Case Reports in Dentistry http://www.hindawi.com The latest articles from Hindawi Publishing Corporation © 2015 , Hindawi Publishing Corporation . All rights reserved. Myofibroma of the Gingiva: A Rare Case Report and Literature Review Mon, 30 Mar 2015 11:51:47 +0000 http://www.hindawi.com/journals/crid/2015/243894/ Myofibromas are benign uncommon fibroblastic tumors of the soft tissue, bone, or internal organs affecting all ages. These lesions histopathologically may mimic many other soft tissue tumors of the oral cavity such as spindle cell tumors of neurogenic and smooth muscle cell origin, thus leading to misdiagnosis and mistreatment. This case report describes a rare benign tumor, which presented as a soft tissue swelling on posterior gingiva. Surgical excision of the lesion was carried out under local anaesthesia. Histopathologic and immunohistochemical examination confirmed the diagnosis of myofibroma. Myofibroma should be included in the clinical differential diagnosis of masses of the oral soft tissues; however immunohistochemical examination is essential to establish an accurate diagnosis. Vaishali Narayen, Syed Afroz Ahmed, Charu Suri, and Shahela Tanveer Copyright © 2015 Vaishali Narayen et al. All rights reserved. Oral Adverse Reactions Caused by Over-the-Counter Oral Agents Thu, 26 Mar 2015 12:39:35 +0000 http://www.hindawi.com/journals/crid/2015/196292/ Over-the-counter products rarely cause unwanted reactions in the oral cavity. Oral reactions to these agents are not specific and might present with various clinical oral findings. Detailed medical history is a key to the proper diagnosis of these lesions and fortunately other diagnostic procedures are rarely needed. Lesions are usually managed with elimination of the offending agent and with topical steroids. In more severe cases systemic steroids should be applied. Vanja Vucicevic Boras, Vlaho Brailo, Ana Andabak Rogulj, Danica Vidovic Juras, Dragana Gabric, and Danko Velimir Vrdoljak Copyright © 2015 Vanja Vucicevic Boras et al. All rights reserved. Inadvertent Apical Extrusion of Sodium Hypochlorite with Evaluation by Dental Volumetric Tomography Wed, 25 Mar 2015 11:30:43 +0000 http://www.hindawi.com/journals/crid/2015/247547/ This case report describes the tissue injury caused by inadvertently extruded NaOCl through the apical constriction. A 56-year-old female patient with complaints of pain, swelling, and ecchymosis on the left side of her face was referred to our clinic. The symptoms had emerged following root canal treatment of the maxillary left first premolar, and a soft tissue complication due to apical extrusion of NaOCl was diagnosed. Antibiotics and analgesics were prescribed. DVT images revealed that the buccal root apex had perforated the maxillary bone. The patient was followed up every other day and became asymptomatic on the 10th day. Endodontic therapy was completed with routine procedures. Determining working length precisely and following irrigation protocols meticulously are indispensable to prevent this type of complication. 3D visualization of the affected area may reveal the cause of the incident. Elif Delve Başer Can, Meriç Karapınar Kazandağ, and Rabia Figen Kaptan Copyright © 2015 Elif Delve Başer Can et al. All rights reserved. Elastic Band Causing Exfoliation of the Upper Permanent Central Incisors Sun, 22 Mar 2015 14:08:36 +0000 http://www.hindawi.com/journals/crid/2015/186945/ Objective. This study reports a case in which elastic band use culminated in the loss of the incisors. Case Report. An 11-year-old white girl was seen complaining of pain, with purulent discharge and severe tooth mobility. The bone destruction detected radiographically in the region, despite its single location and absence in posterior quadrants of the maxilla and/or mandible, was similar to that observed in Langerhans cell disease. To our surprise, an elastic band involving the midportion of the roots of the two upper central incisors was found during biopsy. The debris was removed and a metal wire was placed in permanent maxillary right and left incisors. The patient was followed up, but no improvement in tooth mobility was observed. Bone loss increased, and internal resorption and root exposure occurred, which culminated in the extraction of permanent maxillary right and left incisors. Conclusion. The present case highlights the fact that professionals sometimes are confronted by anamnestic reports never seen before. Monica Ghislaine Oliveira Alves, Dárcio Kitakawa, Joao Batista Macedo Becker, Adriana Aigotti Haberbeck Brandão, Luiz Antonio Guimarães Cabral, and