scholarly journals Gingival Reactive Lesions in Orally Rehabilitated Patients by Free Revascularized Flap

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Gianluca Tenore ◽  
Ahmed Mohsen ◽  
Giorgio Pompa ◽  
Edoardo Brauner ◽  
Andrea Cassoni ◽  
...  
Keyword(s):  
Oral Hygiene ◽  
Third Molar ◽  
Excisional Biopsy ◽  
Pyogenic Granuloma ◽  
Trigger Factor ◽  
Removable Partial Denture ◽  
Second Molar ◽  
First Case ◽  
Hygiene Measures ◽  
Local Trauma

The aim is to discuss four cases of gingival reactive hyperplastic lesions in patients with a history of excision of oral neoplastic lesions and rehabilitation by a free revascularized flap of the iliac crest. One female and 3 male patients were referred due to the presence of exophytic lesions at the rehabilitated sites. The clinical examination revealed that the poor oral hygiene was the common trigger factor in all the cases, in addition to trauma from the upper left second molar in the first case, pericoronitis related to a partially erupted lower right third molar in the third case, and poor stability of an upper removable partial denture in the fourth case. All the cases were subjected to elimination of these suspected triggering factors, exclusion of dysplasia, excisional biopsy by CO2 laser, and five follow-up visits. The histological examination of all the cases confirmed the diagnosis of pyogenic granuloma. These presented cases suggest that the limitations in oral functions and maintaining the oral hygiene measures following the free revascularized flap reconstruction surgery probably played a role in the development of gingival reactive hyperplastic lesions with presence of trigger factors such as local trauma, chronic infection, or inadequate prosthesis.

scholarly journals A Rare Case of Pyogenic Granuloma in the Tooth Extraction Socket

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Yosuke Iijima ◽  
Nami Nakayama ◽  
Leona Kashimata ◽  
Miki Yamada ◽  
Ryutaro Kawano ◽  
...  
Keyword(s):  
Rare Case ◽  
Tooth Extraction ◽  
Dentigerous Cyst ◽  
Excisional Biopsy ◽  
Pyogenic Granuloma ◽  
Histopathological Diagnosis ◽  
Wisdom Tooth ◽  
Complete Excision ◽  
Extraction Socket ◽  
Second Molar

Pyogenic granuloma (PG) refers to a common, acquired, benign, and vascular tumor that arises in tissues such as the skin and mucous membranes. However, it is extremely rare for PG to arise from an empty socket after tooth extraction. Herein, we describe a rare case of PG that arose from the empty extraction socket of the second molar adjacent to a dentigerous cyst of the left mandibular wisdom tooth in a 57-year-old man. The patient’s second molar was extracted during the same procedure in which the wisdom tooth and cyst were removed. Subsequently, at 42 days after surgery, an exophytic mass was found in the socket of the second molar. An excisional biopsy was performed, and the histopathological diagnosis was PG. Since the PG recurred 90 days after the surgery, a complete excision with bone curettage was performed. During the 12 months of follow-up, there has been no recurrence observed. In conclusion, as tooth extraction is a routine dental practice, clinicians should be aware that PGs can also develop from an extraction socket.

scholarly journals A New Multi-Ingredient Recipe for the Treatment of Localized Advanced Periodontal Disease following the Surgical Removal of Impacted Wisdom Teeth

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Nabil Khzam ◽  
Adam Fell ◽  
Anthony Fisher ◽  
Paul Kim ◽  
Usman A. Khan ◽  
...  
Keyword(s):  
Periodontal Disease ◽  
Third Molar ◽  
Surgical Removal ◽  
Synthetic Bone ◽  
Second Molar ◽  
Surgical Access ◽  
Hygiene Measures ◽  
Wisdom Teeth ◽  
Distal Aspect ◽  
Supporting Structures

Periodontal disease is a chronic inflammation of the tooth supporting structures. It leads to bone and attachment loss which is irreversible. Extraction of horizontally impacted lower third molar (L3M) teeth may result in localized periodontal pockets at the distal aspect of the adjacent lower second molars (L2M). We present a case of a 21-year-old male who suffered from a swelling and pain around his lower right second molar following surgical removal of a mesioangular impacted lower right third molar. We showed that oral hygiene measures, surgical access, mixture of autogenous and synthetic bone graft, and guided tissue regeneration (GTR) were enough to control the problem.

