scholarly journals Conservative Treatment of Dentigerous Cyst by Marsupialization in a Young Female Patient: A Case Report and Review of the Literature

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Layal Ghandour ◽  
Hisham F. Bahmad ◽  
Samar Bou-Assi
Keyword(s):  
Female Patient ◽  
Root Resorption ◽  
Young Female ◽  
Permanent Teeth ◽  
Radiographic Examination ◽  
Odontogenic Cysts ◽  
Second Primary ◽  
Surgical Removal ◽  
Anterior Teeth ◽  
Dentigerous Cysts

Dentigerous cysts (DCs) are the most prevalent developmental odontogenic cysts that occur in middle-aged individuals. They frequently originate from the epithelial remnants of tooth-forming organs. Hereby, we present a case of a 13-year-old young female patient presenting with DC that was treated successfully by marsupialization. The patient’s chief complaint was the crowding of the anterior teeth. Clinical examination showed that the patient had all her permanent teeth present with a retained mandibular left second primary molar that was previously treated by pulpectomy. The radiographic examination revealed a unilocular radiolucent lesion with well-defined margins associated with a mesially-tipped unerupted mandibular left second premolar. The differential diagnosis confirmed that the lesion was a DC. The treatment consisted of surgical removal of the DC to allow proper eruption of the permanent tooth and to prevent the lesion from becoming an aggressive one causing gross expansion of bone with subsequent facial asymmetry, pain, displacement of teeth, and root resorption. A removable acrylic obturator was delivered to the patient keeping the path clear and guiding the eruption of the premolar until fully erupted.

Resorption of multirooted temporary teeth in children with dentofacial anomalies in accordance with the orthopantomography data

2020 ◽  
Vol 20 (3) ◽  
pp. 235-241
Author(s):  
F. S. Ayupova ◽  
S. N. Alekseenko ◽  
V. Ya. Zobenko ◽  
T. V. Gayvoronskaya
Keyword(s):  
Primary Teeth ◽  
Root Resorption ◽  
Type A ◽  
Mixed Dentition ◽  
Permanent Teeth ◽  
Primary Molars ◽  
Second Primary ◽  
X Rays ◽  
Primary Molar ◽  
Posterior Teeth

Relevance. To study the incidence of different types of resorption of multirooted primary teeth, to specify indications for deciduous molar extraction to prevent eruption abnormalities of permanent posterior teeth in mixed dentition.Materials and methods. Root resorption of 375 multirooted primary teeth (166 first primary molars and 209 second primary molars) was studied on panoramic X-rays of 60 children (30 girls and 30 boys) aged between 7 and 15. Illustrated classification by T.F. Vinogradova (1967) improved by authors was used to determine type and degree of root resorption of multi-rooted primary teeth. Received data were described with absolute values of number of cases and percentage. Chi-square was used to detect differences in sign incidence rate between groups, p<0.05 was considered statistically significant.Results. There were no statistically significant gender differences (p>0,05) in type and degree of root resorption of multirooted primary teeth. Type A resorption prevailed and constituted 53.3% of all primary molars. Disturbances in root resorption of multirooted primary teeth in mixed dentition were related to health condition of primary teeth. Transition of even resorption to unven was considered a risk factor of delayed eruption and aberrant position of permanent teeth, and indication for extraction of a primary molar in question. Conclusions. 1) Even root resorption (type A) was detected in 53.3% of primary molars in mixed dentition by orthopantomography. 2) Transition from even resorption of primary molar roots to uneven resorption was associated with eruption deviations and delayed premolar eruption. 3) Timely extraction of primary molars with uneven root resorption facilitated correct eruption of premolars and increased effectiveness of secondary prevention of malocclusion in children.

scholarly journals Orthodontic Forced Eruption of Permanent Anterior Teeth with Subgingival Fractures: A Systematic Review

2021 ◽  
Vol 18 (23) ◽  
pp. 12580
Author(s):  
Elisabeth Reichardt ◽  
Ralf Krug ◽  
Michael M. Bornstein ◽  
Jürgen Tomasch ◽  
Carlalberta Verna ◽  
...  
Keyword(s):  
Soft Tissues ◽  
Alveolar Bone ◽  
Root Resorption ◽  
Statistical Significance ◽  
Case Series ◽  
Dental Trauma ◽  
Permanent Teeth ◽  
Cochrane Library ◽  
Anterior Teeth ◽  
Forced Eruption

