1/23. Peripheral giant cell granuloma--a case report.Peripheral giant cell granuloma is a lesion arising mainly from the connective tissue of gingiva or periosteum of alveolar ridge. A case of peripheral giant cell granuloma involving a deciduous molar and the succedaneous tooth is reported. The lesion was large and interfered with occlusion. Surgical excision of the lesion along with the deciduous first molar was done. The underlying permanent first premolar was also involved, and had to be removed. The importance of an adequate salivary flow and maintenance of oral hygiene in the prevention of such lesions is stressed.- - - - - - - - - - ranking = 1keywords = tooth (Clic here for more details about this article) |
2/23. Pyogenic granuloma subsequent to apical fenestration of a primary tooth.BACKGROUND: The authors present two case reports of patients exhibiting pyogenic granulomas in the maxillary labial mucosa, which were related to an apical fenestration of a primary incisor. CASE DESCRIPTIONS: Several researchers have reported that the gingival wound and surrounding inflammatory tissue typically heal spontaneously after extraction of a fenestrated primary tooth. However, in the cases presented here, the gingival lesion did not heal after the fenestrated teeth were extracted. CLINICAL IMPLICATIONS: After extracting fenestrated teeth, clinicians need to examine the labial area at a follow-up appointment to ensure that the gingival hyperplasia heals properly. The authors suggest performing curettage of the surrounding abnormal tissue at the time of the tooth extraction.- - - - - - - - - - ranking = 6keywords = tooth (Clic here for more details about this article) |
3/23. tooth exfoliation and necrosis of the crestal bone caused by the use of formocresol.A 68-year-old woman received a formocresol pulpectomy of the right lower lateral incisor. The temporary restoration was lost within hours. The next day, the patient suffered continuous pain, the gingiva sloughed, and the alveolar bone was exposed. Four days after treatment, the patient complained of moderate pain. Six days after the pulpectomy, the tooth spontaneously exfoliated. At this time she was referred to our hospital. The clinical diagnosis was chronic alveolitis. Treatment consisted of irrigation of the area. Three weeks after the pulpectomy, the dull pain had subsided, but the alveolar bone of the area showed increased mobility. Five weeks after the pulpectomy, the mobility of the alveolar bone was more significant and a sequestrectomy was performed with the patient under local anesthesia. The sequestrum of necrotic bone was approximately 10 x 5 x 5 mm in size. The patient has been symptom-free for 2 years since the sequestrectomy.- - - - - - - - - - ranking = 1keywords = tooth (Clic here for more details about this article) |
4/23. Rare lesions of the oral cavity: case report of an actinomycotic lesion limited to the gingiva.actinomycosis is an infectious disease that frequently has chronic granulomatous and suppurative lesions caused by saprophytic actinomyces species. Although cervicofacial actinomycosis is known to be the most common type, intraorally and periodontally types occur rarely in a localized fashion. The present case reports on an adult periodontitis patient with a diffuse and atypic actinomycotic lesion which was limited to the gingiva and had an abscess formation, a large desquamation and subsequent exposure of the alveolar bone in the involved region. Diagnosis was based on histopathological examination, the history of the case and clinical nature of the lesion. The patient responded to daily administration of 100 g doxcycycline (first day-bid) for 3 weeks and 0.2% chlorhexidine gluconate irrigation (following tooth brushing) performed with oral hygiene reinforcement and periodontal debridement procedures. Complete improvement of the lesion was observed after 5 weeks. Due to the opportunistic characteristics of the actinomycotic infection, early and adequate differential diagnosis of actinomycosis prior to therapeutic attempts, as well as management steps, are of great importance in the oral cavity to prevent the spread of the disease.- - - - - - - - - - ranking = 1keywords = tooth (Clic here for more details about this article) |
5/23. oral manifestations of cyclic neutropenia in a Japanese child: case report with a 5-year follow-up.Cyclic neutropenia is an uncommon hematologic disorder characterized by a marked decrease in the number of neutrophils in the peripheral blood occurring at regular intervals. The neutropenic phase is characteristically associated with clinical symptoms such as recurrent fever, malaise, headaches, anorexia, pharyngitis, ulcers of the oral mucous membrane, and gingival inflammation. This case report describes a Japanese girl who has this disease and suffers from periodontitis and oral ulceration. Her case has been followed up for the past 5 years from age 7 to 12. The importance of regular oral hygiene, careful removal of subgingival plaque and calculus, and periodic and thorough professional mechanical tooth cleaning was emphasized to arrest the progress of periodontal breakdown. Local antibiotic application with minocycline ointment in periodontal pockets was beneficial as an ancillary treatment, especially during neutropenic periods.- - - - - - - - - - ranking = 1keywords = tooth (Clic here for more details about this article) |
