scholarly journals Non-syndromic multiple supernumerary teeth associated with Dens Invaginatus: a case report

Author(s):  
Mario Ortiz

  Background: Supernumerary teeth are an infrequent developmental alteration causing alteration in normal arch form and occlusion. Multiple supernumerary teeth can be associated with some syndromes. However, it can be present in patients without any systemic pathology. Dens invaginatus is a dental developmental variation resulting from an alteration in the normal growth pattern of the dental papilla of a tooth. Cone Beam Computered Tomography (CBCT) could be used to diagnosis supernumerary tooth and dens invaginatus. Case report: A case of a 10-year-old girl with multiple supernumerary teeth without syndromic association is presented. A rare association with dens invaginatus was present. Supernumerary teeth were located in maxilla and mandible and cause severe tooth displacement and lip incompetence. Discussion: Hyperodontia is a number dental alteration of unknown etiology with a prevalence that varies between 0.1 and 3.8%. Dens in dente is a dental shape alteration of unknown etiology with variable prevalence depending on the population. This alteration puts the integrity and health of the affected tooth at risk. Early diagnosis is important in the long-term prognosis. Radiological tools are the appropriate option for diagnosis and are shown in this article.

2017 ◽  
Vol 7 (2) ◽  
pp. 125-129 ◽  
Author(s):  
Pranjal S Walzade ◽  
Sumanthini MV ◽  
Vanitha U Shenoy ◽  
Rohini P Mahajan

ABSTRACT Aim To describe the management of type II dens invaginatus in permanent maxillary lateral incisors. Background Teeth affected by dens invaginatus show a deep infolding of enamel and dentine starting from the foramen coecum or even the tip of the cusps which may extend deep into the root. Dens invaginatus can be managed conservatively when it does not involve pulp and periodontal ligament. Moreover it may show a broad spectrum of morphologic variations and frequently results in early pulp necrosis if left undetected in early stages. Root canal treatment of such teeth is challenging because of the complex pulp space anatomy. Case report In the present case, bilateral occurrence of type II dens invaginatus was detected in maxillary lateral incisors. Following conservative cavity preparation, 12 was restored with an adhesive restoration. However as pulp exposure was observed in 22, it was endodontically treated. Conclusion Class II dens invaginatus without pulpal involvement can be treated successfully by conservative means there by maintaining the vitality of tooth. Early detection and immediate management leads to reduced tooth destruction thereby enhancing the long term prognosis. Clinical significance This case report will aid clinicians in the early detection and conservative management of tooth anomalies like dens invaginatus. How to cite this article Walzade PS, Sumanthini MV, Shenoy VU, Mahajan RP. Management of Bilateral Oehlers’ Type II Dens Invaginatus in Maxillary Lateral Incisors. J Contemp Dent 2017;7(2):125-129.


2000 ◽  
Vol 58 (2B) ◽  
pp. 531-534 ◽  
Author(s):  
LEONARDO FONTENELLE ◽  
MAURO V. MENDLOWICZ ◽  
J. CHRISTIAN GILLIN ◽  
PAULO MATTOS ◽  
MÁRCIO VERSIANI

Kleine-Levin syndrome is characterized by periodic hypersomnia, hyperphagia, sexual disinhibitions and behavioral disturbances. The prognosis is generally benign, with normal cognitive and social functions after the episodes. We describe a typical case of Kleine-Levin syndrome associated with apparent academic decline, neuropsychological sequelae and personality alterations after the second episode of the illness. Further research in the natural history of Kleine-Levin syndrome is needed, for example, to determine whether early intervention would improve long-term prognosis.


2017 ◽  
Vol 7 (3) ◽  
pp. 165-169
Author(s):  
Md Abdul Hannan Sheikh

Accidental tooth avulsion is a grievous injury and common among the children. Management of avulsed tooth within alveolar socket by reimplantation becomes a challenge for the clinician due to extraoral time and media of transportation. Although the long-term prognosis of reimplantation is poor, the time during which the tooth remain within the arch will guide the development of alveolar bone completely. Moreover, reimplantation will maintain anatomical, functional and esthetic rehabilitation of the patient. In this case report, we present a case of accidental avulsion where teeth were gently rinsed of any debris and placed in normal saline during the examination and preparation of the reimplantation sockets. The teeth were then reimplanted, functionally splinted followed by endodontical treatment. After 12 months follow-up the periodontal space was healed perfectly without any resorption or ankylosis.J Enam Med Col 2017; 7(3): 165-169


2018 ◽  
Vol 56 (2) ◽  
pp. 273-279 ◽  
Author(s):  
Yoshimichi Imai ◽  
Shigeo Kure ◽  
Chieko Nara ◽  
Naoyuki Takagi ◽  
Masahiro Tachi

Pai syndrome is a rare congenital disorder, and there are few reports about the long-term prognosis of mental development and surgical results. Here, we report a patient with Pai syndrome who was followed up from birth up to the age of 8 years. Additionally, we review 32 articles and discuss the long-term prognosis of Pai syndrome. In our case, an intracranial lipoma grew a little, but neither epilepsy nor intellectual disabilities occurred. However, she showed attention-deficit/hyperactivity disorder. Furthermore, her nasal airway was gradually obstructed by a residual intranasal polyp.