(1) Background: To assess orthodontic forced eruption (OFE) as a pre-restorative procedure for non-restorable permanent teeth with subgingival dental hard tissue defects after dental trauma. (2) Methods: A systematic electronic search of three databases, namely, MEDLINE, Cochrane Library, and EMBASE, revealed a total of 2757 eligible publications. Randomized controlled clinical trials (RCT), retro- and prospective clinical studies, or case series (with a minimum of three patients) were reviewed. (3) Results: Thirteen full-text papers were included: one RCT, one prospective clinical trial, two retrospective cohort studies, and nine case series. Within case series, statistical significance between age and cause of fracture (p < 0.03) was determined. The mean extrusion rate of OFE was 1.5 mm a week within a four to six weeks treatment period followed by retention. Three OFE protocols for maxillary single teeth are available: 1. OFE without migration of gingiva and alveolar bone, 2. OFE with gingival migration and slight alveolar bone migration, and 3. OFE with migration of both gingiva and alveolar bone. (4) Conclusions: The current state of the evidence suggests that OFE is a feasible pre-treatment option for non-restorable permanent teeth. OFE can promote the migration of tooth surrounding hard and soft tissues in the esthetic zone. Root resorption does not seem to be a relevant side effect of OFE.

Giant dentigerous cyst occupying the right hemimandible

2002 ◽  
Vol 10 (4) ◽  
pp. 171-174
Author(s):  
Uğur Koçer ◽  
H Mete Aksoy ◽  
YiğIt Ö TiftikçioğLu ◽  
Dilek Ertoy ◽  
Önder Karaaslan
Keyword(s):  
Young Patient ◽  
Bone Grafting ◽  
Present Report ◽  
Dentigerous Cyst ◽  
Odontogenic Cysts ◽  
Surgical Removal ◽  
Dentigerous Cysts ◽  
Primary Bone ◽  
The Right

Dentigerous cysts are the second most common odontogenic cysts of the mandible. They may vary in size from 2 cm to more than 10 cm. In the present report, a dentigerous cyst with massive involvement of the right half of the mandible in a young patient is presented. For cosmetic reasons and long term risks these cysts must be treated. Surgical removal is the preferred modality and a submandibular route should be chosen in large lesions. Bony cavities may be decreased in volume by using osteoperiosteal flaps, but there is no need for primary bone grafting, even for large defects.

scholarly journals Bilateral Maxillary Dentigerous Cysts in a Nonsyndromic Child: A Rare Presentation and Review of the Literature

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Rakshit Vijay Khandeparker ◽  
Purva Vijay Khandeparker ◽  
Anirudha Virginkar ◽  
Kiran Savant
Keyword(s):  
Dentigerous Cyst ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Odontogenic Cysts ◽  
Systemic Diseases ◽  
Review Of The Literature ◽  
Rare Presentation ◽  
Dentigerous Cysts ◽  
The Right

Dentigerous cysts represent the second most common odontogenic cysts of the jaws after radicular cysts and are usually associated with the crowns of unerupted permanent teeth and rarely deciduous teeth. They are usually solitary in their presentation. Multiple and bilateral dentigerous cysts are an extremely rare presentation in the absence of developmental syndromes or systemic diseases or the use of prescribed certain medications. We hereby present a case of a bilateral dentigerous cyst of the maxilla in a 10-year-old child involving the crowns of unerupted permanent second premolar on the right side and the unerupted permanent canine on the left side. An effort has also been made to review the existing literature on this entity and to stress the importance of radiographic and histopathological examinations in diagnosing such an entity.

Management of Anterior Maxillary Odontomes Secondary to Impacted Maxillary Central Incisor

2013 ◽  
Vol 7 (3) ◽  
pp. 181-183
Author(s):  
A Agarwal ◽  
P Gupta ◽  
M Goel ◽  
N Jindal ◽  
J Batra
Keyword(s):  
Histopathological Examination ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Surgical Removal ◽  
Central Incisor ◽  
Anterior Maxilla ◽  
Maxillary Central Incisor ◽  
The Past ◽  
Anterior Teeth ◽  
The Common

ABSTRACT Odontomes arise as a result of an aberration in the tissues responsible for the formation of teeth. Though regarded as tumors or hamartomas in the past they are now usually regarded as variations in development of malformations. A 15 yr old female patient with complaint of swelling and mobility of upper anterior teeth diagnosed as complex Odontomes of anterior maxilla managed with enucleation. Odontomes are diagnosed in the second decade of life and are commonly associated with delayed eruption and displacement of related permanent teeth which is sometimes accompanied by retention of deciduous teeth and swelling. The treatment of the Odontomes is surgical removal and there is no expectancy of recurrence. Since both the ameloblastic odontoma and the ameloblastic fibro-odontoma bear great resemblance to the common Odontomes, particularly on the radiographs it is suggested that all Odontomes be sent for histopathological examination.

