Case Reports in Dentistry The latest articles from Hindawi Publishing Corporation © 2014 , Hindawi Publishing Corporation . All rights reserved. Retracted: Primary Small Cell Undifferentiated (Neuroendocrine) Carcinoma of the Maxillary Sinus Tue, 21 Oct 2014 08:59:22 +0000 Case Reports in Dentistry Copyright © 2014 Case Reports in Dentistry. All rights reserved. Multiple Marginal Tissue Recession Treated with a Simplified Lateral Sliding Flap Technique Tue, 21 Oct 2014 00:00:00 +0000 Marginal tissue recession is a common esthetic problem that is usually accompanied by dentin sensitivity, and patients frequently report a fear of dental loss. Lateral sliding flaps have been used for localized recession, but they are rarely used for multiple recessions. The aim of this paper was to report a case of coverage of multiple marginal tissue recessions by means of a lateral sliding flap associated with a connective tissue graft. This was a modification of Nelson’s technique, which was originally described as the combination of the double papilla technique, lateral sliding flap, and connective tissue graft. In the present case, double papilla was not performed, rendering the maneuver less complicated. After surgery on teeth #23 to #25, total root coverage, decreased dentin sensitivity, and increased keratinized tissue band and gingival thickness were achieved. In the present case, modified Nelson technique proved to be a more simple procedure for the treatment of multiple recessions in one session, resulting in adequate healing, predictable root coverage, and, more importantly, esthetic and functional success. Fernando Salimon Ribeiro, Juliana Aparecida Najarro Dearo de Morais-Camillo, José Marcos Alves Fernandes, Juliana Rico Pires, Elizangela Partata Zuza, and Ana Emília Farias Pontes Copyright © 2014 Fernando Salimon Ribeiro et al. All rights reserved. Boon of MTA Apexification in Young Permanent Posterior Teeth Mon, 20 Oct 2014 00:00:00 +0000 Single visit apexification using mineral trioxide aggregate (MTA) is a new boon in effective management of nonvital tooth with an open apex which has steadily gained popularity with clinicians; also it shortens the treatment period and improves patient compliance. Importance of this approach lies in expedient cleaning and shaping of the root canal system, followed by its apical seal with MTA. There are several case reports available describing the use of MTA as an apexification agent in incisors and premolar, but presented cases are the unique case reports demonstrating successful apexification procedure using MTA in young permanent mandibular molars. After eight-month follow-up, teeth were without any abnormal clinical symptoms; rather there were radiographic resolution of the periapical lesion and induction of root end closure with new hard tissue formation over MTA. Mohammed Zameer, Vinod Kumar, Vijaya Prasad, and T. Mahantesha Copyright © 2014 Mohammed Zameer et al. All rights reserved. High-Wattage Pulsed Irradiation of Linearly Polarized Near-Infrared Light to Stellate Ganglion Area for Burning Mouth Syndrome Sun, 19 Oct 2014 00:00:00 +0000 The purpose of this study was to apply high-wattage pulsed irradiation of linearly polarized near-infrared light to the stellate ganglion area for burning mouth syndrome (BMS) and to assess the efficacy of the stellate ganglion area irradiation (SGR) on BMS using differential time-/frequency-domain parameters (D parameters). Three patients with BMS received high-wattage pulsed SGR; the response to SGR was evaluated by visual analogue scale (VAS) representing the intensity of glossalgia and D parameters used in heart rate variability analysis. High-wattage pulsed SGR significantly decreased the mean value of VAS in all cases without any adverse event such as thermal injury. D parameters mostly correlated with clinical condition of BMS. High-wattage pulsed SGR was safe and effective for the treatment of BMS; D parameters are useful for assessing efficacy of SGR on BMS. Yukihiro Momota, Koichi Kani, Hideyuki Takano, Fumihiro Matsumoto, Keiko Aota, Daisuke Takegawa, Tomoko Yamanoi, Chika Kondo, Shigemasa Tomioka, and Masayuki Azuma Copyright © 2014 Yukihiro Momota et al. All rights reserved. Extraction of Maxillary Central Incisors: An Orthodontic-Restorative Treatment Thu, 16 Oct 2014 00:00:00 +0000 Malformed central incisors with poor prognosis could be candidates for extraction especially in crowded dental arches. This case report refers to a 12-year-old boy who