1/12. Complete denture covering mandibular tori using three base materials: a case report.The torus mandibularis presents many challenges when fabricating a complete denture. The mucosa tends to be thin and will not tolerate normal occlusal loads on a denture. Large mandibular tori can prevent complete seating of impression trays and denture. To address this problem, we fabricated a new mandibular complete denture incorporating a combination of soft acrylic flanges and liners.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
2/12. Exostosis following a free gingival graft.BACKGROUND: There have been few cases reported of exostoses following a free gingival graft. In 1980, a free gingival graft was placed on the facial level of 33-34, developing over the years a significant enlargement. In 1999, since the patient felt progressively uncomfortable with the enlarged area, its surgical reduction was proposed. METHOD: Under local anesthesia, the hard tissue developed under the previously-grafted area, was significantly reduced. The specimen, together with a fragment of the covering soft tissue, was sent for histological analysis. RESULTS: The surgical wound healed uneventfully, and the patient was satisfied with the results. The histology showed the presence of mature bone surrounded by a dense connective tissue, whereas the gingival tissue showed acanthosis and fibrosis. CONCLUSION: The development of exostoses following a free gingival graft can be considered an unpredictable, albeit infrequent side-effect of this procedure. The fact that most of these exostoses appear in the cuspid-premolar area, deserves further consideration.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
3/12. Exostosis following a subepithelial connective tissue graft.This case report describes the formation of an unusual unaesthetic gingival enlargement during a five year post operative period subsequent to a subepithelial connective tissue graft placed facial to teeth #4 and #6. Histological assessment of the enlarged tissue indicated that it consisted of viable bone and marrow. The exostosis was reduced with rotary instruments and acceptable soft tissue aesthetics were created using a carbon dioxide laser for gingivoplasty. Possible causes for this unusual enlargement are discussed.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
4/12. minocycline-induced staining of torus palatinus and alveolar bone.BACKGROUND: minocycline hydrochloride, an analog of tetracycline, is widely used in the treatment of acne. Its use has been associated with discoloration of teeth, bone, and other tissues. methods: A case is presented involving a patient with minocycline-induced staining of the torus palatinus and alveolar bone. RESULTS: No treatment was rendered since the patient was not concerned with the appearance of the discoloration. The patient's dermatologist elected to change antibiotics. CONCLUSIONS: patients on long-term minocycline therapy should be made aware of the possibility of pigmentation of bone and soft tissue that may be reversible with discontinuation of therapy; however, minocycline-induced staining of the permanent dentition may not be reversible.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
5/12. Hemifacial hyperplasia: a case report.Hemifacial hyperplasia is a developmental disorder characterized by a marked unilateral asymmetry. The etiology is unknown, although several factors have been described. It involves not only the hard tissues of the face, but the soft tissues as well. A case report of an adult woman with hemifacial hyperplasia highlighting the clinical significance is presented.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
6/12. Bony exostoses developed subsequent to free gingival grafts: case series.Bony exostosis (BE) is described as a benign localised overgrowth of bone of unknown aetiology. Buccal bony exostosis (BBE) development secondary to soft tissue graft procedures has been reported in a small number of cases. The dental literature describes BBE development also at sites where free gingival grafts (FGG) have been used to increase the amount of gingiva. The following case series describes BBE development at nine sites (five cases) at which FGG was performed to increase the width of the attached gingiva. The presence of exostoses has been recognised during postoperative visits. Histological examination revealed osseous enlargements compatible with the diagnosis of exostoses at two re-entry procedures. In conclusion, based on previous reports, periosteal trauma, eg fenestration, seems to be the main aetiologic agent associated with the development of BBE in areas where FGG were placed.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
7/12. Fabrication of an overdenture covering a torus palatinus using a combination of denture base materials: a case report.A maxillary torus provides a challenge when restoring an edentulous arch. Tori tend to have very thin mucosa and can be intolerant of normal pressures from a denture base. The tori tend to have large undercuts and at times extend to the junction with the soft palate, preventing the creation of a good palatal seal. Triple lamination involves combining 3 materials to fabricate a denture base that utilizes the retentive aspects of the torus. The thermoplastic flange provides a measure of flexibility, allowing the denture to seat over the torus. The resilient liner provides a cushion to diffuse the occlusal load, while the rigid acrylic base provides the support for the denture teeth. Using this approach, a very retentive denture was fabricated using the maxillary torus as a key element in anchoring the prosthesis.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
8/12. A technique for surgical mandibular exostosis removal.Exostosis, a slow-growing, benign bony outgrowth, is a common clinical finding and not usually a concern for patients. However, when removable prosthetics must sit either adjacent to or over these areas, pressure, food abrasion, ulceration, or limited tongue space can occur. This article describes a surgical technique for excision of exostosis through a case presentation. An 86-year-old woman had soft-tissue irritation caused by abrasion from food in the buccal posterior right quadrant. The removal of the exostosis is illustrated through the use of a device that serves as an alternative to a scalpel, offering a safe, predictable outcome.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
9/12. The gardner syndrome.The gardner syndrome is characterized by polyposis coli and multiple hard and soft tissue tumors. A case of a 17-year-old male is presented who complained of painless and hard swellings on the angle of the mandible bilateraly. The patient presented the original triad of lesions of the gardner syndrome. On the panoramic X-ray, characteristic radio-opaque lesions (exostoses and enostoses) on the jaws were shown and a compound odontoma was detected in the left side of the mandible.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
10/12. Cervical spine disease and dysphagia. Four new cases and a review of the literature.Four cases of dysphagia associated with disease of the cervical spine have been presented. One of the patients had cervical spondylosis with osteophyte formation while the other three had Forestier's disease or ankylosing hyperostosis. Symptoms of dysphagia dominated the clinical picture and led to their referral for further management. Two patients underwent surgical procedures and one died in the postoperative period. Two patients were managed conservatively, one with antibiotics, and both did reasonably well. The literature of 40 cases published in the last 54 years has been reviewed. We suggest that dysphagia due to cervical spine disease while an uncommon complication of these bony growths, is by no means rare. The dysphagia may be due to bony protuberances into the hypopharynx or into the esophagus and may be accompanied by soft tissue inflammation. Although most patients have been treated surgically, there may be a role for anti-inflammatory or antibiotic therapy in the first instance as surgery is often morbid and sometimes fatal.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
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