2017 ◽  
Vol 10 (4) ◽  
pp. 399-403
Author(s):  
Ashwin Devasya ◽  
Naveen K Ramagoni ◽  
Mahantesh Taranath ◽  
Kamavaram EV Prasad ◽  
Mythri Sarpangala

ABSTRACT Anterior crossbite is one of the most common forms of malocclusion in sagittal relationship of maxilla and mandible. If not corrected at the earliest, it will cause restriction of normal growth and development of both the jaws. The incidence of anterior crossbite is 4 to 5% in primary dentition. Self-correction may occur at the transient dentition or permanent dentition stage, but treating it should be the first priority. Using either removable or fixed appliances is recommended for the correction, but it depends on the patient cooperation, treatment duration, and parent approval. In this case report, we have used planas direct tracks (PDTs) which helps the forward development of mandible and corrects the malocclusion. With two modifications to PDTs, one is using acrylic instead of composite. It is advantageous to both clinicians and parents by correcting the crossbite efficiently in short duration while taking less chair-side time for fabrication and being economical. How to cite this article Devasya A, Ramagoni NK, Taranath M, Prasad KEV, Sarpangala M. Acrylic Planas Direct Tracks for Anterior Crossbite Correction in Primary Dentition. Int J Clin Pediatr Dent 2017;10(4):399-403.


2013 ◽  
Vol 5 (1) ◽  
pp. 5-7
Author(s):  
Mukut Seal ◽  
N. M. Dhanya Kumar

ABSTRACT All of us as clinicians at one time or another have to attend to dental emergencies involving severly fractured or even lost or avulsed anterior teeth. Treating such cases is often difficult and there is always a time factor involved. Loss of anterior teeth can affect a patient psychologically and socially. This can be minimised by an immediate replacement or replantation of the lost or avulsed teeth. Definitive treatment planning and consultation with specialists is seldom possible at the time of emergency treatment. Replantation of the avulsed tooth can restore esthetic appearance and occlusal function shortly after the injury. This article describes the management of a young female with an avulsed maxillary permanent incisor that had been air-dried for about 72 hours. The replanted incisor retained its esthetic appearance and functionality 8 months after replantation, yet the long-term prognosis remains questionable.


2019 ◽  
pp. 17-22
Author(s):  
Kriti Garg ◽  
Shiv Shing ◽  
Rohan Sachdeva ◽  
Vishal Mehrotra

Supernumerary teeth are extra teeth above the normal erupted teeth number. Supernumerary premolars are rare developmental anomalies when compared to mesiodens and other supernumerary teeth. Supernumerary premolars are more common in the mandible than the maxilla. This article reports a rare occurrence of supplemental premolars bilaterally present in the maxilla and mandible arches in a non-syndromic patient. Keywords: Supernumerary teeth, premolars, bilateral, maxilla, mandible


2021 ◽  
pp. 097321792110654
Author(s):  
Aashika Chandraprakasam ◽  
Uma Muralidharan ◽  
A. Kannan

Neonatal atrial flutter is a rare entity seen in the newborn period. With prompt treatment, they mostly revert to normal rhythm, with good long-term prognosis. But prolonged untreated atrial flutter can result in heart failure. This necessitates prompt diagnosis and treatment of the condition. However, all available treatment modalities are not effective in all patients. Here, we report 2 newborns with atrial flutter who did not respond initially to medical management, but eventually responded to cardioversion, with good outcome.


2012 ◽  
Vol 87 (3) ◽  
pp. 489-490 ◽  
Author(s):  
Sheila Viana Castelo Branco Gonçalves ◽  
Neusa Yuriko Sakai Valente ◽  
José Vitor de Oliveira Junior ◽  
Daniele Loureiro Mangueira Paiva

Porokeratosis is a primary keratinizing disorder of unknown etiology. This disorder is characterized by the presence of centrifugally enlarging hyperkeratotic plaques, associated with the histopathological hallmark of cornoid lamellae. Genital porokeratosis is extremely rare. No more than thirty cases have been reported in the literature, including only one case of linear porokeratosis confined to the genital area. This case report describes a patient with genital linear porokeratosis, who was successfully treated with cryotherapy. Over two years of follow-up, the lesion improved and there was no evidence of recurrence or signs of malignant transformation. Nevertheless, there is a need for long-term follow-up data on recurrence and malignant transformation.


2021 ◽  
Vol 49 (3) ◽  
pp. 030006052110030
Author(s):  
Xiao-jun Huang ◽  
Chengxiang Wu ◽  
Xi-yuan Chen

A paraganglioma is an extra-adrenal tumor of the paraganglia often found in association with sympathetic and parasympathetic nerves. A primary pulmonary paraganglioma generally presents as multiple small tumors or a solitary mass; however, endobronchial involvement is extremely rare. A 49-year-old man was admitted to our hospital because of a chronic cough, intermittent dyspnea, and chest pain. Chest computed tomography revealed a rounded, high-density lesion in the left lower lung lobe. Fiberoptic bronchoscopy demonstrated an endobronchial mass characterized by smooth, hypervascularized mucosa. Transbronchial biopsy of the mass and immunohistochemistry results suggested a paraganglioma. The patient fully recovered after lobectomy and lymphadenectomy. Pulmonary paragangliomas are rarely reported. Complete surgical resection is considered the treatment of choice for pulmonary paragangliomas, and the long-term prognosis is generally good. However, life-long follow-up is mandatory because of the possibility of recurrence and metastasis. This case report adds valuable knowledge to the literature on pulmonary paragangliomas.


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