scholarly journals Accuracy of Different Apex Locators in Teeth with Simulated Apical Root Resorption: an In Vitro Study

Folia Medica ◽  
2018 ◽  
Vol 60 (4) ◽  
pp. 624-631
Author(s):  
Ganesh Ranganath Jadhav ◽  
Priya Mittal ◽  
Vishal Patil ◽  
Prashant Kandekar ◽  
Anish Kulkarni ◽  
...  
Keyword(s):  
Root Resorption ◽  
In Vitro Study ◽  
Permanent Teeth ◽  
Fourth Generation ◽  
Apical Root Resorption ◽  
Anterior Teeth ◽  
Group I ◽  
Working Length ◽  
Significant Difference

Abstract Background: Accurate working length (WL) determination is necessary in achieving optimal healing by non-surgical root canal therapy in teeth with inflammatory apical root resorption. Electronic apex locators (EALs) are one of the mainstays in determination of WL of teeth. Aim: This study evaluated the accuracy of three EALs [RootZX (third generation), iPex (fourth generation) and Raypex 6 (modification of a fifth generation)] in determining the WL of teeth with simulated apical root resorption in permanent teeth. Materials and methods: Forty freshly extracted maxillary anterior teeth were collected and a 45° oblique cut was made at the root apex with a disc to simulate apical root resorption. Actual working length (AWL) was determined by direct visual method and was used as a control. Electronic working length (EWL) values were measured by three different apex locators that are RootZX (Group I), iPex (Group II) and Raypex 6 (Group III) at apex, 0.5 mm and 1 mm from apex. All values obtained were tabulated and statistical evaluation was carried out. Results: At apex, EWL obtained using iPex (p=0.05) showed a statistically significant difference from AWL. At 0.5 mm and 1.0 mm tolerance, iPex showed non-acceptability for WL measurement in 67.5% and 17.5% of samples compared to Root ZX (12.5% and 2.5%) and Raypex (7.5% and none) respectively. Conclusion: Within the limitation of this study, it can be concluded that Raypex 6 and RootZX show statistically significant accuracy in WL measurement compared with iPex in teeth with apical root resorption.

scholarly journals Orthodontic treatment in patient with idiopathic root resorption: A case report

2015 ◽  
Vol 20 (1) ◽  
pp. 108-117 ◽  
Author(s):  
Diego Rey ◽  
Rosana Martínez Smit ◽  
Liliana Gamboa
Keyword(s):  
Orthodontic Treatment ◽  
Unusual Case ◽  
Root Resorption ◽  
Pathological Condition ◽  
Radiographic Finding ◽  
Young Female ◽  
Permanent Teeth ◽  
External Root Resorption ◽  
Systemic Factors ◽  
The Ideal

Multiple idiopathic external root resorption is a rare pathological condition usually detected as an incidental radiographic finding. External root resorption of permanent teeth is a multifactorial process related to several local and systemic factors. If an etiological factor cannot be identified for root resorption, the term "idiopathic" is applied. This report presents a case of multiple idiopathic apical root resorption. The condition was found in a young female patient seeking orthodontic treatment due to malocclusion. This kind of resorption starts apically and progresses coronally, causing a gradual shortening and rounding of the remaining root. Patients with this condition are not the ideal candidates for orthodontic treatment; however, the aim of this report is to describe an unusual case of idiopathic root resorption involving the entire dentition, and to present the orthodontic treatment of this patient. It describes the progress and completion of orthodontic therapy with satisfactory end results.

scholarly journals Deep learning neural networks to differentiate Stafne’s bone cavity from pathological radiolucent lesions of the mandible in heterogeneous panoramic radiography

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254997
Author(s):  
Ari Lee ◽  
Min Su Kim ◽  
Sang-Sun Han ◽  
PooGyeon Park ◽  
Chena Lee ◽  
...  
Keyword(s):  
Deep Learning ◽  
High Performance ◽  
Imaging System ◽  
Panoramic Radiography ◽  
Learning Algorithm ◽  
Odontogenic Cysts ◽  
Surgical Removal ◽  
Imaging Features ◽  
Deep Learning Algorithm ◽  
Dentigerous Cysts

