Sequelae of dental trauma: the malformed tooth.

Here, we report a case of 10-year-old boy who came with a complaint of missing upper front teeth and was also concerned about his aesthetics. Significant history of trauma was present in his toddler period. Diagnosis of malformed upper right central incisor (11) by radiological investigations was carried out. Surgery was performed and there was removal of the impacted malformed upper right central incisor (11). Healing was uneventful. The patient is under follow-up for aesthetic rehabilitation to be carried out.

Mineral trioxide aggregate (MTA) apexification: a novel approach for traumatised young immature permanent teeth.

Here, we report a case of 9-year-old boy who came with a chief complaint of pain and fractured upper front teeth. Significant history of trauma was revealed 6 months before reporting, during playing at his school time. Proper diagnosis was made with the help of radiological investigations. The available treatment options were discussed with the patient's parents and root canal therapy, using mineral trioxide aggregate, as an apical barrier was carried out in his upper right front teeth. However, later on, the boy was aesthetically rehabilitated in relation to his fractured upper front teeth with the help of post and core and acrylic crown.

Initial expression of the Papillon-Lefevre syndrome in consanguine family.

A rare case of Papillon-Lefevre syndrome is discussed with clinicoradiological presentation. The purpose of the case report is to make the medical community aware of this rare syndrome and its association with consanguinity. Papillon-Lefevre syndrome is an extremely rare genodermatosis of autosomal-recessive inheritance which usually manifests itself between the ages of 6 months to 4 years characterised by diffuse palmoplanter hyperkeratosis (keratoderma), and rapidly progressive and devastating periodontitis, affecting the primary as well as permanent dentition. Papillon-Lefevre syndrome results from a combination of host and bacterial factors, including recessive gene, consanguinity, specific periodontal pathogens and lack of thorough oral hygiene. The present case report describes Papillon-Lefevre syndrome and its association with consanguinity in a 3-year-old girl.

Congenitally missing primary mandibular lateral incisors: a case of rare occurrence.

We are reporting a rare case of missing teeth in primary dentition. The case reported with the chief complaint of missing teeth in the lower front tooth region. The concern of the parents was missing primary teeth but they were also worried about the permanent successors. Thorough evaluation of the primary dentition visually and permanent dentition radiographically was done. There was missing 72 and 82.Along with these, there were few permanent teeth, that is, lack of initiation of 35 and 45 and 22 was evident. The case was non-syndromic. At present, the case is under follow-up.

Unusual intraorbital foreign body.

A case of a 41-year-old patient presenting late post-trauma with out any major signs or symptoms is presented herewith. On radiological investigation, a peculiar foreign body was identified in the orbital floor. To our surprise the point of entry of the foreign body was not proportionate with the size of it. Moreover, the trajectory and final location of foreign body did not concur with the symptom less presentation of patient. After what was thought to be adequate investigation, the patient was taken under general anaesthesia to reveal an additional foreign body that put most of the preoperative queries to rest. This case in retrospect emphasises the need for ruling out foreign body in the case of any penetrating injury of orbit with the help of not just radiographs and CT scans but also ultrasonography and MRI.

Use of decompression tubes in the management of excessively large odontogenic keratocyst.

Odontogenic keratocyst (OKC) is a unique cyst because of its locally aggressive behaviour, high recurrence rate and characteristic histological appearance. A radical surgical approach is commonly advocated with morbid and disfiguring results. This approach also presents several reconstructive obstacles especially in anterior mandible. In this case report the authors present a 25-year-old male patient with a large OKC and treatment with decompression followed by enucleation, and chemical cauterisation. This approach though demanding prolonged treatment time and postoperative follow-up decreases the morbidity to a great extent in a young individual. At the same time, it allows an opportunity for the maxillofacial surgeon to preserve the natural dentition, maintain function and safeguard cosmesis. In our case, the authors effectively achieved all the aforementioned objectives. At the same time a radical option of treatment is still left in the armoury if required at a later date.

Progressive, massive osteolysis of mandible (Gorham's disease): report of a case.

A rare case of progressive osteolysis of mandible is discussed with clinicoradiological presentation. The purpose of the case report is to make the medical community aware of this rare and fascinating disorder in the maxillofacial region. The disease is characterised by spontaneous progressive osteolysis of one or more skeletal bones. Occurrence in maxillofacial region is rare with fewer than 35 reported cases affecting the facial and jaw bones. The present case report is about the mystery of bilaterally missing ascending rami. An attempt is made to draw attention of the medical fraternity to this unusual and rare entity which can induce instability, dysfunction and cosmetic disturbances.