Pub Date : 2026-01-23DOI: 10.1016/j.omsc.2026.100439
André Pereira Falcão , Romário Souza Miranda Júnior , Ronald Alejandro Zegarra , Luan Borges Venturi , Júlia Ribeiro Amorim , Luiz Carlos Magno Filho
Osteochondroma is a benign cartilaginous tumor rarely found in the maxillofacial region, most often affecting the mandibular condyle and leading to progressive facial asymmetry, malocclusion, and temporomandibular dysfunction. The reported case described a 48-year-old female with unilateral condylar hyperplasia secondary to osteochondroma, successfully treated through a surgical approach combining low condylectomy and bilateral sagittal split osteotomy. Postoperative evaluation confirmed restored symmetry, joint function, and stable occlusion, demonstrating that the concurrent application of low condylectomy and orthognathic surgery provides excellent functional and esthetic outcomes.
{"title":"Management of mandibular condylar osteochondroma combining low condylectomy and bilateral sagittal split osteotomy: A case report","authors":"André Pereira Falcão , Romário Souza Miranda Júnior , Ronald Alejandro Zegarra , Luan Borges Venturi , Júlia Ribeiro Amorim , Luiz Carlos Magno Filho","doi":"10.1016/j.omsc.2026.100439","DOIUrl":"10.1016/j.omsc.2026.100439","url":null,"abstract":"<div><div>Osteochondroma is a benign cartilaginous tumor rarely found in the maxillofacial region, most often affecting the mandibular condyle and leading to progressive facial asymmetry, malocclusion, and temporomandibular dysfunction. The reported case described a 48-year-old female with unilateral condylar hyperplasia secondary to osteochondroma, successfully treated through a surgical approach combining low condylectomy and bilateral sagittal split osteotomy. Postoperative evaluation confirmed restored symmetry, joint function, and stable occlusion, demonstrating that the concurrent application of low condylectomy and orthognathic surgery provides excellent functional and esthetic outcomes.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"12 1","pages":"Article 100439"},"PeriodicalIF":0.0,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146077455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-22DOI: 10.1016/j.omsc.2025.100435
Angelo Maria Manotti, Fabrizio Ferretti, Emanuele Zavattero, Guglielmo Ramieri
Purpose
Alveolar fistulas are frequent complications in patients with cleft lip and palate, often associated with failed surgeries and disrupted maxillary continuity. Their management remains challenging, particularly in recurrent cases with extensive scarring. We describe a novel combined flap technique for the closure of a large recurrent alveolar fistula in a complex patient.
Methods
A 30-year-old edentulous female, active smoker and former drug addict, presented with a 1.5 cm multi-operated alveolar fistula and an untreated alveolar bone cleft. Previous attempts at closure with bone grafts and mucoperiosteal flaps had failed. We designed an upper lip mucosal flap for oral closure, combined with a nasoseptal mucosal flap to reconstruct the nasal lining.
Results
The combined flap achieved complete closure of the fistula without compromising lip mobility, oral function, or vestibular depth. The patient reported resolution of nasal regurgitation and hypernasal speech, with no donor-site morbidity and satisfactory healing.
Conclusion
This combined upper lip mucosal and nasoseptal flap provided well-vascularized, robust tissue for closure of a large recurrent alveolar fistula, while preserving function and patient comfort. It represents a valuable alternative for complex cases where conventional techniques are unsuitable or have failed.