suffered from malformed upper central incisors associated with severe attrition. Upper lateral incisors were positioned palatally and canines were rotated and positioned in the high buccal area. The patient had class II malocclusion and space deficiency in both dental arches. Due to incisal wear and malformed short maxillary central incisors and the need for root canal therapy with a major crown build-up, these teeth were extracted. The maxillary lateral incisors were substituted. Thus the maxillary canines were substituted for lateral incisors and the first premolars were substituted for canines. In the lower dental arch the first bicuspids were extracted. Composite resin build-up was performed on the maxillary lateral incisors and canines. This allowed for the crowding and the malocclusion to be corrected. Subsequent gingivectomy improved the patient's gingival margins and smile esthetics one month after orthodontic therapy. Zohreh Hedayati, Maryam Zare, and Fateme Bahramnia Copyright © 2014 Zohreh Hedayati et al. All rights reserved. Severe Periodontal Disease Associated with Long-Term Treatment with Intravenous Immunoglobulin Wed, 15 Oct 2014 06:30:25 +0000 Intravenous immunoglobulin (IVIG) is used in the treatment of neuropathy. This case report presents, for the first time, a patient with severe periodontal destruction after chronic therapy with IVIG. The patient reported having extracted his maxillary anterior teeth himself due to high mobility. Clinical examination and radiographic images show a generalized and severe periodontitis. No significant alterations in genetic or microbiological features were observed. The present case suggests that periodontal disease aggravation could be considered a new adverse effect of IVIG therapy. Postulated mechanisms are immune complexes formation, complement activation, and a direct effect in osteoclasts. In conclusion, it is important that patients that will receive IVIG treatment underwent dental evaluation. Jôice Dias Corrêa, Amanda Leal Rocha, Lidiane Cristina Machado Costa, Denise Travassos, Wagner Henriques Castro, Gustavo Pompermaier Garlet, Rodrigo Santiago Gomez, Antônio Lúcio Teixeira, and Tarcília Aparecida Silva Copyright © 2014 Jôice Dias Corrêa et al. All rights reserved. Modified Anchor Shaped Post Core Design for Primary Anterior Teeth Tue, 14 Oct 2014 13:40:44 +0000 Restoring severely damaged primary anterior teeth is challenging to pedodontist. Many materials are tried as a post core but each one of them has its own drawbacks. This a case report describing a technique to restore severely damaged primary anterior teeth with a modified anchor shaped post. This technique is not only simple and inexpensive but also produces better retention. R. Rajesh, Kusai Baroudi, K. Bala Kasi Reddy, B. H. Praveen, V. Sumanth Kumar, and S. Amit Copyright © 2014 R. Rajesh et al. All rights reserved. Surgical and Orthodontic Management of Fused Maxillary Central and Lateral Incisors in Early Mixed Dentition Stage Mon, 13 Oct 2014 00:00:00 +0000 Fusion is one of the developmental dental anomalies in which two adjacent teeth are joined at the crown level forming a single tooth with an enlarged crown. Fusion causes some clinical problems such as unaesthetic appearance, pain, caries, and malocclusion. The management of fusion often needs multidisciplinary approach to give best possible esthetic and functional outcome. This paper reports a case of 9-year-old boy with fused maxillary left central and lateral incisors who was treated with fixed orthodontic appliances after surgical separation of fused teeth. Suresh Ramamurthy, Ramaswamy Satish, and Kalidass Priya Copyright © 2014 Suresh Ramamurthy et al. All rights reserved. Hyperplastic Dental Follicle: A Case Report and Literature Review Wed, 08 Oct 2014 14:12:11 +0000 Hyperplastic dental follicle is an odontogenic hamartomatous lesion associated with delayed or tooth eruption failure in young patients. The occurrence of this pericoronal dental lesion may be single or multiple and it seems to be more frequent than literature has reported. We present a literature review focusing on the etiopathogenesis and clinicopathological features of this hamartomatous lesion in young patients. In addition, we reported a case of hyperplastic dental follicle causing delayed tooth eruption of 14-year-old male patient. Microscopic analyses based on routine staining and immunohistochemistry were used to discuss the cells found in pericoronal follicle. This paper