scholarly journals A Rare Case of Radicular Dens in Dente diagnosed by Clinical, Radiographic, Tomographic, and Histopathological Examinations

2017 ◽  
Vol 6 (1) ◽  
pp. 39-43
Author(s):  
Fabricio K de Carvalho ◽  
Ana PD Moreno ◽  
Jorge E León ◽  
Eduardo P Zanella ◽  
Alexandra M de Queiroz ◽  
...  
Keyword(s):  
Rare Case ◽  
Histopathological Examination ◽  
Treatment Plan ◽  
Final Diagnosis ◽  
Radiographic Examination ◽  
Supernumerary Tooth ◽  
Dental Anomaly ◽  
Dens In Dente ◽  
Tomography Scan ◽  
Dens Invaginatus

ABSTRACT Dens invaginatus is a dental anomaly caused by an invagination of enamel that affects in most of the cases the crown of the tooth. The treatment depends on the degree of invagination and morphological involvement. This report describes a dental anomaly affecting the permanent lower lateral incisor of a 13-year-old patient, which resulted in swelling, pain, and dental impaction. The initial radiographic examination suggested a gemination, a fusion with a supernumerary tooth or a dens invaginatus extending to the root. For more accurate diagnosis and treatment plan of this anomaly, computed tomography scan was performed, which revealed the presence of enamel in the root. Due to pain and the impossibility of performing an orthodontic traction, the treatment of choice in this case was dental extraction. The final diagnosis was confirmed by histopathological examination and revealed the rare occurrence of a radicular dens invaginatus. How to cite this article Moreno APD, de Carvalho FK, de Queiroz AM, León JE, Zanella EP, De Rossi A. A Rare Case of Radicular Dens in Dente diagnosed by Clinical, Radiographic, Tomographic, and Histopathological Examinations. Int J Experiment Dent Sci 2017;6(1):39-43.

scholarly journals Radicular Dens Invaginatus: Report of a Rare Case

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
V. T. Beena ◽  
R. Sivakumar ◽  
R. Heera ◽  
R. Rajeev ◽  
Kanaram Choudhary ◽  
...  
Keyword(s):  
Clinical Examination ◽  
Rare Case ◽  
Developmental Anomaly ◽  
Anterior Tooth ◽  
Enamel Organ ◽  
Radiographic Examination ◽  
Case Presentation ◽  
Dental Anomaly ◽  
Dens In Dente ◽  
Dens Invaginatus

Dens invaginatus is a developmental anomaly resulting from invagination of a portion of crown forming within the enamel organ during odontogenesis. The invagination ranges from a slight pitting (coronal type) to an anomaly occupying most of the crown and root (radicular type). Although a clinical examination may reveal a deep fissure or pit on the surface of an anterior tooth, radiographic examination is the most realistic way to diagnose the invagination. The objective of this case presentation is to report a rare case of radicular dens in dente, which is a rare dental anomaly.

scholarly journals Molariform Mesiodens in Primary Dentition

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.

scholarly journals Multi-lobed mesiodens with a palatal talon cusp: a rare case report

2010 ◽  
Vol 21 (4) ◽  
pp. 375-378 ◽  
Author(s):  
Nayaka Basavanthappa Nagaveni ◽  
Kagathur Veerbadrappa Umashankara ◽  
Sreedevi ◽  
Bokka Praveen Reddy ◽  
Nayaka Basavanthappa Radhika ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Rare Case ◽  
Clinical Case ◽  
Treatment Plan ◽  
Radiographic Examination ◽  
Supernumerary Tooth ◽  
Anterior Teeth ◽  
Patient Reported ◽  
Rare Case Report ◽  
Maxillary Arch

