Case Reports in Dentistry
 Journal metrics
Acceptance rate24%
Submission to final decision65 days
Acceptance to publication31 days
CiteScore1.000
Journal Citation Indicator0.360
Impact Factor-

Osteosarcoma of the Mandible in an Elderly Patient

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Case Reports in Dentistry publishes case reports and case series in all areas of dentistry, including periodontal diseases, dental implants, oral pathology, as well as oral and maxillofacial surgery.

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Case Reports in Dentistry maintains an Editorial Board of practicing researchers from around the world, to ensure manuscripts are handled by editors who are experts in the field of study.

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Case Report

Management of 3 Avulsed Permanent Teeth: Case Report of a 3-Year Follow-up

Dental avulsion is one of the most serious dental injuries. When the tooth is knocked out, the blood supply to the pulp is interrupted and the periodontal ligament cells are exposed to injuries caused by the external environment. In recent years, research findings have shown the possibility of complete healing under favorable conditions: replanting the tooth according to the criteria required by the guideline such as the extra oral time which should be very short, the time of pulp removal after replantation, and the appropriate storage medium. This set of criteria may lead to a slower progression of the phenomenon of resorption with a better prognosis over time; however, there is a high risk of complications such as external root resorption which lies in late replantation. The research results of many research-groups around the world have given us a better understanding of healing and complications. Nowadays, even teeth that are replanted after a delay can be saved. The dentist remains the key person in the case of dental trauma, namely, dental avulsion as his role is the management of the emergency situations. The objective of this case study is to present a successful management of 3 avulsed permanent incisors, replanted and remained with no complications for over a period of 3 years.

Case Report

Osteoblastoma and Osteoid Osteoma of the Mandible: Review of the Literature and Report of Two Cases

Osteoblastoma and osteoid osteoma are rare benign neoplasms of the jaws. We reviewed current literature surrounding the ongoing debate over similarities and differences of osteoblastoma and osteoid osteoma and present two cases. Both cases are well-demarcated mixed radiodensity mandibular lesions with histological features of osteoblastoma. They exhibit, however, distinctly unique and contrasting clinical and imaging characteristics suggesting that the first case is osteoblastoma and the second is osteoid osteoma. The first case of a 37-year-old male presents with a large, expansile lesion at posterior mandible, surrounded by a thick sclerotic band. Unusual features include significant buccal/lingual expansion, extensive new bone apposition, and soft tissue edema in the masseter muscle. This is in contrast to the second case of a much smaller lesion in a 17-year-old male with history of recent third molar extraction in the left posterior mandible. In this case, CT imaging revealed a circular, nonexpansile lesion with a sclerotic border surrounded by a radiolucent rim. Both patients underwent surgical excision of the lesion with extraction of the adjacent tooth. We discuss herein the distinct clinical and imaging features.

Case Report

A Multidisciplinary Approach to Malocclusion Caused by Facial Multiple Fracture

In the case of multiple facial fractures, a simple open reduction occasionally causes various disorders during healing process after the surgery. Moreover, esthetic disturbance of a facial deformity might be induced. Therefore, the acquisition of facial symmetry and the recovery of occlusal and masticatory functions become increasingly important. This case report presents a successful treatment of facial multiple fracture induced by a car accident. A 20-year-old male was diagnosed with suffered multiple midface and mandibular fractures induced by a car accident. Midface fractures included the LeFort I and II type fractures, as well as sagittal fracture at midline and fractures from right maxillary sinus anterior wall to orbital wall. In the mandible, midline and left body fractures were detected. The patient underwent open reduction and rigid fixation of the fractured left zygoma, comminuted LeFort I and II fractures, and midline and left body of the mandible with intermaxillary fixation by multibracket appliance; maxillary osteotomy with iliac bone grafting; orthognathic two-jaw surgery with coronoid process grafts onto the depressed zygoma; and onlay graft of hydroxyapatite block on mandible. As the result, the multidisciplinary treatments successfully recover functions and esthetics to the satisfactory level of the patient with multiple facial fractures. As treatments for multiple facial fractures are required complexity due to the extent of trauma, multidisciplinary approach under the close cooperation between hospital departments is thought to be important.

