Prosthetically Driven Therapy for a Patient With Systemic Lupus Erythematosus and Common Variable Immunodeficiency: A Case Report.

Patients who have systemic diseases in conjunction with severely resorbed maxillary and mandibular bone present challenges for dental implant therapy and rehabilitation. This case report describes the interdisciplinary comprehensive treatment completed on a patient with systemic lupus erythematosus (SLE) and common variable immunodeficiency (CVID). Patients with these systemic conditions present a multifactorial challenge for dental treatment due to advanced carious lesions, missing teeth, lack of adequate bone quality and quantity, as well as secondary effects of their medications. The sequence of treatment presented allowed for the necessary case control to ensure successful, predictable reconstruction of the edentulous patient with limited bone available for implant placement. For this patient, we used a combination of autogenous iliac bone graft, bilateral maxillary sinus lifts with BMP-2, transitional implants, and dental endosseous root form implants. Digital dentistry aided in designing the final implant supported fixed restorations. Transitional implants eliminated the need for tissue-borne prostheses, avoiding pressure to the graft and implants. Digital dentistry allowed for prosthetically driven implant placement and a functional, esthetic result. The techniques and staging presented for implant placement and rehabilitation can be used for other patients presenting with similar challenging conditions.

Stafne's bone cavity anterior mandible. Case report.

Stafne's bone cyst is an uncommon lesion of the mandible. It manifests itself as an asymptomatic bone cavity and is usually seen as an incidental finding in the mandibular angle regions, lingual aspect. Rarely is this radiolucency located in the anterior mandible, where it can cause a diagnostic dilemma. A case is reported wherein this bone cyst was found anteriorly in a panoramic radiograph during a routine dental examination.

Subacute Necrotizing Sialadenitis: A Series of Three Cases and Literature Review.

Subacute necrotizing sialadenitis (SANS) is an unusual inflammatory condition known to primarily affect the minor salivary glands of the palatal region. Patients usually present with a localized, often erythematous palatal swelling accompanied by an abrupt onset of pain. The disease usually resolves between 2 days and a week with few extrapalatal reports lasting longer than 1 week. We report a series of three cases of SANS involving the palate.