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Double teeth: evaluation of 10-years of clinical material

100%
Koszowski R., Waśkowska J., Kucharski G., Śmieszek-Wilczewska J.
Open Medicine
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2014
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vol. 9
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issue 2
254-263
EN
The aim of the study was to evaluate 10-years of clinical material referring to the rare dental abnormality of double teeth. The study material consisted of case records, operation-books and radiographic or photographic documentation on patients treated in the Department of Oral Surgery, Silesian Medical University, Katowice, from the 1st of June 2000 to the 31st of May 2010. The following features were considered important: age and sex, the reason why the patient reported for treatment, general state of health, the time of recognition and type of double teeth, location of double teeth, complaints and disturbances connected with double teeth, types of radiographs, the radiographic and macroscopic appearance of double teeth and treatment method. Diagnoses were as follows: eight conrescent teeth, two fused teeth, two geminated teeth and one invaginated tooth. The anomaly of a deciduous tooth was referred to in one case only. Double teeth were most often seen in the region of maxillary incisors and molars but rarely in the mandible. The region of incisors was affected chiefly in children and the region of molars in adults. Double incisors are usually recognized prior to treatment whereas double molars as late as during their extraction. In many cases, neither intraoral radiographs nor pantomographs help to confirm double teeth or provide sufficient information to plan the treatment. In such a situation, CT or CBCT should be used in addition to imaging diagnostics. Double teeth among incisors are usually accompanied by occlusal disorders. Therefore the therapeutic management is conducted by a team, including orthodontists.
2
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Odontogenic fibroma - a case report

100%
Koszowski R., Śmieszek-Wilczewska J., Stęplewska K.
Open Medicine
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2014
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vol. 9
|
issue 2
250-253
EN
IThe present study outlines the case of a 30-year-old patient with central odontogenic fibroma. The tumour developed in the alveolar process of the maxilla in the area of 13–15. The study describes the clinical symptoms, the radiological image, treatment method and histopathological image of the tumour. The study also presents a one-year period of post-surgical observation.
3
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Canine transmigration accompanying mandibular retrognathism secondary to osteitis

100%
Koszowski R., Pisulska-Otremba A., Wójcik S., Śmieszek-Wilczewska J.
Open Medicine
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2014
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vol. 10
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issue 1
EN
Transmigration is a tooth pathology in which the migrating tooth bud passes the median plane. Methods: This study is a presentation of the diagnostic and therapeutic outcomes in the cases of 4 stomach teeth transmigrations diagnosed in 3 patients with mandibular retrognathia which was a complication after osteitis in the postnatal period and infancy. Results: Extending imaging diagnostics to include CT, most preferably CBCT, makes it possible to precisely evaluate a transmigrated canine’s position and to plan a course of treatment. Conclusions: Planning of the treatment of teeth in transmigration in patients with temporomandibular ankylosis should be done by a team consisting of an orthodontist and a surgeon.
4
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Rare case of a massive buccal mucocele

88%
Koszowski R., Waśkowska J., Morawiec T., Wojcik S., Stęplewska K.
Open Medicine
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2011
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vol. 6
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issue 3
305-308
EN
Mucoceles are common pathological lesions of the oral cavity, usually measuring up to 10 mm. The authors describe a case of deeply located buccal mucocele measuring 35 mm in diameter. The lesion was caused by facial injury in a 54-year old man. The lesion persisted for approximately 2.5 years and was difficult to diagnose because of its unusual size and atypical clinical symptoms. Preoperative ultrasonography excluded a tumor, and this was confirmed by histopathological examination. However, oncological alertness was considered necessary on account of ulcerated mucosa next to the lesion. The mucocele was removed through surgical excision, using a scalpel and tissue scissors. No recurrence was observed in 2.5 postoperative years. It is stressed that histopathological examinations help to differentiate mucoceles from other disease processes.
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