Case Series

Canine Rise Method: A Conservative Approach for Worn Teeth Rehabilitation with Different Adhesive Restorative Materials

Background. In this article, two cases with generalized dental wear and four cases with localized dental wear are reported. In some of the cases, the worn teeth were restored with direct composite techniques with no mock-up and articulator mounting according to the canine rise method. This method is used without any change in the intercuspation of posterior teeth without a muscle relaxation appliance. It introduces a stable occlusal condition that can alter neuromuscular reflex activity, leading to improvements in certain muscle pain disorders. It is also used to protect the teeth and supporting structures from abnormal forces that might create a further breakdown and/or tooth wear. Methods. The first step of treatment in all the cases was a composite build-up for maxillary and mandibular canines to restrict and guide the horizontal and vertical jaw movements and create adequate space for restorations. The second step was the placement of direct or indirect restorations on upper and lower anterior teeth efficiently and accurately. Results. This method enhanced the esthetic outcomes in a conservative approach with no reduction in tooth material or time-consuming treatments. Conclusions. This technique can be suggested for the treatment of worn teeth in patients with Angle’s Cl I and Cl II classifications of malocclusion based on the follow-up results. It is not applicable for the treatment of worn teeth in patients with Angle’s class III because occlusion is reversed, and canine teeth do not have guidance role. Practical Implications. This method significantly reduces the overall treatment time, and additional steps are required to restore the worn-out teeth and/or occlusion using the canine rise method.

Case Report

Jaw Manipulation Using Ultrasound-Guided Inferior Alveolar Nerve Block for Trismus in Temporomandibular Disorders

Temporomandibular disorders are a group of disorders with symptoms that include pain and clicking sounds in the temporomandibular joint and restricted mouth opening. For the treatment of temporomandibular disorders with trismus, herein, we suggest a new approach: “jaw manipulation using the ultrasound-guided inferior alveolar nerve block technique.” A woman in her 60s developed temporomandibular disorders and presented with severe trismus owing to pain in the temporomandibular joint. Ultrasound-guided inferior alveolar nerve block was performed with ropivacaine, which relieved the pain in the patient. Furthermore, we performed jaw manipulation for trismus. Since the analgesic effect lasts for 3 days, self-training can be performed while the pain is relieved. After five sessions of “jaw manipulation using the ultrasound-guided inferior alveolar nerve block technique,” trismus significantly improved in this patient. Ultrasound-guided inferior alveolar nerve block can be effective in relieving temporomandibular disorder-related pain and trismus.

Case Report

Mandibular Body Reconstruction Utilizing a Three-Dimensional Custom-Made Porous Titanium Plate: A Four-Year Follow-Up Clinical Report

A clinical case of a 42-year-old woman patient, who had a mandibular reconstruction utilizing a three-dimensional (3D) custom-made porous titanium plate dental restoration, is presented. She showed a recurrence of a unicystic ameloblastoma involving the left hemimandible. The patient declined to be managed by a bone-free flap. A mandibular resection in the healthy areas was provided, followed by reconstruction utilizing a 3D custom-made porous titanium plate dental restoration with a hybrid dental prosthesis. The 3D rehabilitation was created considering slim tomodensitometric sections. The cutting guides and custom-created 3D plate were fabricated employing medical software via computer-aided design and fabricating with locations planned for healing abutments. The patient was contented with the rehabilitation, and the condition continued stable at the four-year follow-up.

Case Reports in Dentistry
 Journal metrics
Acceptance rate24%
Submission to final decision65 days
Acceptance to publication31 days
CiteScore1.000
Journal Citation Indicator0.360
Impact Factor-
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