Tooth-related morphological anomalies are local contributors to periodontal disease. Accessory root formation is one of the rare anomalies of in incisor teeth. A 65-year-old male patient who has type II diabetes and hypertension applied to our clinic. Clinical examination has shown that the upper right central incisor tooth had an 8 mm deep periodontal pocket on the distal and a 7 mm deep periodontal pocket on the mesial aspects of the tooth. Accessory root was seen on the mesiobuccal aspect of root of the upper right lateral incisor tooth in coronal portion. The accessory root was excised with surgical operation and the bone defect in the area was regenerated. Post-surgery periodontal healing was uneventful. Periodontal pocket depth decreased to 4 mm on the 4^th month after surgery. This case discusses accessory root formation may accelerate the accumulation of dental plaques and subgingival calculus. Thus, early detection of anomalies in root morphology is important in the effective treatment of periodontitis.

Keywords: Accessory root, Periodontitis, Risk factors

How to cite the article: Taban B, Ülker E, Kirtiloglu T. An accessory root on the maxillary lateral incisor: Case report. Int J Med Dent Case Rep 2021;13:1-3.

Received: 19 June 2021;

Accepted: 21 July 2021

Aim: This case report aims to elaborate on the oral manifestations of acute leukemia in children and the extent to which the family's supernatural beliefs contributed to the prognosis of the disease.

Background: Leukemia is a malignancy of hematopoietic cells, and about 56% of cases are manifest in the oral cavity. In Indonesia, cancer is among diseases often related to a supernatural phenomenon that may hinder the patient from getting medical treatment.

Case Description: An 8-year-old girl was referred to the Oral Medicine Department due to swollen and bleeding gums. There was generalized enlargement of the gingiva with a reddish-purple color covered 2/3 of the dental crown and easy to bleed. The patient was diagnosed with gingival enlargement and gum bleeding due to acute leukemia as the suspected underlying disease. The patient was scheduled for a bone marrow aspiration examination to confirm the blood disorder diagnosis, but the family refused it and believed that supernatural power was the cause of the cancer.

Conclusion: Gingival enlargement and spontaneous bleeding of the gum are often the first oral signs of acute leukemia. Considering the influence of supernatural beliefs in society regarding cancer is still existing, dentists are required to be more persistent in educating patients and their families to receive definitive therapy to increase patient life expectancy.

Clinical Significance: The oral manifestation of leukemia should be treated promptly to support the systemic therapeutic. Delay in diagnosis and treatment will lead to poor outcomes of the disease.

Keywords: Beliefs, children, Indonesia, leukemia, oral manifestation

How to cite the article: Zakiawati D, Setiadhi R. Oral manifestations of acute leukemia in children: Family supernatural beliefs and its contribution to the prognosis of the disease. Int J Med Dent Case Rep 2021;13:1-4.

Received: 11 June 2021;

Accepted: 20 July 2021

Tooth intrusion occurs when a tooth is moved more axially. The periodontal gap between the tooth and the bone cannot be seen radiographically. It is seen as one of the most severe types of traumatic injury. Depending on the age, root, dentition type growth, the prognosis, and treatment for trauma severity varies. A 3-6 mm intrusion has a strong prognosis, whereas an intrusion over 6 mm has a rather poor prognosis. The present case study focuses on the surgical repositioning of the left maxillary central incisor that has been intruded due to falling.

Keywords: Forceps, splinting, surgical repositioning

How to cite the article: Joshi M, Emmanuel BJ, Shekhawat D, Yeptho B. Repositioning of intruded anterior tooth: Case report. Int J Med Dent Case Rep 2021;13:1-2.

Received: 15 June 2021;

Accepted: 20 July 2021

Fibrous histiocytomas are soft-tissue tumors of both benign and malignant counterparts presenting in adults. Benign fibrous histiocytoma occurs mainly in the skin of the extremities, might involve the long bone. Its incidence in head and neck is extremely uncommon and comprises about only 1% fibrous histiocytomas whereas about 3-10% of malignant fibrous histiocytoma (MFH) occur in the head-and-neck region. Here, we are presenting a rare case of multiple gingival masses of MFH which adds to the literature about clinical and biological behavior of the rarity, emphasizing on the clinical correlation.

Keywords: Gingiva, Malignant fibrous histiocytoma, multiple sites, oral soft-tissue sarcomas, recurrence.

How to cite the article: Durgadevi B, Jimsha VK, Srinivasan SV, Ramesh V. An unusual case of malignant fibrous histiocytoma presenting as multiple gingival masses: A rarity. Int J Med Dent Case Rep 2021;13:1-3.

Received: 17 June 2021;

Accepted: 21 July 2021

Central giant cell granuloma (CGCG) is an uncommon, benign, and proliferative lesion of the jaw with an unknown etiology. It is considered widely to be a non-neoplastic lesion. The actual etiology of CGCG is still unclear, although inflammation, hemorrhage, and local trauma have all been suggested. The incidence in the general population is very low, and patients are generally younger than 30 years. The biologic behavior of CGCG of the jaw ranges from quiescent to aggressive with destructive expansion. Here, we report a case of GCG in a 29-year-old male patient.

Keywords: Aggressive jaw lesion, Giant cell lesion, Histopathological, Diagnosis, Radiographic feature

How to cite the article: Nagaraj T, Doye I, Okade D, Kongbrailatpam S. Central giant cell granuloma: A case report. Int J Med Dent Case Rep 2021;13:1-4.

Received: 19 June 2021;

Accepted: 22 July 2021