scholarly journals Hereditary Nonsyndromic Gingival Fibromatosis: Report of Family Case Series

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Syed Wali Peeran ◽  
Karthikeyan Ramalingam ◽  
Syed Ali Peeran ◽  
Marei Hamed Mugrabi ◽  
Khaled Awidat Abdulla
Keyword(s):  
Oral Hygiene ◽  
Case Series ◽  
Benign Disorder ◽  
First Case ◽  
Hygiene Measures ◽  
Family Case ◽  
Gingival Fibromatosis ◽  
Progressive Enlargement

Hereditary gingival fibromatosis (HGF) is a rare, benign disorder with slowly progressive enlargement of maxillary and mandibular gingiva. Herewith, we report the first case series of HGF presenting among mother and all of her 3 children. Their complaints included unaesthetic appearance due to gingival growth, malocclusion, and difficulty in mastication. Conventional gingivectomy with oral hygiene measures and regular followup is the treatment of choice for such presentation.

scholarly journals Gravidarum granuloma associated to an osseointegrated implant: case report

2014 ◽  
Vol 43 (2) ◽  
pp. 148-152 ◽  
Author(s):  
Cleverson Luciano Trento ◽  
Vanessa Cristina Veltrini ◽  
Rivelino Nímio Marques dos Santos ◽  
Vanessa Tavares de Gois Santos
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Pregnant Women ◽  
Oral Hygiene ◽  
Pain Sensitivity ◽  
Excisional Biopsy ◽  
Oral Lesion ◽  
Pyogenic Granuloma ◽  
Traumatic Lesion ◽  
Osseointegrated Implant

Introduction: Pyogenic granuloma, known as gravidarum granuloma or pregnancy granuloma, is a benign non-neoplastic reactive oral lesion that may occur in pregnant women. It is usually a highly vascularized mass, which has exophytic characteristics, and it may be sessile or pedunculated. Its surface has usually a smooth or lobular aspect, with its coloration ranging from red to pink. The pain sensitivity will depend on the degree of injury involving the traumatic lesion, but it is frequently painless. Adjacent areas to dental implants are rare for the appearance of this type of granuloma. Objective: The aim of this case report was to present a clinic case of gravidarum granuloma in the region of lower lingual gingiva, adjacent to an osseointegrated implant in a 33-year-old woman, with 3 months of gestation, who had the lesion since the beginning of her pregnancy. Conclusion: Gravidarum granuloma was diagnosed in association to a dental implant, and it highlights the necessity for improvements of oral hygiene in the peri-implant regions. Surgical treatment with excisional biopsy plus hygiene control were enough to settle the case.

scholarly journals Pregnancy and Pregnancy Tumour – Is there any relation? A Report of two cases and its pathogenesis

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Ramesh KSV ◽  
Swetha P ◽  
Sameera ASS
Keyword(s):  
Early Intervention ◽  
Connective Tissue ◽  
Oral Hygiene ◽  
Surgical Excision ◽  
Oral Lesion ◽  
Pyogenic Granuloma ◽  
Young Females ◽  
Hygiene Measures ◽  
Granuloma Pyogenicum

Granuloma pyogenicum is the second most common oral lesion, which does not produce pus. This is a smooth, painless, non neoplastic and lobulated or cauliflower like growth of the connective tissue seen commonly on gingiva and in young females comparing to males. Pyogenic granuloma seems to contribute 19.76-25% of all reactive lesions. Pyogenic granuloma being benign in nature this may attain an alarming size causing pain and discomfort. Thus early intervention through reinforcement of adequate oral hygiene measures along with surgical excision down to the periosteum is necessary to minimize the recurrence.

scholarly journals Assessment of the Retromolar Canal in Taiwan Subpopulation: A Cross-Sectional Cone-Beam Computed Tomography Study in a Medical Center

Tomography ◽  
2021 ◽  
Vol 7 (2) ◽  
pp. 219-227
Author(s):  
Yen-Wen Shen ◽  
Wan-Chun Chang ◽  
Heng-Li Huang ◽  
Ming-Tzu Tsai ◽  
Lih-Jyh Fuh ◽  
...  
Keyword(s):  
Medical Center ◽  
Third Molar ◽  
Mandibular Canal ◽  
Cone Beam ◽  
Horizontal Distance ◽  
Taiwanese Population ◽  
Mandibular Bone ◽  
Second Molar ◽  
The Third ◽  
Retromolar Canal