Janete Dias Almeida Copyright © 2015 Monica Ghislaine Oliveira Alves et al. All rights reserved. Lipoid Proteinosis: A Rare Encounter in Dental Office Thu, 19 Mar 2015 12:18:21 +0000 http://www.hindawi.com/journals/crid/2015/670369/ Lipoid proteinosis is a sporadic congenital metabolic disorder which is characterized by deposition of hyaline material in dermis, submucosal connective tissue, and various internal organs. It has an extremely low prevalence rate with less than 300 cases reported so far. This progressive disease has a vast spectrum of manifestations ranging from asymptomatic lesions to fatal seizures and respiratory obstruction making timely diagnosis of this rare disorder an imperative task for oral health care practitioners. We report a case of characteristic oral manifestations of lipoid proteinosis in a 28-year-old male patient along with a review of relevant prevailing literature. Prasannasrinivas Deshpande, Mahima Veeranna Guledgud, Karthikeya Patil, Usha Hegde, Ankita Sahni, and Sreeshlya Huchanahalli Sheshanna Copyright © 2015 Prasannasrinivas Deshpande et al. All rights reserved. Peripheral Giant Cell Granuloma Associated with a Dental Implant: A Case Report and Review of the Literature Mon, 16 Mar 2015 08:23:35 +0000 http://www.hindawi.com/journals/crid/2015/697673/ The peripheral giant cell granuloma (PGCG) is a nonneoplastic lesion commonly caused by local irritation. This report describes a 46-year-old Caucasian male who presented with a PGCG associated with a dental implant. The dental implant was originally placed in August 2012. Ten months later, the patient presented with a well-circumscribed lesion associated with and covering the implant, at which time the lesion was excised. Four months later, due to recurrence of the lesion, a deeper and wider excisional biopsy with curettage of the adjacent bone was performed. No evidence of recurrence has been reported after 12 months of follow-up. Immunohistochemistry, using the antibody CD68, was performed to investigate the origin of the multinucleated giant cells, with their immunophenotype being similar to those of other giant cell lesions, including central giant cell granuloma, foreign-body reactions, and granulomatous reactions to infectious agents. Amy Louise Brown, Paulo Camargo de Moraes, Marcelo Sperandio, Andresa Borges Soares, Vera Cavalcanti Araújo, and Fabrício Passador-Santos Copyright © 2015 Amy Louise Brown et al. All rights reserved. Effective and Efficient Herbst Appliance Therapy for Skeletal Class II Malocclusion Patient with a Low Degree of Collaboration with the Orthodontic Treatment Tue, 10 Mar 2015 12:01:01 +0000 http://www.hindawi.com/journals/crid/2015/986597/ The current concept for effective and efficient treatment of skeletal Class II malocclusion prescribes that interceptive approach should be delivered during the pubertal growth stage. However, psychosocial issues and a greater risk of dental trauma are also factors that should be addressed when considering early Class II therapy. This paper reports a case of a patient that sought orthodontic treatment due to aesthetic discomfort with the incisors’ protrusion. Two previous treatments failed because patient’s collaboration with removable appliances was inadequate. Given his history of no collaboration and because the patient was in the prepubertal stage, it was decided to try a different approach in the third attempt of treatment. Traumatic injury protective devices were used during the prepubertal stage and followed by Herbst appliance and fixed multibrackets therapy during the pubertal stage, resulting in an adequate outcome and long-term stability. Bernardo Quiroga Souki, Barbra Duque Costa Bastos, Luana Fialho Ferro Araujo, Wagner Fernando Moyses-Braga, Mariele Garcia Pantuzo, and Paula Loureiro Cheib Copyright © 2015 Bernardo Quiroga Souki et al. All rights reserved. Severe Gingival Enlargement with Coexisting Erosive Lichen Planus in Severe Chronic Periodontitis Patient Mon, 09 Mar 2015 12:04:38 +0000 http://www.hindawi.com/journals/crid/2015/538538/ Plaque induced gingival enlargement is most commonly seen and when encountered simultaneously with erosive lichen planus poses a challenge to the treating dentist. Prognosis of one condition may influence the prognosis of another condition. The presented case highlights the significance of proper diagnosis and the management of simultaneously occurring gingival lesions. A 49-year-old hypertensive female presented with painful enlarged bleeding and suppurating gums with burning sensation on eating food along with long-term usage of