Ultrasonicshear. In group B, the conventional instruments were used with the application of clips. Patientswere called for follow-up in OPD after 1 week to assess biliary leakage through MRCP. All thedata was collected through a pre-designed proforma. The data was entered and analyzed inSPSS version 20. Results: The mean age of patients was 42.97±10.77 years with 68 (52.31%)patients were male and 62 (47.69%) patients were females. The biliary leakage was noted in29 cases i.e. 9 from clipless group and 20 were from clipped group and the difference wasstatistically significant (p-value=0.020) Conclusion: It can be concluded from this study thatthe frequency of biliary leakage is significantly higher in the clipped LC for management ofCholecystitis. Thus it is encouraging to use clipless method to avoid such complication andimprove surgical outcomes.

scholarly journals Long Term Follow-Up of Patients with Nontoxic Benign Nodular Goiter Treated with 131Iodine Therapy

2021 ◽  
Vol 3 (1) ◽  
pp. 20-26
Author(s):  
Karren L Antonio ◽  
Keyword(s):  
Radioactive Iodine ◽  
Treatment Options ◽  
Nodular Goiter ◽  
Size Reduction ◽  
Surgical Removal ◽  
Radioactive Iodine Therapy ◽  
Thyroid Lobe ◽  
Size Number

Background: With the advancement of diagnostic modalities, there is an increase in the number of individuals detected with thyroid nodules. There are multiple treatment options for the management of nontoxic benign nodular goiter. Radioactive iodine results in effective goiter size reduction which can be administered as out-patient basis and is an appropriate alternative for patients with higher risk for surgery. Our group have shown the effectiveness of 131Iodine therapy for nodular nontoxic goiters. We aim to determine the long-term effectiveness of radioactive iodine therapy among patients with nodular nontoxic goiter. Methods: This is a retrospective cohort study of patients with nontoxic benign nodular goiter, negative for malignancy on biopsy who underwent radioactive therapy with a follow-up of ≥36months using ultrasound studies. Thyroid size, number of nodules and size of nodules pre-treatment and ≥36months post-treatment were compared. Results: 63 patients were included with an average follow-up of 73.14 ± 34.87 months. Mean age during radioactive therapy and last follow-up was 41 ± 14 and 47 ± 14 respectively. Significant thyroid size reduction was noted in 92.06% of patients (right thyroid lobe: 47.54 ± 31.25%, left thyroid lobe 47.44 ± 31.82%) while significant reduction in number and size of nodules were noted in 96.82% and 98.41% of patients respectively. No increase in the number of nodules and no development of new nodules were noted among all patients. Conclusion: Radioactive iodine therapy for nontoxic benign nodular goiter produces a sustained reduction in thyroid size, number and size of nodules even after a long follow-up period. Hence, it is a viable alternative to surgical removal of the thyroid offering a lower risk for complication especially among patients who refuse surgery or has a contraindication to surgical management.

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