Subject(s)
Hot Temperature , Humans , Hot Temperature/adverse effects , Male , Hemorrhage/etiology , Angina Pectoris/etiology , Blister/etiologyABSTRACT
Soft tissue deficiency in a tooth extraction site in the aesthetic area is a common and challenging clinical situation. This case report demonstrates the successful treatment of extensive gingival recession and buccal bone dehiscence associated with a hopeless tooth. Initially, a connective tissue graft was used to cover the root and thicken the soft tissue. After 2 months, the tooth was extracted, an implant was immediately placed, and a temporary restoration was installed. After 3 months, the soft tissue exhibited a natural and harmonious architecture. A custom zirconia abutment and crown were then fabricated and placed. At the 4-year follow-up, the peri-implant tissue displayed satisfactory aesthetics, with a well-structured buccal bone plate and healthy peri-implant indicators. This two-stage approach, addressing gingival recession first and proceeding with immediate implant placement after soft tissue healing, proved to be a safe and effective method with stable long-term results.
Subject(s)
Esthetics, Dental , Gingival Recession , Humans , Gingival Recession/surgery , Gingival Recession/etiology , Female , Follow-Up Studies , Crowns , Immediate Dental Implant Loading/methods , Tooth Extraction , Male , Dental Implants, Single-Tooth , Adult , Connective Tissue/transplantation , Treatment Outcome , Middle AgedABSTRACT
This case report focuses on the replacement of ceramic laminate veneers with suboptimal marginal fit and design, employing a digital workflow and CAD-CAM technology. The patient, a woman in her 30s, expressed concerns about the appearance and hygiene challenges of her existing veneers. A comprehensive assessment, including clinical examination, facial photographs and intraoral scanning, was conducted. Utilising CAD software, facial photographs and 3D models merged to create a digital wax-up, crucial in designing suitable veneers and addressing issues like overcontouring and a poor emergence profile. Following the removal of old veneers, a mock-up was performed and approved. Preparations ensured space for restorations with well-defined margins. The final restorations, milled with Leucite-reinforced vitreous ceramic, were cemented. At the 1 year follow-up, improved aesthetics, gingival health and functional restorations were observed. This report highlights the efficacy of digital workflows in achieving consistent and aesthetically pleasing outcomes in ceramic laminate veneer replacement.
Subject(s)
Ceramics , Computer-Aided Design , Dental Veneers , Workflow , Humans , Female , Adult , Esthetics, Dental , Dental Prosthesis Design/methods , Dental PorcelainABSTRACT
Venous malformations (VMs) are a type of vascular malformation formed by abnormally developed venous channels, with variations in size, pathway and thickness and are therefore a condition which can predispose to thrombosis. We present the case of a VM associated with phlebothrombosis/phlebolith, located on the lingual dorsum of a 20-year-old female patient. Clinical examination revealed a nodule of approximately 5 mm in diameter involving the anterior third of lingual dorsum, with a firm, compressible and non-pulsatile consistency. Histopathologically, the lesion revealed a VM with evidence of phlebothrombosis and phlebolith development. Although VMs manifest infrequently in this age group, they should be considered in the differential diagnosis of other lesions with similar characteristics in young people.
Subject(s)
Tongue Diseases , Vascular Malformations , Venous Thrombosis , Adolescent , Adult , Female , Humans , Tongue/pathology , Vascular Malformations/complications , Vascular Malformations/diagnosis , Veins/pathology , Young AdultABSTRACT
A 16-month-old presents to the emergency department (ED) after a fall while running at home. Her mother noted some blood in the child's mouth and believed there was a tear in the skin above the front teeth.
Subject(s)
Emergency Service, Hospital , Mouth/injuries , Tooth Injuries , Female , Humans , Infant , ToothABSTRACT
We report a case that illustrates how chronic migraine headaches and multiple dental pathologies caused severe and long-standing cranial pain that affected the quality of life of a man for more than 35 years. His case was investigated at several settings including the neurology outpatient clinic of the hospital without a definitive diagnosis or resolution. After investigations, multiple oral pathologies including two occult dental abscesses were diagnosed. Once both affected teeth and associated abscesses were surgically removed, with subsequent antibiotic therapy the headaches resolved.
Subject(s)
Anti-Bacterial Agents/therapeutic use , Headache/diagnosis , Migraine Disorders/diagnosis , Periapical Abscess/diagnosis , Quality of Life/psychology , Toothache/diagnosis , Headache/etiology , Headache/physiopathology , Headache/psychology , Humans , Male , Middle Aged , Migraine Disorders/etiology , Migraine Disorders/physiopathology , Migraine Disorders/psychology , Oral Health , Periapical Abscess/complications , Periapical Abscess/physiopathology , Periapical Abscess/psychology , Radiography, Dental , Time Factors , Tooth Extraction , Toothache/complications , Toothache/physiopathology , Toothache/psychology , Treatment OutcomeABSTRACT
Oral lesions can have widely variable aetiology, hence, the importance of a comprehensive history and oral examination. We describe the case of a 47-year-old man who presented with an incidental erythematous lesion of the soft palate. The diagnosis was established during a routine dental examination. We found the lesion to be associated with the practice of fellatio. Oral sex is a very common sexual practice, and as clinicians we should consider it as a potential cause of palatal lesions in our differential diagnosis. This should also raise our suspicion for sexually transmitted diseases in high-risk patients.