International Journal of Medical and Dental Case Reports

CASE REPORT

Mayur J. Gawande, M. K. Gupta, Tejasvini Dehankar, Siddhesh Latke

A case of giant hairy pigmented nevus of face – A case report

[Year:2020] [Month:September] [Volume:7 ] [Number:1] [Pages No:1-3]


ABSTRACT


The prophylactic excision of hairy nevus can be problematic due to the high esthetic nature of the affected area. Closure of the excisional defect by undermining the surrounding tissue followed by primary closure was questionable. A 20-year-old female patient reported to the Department of Oral and Maxillofacial Surgery at Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital, Nagpur having hairy nevus in the left cheek region undergoing excisional biopsy utilizing contemporary cosmetic surgery approaches was selected. The patient had successful removal of hairy nevus and primary closure was achieved with good cosmetic result. The use of contemporary cosmetic surgical approach for the excisional biopsy of hairy nevus by primary closure as an option for tissue expansion provides adequate surgical access, a cosmetically acceptable result, and is well-tolerated by patients.

Keywords: Excision, hairy nevus, primary closer

How to cite this article: Gawande MJ, Gupta MK, Dehankar T, Latke S. A case of giant hairy pigmented nevus of face – A case report. Int J Med Dent Case Rep 2020;7:1-3.

Received: 02 February 2020;

Accepted: 04 March 2020

CASE REPORT

Rishi Raj, G. V. Gayathri, Jana Shejali, A. M. Vinayaka

Injectable platelet-rich fibrin-“a quicker therapeutic aid” in the treatment of combined endo-perio lesion: A case report

[Year:2020] [Month:September] [Volume:7 ] [Number:1] [Pages No:1-4]


ABSTRACT


An endo-perio lesion has been one of the prevalent issues affiliated with the tooth. The cutaneous involvement of pulpal and inflammatory periodontal pathology can perplex the diagnosis and treatment planning. The present case report shows the synergic effect of endodontic, periodontal, and esthetic therapy. The treatment includes root canal therapy and open debridement followed by the placement of ""sticky bone"" graft and guided tissue regeneration membrane over the osseous defect site. After 6 months, a coronally advanced tunneling procedure with connective tissue graft placement was performed to improve esthetics. The patient was followed up for 1 year. Clinically, there was a reduction in probing pocket depth, increase in attached gingiva, and improvement in gingival biotype. Radiographically, there was a resolution of periapical radiolucency and a significant amount of bone fill was observed. Hence, the coactive effect of various regenerative materials with root canal sealing had significantly improved both clinical and radiographic features of the endo-perio lesion.

Keywords: Endo-perio lesion, guided tissue regeneration, sticky bone

How to cite this article: Raj R, Gayathri GV, Shejali J, Vinayaka AM. Injectable platelet-rich fibrin-""a quicker therapeutic aid"" in the treatment of combined endo-perio lesion: A case report. Int J Med Dent Case Rep 2020;7:1-4.

Received: 03 February 2020;

Accepted: 05 March 2020

CASE REPORT

Nimmi Gupta, Vandita Srivastava, Aswin Kumar, Neeteesh K. Shukla

Guide flange prosthesis for the management of deviation following hemimandibulectomy: A case report

[Year:2020] [Month:September] [Volume:7 ] [Number:1] [Pages No:1-4]


ABSTRACT


The mandible is very important bone of human body but surgical resection of the mandible due to the presence of benign or malignant tumor causes of the mandibular deviation and loss of various functions. The clinician must wait for proper healing of the wound before giving any prosthesis. This case report presents a case of the removable type of guide flange prosthesis for a hemimandibulectomy and hemimaxillectomy patient. This prosthesis helped the patient in preventing deviation and improved mastication and enhanced the overall quality of life of the patient.

Keywords: Guide flange prosthesis, hemimandibulectomy, mandibular deviation

How to cite this article: Gupta N, Srivastava V, Kumar A, Shukla NK. Guide flange prosthesis for the management of deviation following hemimandibulectomy: A case report. Int J Med Dent Case Rep 2020;7:1-4.

