Oral disorders related to acromegaly

Acromegaly is a rare disease caused due to hyper secretion of growth hormone. Most of the cases of acromegaly are caused by pituitary adenoma which can be microadenoma or macroadenomas. This condition has a tendency toward overgrowth of the mandible, maxillary widening, tooth separation and skeletal malocclusion which compromises the aesthetics of an individual. Hence dentists have a role in diagnosing this disorder. The aim of this paper is to present a case report of acromegaly.

Management of oroantral communication using buccal advanced flap

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.

Ankyloglossia as an oral functional problem and its surgical management

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 post-operative 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.

Esthetic Improvement of a Nasolabial Cutaneous Sinus Tract

A cutaneous sinus tract of dental origin is relatively uncommon and may easily be misdiagnosed, owing to its uncommon occurrence and absence of dental symptoms. Such a lesion continues to be a diagnostic dilemma. The case described here presented a nasolabial cutaneous sinus tract of dental origin that was treated by a surgical approach with an excellent esthetic improvement.

Non syndromic supernumerary teeth: management of two clinical cases

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.