The retromolar canal is an anatomical variation that occurs in the mandibular bone. The retromolar canal typically originates in the mandibular canal on the distal side of the third molar and extends forward and upward to the retromolar foramen (RMF), which contains the neurovascular bundle. Accidentally damaging the neurovascular bundle in the retromolar canal during the extraction of the third molar, dental implant surgery, or maxillofacial orthognathic surgery may lead to subsequent complications such as incomplete local anesthesia, paresthesia, and bleeding during operation. The objective of this study was to investigate the prevalence of the RMF in the Taiwanese population in a medical center by using dental cone-beam computed tomography (CBCT) and to identify the position of the RMF in the mandibular bone. The dental CBCT images for the mandibular bone of 68 hemi-mandible were uploaded to the medical imaging software Mimics 15.1 to determine the prevalence of the RMF in the Taiwanese population and the three positional parameters of the RMF in the mandibular bone: (1) The diameter of the RMF, (2) the horizontal distance from the midpoint of the RMF to the distal cementoenamel junction of the second molar, and (3) the vertical distance from the midpoint of the RMF to the upper border of the mandibular canal. Seven RMFs were observed in the 68 hemi-mandibles. Thus, the RMF prevalence was 10.3%. In addition, the diameter of the RMF was 1.41 ± 0.30 mm (mean ± standard deviation), the horizontal distance from the midpoint of the RMF to the distal cementoenamel junction of the the second molar was 12.93 ± 2.87 mm, and the vertical distance from the midpoint of the RMF to the upper border of the mandibular canal below second molar was 13.62 ± 1.3487 mm. This study determined the prevalence of the RMF in the Taiwanese population in a medical center and its relative position in the mandibular bone. This information can provide clinicians with a reference for posterior mandible anesthesia and surgery to ensure medical safety.

scholarly journals Influence of the Periapical Status of the Posterior Maxillary Teeth on the Width of the Schneiderian Membrane of the Maxillary Sinus Mucosa

2021 ◽  
Vol 11 (9) ◽  
pp. 3908
Author(s):  
Igor Tsesis ◽  
Eyal Rosen ◽  
Ilan Beitlitum ◽  
Einat Dicker-Levy ◽  
Shlomo Matalon
Keyword(s):  
Maxillary Sinus ◽  
Third Molar ◽  
Root Tips ◽  
Schneiderian Membrane ◽  
Second Molar ◽  
Periapical Lesions ◽  
Posterior Maxilla ◽  
Mucosal Thickness ◽  
Tooth Type ◽  
Mucosal Thickening

Background: Various parameters are known to affect the amount and type of mucosal thickening. The aim of this retrospective study was to investigate these effects through a survey of cone-beam computed tomography (CBCT) images. CBCT scans of 150 patients, which included the area of the MS and maxillary teeth (canine, first premolar, second premolar, first molar, second molar, and third molar), were evaluated retrospectively for the presence of sinus mucosal thickening. The parameters evaluated as possible causes of mucosal thickening were age, sex, tooth type, proximity to the maxillary sinus, endodontic treatment, and periapical lesion. Descriptive statistics and multiple logistic regression were used to analyze the data. A total of 28% of the teeth presented with mucosal thickening, which was associated with periapical lesions in 57.1% of 77 cases. The size of the lesion was the only parameter that was found to be significantly connected to the presence of mucosal thickness. More than 50% of teeth with periapical lesions in the posterior maxilla exhibited mucosal thickening. Other parameters such as age, sex, and the position of the root tips in relation to the MS floor did not influence the probability of developing mucosal thickening.

scholarly journals Influence of Surgical Flap Design (Envelope and Szmyd) for Removal of Impacted Mandibular Third Molars on Clinical Periodontal Parameters: A Clinical Trial