Mesiodens is a midline supernumerary tooth commonly seen in the maxillary arch and the talon cusp is a rare dental developmental anomaly seen on the lingual surface of anterior teeth. This paper presents a rare clinical case of development of talon cusp in a mesiodens with multiple lobes, which interfered with both occlusion and appearance of an 11-year-old patient. During clinical interview, the patient reported difficulty on mastication. Clinical and radiographic examination revealed that a supernumerary tooth with completely formed root was causing an occlusal interference. The supernumerary tooth was diagnosed as multi-lobed mesiodens associated with a palatal talon cusp. The treatment plan consisted in the extraction of the supernumerary tooth followed by orthodontic treatment for diastema closure and tooth alignment.

scholarly journals The challenges of treating a fused tooth

2012 ◽  
Vol 23 (3) ◽  
pp. 256-262 ◽  
Author(s):  
Flares Baratto-Filho ◽  
Denise Piotto Leonardi ◽  
Bruno Monguilhott Crozeta ◽  
Samantha Pugsley Baratto ◽  
Edson Alves Campos ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Treatment Plan ◽  
Multidisciplinary Treatment ◽  
Lateral Incisor ◽  
Radiographic Examination ◽  
Periapical Lesion ◽  
Supernumerary Tooth ◽  
Adequate Treatment ◽  
Endodontic Surgery ◽  
Maxillary Lateral Incisor

This paper describes and discusses the multidisciplinary treatment involving a permanent maxillary lateral incisor fused to a supernumerary tooth, both presenting pulp necrosis and periapical lesion. A 15-year-old male patient sought treatment complaining of pain, swelling and mobility on the maxillary right lateral incisor. After clinical and radiographic examination, root canal preparation was performed according to the crown-down technique and a calcium hydroxide dressing was placed for 15 days. The patient returned and the definitive endodontic filling was done with thermomechanical compaction of gutta-percha and sealer. After 18 months, clinical and radiographic examinations were carried out and no pain or swelling was reported. Two years after endodontic treatment, the patient returned for periodontal and cosmetic treatments. Nine months later, a cone-beam computed tomography (CBCT) revealed that the previously detected periodontal defect and periapical lesion were persistent. Apical endodontic surgery was indicated. The supernumerary tooth was removed, the communicating distal surface was filled and the surgical site received bioactive glass and demineralized bovine organic bone. The pathological tissue was submitted to histopathological examination and the diagnosis was periapical cyst. One year after the apical endodontic surgery, CBCT showed bone formation at maxillary lateral incisor apical area. Two years after the surgery, the restoration was replaced due to aesthetic reasons and periapical radiograph showed success after 5 years of treatment. A correct diagnosis and establishment of an adequate treatment plan resulted in a successful management of the case.

scholarly journals Tuberculosis: A Common Infection with Rare Presentation, Isolated Sellar Tuberculoma with Panhypopituitarism

2019 ◽  
Vol 10 (02) ◽  
pp. 327-330 ◽  
Author(s):  
Vivek Mahesh Agrawal ◽  
Pramod Janardhan Giri
Keyword(s):  
Pituitary Adenoma ◽  
Transsphenoidal Surgery ◽  
Rare Case ◽  
Nerve Palsy ◽  
Histopathological Examination ◽  
Rare Condition ◽  
Final Diagnosis ◽  
Endoscopic Transsphenoidal Surgery ◽  
Rare Presentation ◽  
Common Infection

ABSTRACTIsolated sellar tuberculoma is a very rare condition and usually presents with headache and decreased vision. It can present with panhypopituitarism with 3rd nerve palsy. Tuberculoma mimics pituitary adenoma clinically as well as radiologically and requires endoscopic transsphenoidal surgery and histopathological examination for the final diagnosis. We present a rare case of a 40-year-old female presented with headache, decreased vision, and unilateral 3rd nerve palsy with panhypopituitarism.

