Current Issue (Vol 6, NO. 1, September 2019 Issue)

Panoramic radiographs of male patient revealed the presence of bilateral impacted fourth molars in mandibular region. The supernumerary teeth were distomolars and had normal tooth morphology with regard to their crowns and roots but were slightly smaller than the existing third molars. Their crowns were three tuberculate and they all had single roots. Supernumerary teeth are often located in the anterior maxilla, mandible, and to a lesser frequency posterior of the maxillary and mandibular region. They are classified as distomolar when they are located in posterior to their location. Their presence may or may not give rise to a variety of clinical problems. Detection of supernumerary teeth is usually achieved by clinical and radiographic examination. Their management should form part of a comprehensive treatment plan. A fourth molar tooth is a very rare entity in modern humans although prevalent in early humans. This article presents a case report in a non-syndromic patient with bilateral impacted mandibular distomolar; aberrations associated with supernumerary teeth and also a note on their incidence and prevalence.

Keywords: Bilateral fourth molar, distomolar, mandibular wisdom teeth, supernumerary teeth

How to cite the article: Merchant R, Khalid I, Mehrotra V. Bilaterally impacted mandibular fourth molar - A rare case report and review of literature. Int J Med Dent Case Rep 2019;6:1-3.

Received: 15 February 2019;

Accepted: 30 March 2019

A female patient presented with an unusual location of pyogenic granuloma on the ventral surface of the tongue. These lesions are seen mostly between ages ranging from 11 to 40 years and occur frequently on gingiva but less frequently on the tongue. Identification of the primary etiological factors and its removal followed by excisional biopsy with definitive histopathological diagnosis was done. Follow-up of the patient showed no recurrence.

Keywords: Capillary, hemangioma, lobular, tongue

How to cite the article: Rai R, Dasgupta S, Babaji P, Shashibhushan KK. “Lobular capillary hemangioma in a rare location” - A case report. Int J Med Dent Case Rep 2019;6:1-3.

Received: 05 March 2019;

Accepted: 10 April 2019

A non-tender, bluish in color, soft in consistency, submucosal swelling seen over the floor of the mouth may be due to varied reasons. It may be caused by neoplasm of salivary gland, inflammation or obstruction of the salivary gland or cyst, etc. Here, we report a case of a young female patient with painless, bluish swelling over the floor of the mouth with extension into the submental region with swelling seen extraorally. Clinically, it may be suspected as a plunging ranula or thyroglossal cyst on inspection. However, investigations report has confirmed the diagnosis as a case of hemangioma of floor of the mouth. The lesion was conservatively managed with sclerosing agent and good result was achieved.

Keywords: Hemangioma, intralesional injection, sclerosing agent

How to cite the article: Singh G, Singh P, Khawlhring V, Gupta S. Hemangioma of the floor of mouth extending to the submental region: A case report. Int J Med Dent Case Rep 2019;6:1-3.

Received: 01 April 2019;

Accepted: 09 May 2019

Attention-deficit hyperactivity disorder is an often neglected neurodevelopment disorders. The provision of dental care for affected children can be challenging because they are often unsettled in the dental environment. The dentist must frequently make adjustments in clinical practice and use behavior management strategies according to the special needs of the patients with this disorder. This case report aims to report the dental care of a 7-year-old child with attention-deficit hyperactivity disorder and to discuss the dental management therapies that were utilized for the patient.

Keywords: Attention-deficit hyperactivity disorder, dental operatory, special health care needs

How to cite the article: Gudadhe K, Lamba G, Nagpal D, Chaudhari P. Diagnosis and management of attention-deficit hyperactivity disorder patient in dental operatory. Int J Med Dent Case Rep 2019;6:1-4.