antihypertensive drug amlodipine known for its gingival enlargement effect. All these multiple factors led to diagnostic dilemma. Effective management of the gingival enlargement was done by using electrocautery to rehabilitate the functions and esthetics of the patient. Gingival condition was also complicated by the presence of coexisting lichen planus which was predominantly erosive for which topical corticosteroid, antifungal, and antimicrobial agents were prescribed. Eight-month follow-up did not show recurrence of gingival enlargement. Electrocautery is an effective tool for the gingivectomy in severe inflammatory type of gingival enlargement because of rapid postoperative hemostasis. For the management of erosive lichen planus, long-term use of topical corticosteroids is an effective approach. Maintenance of oral hygiene and regular follow-ups are essential for these conditions. Ambika Sharma, Chakshu Aggarwal, Vijay P. Mathur, and Divesh Sardana Copyright © 2015 Ambika Sharma et al. All rights reserved. Conservative Treatment of a Large Facial Midroot Perforation Mon, 09 Mar 2015 09:36:48 +0000 http://www.hindawi.com/journals/crid/2015/326302/ Aim. To report on the endodontic and periodontal management of a root and alveolar process perforation in a maxillary front tooth. Summary. Perforation during access cavity preparation is an infrequent complication during endodontic therapy, leading to potential periodontal tissue breakdown. The case described the two-stage management of a massive facial root perforation requiring a connective tissue graft to correct a mucosal fenestration persisting after orthograde repair of the root defect with MTA. Stephane Kerner and François Bronnec Copyright © 2015 Stephane Kerner and François Bronnec. All rights reserved. Posttraumatic Displacement Management: Lateral Luxation and Alveolar Bone Fracture in Young Permanent Teeth with 5 Years of Follow-Up Sun, 08 Mar 2015 09:12:17 +0000 http://www.hindawi.com/journals/crid/2015/634237/ Dental trauma is an important public health problem due to high prevalence and associated limitations. The external impact accounting for trauma may result in different injury types to teeth and supporting structures. This paper describes a clinical case of tooth trauma in an 8-year-old patient exhibiting the displacement of three permanent teeth with open root apexes. Although the traumatic impact resulted in two injury types to teeth and supporting tissues (lateral luxation and alveolar bone fracture), the therapeutic approach was the same in both situations. The bone and teeth were repositioned by digital pressure, stabilized by semirigid splint, and followed up at every week. After six weeks, the splint was removed. At that moment, the clinical and radiographic findings indicated normal soft/hard tissues and absence of pulp/periodontal pathologies. At the fifth year of follow-up, the treatment success of the case was confirmed, although it has been observed that all lower incisors exhibited pulp obliteration as a consequence of the dental trauma. Heitor Marques Honório, Catarina Ribeiro Barros de Alencar, Edmer Silvestre Pereira Júnior, Daniela Silva Barroso de Oliveira, Gabriela Cristina de Oliveira, and Daniela Rios Copyright © 2015 Heitor Marques Honório et al. All rights reserved. Ectopic Compound Odontoma in the Buccal Mucosa: Report of a Rare Case Wed, 25 Feb 2015 13:20:05 +0000 http://www.hindawi.com/journals/crid/2015/835171/ Eruption of tooth into extraosseous locations is an extremely rare condition. We report a case of a six-year-old girl child with tooth-like structure erupting from the right buccal mucosa. Clinical, radiographic, and histopathologic examination suggested the diagnosis of compound odontoma. Very few cases have been reported so far, where tooth has been located completely in the soft tissue and a variety of names have been used for that condition. A brief review of the literature and the ambiguity in naming the situation is discussed. Aparna Venigalla, Leela Krishna Guttikonda, Hasini Nelakurthi, Suresh Babburi, Soujanya Pinisetti, Ajay Banerji Kotti, and Lavanya Kalapala Copyright © 2015 Aparna Venigalla et al. All rights reserved. Severe Impaction of the Primary Mandibular Second Molar Accompanied by Displacement of the Permanent Second Premolar Wed, 25 Feb 2015 11:38:26 +0000 http://www.hindawi.com/journals/crid/2015/582462/ Tooth impaction is defined as any tooth that fails to erupt into a normal functional position and remains unerupted beyond the time at which it should normally erupt. Reports of impaction and eruption failure in primary