6/23. Congenital defect of maxillary primary central incisor associated with exposed pulp and gingival [fibrosis]: case report.This report describes a rare case of hypoplastic primary incisor in which the pulp was exposed at the crown portion and covered by the gingiva in a 1-year-11-month-old boy. The patient was referred to us due to swelling of his labial cervical gingiva of the maxillary right primary central incisor, and on examination, extended to the hypoplastic labial surface. Radiographically, there was a round radiolucent area on the crown including the edge. Surgical removal of the swollen gingiva revealed a large defect of the labial aspect of the incisor, showing pulpal tissue inside. The tooth was treated by vital pulpotomy. Histopathologically, the removed gingival tissue contained many pieces of dysplastic tooth elements in the lamina propria portion which should have been connected to the exposed pulp. The findings suggested that pulp exposure resulted from focal dental hypoplasia not from resorption of the tooth.- - - - - - - - - - ranking = 3keywords = tooth (Clic here for more details about this article) |
7/23. Peripheral giant cell granuloma associated with a dental implant.A 56-year-old woman was referred for the treatment of a mandibular lesion that had been slowly increasing in size over a 6-month period. Intraoral examination revealed a reddish-purple nodule involving the attached vestibular gingiva around a machined-surface dental implant that had been placed 2 years earlier in the mandibular left second premolar region. Another implant had been placed in the mandibular left second molar region. The lesion was tender and bled easily upon tooth brushing. Radiographs showed inadequate abutment angulation. The healing caps on these 2 implants were loose and in contact with each other, preventing optimal oral hygiene. An excisional biopsy of the mass resulted in the diagnosis of peripheral giant cell granuloma. After the implants were gently curetted and scaled, they were cleaned using abrasive paste. At the last follow-up, 3 years later, there was no recurrence.- - - - - - - - - - ranking = 1keywords = tooth (Clic here for more details about this article) |
8/23. Early detection and successful management of oral pemphigus vulgaris: a case report.BACKGROUND: pemphigus vulgaris (PV) is an autoimmune disease characterized by acantholysis in the epithelium. PV is often difficult to diagnose in the early stages, since the oral lesions are relatively nonspecific. We report on a case with a favorable outcome due to early diagnosis and effective treatment of oral lesions. methods: A 53-year-old Japanese woman presented with a month-long history of painful gingiva. PV was diagnosed using clinical, histopathological, and direct immunofluorescence criteria 1 month after the first visit. Evaluation of the circulating autoantibody titers to desmoglein (Dsg)1 and Dsg3 was conducted by enzyme-linked immunosorbent assay (ELISA). Occlusive steroid therapy (OST) using a topical corticosteroid (0.1% triamcinolone acetonide) was provided for 8 weeks. After OST was completed, a buccal frenectomy was performed to eliminate localized toothbrushing trauma. RESULTS: There were no adverse effects on wound healing after the procedure. No oral PV lesions were detectable at the 9-month reevaluation, and the patient remains in complete remission. The Dsg1 ELISA was negative while the Dsg3 ELISA was indeterminate at the first visit. The Dsg1 ELISA was also negative at reevaluation, but Dsg3 ELISA reactivity had increased 9 months after completion of treatment. CONCLUSION: Large scale clinical trials will be required to validate the clinical benefits of the OST treatment regimen, and further research is necessary to determine the importance of ELISA antibody examination in long-term management of oral PV.- - - - - - - - - - ranking = 1keywords = tooth (Clic here for more details about this article) |
9/23. Failure of tooth eruption involving a mandibular primary first molar: a case report.PURPOSE: Primary failure of tooth eruption involving primary teeth is unusual. The purpose of this report was to describe uneruption of a single mandibular primary first molar and the treatment outcome following limited orthodontic care. methods: A 5-year, 3-month-old boy was referred to the authors' clinic for treatment of an unerupted primary first molar, 3 months after fenestration by an oral surgeon. Orthodontic traction was performed on the affected molar in the authors' clinic. The affected mandibular primary first molar was fully erupted and in occlusion 16 months after the first fenestration. RESULTS: The histopathological diagnosis of the overlying tissue was pericoronal myxofibrous hyperplasia (PMH) without any calcified obstacles. CONCLUSIONS: Of the 26 primary tooth eruption failure cases treated in the authors' clinic between 1979 and 2003, the present case was the only example of a primary first molar.- - - - - - - - - - ranking = 6keywords = tooth (Clic here for more details about this article) |
10/23. graphite tattoo: report of a case and differential diagnosis.A case report underlining the necessity of the biopsy procedure for a pigmented lesion of unknown origin. A female patient was referred for evaluation of a pigmented lesion on the facial keratinized gingiva coronal to the free gingival margin above tooth No. 7. An excisional biopsy revealed a graphite tattoo. A discussion and differential diagnosis of pigmented lesions follows.- - - - - - - - - - ranking = 1keywords = tooth (Clic here for more details about this article) |
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