{"title":"A new combined flap for closure of a large alveolar fistula in a critical patient: A case report","authors":"Angelo Maria Manotti, Fabrizio Ferretti, Emanuele Zavattero, Guglielmo Ramieri","doi":"10.1016/j.omsc.2025.100435","DOIUrl":"10.1016/j.omsc.2025.100435","url":null,"abstract":"<div><h3>Purpose</h3><div>Alveolar fistulas are frequent complications in patients with cleft lip and palate, often associated with failed surgeries and disrupted maxillary continuity. Their management remains challenging, particularly in recurrent cases with extensive scarring. We describe a novel combined flap technique for the closure of a large recurrent alveolar fistula in a complex patient.</div></div><div><h3>Methods</h3><div>A 30-year-old edentulous female, active smoker and former drug addict, presented with a 1.5 cm multi-operated alveolar fistula and an untreated alveolar bone cleft. Previous attempts at closure with bone grafts and mucoperiosteal flaps had failed. We designed an upper lip mucosal flap for oral closure, combined with a nasoseptal mucosal flap to reconstruct the nasal lining.</div></div><div><h3>Results</h3><div>The combined flap achieved complete closure of the fistula without compromising lip mobility, oral function, or vestibular depth. The patient reported resolution of nasal regurgitation and hypernasal speech, with no donor-site morbidity and satisfactory healing.</div></div><div><h3>Conclusion</h3><div>This combined upper lip mucosal and nasoseptal flap provided well-vascularized, robust tissue for closure of a large recurrent alveolar fistula, while preserving function and patient comfort. It represents a valuable alternative for complex cases where conventional techniques are unsuitable or have failed.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"12 1","pages":"Article 100435"},"PeriodicalIF":0.0,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146077463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-07DOI: 10.1016/j.omsc.2025.100438
Mohamad A. Alhomsi, Issa B. Wehbeh
Background
A harmonious smile is a key component of facial aesthetics, with normal gingival display ranging from 1 to 3 mm. Excessive gingival exposure, defined as a gummy smile, can result from skeletal, dentoalveolar, or soft tissue factors, negatively impacting patient self-confidence.
Case description
Three patients presenting with a mild gummy smile were treated using different approaches: (i) conventional lip repositioning, (ii) modified lip repositioning, and (iii) botulinum toxin (Botox) injection. Each patient was followed over six months, with evaluations at two weeks, one month, three months, and six months to observe healing and monitor changes in gingival display, lip length at rest and during smiling, and how satisfied each patient felt with their smile.
Conclusion
Lip length increased following both conventional and modified lip repositioning procedures, primarily due to elongation of the vermilion portion, with no notable difference between the two approaches. No change in lip length was observed after Botox injection. Patient satisfaction correlated directly with the degree of improvement in gingival display—patients reported higher satisfaction when gingival exposure decreased, followed by a gradual decline in satisfaction as relapse occurred over time.
{"title":"Lip repositioning for gummy smile: A case series evaluating postoperative lip length and patient satisfaction with 6-month follow-up","authors":"Mohamad A. Alhomsi, Issa B. Wehbeh","doi":"10.1016/j.omsc.2025.100438","DOIUrl":"10.1016/j.omsc.2025.100438","url":null,"abstract":"<div><h3>Background</h3><div>A harmonious smile is a key component of facial aesthetics, with normal gingival display ranging from 1 to 3 mm. Excessive gingival exposure, defined as a gummy smile, can result from skeletal, dentoalveolar, or soft tissue factors, negatively impacting patient self-confidence.</div></div><div><h3>Case description</h3><div>Three patients presenting with a mild gummy smile were treated using different approaches: (i) conventional lip repositioning, (ii) modified lip repositioning, and (iii) botulinum toxin (Botox) injection. Each patient was followed over six months, with evaluations at two weeks, one month, three months, and six months to observe healing and monitor changes in gingival display, lip length at rest and during smiling, and how satisfied each patient felt with their smile.</div></div><div><h3>Conclusion</h3><div>Lip length increased following both conventional and modified lip repositioning procedures, primarily due to elongation of the vermilion portion, with no notable difference between the two approaches. No change in lip length was observed after Botox injection. Patient satisfaction correlated directly with the degree of improvement in gingival display—patients reported higher satisfaction when gingival exposure decreased, followed by a gradual decline in satisfaction as relapse occurred over time.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"12 1","pages":"Article 100438"},"PeriodicalIF":0.0,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145927177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-02DOI: 10.1016/j.omsc.2025.100437
Michael Andreas Leman , Yossy Yoanita Ariestiana , Afniati Rachmuddin , Paolo Boffano , Tsuyoshi Shimo , Tymour Forouzanfar , Muhammad Ruslin
Radicular cysts are common odontogenic cysts typically resulting from pulp necrosis secondary to caries or trauma. However, their possible association with the use of household bleaching agents is extremely rare. This report describes a unique case of a radicular cyst potentially induced by self-administered home bleaching, highlighting the need to recognize unconventional causes of pulpal injury. A 21-year-old female presented with a recurrent cutaneous fistula on the chin that persisted despite prior surgical and antibiotic management. Radiographic and histopathological examinations confirmed an odontogenic cyst in the mandibular anterior region (teeth 31–42). Further history revealed unsupervised use of a hydrogen peroxide–based household bleaching agent for tooth whitening prior to the onset of symptoms, with both teeth exhibiting pulp necrosis on clinical examination. The patient was treated through a multidisciplinary approach involving cyst enucleation, root canal therapy, apicoectomy of teeth 41 and 42, and fistula reconstruction under general anaesthesia. Botulinum toxin was also administered to the masseter muscle to manage concomitant bruxism as a potential contributing factor. This rare case underscores the potential risks of unsupervised dental bleaching and the importance of comprehensive etiological evaluation in recurrent orocutaneous fistulas. A multidisciplinary approach is essential for optimal functional and esthetic outcomes.