teeth are relatively rare compared to permanent teeth. We report 2 rare cases where the second premolar was located on the occlusal side of the impacted mandibular second primary molar. In the first case, the succedaneous permanent tooth erupted after extraction of the primary tooth, fenestration, and traction. In the second case, the succedaneous permanent tooth erupted without fenestration or traction. Although the etiology of the tooth displacement was unknown in both cases, inhibition of the eruptive movement of the primary molar may have been associated with displacement of the succedaneous permanent premolar. Junko Matsuyama, Shoko Kinoshita-Kawano, Sachiko Hayashi-Sakai, Tomoe Mitomi, and Tomiko Sano-Asahito Copyright © 2015 Junko Matsuyama et al. All rights reserved. Severe Bradycardia Possibly due to a Local Anesthetic Oral Mucosal Injection during General Anesthesia Wed, 25 Feb 2015 11:38:26 +0000 http://www.hindawi.com/journals/crid/2015/896196/ Local anesthesia may induce systemic complications leading to parasympathetic activity leading to bradycardia and hypotension. We report a case of a 50-year-old man undergoing dental surgery under general anesthesia who experienced severe bradycardia and hypotension after local anesthesia infiltration. Concerns regarding the utilization of a relatively large lumen injection needle for local anesthesia during general anesthesia are discussed. Kenichi Satoh, Ayako Ohashi, Miho Kumagai, Hideki Hoshi, Kousei Otaka, and Shigeharu Joh Copyright © 2015 Kenichi Satoh et al. All rights reserved. Delayed Replantation of Avulsed Teeth: Two Case Reports Wed, 25 Feb 2015 11:36:03 +0000 http://www.hindawi.com/journals/crid/2015/197202/ This case report presents two cases of delayed replantation of avulsed maxillary central incisors after an extended dry extra-alveolar period. Eight-year-old boy and 10-year-old boy presented with avulsed maxillary central incisors due to trauma occurring 27 and 7 hours earlier, respectively. Treatment guidelines for avulsed mature/immature permanent teeth with prolonged extra-oral time were carried out for the teeth and the extra-oral endodontic treatment was completed. After having been repositioned, the teeth were stabilized for 4 weeks and prophylactic antibiotic was prescribed. Clinical and radiographic controls were done after 18 months for Case I and 12 months for Case II. During the follow-up periods the teeth reported in these cases have remained in a stable, functional position but revealed clinical initial replacement resorption and ankylosis. Selcuk Savas, Ebru Kucukyilmaz, Merve Akcay, and Serhat Koseoglu Copyright © 2015 Selcuk Savas et al. All rights reserved. Management of an Intruded Tooth and Adjacent Tooth Showing External Resorption as a Late Complication of Dental Injury: Three-Year Follow-Up Mon, 23 Feb 2015 09:32:24 +0000 http://www.hindawi.com/journals/crid/2015/741687/ Treatment and prognosis of intrusive luxation can vary depending on the age of the patient, type of dentition, stage of root development, and time and severity of the trauma. Some studies have demonstrated that intrusions of up to 3.0 mm have an excellent prognosis, whereas teeth with severe intrusion or teeth that are intruded more than 6.0 mm present an unfavorable prognosis because of the occurrence of inflammatory resorption and pulp necrosis. The aim of this case report is to present an 11-year-old male patient with complete intrusion of the permanent maxillary left lateral incisor, associated with the adjacent central tooth presenting external resorption, treated by immediate surgical repositioning and root canal treatment with a favorable prognosis. After long-term (3-year) clinical and radiographic follow-up, the teeth appeared normal and the patient was pleased with the outcome. Ülkü Şermet Elbay, Mesut Elbay, Emine Kaya, and Alper Sinanoglu Copyright © 2015 Ülkü Şermet Elbay et al. All rights reserved. Unusual Transalveolar and Transmuco-Gingival Root Avulsion of a Fractured Primary Central Incisor: A Case with an 8-Year Follow-Up Sun, 22 Feb 2015 10:00:42 +0000 http://www.hindawi.com/journals/crid/2015/914846/ The purpose of this unique case report is to describe a very unusual dentoalveolar fracture associated with avulsion of the near-complete root. A 3-year-old male patient came for consultation after a dentoalveolar trauma with a “fragment that looks like canine” found in his mouth by his mother. This boy suffered root fracture of the upper primary central right incisor, accompanied by transalveolar and transmuco-gingival avulsion of the tooth root fragment, leaving