2021 ◽  
Vol 18 (9) ◽  
pp. 4465
Author(s):  
Muhtada Ahmad ◽  
Zafar Ali Khan ◽  
Tahir Ullah Khan ◽  
Montaser N. Alqutub ◽  
Sameer A. Mokeem ◽  
...  
Keyword(s):  
Third Molar ◽  
Periodontal Pocket ◽  
Third Molars ◽  
Chi Square ◽  
Pocket Depth ◽  
Clinical Attachment Loss ◽  
Exact Test ◽  
Second Molar ◽  
Third Molar Extraction ◽  
Flap Design

The aim of the study was to assess the influence of flap designs (Envelope flap (EF) and Szmyd flap (SF)) for impacted mandibular third molar extraction, on periodontal pocket depth (PPD), clinical attachment loss (CAL) and bone levels (BL) of second molar. Sixty patients indicated for third molar extractions with healthy second molars were allocated into two groups: EF and SF (n = 30). Third molars were assessed for angulation, root patterns, depth of impactions and relation with ramus (Pell and Gregory classification). Extraction of third molars was performed and PPD, CAL and BL around second molars at 0, 3 and 6 month (mon) follow-ups (FU) were assessed clinically and radiographically. ANOVA, Chi-square and Fisher’s exact test were employed to compare periodontal factors between EF and SF groups, considering p ≤ 0.05 as significant. Sixty participants with a mean age of 23.22 ± 3.17 were included in the study. Based on angulation, the most common impaction in the EF and SF groups was mesio-angular (EF, 50%; SF, 36.7%). Buccal and distal PPD showed a significant increase (p < 0.001) in both EF and SF patients from baseline to 6 mon. EF patients showed significantly higher distal and buccal CAL (6.67 ± 0.18 mm; 6.91 ± 0.17 mm) and BL (7.64 ± 0.16 mm; 7.90 ± 0.15 mm) as compared to SF patients (CAL, 6.76 ± 0.26 mm; 6.91 ± 0.17 mm-BL, 7.42 ± 0.38 mm; 7.34 ± 0.34 mm) at 6 mon FU. SF showed better soft tissue attachment (PPD and CAL) and bone stability (less bone loss) around second molars compared to EF after third molar extractions regardless of the patient, tooth and operator factors.

Stress Study of Removable Partial Denture with Attachments Using Finite Element Analysis

2014 ◽  
Vol 658 ◽  
pp. 389-394
Author(s):  
Oana Cella Andrei ◽  
Livia Alice Tanasescu ◽  
Ruxandra Margarit ◽  
Mircea Horia Tierean
Keyword(s):  
3D Model ◽  
Sagittal Plane ◽  
Simulation Software ◽  
Von Mises Stress ◽  
Removable Partial Denture ◽  
Maximum Displacement ◽  
Partial Denture ◽  
Rotational Movement ◽  
Anterior Teeth ◽  
First Case

The paper presents the study of the stresses and the displacements that appear in different areas of the removable partial denture (RPD) with extracoronal attachments under occlusal loading, using FEA. The first step was to create the 3D model of a RPD with ball attachments in case of a class I Kennedy edentulous patient with all six anterior teeth as abutments. All materials were considered homogeneous, isotropic and having linear elasticity. There were assumed two types of constraints: in the first one the model is fixed under the action of the mastication forces; in the second one the rotational movement of the denture’s saddles in the sagittal plane was simulated, towards the edentulous ridge. In the first case, the 3D model and FEA were developed using Autodesk Inventor 2013 software. In the second case, the FEA was done using Autodesk Algor Simulation software. The loading of the model was symmetrically applied, considering the magnitude of the tangential and normal oral forces determined by Las Casas et al. These forces were applied to all the PM1, PM2, M1 and M2 pairs. Each loading case was analysed separately. The results of the two constrain situations are presented graphically, comparatively and show that the amount of the saddle displacement depends on the application area of the mastication force. Maximum displacement was computed at the application of the mastication forces on the M2 and decreases as the force is applied more mesial. The amount of the major connector’s deformation is very little influenced by the site of the force. The largest displacement of the denture was recorded at the distal end of the saddle, with values ​​that depend on the site of the forces. The existence of the rotational movement of the denture’s free end saddles in the sagittal plane, towards the edentulous ridge, changes the values ​​of accumulated stresses in denture during mastication and its Von Mises stress peaks. This analysis can be use to establish the principles of planning and designing the RPD with ball attachments having in mind to minimize the number of repairs caused by fractures of the components.

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