scholarly journals Orthodontic Management Of An Erupted Mesiodens: A Case Report

2017 ◽  
Vol 16 (2) ◽  
Author(s):  
Noraini Bt Abu Bakar

Introduction: Hyperdontia is the condition of having supernumerary tooth, or teeth, which appear in addition to the regular number of teeth. It is a developmental anomaly and has been argued to arise from multiple aetiologies. It may remain embedded in the alveolar bone or can erupt into the oral cavity. Mesiodens is a supernumerary tooth located in the anterior maxilla, placed palatally or in between the maxillary central incisors. It may be single or paired, erupted or impacted and at times even inverted. Aesthetic or functional problems are two main issues associated with mesiodens.This case report demonstrates the orthodontic management of a case of a nonsyndromic male patient with conical type supernumerary tooth at the maxillary anterior region with a Class I malocclusion complicated by palatally erupted upper right lateral tooth with Bolton discrepancy. Good aesthetic and functional result achieved at the end of treatment.

2021 ◽  
Vol 16 (2) ◽  
pp. 253-258
Author(s):  
Ayat Gamal-AbdelNaser

Acromegaly is a devastating chronic slowly progressive disease. Its early diagnosis is a challenging issue that necessitates clinical suspicion of signs and symptoms as a first step. This report introduces an unusual early sign in the oral cavity that lead to the early diagnosis of an acromegaly case. A case of a healthy 40-year-old male patient presented with progressively growing multiple hard swellings in the upper and lower jaws. Clinical examination revealed bony hard multiple small spiky exostosis-like swellings, located at the maxillary and mandibular alveolar bones. An array of investigations revealed a 2-mm diameter pituitary tumour in MRI of sella. To the best of the author’s knowledge, this is the first report of spiky exostosis-like growths in the alveolar bone as an early sign of acromegaly. In this case, thorough examination of oral signs and symptoms was the first step for early diagnosis and hence, better prognosis for acromegaly.


2012 ◽  
Vol 2 (1) ◽  
pp. 44-46
Author(s):  
Sudhanshu Agrawal ◽  
Hemant Kumar Halwai

Mesiodens is a supernumerary tooth located in the anterior maxilla, placed palatally, labially or in between the maxillary central incisors. It may be single or paired, erupted or impacted and at times even inverted. This case report describes a palatally positioned two mesiodens in an 8-year-old male. The clinical and radiographic appearance and therapeutic considerations are presented. The purpose of this article is to alert the clinician to the importance of radiographic localization prior to surgical intervention, because in some instances a labial surgical approach is preferred over the traditional palatal technique. In this case a labial surgical approach was utilized which allowed for greater conservation of alveolar bone and improved access during removal of the mesiodens teeth.


2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Monica Yadav ◽  
Sugandha Ghonasgi ◽  
Rohit Shah ◽  
S. M. Meghana

Familial progressive hyperpigmentation (FPH) is a rare genodermatosis characterized by hyperpigmented patches in the skin and mucous membranes, present in early infancy, and increase in size and number with age. The genetic basis for FPH remains unknown. We report an unusual case of familial progressive hypermelanosis in a 17-year-old male patient with family history, who presented with a peculiar progressive oral pigmentation disorder. Diagnosis was confirmed by a series of hematological, biochemical, and histopathological investigations. Our paper stresses the need for the dentist to be aware of the systemic conditions that can also manifest in the oral cavity.


2021 ◽  
Vol 10 (33) ◽  
pp. 2847-2850
Author(s):  
Shahira Shahira ◽  
Biju Thomas ◽  
Amitha Ramesh ◽  
Santhosh Shenoy ◽  
Anegundi Raghavendra Vamsi

Peripheral ossifying fibroma (POF) is a reactive process of the gingiva that develops due to irritation or minor trauma. Females are more affected than males suggesting a hormonal influence. This case report describes a case of peripheral ossifying fibroma in a 48-year-old male patient in 33, 34 regions in contrast to its common occurrence in young females. Histopathological examination is necessary to confirm the diagnosis. Surgical excision is the treatment of choice to prevent recurrence. One year follow up of the case showed no signs of recurrence. Gingival overgrowth is a common feature of the various types of gingival disease in the oral cavity. Gingival diseases and conditions can be due to genetic disorder, specific infections, inflammatory and immune conditions and lesions, reactive processes, neoplasms, endocrine, nutritional, and metabolic diseases, traumatic lesions and gingival pigmentation.1 Reactive processes are non-neoplastic nodular swellings that develop in response to local irritation or minor trauma. The term epulis is exophytic processes confined to the gingiva.2 Kfir et al. classified epulides into fibrous epulis, peripheral ossifying fibroma, pyogenic granuloma (vascular epulis), peripheral giant cell granuloma (or central).3 Ossifying fibromas in the oral cavity can be classified into central and peripheral type. The central type expands from the medullary cavity of the bone, arising from the endosteum or the periodontal ligament (PDL) adjacent to the root apex. Peripheral type arises from the soft tissues overlying the alveolar process which is contiguous with the periodontal ligament. 4 This article presents a case of POF in a male patient.


2014 ◽  
Vol 2014 ◽  
pp. 1-5
Author(s):  
Roopadevi Garlapati ◽  
Bhuvan Shome Venigalla ◽  
Jayaprakash D. Patil ◽  
Thumu Jayaprakash ◽  
C. H. Krishna Chaitanya ◽  
...  