the crown in its position in the dental arch. Clinical and radiological examinations were performed in order to follow up the case: 15 days, one month, and three months after trauma, the crown had a slight mobility without other clinical or radiological signs. After six months, the upper primary central right incisor’s crown was exfoliated. Open bite due to the persistence of the pacifier habit favored the crown retention in the mouth. This case emphasizes the importance of primary diagnosis and follow-up of trauma cases. To the best of our knowledge, this kind of dental injury has not been previously described in the literature nor in the current Dental Trauma guidelines for the management of traumatic dental injuries in the primary dentition. E. Ferrés-Amat, C. Díaz-Martínez, S. Herrera-Martínez, I. Maura-Solivellas, and E. Ferrés-Padró Copyright © 2015 E. Ferrés-Amat et al. All rights reserved. Sarcomatoid (Spindle Cell) Carcinoma of Tongue: A Report of Two Cases Tue, 17 Feb 2015 11:39:30 +0000 http://www.hindawi.com/journals/crid/2015/780856/ Sarcomatoid Carcinoma (SC) is an unusual and aggressive variant of squamous cell carcinoma, which frequently recurs and metastasizes; for this reason, the right diagnosis is very important. It is considered to be a biphasic tumor made up of cells from squamous and spindle cells carcinoma with a sarcomatous aspect, but of epithelial origin. The diagnosis often represents a clinical-pathological challenge where the study with immunohistochemical technique (IHC) is key to the histopathological diagnosis. The reported cases related to oral mucosa are limited. In this work we present two SC cases where the use of IHC allowed us to achieve a conclusive diagnosis. Montserrat Reyes, Gina Pennacchiotti, Fabio Valdes, Rodrigo Montes, Marcelo Veloso, Maria Angélica Matamala, Luis Zanolli, and Gonzalo Rojas-Alcayaga Copyright © 2015 Montserrat Reyes et al. All rights reserved. A Modified Design for Posterior Inlay-Retained Fixed Dental Prosthesis Mon, 16 Feb 2015 11:59:44 +0000 http://www.hindawi.com/journals/crid/2015/576820/ The aim of this paper is to report a clinical case with bilateral missing mandibular second premolars that were restored by metal-ceramic inlay-retained fixed dental prostheses. The first prosthesis was of a traditional design and the second was of a modified design. The suggested design is created by modifying the retainer wings of the traditional resin-bonded inlay-retained fixed dental prosthesis and covering the wings with composite resin. The modified design is relatively conservative, esthetic and provides an extra element for the retention of posterior metal-ceramic inlay-retained fixed dental prostheses. Abdulaziz Samran, Mohammad Zakaria Nassani, Marwan Aswad, and Amid Abdulkarim Copyright © 2015 Abdulaziz Samran et al. All rights reserved. Clinical Strategies for Complete Denture Rehabilitation in a Patient with Parkinson Disease and Reduced Neuromuscular Control Sun, 08 Feb 2015 08:50:57 +0000 http://www.hindawi.com/journals/crid/2015/352878/ The dentist has a large role in geriatric health care for the ever increasing elder population with associated physical and neurological disorders. The Parkinson disease is progressive neurological disorder with resting tremor, bradykinesia, akinesia, and postural instability. The psychological components of disease include depression, anxiety, and cognitive deficiency. Poor oral hygiene, increased susceptibility for dental caries, and periodontal diseases predispose them to early edentulism. The number of Parkinson affected patients visiting dental clinic seeking complete denture is growing. This case report explains the steps involved in the complete denture rehabilitation of Parkinson patient. The effective prosthesis will help in alleviating functional, aesthetic, and psychological disabilities of the patient. Satheesh B. Haralur Copyright © 2015 Satheesh B. Haralur. All rights reserved. Multiple Congenital Granular Cell Epulis: Case Report and Immunohistochemical Profile with Emphasis on Vascularization Thu, 05 Feb 2015 06:45:59 +0000 http://www.hindawi.com/journals/crid/2015/878192/ Congenital granular cell epulis is a rare benign soft tissue lesion arising from the alveolar ridge in neonates. A rare case of multiple congenital granular cell epulis is reported, alongside a description of its vascular immunohistochemical profile. A female newborn presented with two exophytic pedunculated red nodules located on the alveolar ridge between the future eruption sites of the incisors and canines of the mandible and maxilla. A conservative