Received: 03 February 2020;

Accepted: 05 March 2020

CASE REPORT

Muhammad Mumtaz, Nasser Muneer Alotaibi, Noaf Fawaz Alfawaz, Amjad Naseer Alhajri

Retrieval of two displaced dental implants from the maxillary sinus through Caldwell-Luc approach: A case report

[Year:2020] [Month:September] [Volume:7 ] [Number:1] [Pages No:1-4]


ABSTRACT


Dental implants have gained popularity in the field of dentistry recently. There are multiple reasons for gaining this popularity, which include quick restoration of the function and esthetic. Along with many benefits, these dental implants are associated with many complications leading toward its failure. We present a case of displaced maxillary dental implants into the maxillary sinus. A 72-year-old male referred to our dental outpatient department complaining of pain, right nasal blockage, and headache at the right side of facial region. No intraoral soft or hard tissue abnormality was found on inspection. Orthopantomogram was advised and maxillary implants were found displaced into maxillary sinus or infratemporal fossa. Computed tomography scan investigation was done to see the exact location, and the implants were removed through Caldwell-Luc approach.

Keywords: Caldwell-Luc approach, endoscopic sinus surgery, orthopantomogram

How to cite this article: Mumtaz M, Alotaibi NM, Alfawaz NF, Alhajri AN. Retrieval of two displaced dental implants from the maxillary sinus through Caldwell-Luc approach: A case report. Int J Med Dent Case Rep 2020;7:1-4.

Received: 20 March 2020;

Accepted: 22 April 2020

CASE REPORT

Ganesh Nair, Anita Panchal

Rehabilitation of atrophic: Mandible using short 6 mm implants: A case report

[Year:2020] [Month:September] [Volume:7 ] [Number:1] [Pages No:1-4]


ABSTRACT


“No one should die with their teeth in a glass of water” – Per Ingvar Branemark. The quote by the father of modern implantology revolutionized the field of dentistry. The introduction of implants provided with a promise of better lifestyle to the geriatric patients with a boon of fixed prosthesis in edentulous arches. Loose and unstable lower complete dentures due to the resorbed alveolar ridge are the most common scenario with edentulous patients. In contrast to rehabilitation with grafting the ridge and improving the dimensions, which would be time-consuming as well as costly for the patient, short implants would provide a better alternative. The case report focuses on rehabilitation of mandibular arch using short implants of 6 mm length.

Keywords: Atrophic ridge, implant rehabilitation, periodontology, short implants

How to cite this article: Nair G, Panchal A. Rehabilitation of atrophic: Mandible using short 6 mm implants: A case report. Int J Med Dent Case Rep 2020;7:1-4.

Received: 02 April 2020;

Accepted: 03 May 2020

CASE REPORT

S. Dhivya Kanya, Nagakeerthi Venkatachalam, Pradeep Babu Kommi, Nanda kumar Arani

Pulling the molar by V-bend principle

[Year:2020] [Month:September] [Volume:7 ] [Number:1] [Pages No:1-3]


ABSTRACT


Lower molar protraction is a challenging procedure due to the inbuilt anatomical factor of bone and the tooth root. Using recent advances, many techniques are available to protract the mandibular molar, commonly used technique is the usage of a temporary anchorage device (TAD). However, the usage of TAD is a painful procedure for the patient, so to avoid this tedious procedure, this article is about a new technique to protract the mandibular first molar. This new technique involves a harder dimension wire with a “V”-bend fabricated in it, and the elastomeric chain was used to protract the molar. Class I molar relation was achieved from the end on molar relation using this technique.

Keywords: Class II, elastomeric chain, molar protraction, V-bend

How to cite this article: Kanya SD, Venkatachalam N, Kommi PB, Arani NK. Pulling the molar by V-bend principle. Int J Med Dent Case Rep 2020;7:1-3.

Received: 18 April 2020;

Accepted: 03 May 2020

CASE REPORT

A. N. Sulabha, M. Nikhat, C. Sameer, N. M. Warad, G. Suchitra

Unusual huge pyogenic granulomas – A report of case series

[Year:2020] [Month:September] [Volume:7 ] [Number:1] [Pages No:1-4]


ABSTRACT


Pyogenic granuloma (PG) is a reactive hyperplasia of oral cavity and skin. It represents an exuberant tissue response to various stimuli such as local irritation, trauma, and hormonal factors. It is commonly seen on gingiva with sizes rarely exceeding 2 cm. The purpose of the present article is to report five huge PGs in anterior region of the jaw. Patient with huge PGs in anterior jaw may have severe esthetic and functional problems. Hence, early diagnosis and treatment are essential with regular follow-up as recurrence tend to occur with these lesions.