reinforces the importance of association between clinical history and radiographic features with microscopic pericoronal follicle examination for diagnosis of this hamartomatous lesion. Ligia Buloto Schmitd, Diego Maurício Bravo-Calderón, Cleverson Teixeira Soares, and Denise Tostes Oliveira Copyright © 2014 Ligia Buloto Schmitd et al. All rights reserved. Photodynamic Therapy in Pediatric Dentistry Thu, 02 Oct 2014 06:16:08 +0000 Conservation of deciduous teeth with pulp alterations caused by caries and trauma is a major therapeutic challenge in pediatric dentistry as a result of the internal anatomy and life cycle characteristic. It is essential that the root canal procedures sanitizers have a performance in eliminating bacterial. In this context, antimicrobial photodynamic therapy (PAT) is promising and emerging as adjuvant therapy in an attempt to eliminate the microorganisms persistent to chemi-mechanical preparation. Since there is presence of oxygen in cells, photosensitizer activated by light can react with molecules in its vicinity by electrons’ or hydrogen’s transfer, leading to microorganism death. This paper reports the case of 4-year-old patient, female, with early childhood caries. The proposed endodontic treatment incuded chemomechanical treatment allied to PAT in the decontamination of root canals using methylene blue dye 50 μg/mL during 3–5 minutes and 40 J/cm2 as energy density, taking into account the need for tissue penetration and effectiveness of PAT inside the dentinal tubules. Patricia da Silva Barbosa, Danilo Antônio Duarte, Mariana Ferreira Leite, and Giselle Rodrigues de Sant’ Anna Copyright © 2014 Patricia da Silva Barbosa et al. All rights reserved. Localised Leishmaniasis of Oral Mucosa: Report of an Unusual Clinicopathological Entity Mon, 29 Sep 2014 12:57:44 +0000 The term leishmaniasis comprises of a group of diseases caused by different species of a protozoan called Leishmania. There are three main clinical forms of leishmaniasis: visceral leishmaniasis, cutaneous leishmaniasis, and mucocutaneous leishmaniasis. Exclusive involvement of the mucosa is very rare. We present a case of mucosal leishmaniasis located in the oral cavity. The only manifestation of leishmaniasis disease in the described case was the appearance of an oral lesion. Treatment was provided in the form of antimoniates (oral miltefosine and systemic sodium stibogluconate). A review of literature is made on the subject. Deepak Passi, Sarang Sharma, Shubharanjan Dutta, and Chandan Gupta Copyright © 2014 Deepak Passi et al. All rights reserved. Ectodermal Dysplasia Associated with Sickle Cell Disease Mon, 29 Sep 2014 12:12:47 +0000 Ectodermal dysplasia and sickle cell anaemia are inherited disorders that affect, respectively, the tissues derived from the embryonic ectoderm and the production of erythrocytes by the bone marrow. The simultaneous occurrence of both disorders is extremely rare. This is a case of both ectodermal dysplasia and sickle cell anaemia reported in a 6-year-old. The patient had been diagnosed with sickle cell anaemia for only six months when he sought treatment presenting with the following: hypotrichosis, dry skin, periocular hyperpigmentation, protruding lips, hypodontia, and morphologically altered teeth. The clinical features combined with his medical history led to the diagnosis of ectodermal dysplasia. Dentists should be prepared to recognise patterns that escape normality to aid in the diagnosis of systemic changes, even in patients with other previous diagnoses. Luiz Evaristo Ricci Volpato, Maria Carmen Palma Faria Volpato, Artur Aburad de Carvalhosa, Vinicius Canavarros Palma, and Álvaro Henrique Borges Copyright © 2014 Luiz Evaristo Ricci Volpato et al. All rights reserved. Macrostomia: A Review of Evolution of Surgical Techniques Mon, 29 Sep 2014 00:00:00 +0000 Macrostomia is a congenital deformity resulting from failure of fusion of maxillary and mandibular process. It is a rare congenital deformity with an incidence of 1 in 60,000 to 1 in 300,000 live births. Transverse facial clefts are more common on right side of face in unilateral cases. Males are more affected than females. Various surgical techniques have been described in the literature for the correction of these defects. We report a case of macrostomia corrected with Z-plasty closure for skin, overlapping muscle closure, and triangular mucosal flap for commissure, with a review on existing techniques. Srikanth Gunturu, Ranganadh Nallamothu, Rama