surgical excision was performed on the second day of life. Histology revealed proliferation of round granular cells containing an abundant eosinophilic cytoplasm with basophilic nuclei, ranging from round to oval in shape. Numerous blood vessels were also seen. Immunohistochemical analysis of the granular cells revealed positivity for CD68, D2-40, Ki67, VEGF, and FGF and negativity for S100, CD34, and CD105. Immunostaining for CD34, CD105, and D2-40 confirmed the presence of a large number of blood and lymphatic vessels. Although rare, an understanding of this lesion is paramount for correct diagnosis and appropriate treatment. In the present report, the immunohistochemical profile confirmed increased vascularization, proving that these lesions are composed of not only new and preexisting blood vessels, but also lymphatic vessels. Patricia Roccon Bianchi, Vera Cavalcanti de Araujo, José Wagner Banterli Ribeiro, Fabricio Passador-Santos, Ney Soares de Araujo, and Andresa Borges Soares Copyright © 2015 Patricia Roccon Bianchi et al. All rights reserved. Natal Teeth: A Case Report and Reappraisal Wed, 04 Feb 2015 09:30:07 +0000 http://www.hindawi.com/journals/crid/2015/147580/ The presence of teeth at birth (natal teeth) or within a month after delivery (neonatal teeth) is a rare condition. Natal and neonatal teeth are conditions of significant importance to pediatric dentists and pediatricians. This report discusses a case in which a five-day-old infant required extraction of a mobile mandibular natal tooth to avoid the risk of aspiration and interference with feeding. Also, a review of the literature was conducted to discuss the etiology, clinical features, complications, and management of natal and neonatal teeth. Ghadah A. Malki, Emad A. Al-Badawi, and Mohammad A. Dahlan Copyright © 2015 Ghadah A. Malki et al. All rights reserved. Dental Extrusion with Orthodontic Miniscrew Anchorage: A Case Report Describing a Modified Method Mon, 02 Feb 2015 14:29:02 +0000 http://www.hindawi.com/journals/crid/2015/909314/ In recent years, the skeletal anchorage through miniscrews has expanded the treatment options in orthodontics (Yamaguchi et al., 2012). We hereby present a modified method for tooth extrusion for cases where crown-lengthening surgery is contraindicated for aesthetic reasons. This modified method uses three orthodontic appliances: a mini-implant, an orthodontic wire, and a bracket. The aim of this case report was to increase the length of the clinical crown of a fractured tooth (tooth 23) by means of an orthodontic extrusion with the modified method of Roth and Diedrich. Ricardo Fidos Horliana, Anna Carolina Ratto Tempestini Horliana, Alexandre do Vale Wuo, Flávio Eduardo Guillin Perez, and Jorge Abrão Copyright © 2015 Ricardo Fidos Horliana et al. All rights reserved. Aesthetic and Functional Rehabilitation of the Primary Dentition Affected by Amelogenesis Imperfecta Mon, 02 Feb 2015 06:35:39 +0000 http://www.hindawi.com/journals/crid/2015/790890/ The objective of this case report was to describe the oral rehabilitation of a five-year-old boy patient diagnosed with amelogenesis imperfecta (AI) in the primary dentition. AI is a group of hereditary disorders that affects the enamel structure. The patient was brought to the dental clinic complaining of tooth hypersensitivity during meals. The medical history and clinical examination were used to arrive at the diagnosis of AI. The treatment was oral rehabilitation of the primary molars with stainless steel crowns and resin-filled celluloid forms. The main objectives of the selected treatment were to enhance the esthetics, restore masticatory function, and eliminate the teeth sensitivity. The child was monitored in the pediatric dentistry clinic at four-month intervals until the mixed dentition stage. Treatment not only restored function and esthetic, but also showed a positive psychological impact and thereby improved perceived quality of life. The preventive, psychological, and curative measures of a young child with AI were successful. This result can encourage the clinicians to seek a cost-effective technique such as stainless steel crowns, and resin-filled celluloid forms to reestablish the oral functions and improve the child’s psychosocial development. Maria Carolina Salomé Marquezin, Bruna Raquel Zancopé, Larissa Ferreira Pacheco, Maria Beatriz Duarte Gavião, and Fernanda Miori Pascon Copyright © 2015 Maria Carolina Salomé Marquezin et al. All rights reserved. Cerebral Abscess Potentially of Odontogenic Origin Sun, 01 Feb 2015 12:53:17 +0000 http://www.hindawi.com/journals/crid/2015/267625/ Odontogenic origins are rarely implicated in the formation of brain abscesses. The relative paucity of this kind of infection and the difficulty in matching the causative microorganisms of a brain abscess to an odontogenic source can explain the late management of patients. We herein describe a case of a 46-year-old man with a cerebellar abscess that was probably due to an odontogenic infection. The diagnosis supported by imaging and microscopic identification, mini craniectomy for abscess drainage followed by eradication of all potential dental infectious foci, and an antibiotic regimen based on cephalosporins, metronidazole, and vancomycine contributed to a successful outcome. Marouene Ben Hadj Hassine, Lamia Oualha, Amine Derbel, and Nabiha Douki Copyright © 2015 Marouene Ben Hadj Hassine et al. All rights reserved. Removal of an Upper Third Molar from the Maxillary Sinus Sun, 01 Feb 2015 09:31:06 +0000 http://www.hindawi.com/journals/crid/2015/517149/ The maxillary sinus or antrum is the largest of the paranasal sinuses. It is located in the maxillary bone and has a proximity to the apexes of upper molars and premolars, which allows it to form a direct link between the sinus and the oral cavity. Dislocation of a foreign body or tooth to the interior of a paranasal sinus is a situation that can occur as a result of car accidents, firearm attacks, or iatrogenic in surgical procedures. Therefore, it is necessary to know how to treat this kind of situation. This study’s objective is to report the case of a 23-year-old female patient, leucoderma, who sought treatment from the Surgical Unit at the Dental Faculty of the Federal University of Sergipe. She had a history of pain and edema in the right side of the genian region and two failed attempts at removing dental unit (DU) 18. The extraoral clinical exam revealed intense edema of the left hemiface with signs of infection, excoriation of the labial commissure, hematoma, a body temperature of 39°C, and a limited ability to open her mouth. The patient was medicated and treated surgically. The tooth was removed from the maxillary sinus with caution, as should have been done initially. Klinger de Souza Amorim, Vanessa Tavares da Silva, Rafael Soares da Cunha, Maria Luisa Silveira Souto, Carla Rocha São Mateus, and Liane Maciel de Almeida Souza Copyright © 2015 Klinger de Souza Amorim et al. All rights reserved. Ameloblastic Fibrodentinoma Presenting as a False Gingival Enlargement in the Maxillary Anterior Region Thu, 29 Jan 2015 11:42:40 +0000 http://www.hindawi.com/journals/crid/2015/812087/ Ameloblastic fibrodentinoma is a rare benign mixed odontogenic neoplasm usually occurring in the first two decades of life. It is more common in males and the most common site of occurrence is in the mandibular premolar molar area. This report presents a case of ameloblastic fibrodentinoma in a 12-year-old boy in the maxillary anterior region, a less common site for the occurrence of ameloblastic fibrodentinoma. A 12-year-old boy presented with a midline diastema in 11 and 21 region and a swelling in the palatal aspect of 11 and 12. Intraoral periapical radiograph showed the presence of rarefaction of bone on the mesial aspect of the cervical and middle third of the root of 11. Excision biopsy was done. The specimen was processed and stained with hematoxylin and eosin. Microscopic examination showed islands, chords and strands of odontogenic epithelium in a primitive ectomesenchyme resembling dental papilla. The odontogenic epithelium exhibited peripheral ameloblast-like and central stellate reticulum-like cells. The presence of dentinoid material was seen adjacent to the odontogenic epithelium in some foci. The lesion was diagnosed as ameloblastic fibrodentinoma. Shiny Joseph, Lakshmi Priya, Dinesh Gopal, Mary Devachen, Ajay Narayan, and Muhammed Afnan Copyright © 2015 Shiny Joseph et al. All rights reserved. Rehabilitation of an Advanced Case of Adenoid Cystic Carcinoma Thu, 29 Jan 2015 10:14:29 +0000 http://www.hindawi.com/journals/crid/2015/651321/ Adenoid cystic carcinoma is a cancer of the salivary gland that primarily affects the parotid, submandibular, and accessory salivary glands. Its growth is slow and it has infiltrative nature. A 46-year-old female patient coming from the rural area presented a lesion on the palate and reported pain in the region for three years. After incisional biopsy, and histopathological diagnosis of adenoid cystic carcinoma of the cribriform type of minor salivary gland, superior hemimaxillectomy and adjuvant treatment with radiotherapy and maxillofacial