Keywords: Huge pyogenic granuloma, lobular capillary hemangioma, reactive hyperplasia

How to cite this article: Sulabha AN, Nikhat M, Sameer C, Warad NM, Suchitra G. Unusual huge pyogenic granulomas - A report of case series. Int J Med Dent Case Rep 2020;6:1-4.

Received: 02 May 2020;

Accepted: 03 June 2020

CASE REPORT

Sunil Vasudev, Shreya Singh, M. S. Sahana, Jehan Koshy Jacob

Hemophilia C in maxillofacial surgery – A rare finding

[Year:2020] [Month:September] [Volume:7 ] [Number:1] [Pages No:1-3]


ABSTRACT


Factor XI (FXI) deficiency or hemophilia C is a very rare, autosomal recessive bleeding disorder. Patients with this deficiency do not typically show spontaneous bleeding or any specific symptoms. Those who have this disorder are seldom identified during situations such as trauma or surgery or during pre-surgical workups. Hence, operating on such patients, especially those with intraoral or vascular tumors, is particularly associated with a high bleeding risk. Therefore, great care must be taken when treating patients with disorders such as FXI deficiency. There are very few reports that address the management of patients with bleeding disorders in maxillofacial vascular lesions. Here, we report a patient with FXI deficiency, who underwent surgical excision of pyogenic granuloma of her upper right alveolus under general anesthesia and describe all the measures taken to reduce the chances of excessive bleeding.

Keywords: Bleeding disorders, factor XI deficiency, hemophilia C, pyogenic granuloma, vascular lesions

How to cite this article: Vasudev S, Singh S, Sahana MS, Jacob JK. Hemophilia C in maxillofacial surgery – A rare finding. Int J Med Dent Case Rep 2020;7:1-3.

Received: 02 June 2020;

Accepted: 03 July 2020

CASE REPORT

Shama Mohan, B. S. Jayanth, Adarsh L. Pawar, Shruthi Saralaya

Combination of com - partmentalization Popescu’s sutures and sclerotherapy for the treatment of lymphovenous malformation of the face in a 3-year old

[Year:2020] [Month:September] [Volume:7 ] [Number:1] [Pages No:1-3]


ABSTRACT


Lymphovenous malformation (LVM) is a low-flow vascular malformation that arises from an error in morphogenesis in venous and lymphatic channels. They expand throughout life and involve multiple anatomical spaces and neurovascular structures demanding immediate treatment. Here, we report a case of LVM in a 3-year-old on the cheek treated with compartmentalization Popescu’s sutures and intralesional sclerosant injection.

Keywords: Compartmentalization Popescu’s sutures, intratumoral ligation, lymphovenous malformation, sodium tetradecyl sulfate, vascular malformation

How to cite this article: Mohan S, Jayanth BS, Pawar AL, Saralaya S. Combination of compartmentalization Popescu’s sutures and sclerotherapy for the treatment of lymphovenous malformation of the face in a 3-year-old. Int J Med Dent Case Rep 2020;7:1-3.

Received: 05 June 2020;

Accepted: 06 July 2020

CASE REPORT

Esin Demir, Cagdas Elsurer, Mete Kaan Bozkurt

Transnasal endoscopic approach to extraction of ectopic maxillary third molar tooth

[Year:2020] [Month:September] [Volume:7 ] [Number:1] [Pages No:1-3]


ABSTRACT


Caldwell-Luc procedure is the most common approach performed by maxillofacial surgeons for maxillary sinus surgery. However, in recent years, transnasal endoscopic sinus surgery that spares the morbidities of traditional approaches is more commonly offered to the patients. A 15-year-old male patient was referred to our clinic for removal of an ectopic third molar tooth in the right maxillary sinus. We performed endoscopic transnasal technique and in contrary to the Caldwell-Luc procedure, there was no post-operative clinical oro-antral communication. Endoscopic transnasal removal of foreign bodies within the maxillary sinus is a safe and minimally invasive procedure compared to Caldwell-Luc procedure.

Keywords: Ectopic tooth eruption, endoscopy, maxillary sinus, tooth extraction

How to cite this article: Demir E, Elsurer C, Bozkurt MK. Transnasal endoscopic approach to extraction of ectopic maxillary third molar tooth. Int J Med Dent Case Rep 2020: 7:1-3.