Mohan Kodali, Koteswara Rao Nadella, Leela Krishna Guttikonda, and Vijayalakshmi Uppaluru Copyright © 2014 Srikanth Gunturu et al. All rights reserved. Oral Mucosal Ulceration Caused by the Topical Application of a Concentrated Propolis Extract Tue, 09 Sep 2014 08:23:52 +0000 Propolis is a resinous mixture that is collected by honey bees from tree buds, sap flow, and other botanical sources. Propolis has been extensively used in medicine, dentistry, and cosmetics; however, unwanted effects have been reported. This paper reports a case of oral mucosal burn in a 50-year-old patient, who used an overnight application of concentrated propolis to overcome a throbbing pain in the right upper posterior mucosa. The patient was otherwise healthy and was not receiving any medication. She presented with painful shallow multiple irregular ulcers measuring 0.3–1 cm in diameter that were located on the right buccal mucosa and hard palate mucosa, in addition to the gingival mucosa surrounding tooth 17. Propolis-induced oral mucosal burn was diagnosed. The ulcer cleared after the prescription of tetracycline mouthwash, accompanied with Doloneurobion. The patient was further treated with carbamazepine to address the persistent throbbing pain in the affected area, which was suspected to be trigeminal neuralgia. This report provides another alert to clinicians about the potential adverse effects of propolis use for the treatment of oral diseases, despite its natural origin. Yuniardini Septorini Wimardhani and Anandina Irmagita Soegyanto Copyright © 2014 Yuniardini Septorini Wimardhani and Anandina Irmagita Soegyanto. All rights reserved. Creeping Attachment Involving Dental Implants: Two Case Reports with a Two-Year Follow-Up from an Ongoing Clinical Study Wed, 03 Sep 2014 06:38:24 +0000 Introduction. This paper describes case reports where coronal growth of soft tissue on implant threads was observed after surgery for soft tissue graft. This phenomenon is known as “creeping attachment.” Methods. Two patients were submitted to gingival graft procedure including subepithelial connective tissue graft and masticatory mucosal graft. A two-year follow-up appointment was performed. Results. After a two-year follow-up gingival growth over titanium surfaces characterizing the “creeping attachment” phenomenon was observed. This gingival growth happened over abutment and threads surfaces. Conclusion. The creeping attachment phenomenon is possible over titanium surfaces and has not yet been reported in the relevant literature over this kind of structure. Armando R. Lopes Pereira Neto, Bernardo Born Passoni, José Moisés de Souza Jr., João Gustavo Oliveira de Souza, César Augusto Magalhães Benfatti, Ricardo de Souza Magini, and Marco Aurélio Bianchini Copyright © 2014 Armando R. Lopes Pereira Neto et al. All rights reserved. Histological and Radiological Analyses of a Maxillary Sinus Lift with Extensive Drilling of the Schneider Membrane Using Xenogeneic Bone Tue, 02 Sep 2014 12:34:53 +0000 The objective of this study is to report a clinical case of maxillary sinus with lyophilized, xenogeneic graft, in which, despite a large perforation of the sinus membrane, the surgery was not aborted and the results of histological examinations indicate bone neoformation in the surgical area. Results. This case showed that the biomaterials evaluated in this study and the procedure used to place them proved to be biocompatible and presented high osteogenic potential, leading to a successful surgery and osseointegration implant. Conclusion. Positioning Schneider’s membrane and filling it with the graft biomaterial helped to achieve the desired osteoconduction and proliferation of bone cells even though the patient had a large perforation of the sinus membrane. Marcelo M. Romano, Júlia A. Smanio, Lorraine B. Ferreira, Victor E. Arana-Chavez, and Mário S. Soares Copyright © 2014 Marcelo M. Romano et al. All rights reserved. Complete Bilateral Gemination of Maxillary Incisors with Separate Root Canals Sun, 31 Aug 2014 14:38:36 +0000 Developmental anomalies in the hard tissue are seen frequently in dental practice. Gemination and fusion are the most commonly encountered anomalies, and distinction between the two is always challenging. Gemination, also called double tooth, is an anomaly exhibiting two joined crowns and usually a single root. It represents an incomplete attempt of a single tooth germ to split. It is considered multifactorial in etiology, with genetic and environmental