Tongue-tie or ankyloglossia is a developmental anomaly of the tongue characterized by an abnormally short, thick lingual frenulum resulting in limited tongue movement. Ankyloglossia can affect feeding, speech and oral hygiene, as well as have mechanical and social effects. Diagnosis of tongue-tie is based on a clinical examination. Tongue mobility and appearance associated with the insertion, as well as the attachment and the shortness of the lingual frenulum should be evaluated. Ankyloglossia management should be considered at any age considering the risk-benefit evaluation and because of the highest vascularization and mobility of tongue; lingual frenectomy should be performed with less traumatic events to avoid postoperative complications. The aim of this article is to report 2 cases of ankyloglossia in young patients who were referred to the Department of Oral Surgery of the Faculty of Dentistry at the Mohamed V University of Rabat, Morocco. According to Kotlow's classification, both patients were diagnosed with Class II and treated with surgical frenectomy, followed by speech therapy for an immediate rehabilitation. A marked improvement in the movement of the tongue was observed at a follow-up visits in the treated cases.
Oroantral communication (OAC) or fistula (OAF) is an open pathological communication between the oral cavity and maxillary sinus which mostly occurs as a result of extraction of upper molars and premolars, iatrogenic complications or from dental infections, osteomyelitis, radiation therapy or trauma. Several alternative techniques modalities have been described throughout the years for the management of OAC and OAF which show both advantages and limitations. The most employed surgical flaps are of three types: advanced buccal flap, palatal flap and buccal fat pad flap. The authors present two clinical cases: oroantral communication and oroantral fistula, both were treated by using buccal advancement flap.
Supernumerary teeth are extra teeth or tooth-like structures. Single, double, or multiple teeth that occur in one or both jaws may be erupted or unerupted and unilateral or bilateral. Supernumeraries are less common in primary dentition than in permanent dentition. The etiology of ST is still unknown. A number of theories have been postulated to try to explain their presence, including atavism (evolutionary throwback), tooth germ dichotomy, genetic and environmental factors, and hyperactivity of the dental lamina. However, all theories are hypothetical due to the inability to obtain sufficient embryologic material on their origin. The aim of this paper is two present two case reports of non syndromic supernumerary teeth in female patients and their management.
Florid osseous dysplasia (FOD) is a benign condition of the jaws in which the normal architecture of bone is replaced by a fibrous tissue containing a variable amount of bone and cementum-like tissue. This lesion is most commonly seen in middle aged black women. FOD appears as dense, lobulated masses, often symmetrically located in the mandible, rarely in the maxilla. The lesion is usually asymptomatic and benign. However, a secondary infection may occur and its treatment can be difficult and complicated. This paper reports the case of two patients. The first one is a white woman aged 65 and the second one is a black woman aged 70, both diagnosed with FOD, revealed by secondary infections. The diagnosis was based on clinical and radiographic findings, as biopsy is contraindicated. Radiological and clinical features of FOD and its management will be also discussed on the basis of recent literature.
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