Received: 07 June 2020;

Accepted: 08 July 2020

CASE REPORT

Esin Demir, Ahmet Ersecgin, Cagdas Elsurer, Mete Kaan Bozkurt

Pneumothorax caused by difficult intubation in maxillofacial surgery patient with restricted mouth opening

[Year:2020] [Month:September] [Volume:7 ] [Number:1] [Pages No:1-3]


ABSTRACT


Orofacial pathologies conjoined with restricted mouth opening are challenging due to difficulties in intubation. The aim of this case report is to present a case who developed pneumothorax related with general anesthesia caused by difficult intubation and discuss the reasons of this fatal complication. A 54-year-old male patient who presented with pathological fracture of the mandible secondary to osteoradionecrosis was planned for surgical treatment under general anesthesia. Following several attempts of intubation, tracheostomy was performed to secure airway. The patient has developed pneumothorax at post-anesthesia recovery. Severe trismus is a complicating factor for both anesthesia and surgery as positive pressure that is applied during intubation attempts may trigger pneumothorax.

Keywords: Difficult intubation, mandibular fracture, osteoradionecrosis, pathological fracture, pneumothorax

How to cite this article: Demir E, Erseçgin A, Elsurer C, Bozkurt MK. Pneumothorax caused by difficult intubation in maxillofacial surgery patient with restricted mouth opening. Int J Med Dent Case Rep 2020;7:1-3.

Received: 10 June 2020;

Accepted: 11 July 2020

CASE REPORT

Ozuna Ugalde Roberto, Alvarez Valadez Carlos Omar, Gallegos Hernandez Jose Francisco, Juarez Rebollar Alejandra Giselle

Dentigerous cyst associated with an ectopic tooth

[Year:2020] [Month:September] [Volume:7 ] [Number:1] [Pages No:1-3]


ABSTRACT


Dentigerous cysts originate from the reduced enamel epithelium, are associated with included teeth, and are one of the most common odontogenic cysts. Most of the reported cases have been mandibular and associated with the third molar. The present case is an example of atypia of dentigerous cysts, presenting its association with a mandibular ectopic molar and also the presence of two periapical cysts. The diagnosis and treatment designed for each case and the emphasis on radiographic support for the detection of dental cysts are important since when they are associated with included teeth, their clinical appearance is not frequent, but rather as a radiographic finding.

Keywords: Cyst, dentigerous, ectopic, tooth

How to cite this article: Roberto OU, Omar AVC, Francisco GHJ, Giselle JRA. Dentigerous cyst associated with an ectopic tooth. Int J Med Dent Case Rep 2020: 7:1-3.

Received: 20 July 2020;

Accepted: 21 September 2020

CASE REPORT

K. Sankar, Jaipal Narinder

Occult massive ossifying fibroma of maxilla extending into the maxillary antrum – A rare case report

[Year:2020] [Month:September] [Volume:7 ] [Number:1] [Pages No:1-4]


ABSTRACT


Aim: The aim of this study was to report a peculiar case of massive ossifying fibroma which had an occult presentation, occupying the maxillary antrum.

Background: Ossifying fibroma is a slow-growing benign fibro-osseous lesion that most commonly affects the mandible (70-80%). When it involves the maxilla, it is more extensive. It may affect the nasal cavity, and thereby causing nasal blockage and breathing difficulty even without extensive asymmetry.

Case Description: The patient complained of swelling in the left upper posterior teeth region for the past 6 months. A history of nasal blockade and difficulty in breathing was present. Deviation of tip of the nose was evident without gross facial asymmetry. Intraorally, the swelling extended buccopalatally, crossing the midline with smooth surface. Radiological investigation revealed mixed radiolucency and radiopacity with distinct borders with apical root resorption of involved teeth and bicortical expansion was evident. The extent of the lesion involved the entire left maxillary antrum, airway of the nasal cavity, and pushing the nasal septum to the contralateral side. Surgical enucleated was performed.

Conclusion: Six months postoperatively, the patient showed uneventful healing with evidence of bone formation with relief from symptoms. Surgical enucleation has demonstrated a good prognosis in this case, as ossifying fibromas are encapsulated and well demarcated from surrounding tissues.