causes. This paper discusses a rare example of bilateral gemination (prevalence 0.04%) of maxillary central incisors with completely separated roots. Multidisciplinary care ensured a successful esthetic and functional outcome. Lodd Mahendra, Sujatha Govindarajan, Muruganandhan Jayanandan, Shaik Mohammed Shamsudeen, Nalin Kumar, and Ramasamy Madasamy Copyright © 2014 Lodd Mahendra et al. All rights reserved. A Conservative Treatment Approach to Replacing a Missing Anterior Tooth Thu, 28 Aug 2014 11:33:38 +0000 An implant-supported crown or conventionally fixed partial denture is the most common treatment modality to replace a missing anterior tooth but a more conservative approach, with a fiber reinforced composite resin FPD, can be used to replace a missing anterior tooth in young patients or when the patient does not agree for an implant, or conventional FPD or RPD therapy. It is an esthetic, conservative single sitting chairside procedure which can be used as a definitive treatment alternative in certain clinical situations for esthetic and functional replacement of a missing anterior tooth. To achieve desirable results, putty matrix was used for proper positioning of the pontic during direct fabrication of FRCFPD. Kunwarjeet Singh, Nidhi Gupta, Nandini Unnikrishnan, Vikram Kapoor, Dhruv Arora, and Poonam K. Khinnavar Copyright © 2014 Kunwarjeet Singh et al. All rights reserved. Clinical and Radiographic Findings and Usefulness of Computed Tomographic Assessment in Two Children with Regional Odontodysplasia Wed, 27 Aug 2014 11:55:16 +0000 Regional odontodysplasia is a rare, severe, and nonhereditary developmental disorder in tooth formation and involves epithelial and mesenchymal-derived dental tissue. On radiographs, affected teeth have an abnormal morphology, a hypoplastic crown, and only a faint outline of hard tissue, a condition termed “ghost teeth.” We report clinical and radiographic findings from two children with regional odontodysplasia. Using computed tomography (CT), we calculated attenuation coefficients (i.e., Hounsfield units) for affected teeth and assessed the condition of dental follicles. To measure density, regions of interest were delimited and CT values were calculated. In our two patients, the CT values for enamel were lower in affected teeth than in sound teeth, while CT values for dentin were similar for affected and sound teeth. The average CT value for dental follicles in affected teeth was about 65 to 120, which suggests that dense fibrous connective tissues or hard tissue-like structures might be present in dental follicles. Analysis of CT values may be quite useful in the diagnosis and treatment of regional odontodysplasia. Junko Matsuyama, Ray Tanaka, Futabako Iizawa, Tomiko Sano, Shoko Kinoshita-Kawano, Sachiko Hayashi-Sakai, and Tomoe Mitomi Copyright © 2014 Junko Matsuyama et al. All rights reserved. Clinical Aspects, Imaging Features, and Considerations on Bisphosphonate-Related Osteonecrosis Risk in a Pediatric Patient with Osteogenesis Imperfecta Tue, 26 Aug 2014 06:21:42 +0000 Osteogenesis imperfecta (OI) is a rare hereditary condition caused by changes in collagen metabolism. It is classified into four types according to clinical, genetic, and radiological criteria. Clinically, bone fragility, short stature, blue sclerae, and locomotion difficulties may be observed in this disease. OI is often associated to severe dental problems, such as dentinogenesis imperfecta (DI) and malocclusions. Radiographically, affected teeth may have crowns with bulbous appearance, accentuated constriction in the cementoenamel junction, narrowed roots, large root canals due to defective dentin formation, and taurodontism (enlarged pulp chambers). There is no definitive cure, but bisphosphonate therapy is reported to improve bone quality; however, there is a potential risk of bisphosphonate-related osteonecrosis of the jaw. In this study we report a case of OI in a male pediatric patient with no family history of OI who was receiving ongoing treatment with intravenous perfusion of bisphosphonate and who required dental surgery. In addition, we discussed the clinical and imaging findings and briefly reviewed the literature. Fábio Wildson Gurgel Costa, Filipe Nobre Chaves, Alexandre Simões Nogueira, Francisco Samuel Rodrigues Carvalho, Karuza Maria Alves Pereira, Lúcio Mitsuo Kurita, Rodrigo Rodrigues Rodrigues, and Cristiane Sá Roriz Fonteles Copyright © 2014 Fábio Wildson Gurgel Costa et al. All rights reserved. An