Case Presentation A 65-year-old woman presents to the clinic for periodontal treatment and during the routine intraoral exam, a firm nodule is noticed in the right buccal mucosa. The nodule is well circumscribed in the posterior right buccal region, measuring 2.5 cm in diameter. The mucosa overlying the nodule appears normal. Patient is unaware of…
You will always remember the day you found hair growing in someone’s mouth. The oral cavity is derived from the stomodeum, and ectodermal derivatives like sebaceous glands are not unheard of. However, the presence of sebaceous glands and hair growth together is extremely rare. So rare that only 5 cases have been reported so far. The first case was…
Clinical Presentation 44-year-old woman presents to the clinic due to a lesion on the left lateral border of her tongue (17x10mm). The lesion shows a soft nodular swelling, circumscribed, with white irregular papillary projections. The lesion is non-indurated. The lesion has been present for 4 years and is asymptomatic. No significant findings in the patient’s…
The final esthetic outcome and longevity of veneers depends on the tooth preparation. Excessive reduction can compromise bond strength (due to exposed dentin), cause sensitivity and limit possible treatment options for the patient in the future. The goal of veneer preparations is to be maintained within the enamel layer. Conservative tooth preparation can give high…
Amelogenesis Imperfecta (AI) disrupts the composition of enamel in teeth. The condition can be x–linked, autosomal recessive or dominant. AI can affect both permanent and primary teeth. Clinical presentations of AI can include sensitivity, surface roughness, and discoloration. Diffuse pitting or grooves are caused by defective matrix deposition, showing up as reduced enamel thickness. Most…
Extraction is the only treatment option for a hopeless tooth caused by severe periodontitis. Once extracted, we are left with the options of implant restoration, fixed prosthesis, or removable prosthesis. All of these options involve considerable investment of time and money for the patient. Intentional replantation of a tooth is a procedure most often done…
In 1917, Walter Hess first showed the presence of the MB2 canal. 90%-95% of first maxillary molars have been shown to have a MB2 canal. The identification and treatment of the MB2 canal is particularly challenging. However, leaving this canal untreated consists of an incomplete root canal treatment, which can propagate apical pathology, with the…
Patient Presentation A patient presents to the orthodontic office with a chief complaint of straightening her upper and lower front teeth. She is particularly concerned about the vertical height of the two upper central incisors, which also cause an unbalanced upper lip position at rest. Dental history Previous root canal treatment of upper left central…
Periodontal disease has a strong correlation with the aging of an individual. As a person’s biological age progresses, so does risk of gum inflammation, periodontal bone loss, and transition of the oral bacteria from good to bad. Unfortunatley, other than maintaining good oral hygiene, there is not much else that can be done for this…
At-home teeth whitening systems are the new craze. A scroll through your social media shows everything from “laser activated” gels to charcoal toothpastes. With the flood of new whitening systems into the market, clinicians have to choose which system to invest in. Mode of action Hydrogen peroxide (usually 2-6%) and carbamide peroxide (10-16%) gels are…