Received: 01 April 2019;

Accepted: 09 May 2019

Recognize syphilis as a re-emerging disease, especially in the presence of HIV. Syphilis, caused by the sexually transmitted spirochete Treponema pallidum, often occurs as coinfection in HIV-infected patients, and its prevalence has increased in the United States. We report a case of oral gummata presenting as a dental abscess in an HIV-infected 25-year-old MSM with no prior history of syphilis. The patient’s rapid plasma reagin was positive at 1:512 dilution with positive confirmatory fluorescent treponemal antibody absorption test. Surgical exploration of the suspected abscess identified a 5-cm ulcerated mass eroding into the right maxillary sinus. Tissue gram stain and culture of the mass revealed only mixed oral flora. Pathology revealed acute and chronic inflammatory granulation tissue, and the Warthin-Starry stain identified rare microorganisms, suspicious for spirochetes. Our patient was treated for tertiary syphilis with intramuscular benzathine penicillin G injections weekly for 3 doses. At 1-month follow up, the patient was symptom-free.

Keywords: Gumma, HIV infection, spirochetes, tertiary syphilis

How to cite the article: Carey M, Havranova J, Le T. Dental abscess as an initial presentation of tertiary syphilis: A case report. Int J Med Dent Case Rep 2019;6:1-2.

Received: 01 May 2019;

Accepted: 09 June 2019

Early loss of deciduous molars results in deficiency of space for erupting permanent successors, leading to crowding and malocclusion. Hence, the need arises for maintaining the space previously occupied by the primary teeth to preserve the integrity of the dental arch length. Space maintainers are used to maintain such space. Band and loop space maintainer is the most commonly used space maintainer for early loss of a single primary molar, but it offers a lot of disadvantages to both the dentists and the patients. Hence, the “H-Appliance” is designed to solve the disadvantages of a conventional band and loop space maintainer. In this case report, a patient of an 8-year-old child who had a severely broken down upper right primary first molar was extracted, and the H-Appliance was delivered to maintain the space. The H-Appliance is a “bracket and hook” space maintainer. It is not only simple, easy, and comfortable to wear but also requires few instruments, can be fabricated within minutes, and does not require welding or soldering.

Keywords: Bracket and hook, deciduous teeth, primary molar, welding

How to cite the article: Singh PH. Simplify your space maintenance with the new H-appliance: A case report. Int J Med Dent Case Rep 2019;6:1-3.

Received: 11 June 2019;

Accepted: 15 July 2019

Congenital upper/maxillary double lip is a rare developmental anomaly. It is present since birth; however, it becomes manifest after the eruption of teeth. It is prominently visible on talking/speech, while smiling or when asked to show teeth. It may be associated with speech and mastication difficulties; however, the most common presenting cause is unseemly appearance and the possible embarrassment in public. Surgical excision of the excess offending tissue gives excellent results improving the appearance esthetically and giving a boost to the individual confidence levels.

Keywords: Ascher syndrome, congenital anomaly, double lip

How to cite the article: Anehosur V, Kulkarni K, Krishnamurthy K, Janardhan A. Congenital maxillary double lip: A case report and review of literature. Int J Med Dent Case Rep 2019;6:1-3.

Received: 17 June 2019;

Accepted: 28 July 2019

Amelogenesis imperfect (AI) is a complex group of inherited conditions affecting the enamel in both primary and permanent dentitions causing psychological trauma from unaesthetic, worn teeth. A sequenced treatment is described for a young adult with AI with metal-ceramic restorations. The case describes a patient with AI having hypersensitivity, severely worn, and unaesthetic dentition. Authors treated the patient with full-mouth metal-ceramic restorations after achieving a functional and esthetic occlusal plane using Broderick occlusal plane analyzer. A systematic treatment approach for the patient is described to achieve a long-term clinical success in the case of AI. The systematic treatment of AI as a full-mouth rehabilitation with endodontic therapy after establishing a proper occlusal plane provides long-term prognosis for the patient.

Keywords: Amelogenesis imperfect, enamel hypoplasia, full-mouth rehabilitation, hypersensitivity

How to cite the article: Muley B, Bhandari J, Pandey V, Shambharkar P. Prosthodontic rehabilitation of amelogenesis imperfecta in a young adult. Int J Med Dent Case Rep 2019;6:1-4.

Received: 21 July 2019;

Accepted: 25 August 2019

Periodontal surgical procedures could present challenges to the body’s clotting mechanism. One such challenge is the uncontrolled hemorrhage that can lead to a life-threatening complication. Hemorrhage can be classified into primary, intermediate, and secondary hemorrhage. Significant post-operative bleeding is not very common as it is generally self-limiting due to the primary closure of the soft tissues following periodontal surgical procedures. This is a case of a 20-year-old systemically healthy male patient who reported with an unusual condition of the formation of a “liver clot” also known as “currant jelly clot” after 6 days following a semilunar coronally repositioned flap for root coverage.