Clinical Significance: This case report documents a peculiar case of extensive ossifying fibroma of the maxilla, involving the sinus that hinders breathing and showing minimal asymmetry. Prompt diagnosis and treatment have proven effective with no complications postoperatively.

Keywords: Bone neoplasm, fibro-osseous lesion, maxilla, ossifying fibroma, sinonasal

How to cite this article: Sankar K, Narinder J. Occult massive ossifying fibroma of maxilla extending into the maxillary antrum – A rare case report. Int J Med Dent Case Rep 2020; 7:1-4

Received: 08 July 2020;

Accepted: 02 September 2020

CASE REPORT

Tejavathi Nagaraj, Soniya Kongbrailatpam, Yasir Shafeeq Mohiyuddin, Ijum Doye

Non-syndromic oligodontia: A case report

[Year:2020] [Month:September] [Volume:7 ] [Number:1] [Pages No:1-3]


ABSTRACT


Oligodontia is defined as the developmental absence of six teeth or more, excluding third molars. Anodontia is defined as complete absence of teeth, and hypodontia is missing one to five teeth. The consequences of missing teeth include abnormal occlusion or altered facial appearance, which can cause psychological distress in some patients. Orthopantomograph and lateral skull radiograph are useful to view the development of primary and permanent tooth buds and jawbones. A multidisciplinary approach is required to complete oral rehabilitation, which includes orthodontic treatment, surgical intervention, prosthodontic rehabilitation, and psychological counseling.

Keywords: Oligodontia, panoramic radiograph, primary and permanent dentition

How to cite this article: Nagaraj T, Kongbrailatpam S, Mohiyuddin YS, Doye I. Non-syndromic oligodontia: A case report. Int J Med Dent Case Rep 2020;7:1-3.

Received: 02 August 2020;

Accepted: 04 September 2020

CASE REPORT

Tejavathi Nagaraj, Soniya Kongbrailatpam, Shamama Mumtaz, Yasir Shafeeq Mohiyuddin

Oral erythematous candidiasis: A case report

[Year:2020] [Month:September] [Volume:7 ] [Number:1] [Pages No:1-4]


ABSTRACT


Oral candidiasis is the most prevalent opportunistic infection affecting the oral mucosa. In the vast majority of cases, the lesions are caused by Candida albicans. This pathology has a wide variety of treatment which has been studied until these days Both local (in the mouth) and systemic (in the whole body) factors may increase the likelihood of developing oral candidiasis. We report a case of a male patient with oral candidiasis who was treated successfully with anti-fungal therapy.

Keywords: Anti-fungal therapy, erythematous candidiasis, median rhomboid glossitis

How to cite this article: Nagaraj T, Kongbrailatpam S, Mumtaz S, Mohiyuddin YS. Oral erythematous candidiasis: A case report. Int J Med Dent Case Rep 2020;7:1-4.

Received: 06 August 2020;

Accepted: 10 September 2020

CASE REPORT

Tejavathi Nagaraj, Ijum Doye, Soniya Kongbrailatpam, Shamam Mumtaz

Fibrosed pyogenic granuloma on the mandibular anterior region – A case report

[Year:2020] [Month:September] [Volume:7 ] [Number:1] [Pages No:1-4]


ABSTRACT


Pyogenic granuloma (PG) is a commonly occurring inflammatory hyperplasia of the skin and oral mucosa. PG is considered a reactive tumor-like lesion seen in the oral cavity caused due to low-grade local irritation, traumatic injury, or hormonal factors. It is not associated with pus as its name suggests, and histologically, it resembles an angiomatous lesion rather than a granulomatous lesion. It is known by a variety of names such as Crocker and Hartzell’s disease, granuloma pyogenicum, granuloma pediculatum benignum, benign vascular tumor, and during pregnancy as granuloma gravidarum. This tumor-like growth is considered to be nonneoplastic in nature, and it presents itself in the oral cavity in various clinical and histological forms. We present a case of fibrosed PG in a 57-year-old female patient who had under gone treatment from the quacks 8 years back.

Keywords: Peripheral giant cell granuloma, peripheral ossifying granuloma, pyogenic granuloma

How to cite this article: Nagaraj T, Doye I, Kongbrailatpam S, Mumtaz S. Fibrosed pyogenic granuloma on the mandibular anterior region – A case report. Int J Med Dent Case Rep 2020;7:1-4.

Received: 01 September 2020;

Accepted: 02 September 2020