This study aimed to develop a high-performance deep learning algorithm to differentiate Stafne’s bone cavity (SBC) from cysts and tumors of the jaw based on images acquired from various panoramic radiographic systems. Data sets included 176 Stafne’s bone cavities and 282 odontogenic cysts and tumors of the mandible (98 dentigerous cysts, 91 odontogenic keratocysts, and 93 ameloblastomas) that required surgical removal. Panoramic radiographs were obtained using three different imaging systems. The trained model showed 99.25% accuracy, 98.08% sensitivity, and 100% specificity for SBC classification and resulted in one misclassified SBC case. The algorithm was approved to recognize the typical imaging features of SBC in panoramic radiography regardless of the imaging system when traced back with Grad-Cam and Guided Grad-Cam methods. The deep learning model for SBC differentiating from odontogenic cysts and tumors showed high performance with images obtained from multiple panoramic systems. The present algorithm is expected to be a useful tool for clinicians, as it diagnoses SBCs in panoramic radiography to prevent unnecessary examinations for patients. Additionally, it would provide support for clinicians to determine further examinations or referrals to surgeons for cases where even experts are unsure of diagnosis using panoramic radiography alone.

scholarly journals Use of a Modified Nance Appliance for Esthetic Rehabilitation of a Child Patient with Rare Nonfamilial and Nonsyndromic Oligodontia

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Abbas O. Al-Ahmadi ◽  
Ali A. Assiry ◽  
Siraj D. A. A. Khan ◽  
Anand Marya ◽  
Adith Venugopal ◽  
...  
Keyword(s):  
Behavioral Change ◽  
Third Molar ◽  
Permanent Tooth ◽  
Permanent Teeth ◽  
Radiographic Examination ◽  
Missing Teeth ◽  
Present Case Report ◽  
Anterior Teeth ◽  
Child Patient ◽  
Tooth Buds

Congenital absence of more than 6 teeth except the third molar is known as oligodontia. It can affect both primary and permanent dentitions. The affected individuals usually demonstrate esthetic, functional, and psychological concerns. The present case report is about a 4-year-old female patient with multiple missing (both primary and permanent) teeth with esthetic and social problems. On extraoral examination, the patient demonstrated upper lip relapse due to missing anterior teeth. On physical examination, no other abnormality was detected in relation to the hair, appendages, or presence of a cleft. On intraoral and radiographic examination, 21 teeth were missing, which included both the primary and the permanent tooth buds. To encourage a positive behavioral change, it was decided to carry out prosthetic intervention using a modified fixed Nance appliance and acrylic teeth. After the replacement of the missing teeth, a marked improvement in the profile and esthetics was seen.

scholarly journals Prosthetic Rehabilitation of Child Victim of Avulsion of Anterior Teeth with Orthodontic Mini-Implant

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Natalice Sousa de Oliveira ◽  
Gabriella Lopes de Rezende Barbosa ◽  
Lincoln Dias Lanza ◽  
Henrique Pretti
Keyword(s):  
Social Inclusion ◽  
Case Reports ◽  
Functional Results ◽  
Permanent Teeth ◽  
Radiographic Examination ◽  
Prosthetic Rehabilitation ◽  
Promising Alternative ◽  
Periodontal Tissues ◽  
Mini Implants ◽  
Anterior Teeth

The treatment of choice in cases of avulsed permanent teeth is the immediate reimplantation. However, this conduct does not always work favorably, either by failures in the initial approach or by inappropriate interventions. In this sense, the aim of this study is to present an alternative prosthetic rehabilitation with the use of orthodontic mini-implants in the anterior region. This case reports a ten-year-old child with history of avulsion of superior central incisors. The therapeutic approach was planned to promote physiological teeth contacts and acceptable esthetics and phonetics. First, the occlusal-gingival insertion of two orthodontic mini-implants was performed in the alveolar ridge, and, immediately after that, two provisional crowns were attached to the implants. The interventions achieved satisfactory cosmetic and functional results. After one-year follow-up, the adjacent periodontal tissues remained without signs and/or symptoms of inflammation. The provisional crowns presented no mobility and fractures. During radiographic examination, a healthy bone tissue appearance was observed. The simplicity of mini-implant installation makes them a promising alternative for temporary prosthetic rehabilitation of patients undergoing growth and development. The technique provides positive aesthetic and functional results that may reflect on self-esteem and social inclusion of children and adolescents.

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