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Nilius M, Nilius MH, Müller C, Lauer G, Berit K, Marcus K. Multifocal periapical cemental dysplasia in periodontal Ehlers–Danlos syndrome combined with leukoencephalopathy in the mutation of c.
890G
> a,
G297D
[
pEDS
]. Clin Case Rep 2022; 10:e6490. [PMID: 36348983 PMCID: PMC9634265 DOI: 10.1002/ccr3.6490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2021] [Revised: 09/16/2022] [Accepted: 09/26/2022] [Indexed: 11/06/2022] Open
Abstract
Periodontal Ehlers‐Danlos syndrome (pEDS) is a rare disorder caused by heterozygous mutations in complement 1 subunit genes C1R and C1S. To date, 148 cases have been described in the literature.We describe a case of a suspected de novo‐mutation of pEDS with generalized Periapical cemental dysplasia (PCD) and cerebral leukoencephalopathy.
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Affiliation(s)
| | | | | | - Guenter Lauer
- Department of Oral and Maxillofacial Surgery University Hospital "Carl Gustav Carus", Technische Universität Dresden Dresden Germany
| | - Koch Berit
- Department of Internal Medicine, Cardiology, Preveo‐Center Dortmund Germany
| | - Kohlhaas Marcus
- Department of Ophthamology, ST.‐Johannes‐Hospital Dortmund Germany
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Nilius M, Nilius M, Müller C, Leonhardt H, Haim D, Novak P, Franke A, Weiland B, Lauer G. Multiple periapical dysplasias analyzed by cone-beam-computer tomography and 99Tcm-Scintigraphy. Radiol Case Rep 2021; 16:3757-3765. [PMID: 34630813 PMCID: PMC8493495 DOI: 10.1016/j.radcr.2021.08.067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2021] [Revised: 08/22/2021] [Accepted: 08/25/2021] [Indexed: 11/27/2022] Open
Abstract
Periapical cemental dysplasia (PCD) is considered a non-neoplastic proliferation of fibrous tissues and cementum-like hard tissues, usually occurring in the periapical regions of teeth. PCD is characterized by the presence of vital pulp and is often accidentally discovered during a general radiographic survey. PCD may arise from the tissue of odontogenic origin or occur as a reactive process in the periapical tissue. Multilocular occurrences in both jaws are rare. However, we encountered a case of multiple PCDs by orthopantomography, which showed different degrees of maturation in the mandible and maxilla by osteodensitometric detection via cone-beam computed tomography (CB-CT) validated by Tc-99m bone-scintigraphy (BS). Biopsies confirmed the radiological results. CB-CT osteodensitometry allows for the categorization and assessment of different stages of PCD maturation from beginning to florid, detection of remittent osseous changes, and evaluation in the clinical follow-up. When using the local cortical bone as a reference value of 100%, periapical dysplasias show density values of 75% in the mandible and 80% in the maxilla. Early classification of PCD is possible with CB-CT osteodensitometry.
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Affiliation(s)
- Manfred Nilius
- Niliusklinik, Dept. of Oral and Maxillofacial Surgery, Dortmund, Germany.,Department of Oral and Maxillofacial Surgery, University Hospital "Carl Gustav Carus", Technische Universität Dresden, Dresden, Germany
| | - Minou Nilius
- Niliusklinik, Dept. of Oral and Maxillofacial Surgery, Dortmund, Germany
| | - Charlotte Müller
- Niliusklinik, Dept. of Oral and Maxillofacial Surgery, Dortmund, Germany
| | - Henry Leonhardt
- Department of Oral and Maxillofacial Surgery, University Hospital "Carl Gustav Carus", Technische Universität Dresden, Dresden, Germany
| | - Dominik Haim
- Department of Oral and Maxillofacial Surgery, University Hospital "Carl Gustav Carus", Technische Universität Dresden, Dresden, Germany
| | - Patrick Novak
- Department of Oral and Maxillofacial Surgery, University Hospital "Carl Gustav Carus", Technische Universität Dresden, Dresden, Germany
| | - Adrian Franke
- Department of Oral and Maxillofacial Surgery, University Hospital "Carl Gustav Carus", Technische Universität Dresden, Dresden, Germany
| | - Bernhard Weiland
- Department of Oral and Maxillofacial Surgery, University Hospital "Carl Gustav Carus", Technische Universität Dresden, Dresden, Germany
| | - Guenter Lauer
- Department of Oral and Maxillofacial Surgery, University Hospital "Carl Gustav Carus", Technische Universität Dresden, Dresden, Germany
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Senia ES, Sarao MS. Periapical cemento-osseous dysplasia: a case report with twelve-year follow-up and review of literature. Int Endod J 2014; 48:1086-99. [DOI: 10.1111/iej.12417] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2013] [Accepted: 11/20/2014] [Indexed: 11/26/2022]
Affiliation(s)
- E. S. Senia
- Department of Endodontics; Wilford Hall Medical Center; Lackland Air Force Base; San Antonio TX USA
| | - M. S. Sarao
- Department of Surgical Dentistry; Division of Endodontics; School of Dental Medicine; University of Colorado; Aurora CO USA
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