prosthetic rehabilitation were performed. Luiz Evaristo Ricci Volpato, Lorena Frange Caldas, Paulo Henrique de Souza Castro, Artur Aburad de Carvalhosa, Maria Carmen Palma Faria Volpato, Matheus Coelho Bandéca, and Álvaro Henrique Borges Copyright © 2015 Luiz Evaristo Ricci Volpato et al. All rights reserved. The Importance of the Lifelike Esthetic Appearance of All-Ceramic Restorations on Anterior Teeth Thu, 29 Jan 2015 06:40:05 +0000 http://www.hindawi.com/journals/crid/2015/704348/ The success of rehabilitation will not depend on just clinical procedures. A proper dental technique (ceramist) is required as well as the respect for some biomimetic principles to obtain the desired final result. This study has the purpose of describing a prosthetic rehabilitation with laminate veneers and all-ceramic crowns of a patient unsatisfied with a previous esthetic treatment because of the negligence of some biomimetic principles. A 45-year-old female patient was admitted to the dental clinic complaining about the lifelike appearance of her all-ceramic restorations. Before the fabrication of new restorations, a mock-up was conducted to verify the patient’s satisfaction. A ceramist conducted all the fabrication process so that surface characterizations could be visually verified and the lifelike appearance of natural tooth could be reproduced. After the cementation procedure, the patient reported being satisfied with the lifelike appearance of the new restorations. Based on the clinical findings of the present case report, it can be concluded that the reproduction of the lifelike esthetic appearance of natural teeth and the visualization of the final results before definitive procedures are essential to obtain the clinical success. Daniela Micheline dos Santos, Amália Moreno, Aljomar José Vechiato-Filho, Liliane da Rocha Bonatto, Aldiéris Alves Pesqueira, Murilo César Bento Laurindo Júnior, Rodrigo Antonio de Medeiros, Emily Vivianne Freitas da Silva, and Marcelo Coelho Goiato Copyright © 2015 Daniela Micheline dos Santos et al. All rights reserved. Epidermoid Cyst in the Floor of the Mouth of a 3-Year-Old Wed, 28 Jan 2015 09:44:39 +0000 http://www.hindawi.com/journals/crid/2015/172457/ Epidermoid cysts are a rare entity in the oral cavity and are even less frequent in the floor of the mouth, representing less than 0.01% of all the cases. We present the case of a 3-year-old girl with a growth in the floor of the mouth with 2 months of evolution and without changes since it was discovered by her parents. The lesion was asymptomatic; it did not cause dysphagia, dyspnea, or any other alteration. A CT scan with contrast was done which revealed the location and exact size of the lesion, allowing an intraoral approach for its excision. The histological examination confirmed the clinical speculation of an epidermoid cyst. Rossana Pascual Dabán, Eloy García Díez, Beatriz González Navarro, and José López-López Copyright © 2015 Rossana Pascual Dabán et al. All rights reserved. Untypical Amlodipine-Induced Gingival Hyperplasia Tue, 27 Jan 2015 09:09:50 +0000 http://www.hindawi.com/journals/crid/2015/756976/ Amlodipine is a third generation dihydropyridine calcium channel blocker that is frequently used in therapy of hypertension. Among many side effects, amlodipine has been found associated with gingival overgrowth (GO) which usually occurs within the first three months of starting therapy at a dose of 10 mg/day. However, there are very few reports on amlodipine-induced gingival overgrowth (AIGO) at a lower dose (5 mg/day) and only after short term administration. A 64-year-old male patient with hypertension, who received amlodipine (5 mg/day) for four years, sought medical attention at the Department of Periodontology and Oral Medicine, Institute of Dentistry, Banja Luka, Bosnia and Herzegovina. The patient complained of masticatory problems due to extensive maxillary GO along with pain, bleeding, and foul odor. The clinical and the histological evidences were consistent with AIGO. The first line treatment consisted of the amlodipine substitution (amlodipine was replaced with enalapril, 5 mg/day) and the scaling and root planning/SRP. At one-month follow-up, drug replacement and SRP resulted in some reduction of the inflammation and significant reduction of symptoms. Further, gingivectomy/gingivoplasty helped overcome the effect of these drugs. The possibility of AIGO should be considered for a lower dose, as well as a late presentation. Verica Pavlic, Nina Zubovic, Sanja Ilic, and Tijana Adamovic Copyright © 2015 Verica Pavlic et al. All rights reserved.