Dental traumatic injuries may affect the teeth and alveolar bone directly or indirectly. Pulpal necrosis and chronic and apical periodontitis with cystic changes are the most common sequelae of the dental traumatic injuries, if the teeth are not treated immediately. This case report focuses on the conventional and surgical management of mandibular central incisors. A twenty-four-year-old male patient presented with pain in the mandibular central incisors. Radiographic examination revealed mandibular central incisors with dumbbell shaped periapical lesion. After root canal treatment, parendodontic surgery was performed for mandibular central incisors. After one-year recall examination, the teeth were asymptomatic and periapical lesion had healed.


2016 ◽  
Vol 64 (1) ◽  
pp. 83-86
Author(s):  
Eneane MIRANDA ◽  
Luciene Dornas MENDES ◽  
Sérgio Milton Martins de Oliveira PENIDO ◽  
Cláudia Valéria de Sousa Resende PENIDO

ABSTRACT Mesiodens is the term used for describing the supernumerary tooth that occurs in the maxilla, between the central incisors, in the midline region. These may erupt in the oral cavity or keep themselves impacted. Their presence causes cleaning inadequate, impossibility or difficult of the eruption of the regular teeth and having the aesthetic compromised. This paper aims at showing that early identification of supernumerary teeth, planning and correct approach, allow the preservation of the teeth and adjacent structures. This article presents the clinical case of a seven-year-old child, male, who sought for treatment complaining that teeth 11 didn't appear in the buccal cavity. Clinical and radiographic exams were done and they demonstrated the presence of the supernumerary tooth. The plan of treatment aimed at the correct localization, extraction of this supernumerary tooth and continuous follow up of the case.


2004 ◽  
Vol 28 (1) ◽  
pp. 81-83 ◽  
Author(s):  
Seda Gursoy Haydar ◽  
Aylin Tercan ◽  
Sina Uckan ◽  
Berkan Gurakan

Congenital adhesions between different parts of the oral cavity rarely occur. These adhesions usually present difficulty in feeding and even respiration soon after birth. In the case presented here the mild form of gum synechia without associated congenital anomaly was treated by excision of the anterior and posterior alveolar bands. Potential jaw and temporomandibular joint development was not compromised and functional problems were eliminated with such a noninvasive procedure.


Author(s):  
Prashant Nanwani

Introduction Dentigerous cysts are caused by a developmental abnormality derived from the reduced enamel epithelium of the tooth-forming organ. Dentigerous cyst rarely involve impacted supernumerary tooth in anterior maxilla while commonly involve third molar tooth.   Case Report A case of dentigerous cyst in association with supernumerary tooth in a 15-year-old male patient is reported causing right nasal cavity obstruction. The present case report describes the management of a dentigerous cyst by surgical enucleation.


Author(s):  
Jyoti Sharma ◽  
Manish Gupta ◽  
Amit Saini

<p class="abstract">Malignant melanoma of the oral cavity is an exceedingly rare tumor representing 0.2 to 8% of all melanomas. Mucosal melanomas are extremely rare and aggressive neoplasms. Patient reporting to the clinician with a pigmented lesion should raise suspicion in the first visit itself and should be further investigated so as to detect this dreaded malignancy at an earlier stage and thus managed appropriately. We presented two such rare cases who reported at our centre treated with different modalities and had different responses to treatment. In first case report 65 year old male patient diagnosed with malignant melanoma of left upper alveolus underwent multiple modalities of treatment like surgery, chemotherapy, radiation therapy but unfortunately as he defaulted post-surgery and also due to COVID-19 lockdown restrictions he was treated in various centres and finally the result was inoperable residual gigantic mass resistant to chemotherapy and radiation therapy. In second case report, 82 year old male patient reported with malignant melanoma hard palate having good response to initial chemotherapy. He was planned on hypo-fractionated radiotherapy in view of his old age but he refused radiation treatment and is on oral temozolamide and thalidomide with stable disease and good quality of life since past 6 months.</p>


2007 ◽  
Vol 8 (4) ◽  
pp. 81-87 ◽  
Author(s):  
Kaan Gündüz ◽  
Mehtap Muğlali

Abstract Aim The purpose of this case report is to present a case of a non-syndrome male patient with multiple supplemental supernumerary teeth in three quadrants of his mouth. Background Supernumerary teeth are described as the teeth formed in excess of the number found in a normal dentition. Prevalence of supernumerary teeth varies between 0.1% and 3.8% in the general Caucasian population. Multiple supernumerary teeth are not a common occurence, although a single or a few supernumerary tooth/teeth in each case have been widely reported in the literature. Report An 11-year-old male presented for a routine preventive dental visit. A routine panoramic radiograph showed the presence of multiple supernumerary teeth which were located in the maxillary right canine incisor region, the maxillary left premolar region, and the mandibular right premolar region. The family's medical history was non-contributory, and an extraoral examination did not reveal any abnormality. Summary It is rare to find multiple supernumerary teeth in individuals with no other associated diseases or syndromes. This case report presents a case of a non-syndrome male patient with multiple supplemental supernumerary teeth in three quadrants of his mouth. Citation Gündüz K, Muğlali M. Non-syndrome Multiple Supernumerary Teeth: A Case Report. J Contemp Dent Pract 2007 May;(8)4:081-087.


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