Mesiodens with Facial Talon Cusp- A Rarity

2014 ◽  
Vol 8 (1) ◽  
pp. 62-64
Author(s):  
AN Sulabha ◽  
C Sameer
Keyword(s):  
Treatment Plan ◽  
Female Child ◽  
Common Type ◽  
Supernumerary Tooth ◽  
Rare Presentation ◽  
Dental Anomaly

ABSTRACT Mesiodens is the most common type of supernumerary tooth found in premaxilla between two the central incisors. Talon cusp, also known as eagle's talon, is a dental anomaly that occurs on lingual aspect of the teeth. This paper reports a rare presentation of talon cusp on facial aspect of mesiodens in 9 year old female child. The treatment plan consisted of extraction of mesiodens.

scholarly journals Multilocular Unicystic Ameloblastoma of Mandible

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Manas Bajpai ◽  
Deshant Agarwal ◽  
Anindya Bhalla ◽  
Malay Kumar ◽  
Rakesh Garg ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Final Diagnosis ◽  
Radiographic Examination ◽  
Odontogenic Cysts ◽  
Case Presentation ◽  
Radiologic Findings ◽  
Unicystic Ameloblastoma ◽  
Radiolucent Lesion ◽  
Multilocular Radiolucency ◽  
Equal Contribution

Introduction. We report a rare case of unicystic ameloblastoma (UA) of mandible which showed multilocular radiolucency on the left side of mandible on radiographic examination which is very unusual, and the majority of the cases of UAs till date has been reported of unilocular radiolucency. On histopathological examination, an odontogenic cystic lining that proliferates that intraluminally resembling ameloblastomatous epithelium was observed, leading to a definitive diagnosis of unicystic ameloblastoma.Case Presentation. A 42-year-old male patient presented with a swelling on the left side of the mandible extending from 33 to 36. Radiographically, it showed a multilocular radiolucent lesion resembling odontogenic cyst; however, the final diagnosis was made on histopathological ground with the inclusion of radiological and clinical features.Conclusion. It can be concluded that at present, histopathologic examination is the most sensitive tool for differentiating between odontogenic cysts and UAs. However, both clinical and radiologic findings share equal contribution to the final diagnosis.

scholarly journals Benign Sinonasal Masses: A Clinicopathological and Radiological Profile

2014 ◽  
Vol 11 (1) ◽  
pp. 4-8 ◽  
Author(s):  
A Nepal ◽  
ST Chettri ◽  
RR Joshi ◽  
S Karki
Keyword(s):  
Paranasal Sinus ◽  
Nasal Polyps ◽  
Histopathological Examination ◽  
Treatment Plan ◽  
Final Diagnosis ◽  
Benign Tumors ◽  
Ossifying Fibroma ◽  
Fungal Sinusitis ◽  
Imaging Studies ◽  
Inverted Papillomas

Background Benign nasal and paranasal sinus masses are commonly encountered in clinical practice. Though benign, certain nasal polyps, fungal sinusitis, hemangiomas and fibro-osseous tumors can present with locally destructive features and deformities, mimicking malignancies at once. Objective This study was carried out to recognize the great variety of benign nasal lesions and their frequency in our region. Methods A retrospective chart analysis of cases presenting as mass in nose and paranasal sinus that underwent surgery over three years duration at our institute was done. A provisional diagnosis was made after clinical assessment and radiological investigations, but the final diagnosis was established after histopathological examination. Results A total 331 cases presented as masses in nose and paranasal sinus presented during the period. The clinicopathological examination aided by endoscopic and imaging studies revealed the non neoplastic benign masses in 293 and neoplastic masses in 38. Polyps were the commonest lesions constituting 70% cases followed by rhinosporidiosis in 10%. Fungal sinusitis, squamous papillomas, hemangiomas and inverted papillomas were found to be in order of 4.5%, 4%, 3.5% and 3% respectively. Rare cases like “rhino-oto-cereberal” form of mucormycosis, angiomyoma, and psammomatoid ossifying fibroma were also observed in the study. Conclusion Most of the nasal polyps/fungal sinusitis can be diagnosed clinically. However many a times Computer tomography (CT) scan and biopsy are necessary to differentiate them from each other and treatment plan. Certain benign tumors have high potential for malignant transformation while others can present with locally destructive features and deformities. DOI: http://dx.doi.org/10.3126/kumj.v11i1.11015 Kathmandu University Medical Journal Vol.11(1) 2013: 4-8