Unusual Presentation of Oral Mucocele in Infant and Its Review Tue, 26 Aug 2014 05:44:18 +0000 Mucocele is a benign lesion characterized by an extravasation or retention of mucous in submucosal tissue from minor salivary glands. Mucoceles are known to occur most commonly on the lower lip, followed by the floor of mouth and buccal mucosa being the next most frequent sites. Trauma and lip biting habits are the main cause for these types of lesions. Mucocele is a common oral mucosal lesion but it is rarely observed in the infant. This paper highlights the successful management of a rare case of mucocele in an 11-month-old child. Diagnosis and management of mucocele are challenging. For this reason we felt it would be interesting to review the clinical characteristics, histological features, differential diagnosis, and their treatment and evolution in order to aid decision-making in daily clinical practice. Neha Bhargava, Prateek Agarwal, Nitin Sharma, Mayank Agrawal, Mohsin Sidiq, and Pooja Narain Copyright © 2014 Neha Bhargava et al. All rights reserved. Retracted: Rhinosporidiosis of the Parotid Duct Mon, 25 Aug 2014 06:20:45 +0000 Case Reports in Dentistry Copyright © 2014 Case Reports in Dentistry. All rights reserved. Clinical and Genetic Analysis of a Nonsyndromic Oligodontia in a Child Mon, 25 Aug 2014 00:00:00 +0000 The etiology of tooth agenesis may be related to several factors, among them, the genetic alterations that play a fundamental role in the development of this dental anomaly, so that knowledge about it helps the clinician to have a greater understanding of their patients. Thus, the aim of this study was to report the case of a nonsyndromic child, with tooth agenesis of one premolar, three first permanent molars, and all second permanent molars. In addition, a genetic research between polymorphic variants in genes MMP3 and BMP2 was performed in order to observe the association between changes in these genes and congenital tooth absences. For this purpose, DNA from child was extracted and polymorphisms were investigated. It was clinically and radiographically observed that this was a case of oligodontia, in which the authors suggested an association between the polymorphisms found and tooth agenesis diagnosed in that child. Orlando Lopes Coelho Neto, Maria Fernanda Reis, Ticiana Medeiros de Sabóia, Patrícia Nivoloni Tannure, Leonardo Santos Antunes, and Andréa Gonçalves Antonio Copyright © 2014 Orlando Lopes Coelho Neto et al. All rights reserved. Plexiform Unicystic Ameloblastoma: A Rare Variant of Ameloblastoma Thu, 14 Aug 2014 11:07:49 +0000 The term plexiform unicystic ameloblastoma refers to a pattern of epithelial proliferation that has been described in cystic cavity. Because of unilocular presentation, it is commonly misdiagnosed as an odontogenic cyst. However, they may often behave clinically as biologically aggressive tumors. These tumors show high incidence of cortical perforation, tooth resorption and a high rate of recurrence after simple enucleation. This paper aims to provide an insight into this biologically distinct entity. A literature review on the topic has been added along with a case report highlighting the approach of diagnosis and management of such ameloblastomas. Swapnil S. Deore, Rishikesh C. Dandekar, Aarti M. Mahajan, Rahul Patil, and Nilima Prakash Copyright © 2014 Swapnil S. Deore et al. All rights reserved. Unilateral Maxillary Canine Agenesis: A Case Report and Literature Review Mon, 11 Aug 2014 00:00:00 +0000 Congenital absence of maxillary permanent canines is an extremely rare condition, which may appear as part of a syndrome or as a nonsyndromic form. Nonsyndromic canine agenesis combined with other types of tooth agenesis has occasionally been described in the literature but isolated cases are rarely observed. This report presents an isolated case of maxillary permanent canine agenesis in a healthy 18-year-old female patient and a literature review on the prevalence, etiology, and differential diagnosis of the condition. Nagihan Koç, L. Berna Çağırankaya, and Nursel Akkaya Copyright © 2014 Nagihan Koç et al. All rights reserved. Surgery Management of Rare Hypertrophic Frenum in an Infant Sun, 10 Aug 2014 13:22:17 +0000 To report a rare case of a lateral frenum hypertrophy in an infant, this paper describes the case of a girl who came to a first dental appointment when she was 4 months old. A hypertrophic lateral frenum in the upper left canine region was detected. A great depression in