AbstractGemination is an uncommon dental developmental anomaly where a single tooth germ partially divides, resulting in an enlarged crown, often with one or more pulp canals.Case PresentationA rare case of a geminated maxillary primary right lateral incisor displaying two distinct pulp canals in a four-year-old boy. The patient reported pain in the upper front tooth region. Clinical and radiographic evaluation revealed a severely decayed geminated tooth, characterized by deep developmental grooves leading to pulpal involvement.ManagementPulpectomy was performed successfully, and both canals were obturated with zinc oxide eugenol paste, followed by composite restoration.
AbstractPemphigus Vulgaris (PV) is a disease of autoimmune origin that has the potential to be life threatening. It manifests as the development of blisters and erosions on the skin and mucous membranes, which are closely linked to intraepithelial acantholysis. Intraepithelial lesions are formed due to specific binding of immunoglobulin G autoantibodies to desmoglein 3, which is a transmembrane glycoprotein adhesion molecule present on desmosomes. The histological characteristics encompass the presence of intraepithelial clefts and Tzanck cells. Corticosteroids remain the mainstay of the treatment plan. This article encompasses a discussion on the diagnosis of patient suffering from Pemphigus Vulgaris, the treatment rendered, and the outcome of the same.
AbstractRadicular cysts are the most common inflammatory odontogenic cysts, predominantly associated with permanent dentition. However, their occurrence in primary teeth is rare, representing only 0.5-3.3% of all radicular cysts. They often arise as a sequela of pulpal necrosis due to dental caries or trauma. Clinically and radiographically, these cysts mayic other lesions, especially dentigerous cysts, leading to diagnostic challenges in mixed dentition. The article discusses a case of an infected radicular cyst linked to a deciduous cond molar, which on radiographic examination appeared similar to a dentigerous cyst associated with the developing second premolar.
AbstractMandibular fractures in children present unique challenges due to mixed dentition and ongoing craniofacial growth. Conservative approaches are preferred over open reduction to avoid damage to developing tooth buds and mandibular growth centres. The use of a full-arch acrylic cap splint reinforced with stainless steel wire and stabilized by circum-mandibular wiring provides effective immobilization and promotes uneventful healing. This clinical report describes the management of a seven-year-old boy with an anterior mandibular alveolar fracture treated using this technique. The custom-fabricated splint ensured stable fixation without invasive surgery, allowing satisfactory bone healing, restoration of occlusion, and preservation of tooth vitality. The approach demonstrates a simple, safe, and biologically sound method for managing paediatric mandibular alveolar fractures while maintaining growth potential and function.
AbstractDentigerous cysts represent the most frequent type of benign odontogenic cysts that develop around the crown of an unerupted or impacted tooth. They are considered the second most common cystic lesion of the jaws, following radicular cysts. When associated with impacted teeth, dentigerous cysts can cause displacement of these teeth into abnormal or ectopic locations. Although ectopic eruption of teeth outside the oral cavity is not unusual, the occurrence of dentigerous cysts linked to ectopic teeth within the maxillary sinus is relatively uncommon. Diagnosis is primarily established using panoramic radiography; however, cone beam computed tomography (CBCT) is recommended when an ectopic tooth is associated with a mass in the maxillary sinus or before surgical intervention. The preferred treatment approach is surgical enucleation of the cyst along with removal of the associated impacted or unerupted tooth. This article presents CBCT findings from case of dentigerous cyst involving ectopic/supernumerary tooth in the maxillary sinus and reviews relevant literature published over the past 34 years.