Keywords: Currant jelly clot, hemorrhage, hemostasis, liver clot, periodontal plastic surgery

How to cite this article: Nair MB, Shashikumar P. Formation of “liver clot” following periodontal plastic surgery - A case report. Int J Med Dent Case Rep 2019;6:1-4.

Received: 13 August 2019;

Accepted: 14 September 2019

This study aims to report seven cases of congenital granular cell epulis (CGCE) diagnosed in four teaching hospitals in Southwestern Nigeria over a period of 8 years. CGCE is a rare lesion that presents exclusively at birth. It is benign, but often presents an unsightly appearance, and may be associated with difficulty in feeding, thus early presentation of cases for treatment. The records of the oral and maxillofacial pathology departments of four Nigerian teaching hospitals were assessed for lesions with histological diagnosis of CGCE. Data inclusive of age, gender, anatomic site, and mode of treatment was retrieved and analyzed with SPSS version 21. Seven cases were identified from the four teaching hospitals. All cases occurred in females with an average period of presentation at 7 days after birth. Most of the cases (71.4%) occurred on the maxillary alveolar ridge. Six cases presented as a single pedunculated or sessile lesion, while in one case, three nodules were seen. Although spontaneous regression has been documented in literature, all our cases had surgical excision under local anesthesia without complications or recurrence. All our cases were diagnosed in females and 71.4% were on the maxillary alveolar ridge.

Keywords: Congenital epulis, granular, Nigeria

How to cite the article: Salami AS, Akinshipo AO, Oluwakuyide RT, Adeyemi BF, Olusanya AA. Congenital granular cell epulis: Pattern of presentation in four Nigerian tertiary hospitals. Int J Med Dent Case Rep 2019;6:1-4.

Received: 12 August 2019;

Accepted: 14 September 2019

Leiomyoma is a circumscribed benign smooth muscle tumor with rare incidence in the head-and-neck region of about 0.065% and occurring most commonly in uterine myometrium, gastrointestinal tract, skin, and lower extremities. The lesion usually presents as an asymptomatic lesion, with slight female predilection with the World Health Organization classified into three subtypes: Solid, angioleiomyoma, and epithelioid types, with angioleiomyoma (74%) outnumbering in terms of occurrence in oral cavity. We have described a rare occurrence of solid variant of leiomyoma in hard palate along with clinical presentation, investigation, and reconstruction of defect using buccal pad of fat with a brief review of literature. Leiomyoma accounts for less than 0.5% of all benign smooth muscle tumors occurring in oral cavity. It presents as a relatively asymptomatic lesion, with confirmed diagnosis being only through histopathological and immunohistochemistry. Surgical excision of the lesion with sound safety margins remains as the treatment of choice with almost nil recurrence rate. Leiomyoma is a benign rare occurrence in oral cavity with minimal documentation of solid variant in hard palate of less than 9% and thereby diagnosis and management including reconstruction of secondary defect is of utmost importance.

Keywords: Palate, smooth muscle, solid leiomyoma

How to cite the article: Anehosur V, Acharya P, Shetty D, Dinesh US. Solid variant of leiomyoma in the hard palate: A rare case report and review of literature. Int J Med Dent Case Rep 2019;6:1.4.

Received: 16 August 2019;

Accepted: 18 September 2019

Rubinstein–Taybi syndrome (RTS) is characterized by growth moderate-to-severe intellectual disability, typical face, and particular craniofacial characteristics along with broad thumbs and first toes. The prevalence at birth was estimated to be 1 in 125,000 living newborn infants. The purpose of this case report was to demonstrate the oral and dental manifestations of a 6-year-old girl suffering from RTS.

Keywords: Prognathic maxilla, retrognathic mandible, Rubinstein–Taybi syndrome

How to cite the article: Chopra SS, Chauhan A, Mitra R. Rubinstein–Taybi syndrome: A case report. Int J Med Dent Case Rep 2019;6:1-3.

Received: ???;

Accepted: ???