the gingival rodet separated the anterior maxillary segment from the posterior one and also decreased the lip mobility in this region. A frenectomy was performed when the patient was 11 months old and the clinical follow-up was done up to the age of 30 months. There was normalization in the vestibular insertion of the lateral frenum, lip mobility, physiological development of the maxilla, and eruption of the upper incisors, canines, and first primary molars. Infants should go to a dental examination precociously in order to detect possible congenital and development alterations. Sheila de Carvalho Stroppa, Juliana Yassue Barbosa da Silva, Maria Cristina Reis Tavares, João Gilberto Duda, and Estela Maris Losso Copyright © 2014 Sheila de Carvalho Stroppa et al. All rights reserved. Comparison of Different Final Impression Techniques for Management of Resorbed Mandibular Ridge: A Case Report Sun, 10 Aug 2014 00:00:00 +0000 The history of complete denture impression procedures has been influenced largely by the development of impression materials from which new techniques and ideas arose. The purpose of this study was to compare the retention of complete dentures made by using different impression techniques like conventional, admixed, all green, and functional techniques. The results showed that there was significant difference in retention between the six techniques where functional technique showed the highest mean value of retention followed by elastomeric, all green, and admixed, while cocktail and green stick compound showed the lowest mean value. However, on clinical examination, the retention produced by the six techniques was satisfactory. Bhupender Yadav, Manisha Jayna, Harish Yadav, Shrey Suri, Shefali Phogat, and Reshu Madan Copyright © 2014 Bhupender Yadav et al. All rights reserved. The Platform Switching Approach to Optimize Split Crest Technique Wed, 06 Aug 2014 09:29:58 +0000 The split crest technique is a reliable procedure used simultaneously in the implant positioning. In the literature some authors describe a secondary bone resorption as postoperative complication. The authors show how platform switching can be able to avoid secondary resorption as complication of split crest technique. G. Sammartino, V. Cerone, R. Gasparro, F. Riccitiello, and O. Trosino Copyright © 2014 G. Sammartino et al. All rights reserved. Semirigid Cantilever Extension System for Splinting Implants: A Clinical Report Tue, 05 Aug 2014 10:11:51 +0000 In mandibular edentulous patients, treatment based on immediate loading with rigid splinting in the mandible is well accepted; however, it is cost and time dependent, which sometimes limits this type of rehabilitation. To overcome these problems, the technique of immediate loading using a semirigid splinting extension system has been developed. Its advantages include low cost, technical feasibility, and reduced clinic time. This clinical report presents the applicability and the predictability of semirigid splinting of implants in the mandibular arch of an edentulous patient using a distal extension bar prosthesis system. Raissa Micaella Marcello Machado, Luciana de Rezende Pinto, Otacílio Luiz Chagas Júnior, and Fernanda Faot Copyright © 2014 Raissa Micaella Marcello Machado et al. All rights reserved. Dental Erosion from an Excess of Vitamin C Mon, 04 Aug 2014 07:20:09 +0000 Acid erosion of enamel is the chemical dissolution of the superficial layers of teeth without the presence of bacteria. If the presence and exposure of a demineralising agent such as vitamin C is frequent and prolonged, it can lead to significant tooth wear. This case report discusses one such presentation and as a result of the occlusal relationship, this serves to effectively demonstrate the localised effects of vitamin C-induced acid erosion. The management of localised tooth wear with composite restorations utilising the Dahl principle to replace lost tooth tissue is also reported. Clinical Relevance. Patients should be made aware of the erosive nature of chewable vitamin C tablets and their potentially harmful effects on the dentition if consumed in excess. Objective Statement. The reader should understand the clinical implications of an excessive intake of vitamin C. This demonstrates the importance of the manufacturer’s instructions and the clinician’s role in advising patients with regard to the correct therapeutic doses. Priya Bahal and Serpil Djemal Copyright © 2014 Priya Bahal and Serpil Djemal. All rights reserved.