MALAKOPLAKIA OF THE BLADDER MIMICKING MALIGNANCY: REPORT OF CASES AND REVIEW OF THE LITERATURE

2021 ◽  
pp. 121-128
Author(s):  
Lelyavin K.B. ◽  
Zaitseva L.V. ◽  
Raevskaya L.Yu. ◽  
Lelyavina A.K.
Keyword(s):  
Urinary Tract ◽  
Rare Case ◽  
Histopathological Examination ◽  
Final Diagnosis ◽  
Etiologic Agent ◽  
Urinary Tract Symptoms ◽  
Tract Infections ◽  
To Receive ◽  
Infectious Etiology ◽  
Lower Urinary

Malakoplakia is a rare granulomatous disease associated with an infectious etiology, usually involving the urinary tract. Clinical presentation malakoplakia is often non-specific, but is typically characterized by recurrent urinary tract infections and hematuria. The etiology of malakoplakia has not been fully elucidated. Frequent association of bladder malakoplakia with urinary tract infection suggests an infectious etiologic agent Malakoplakia of the genitourinary system is more common in women than in men. It is usually observed between the fifth and seventh decades of life. We report a rare case of isolated bladder malakoplakia in a 25-year-old female patient who presented with lower urinary tract symptoms without any hematuria. Clinically, a 15,0 х 11,0 15,0 mm mass was detected in the bladder, which was confirmed by ultrasound scan and magnetic resonance imaging. Malakoplakia is complicated diagnostic problem, since it occurs very rare and can manifest in a different way. Only histological research allows to determine the correct diagnose. The final diagnosis is confirmed by the presence of Michaelis-Gutmann bodies. The majority of patients after being precisely diagnosed can be successfully cured by the lasting treatment of antibiotics in a smaller dose. Represented clinical observation illustrates highly rare case of malakoplakia of bladder. It demonstrates the possibility of usage low invasive surgery not only for diagnostic, but also for therapy. This case made possible to receive the macro preparate for histological research of excellent quality. Histology is essential, not only to diagnose malakoplakia, but also to exclude other important differential diagnoses, such as malignancy. Histopathological examination of the tumor-like mass revealed malakoplakia. Postoperative course was uneventful. This condition should be included in the differential diagnosis of bladder tumors.

Supernumerary Teeth in Premolar and Molar Regions and their Effect on Overall Restorative Treatment Plan

2016 ◽  
Vol 6 (4) ◽  
pp. 98-101
Author(s):  
Sadhana A Raina
Keyword(s):  
Oral Cavity ◽  
Treatment Plan ◽  
Third Molar ◽  
Radiographic Examination ◽  
Supernumerary Teeth ◽  
Supernumerary Tooth ◽  
Restorative Treatment ◽  
Normal Number ◽  
Clinical Problems ◽  
Molar Region

ABSTRACT Supernumerary tooth, also known as hyperdontia, is the condition where more than the normal number of teeth is present. By definition, the supernumerary teeth are the extra teeth present in the oral cavity. They can be found in the region of oral cavity, but are common in the maxilla than mandible.   Supernumerary teeth may be encountered by the dental practitioner as a chance finding on a radiograph or as the cause of an impacted central incisor. Their presence may give rise to a variety of clinical problems. Detection of supernumerary is best achieved through clinical and radiographic examination. This article shows the cases of supernumerary teeth in mandibular premolar region and maxillary third molar region along with its etiology, frequency, classification, complication, and management. How to cite this article Raina SA. Supernumerary Teeth in Premolar and Molar Regions and their Effect on Overall Restorative Treatment Plan. Int J Prosthodont Restor Dent 2016;6(4):98-101.

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