{"title":"A radicular cyst potentially associated with unsupervised home bleaching: A multidisciplinary case report","authors":"Michael Andreas Leman , Yossy Yoanita Ariestiana , Afniati Rachmuddin , Paolo Boffano , Tsuyoshi Shimo , Tymour Forouzanfar , Muhammad Ruslin","doi":"10.1016/j.omsc.2025.100437","DOIUrl":"10.1016/j.omsc.2025.100437","url":null,"abstract":"<div><div>Radicular cysts are common odontogenic cysts typically resulting from pulp necrosis secondary to caries or trauma. However, their possible association with the use of household bleaching agents is extremely rare. This report describes a unique case of a radicular cyst potentially induced by self-administered home bleaching, highlighting the need to recognize unconventional causes of pulpal injury. A 21-year-old female presented with a recurrent cutaneous fistula on the chin that persisted despite prior surgical and antibiotic management. Radiographic and histopathological examinations confirmed an odontogenic cyst in the mandibular anterior region (teeth 31–42). Further history revealed unsupervised use of a hydrogen peroxide–based household bleaching agent for tooth whitening prior to the onset of symptoms, with both teeth exhibiting pulp necrosis on clinical examination. The patient was treated through a multidisciplinary approach involving cyst enucleation, root canal therapy, apicoectomy of teeth 41 and 42, and fistula reconstruction under general anaesthesia. Botulinum toxin was also administered to the masseter muscle to manage concomitant bruxism as a potential contributing factor. This rare case underscores the potential risks of unsupervised dental bleaching and the importance of comprehensive etiological evaluation in recurrent orocutaneous fistulas. A multidisciplinary approach is essential for optimal functional and esthetic outcomes.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"12 1","pages":"Article 100437"},"PeriodicalIF":0.0,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145927181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-31DOI: 10.1016/j.omsc.2025.100436
Lucas de Oliveira Cantaruti Guida , Guilherme Wilson Otaviano Chaves , Guilherme Souza Mourão , Gustavo Coelho Dias , Silvia Marçal Benício de Melo , Leonardo Furtado Freitas , Lilian Santos de Freitas , Maria de Fátima Viana Vasco Aragão , Ricardo Souza Abicalaf , Christiane Monteiro de Siqueira Campos
Carotid-cavernous fistula (CCF) is a disease that may occur spontaneously or as a rare complication from head trauma and also cranial surgical interventions, such as orthognathic surgery. We report a case of carotid cavernous fistula after orthognathic surgery successfully treated with endovascular embolization.
{"title":"Carotid cavernous fistula: A rare complication of orthognathic surgery","authors":"Lucas de Oliveira Cantaruti Guida , Guilherme Wilson Otaviano Chaves , Guilherme Souza Mourão , Gustavo Coelho Dias , Silvia Marçal Benício de Melo , Leonardo Furtado Freitas , Lilian Santos de Freitas , Maria de Fátima Viana Vasco Aragão , Ricardo Souza Abicalaf , Christiane Monteiro de Siqueira Campos","doi":"10.1016/j.omsc.2025.100436","DOIUrl":"10.1016/j.omsc.2025.100436","url":null,"abstract":"<div><div>Carotid-cavernous fistula (CCF) is a disease that may occur spontaneously or as a rare complication from head trauma and also cranial surgical interventions, such as orthognathic surgery. We report a case of carotid cavernous fistula after orthognathic surgery successfully treated with endovascular embolization.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"12 1","pages":"Article 100436"},"PeriodicalIF":0.0,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145977671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-25DOI: 10.1016/j.omsc.2025.100433
Raghad Eid, Eiad Khouri, Nadim Sleman
Background
The orbital floor represents a complex challenge in facial trauma, often requiring reconstruction using materials that provide a stable base and restore the correct orbital volume.
Purpose
The aim of this study is to evaluate the efficacy of a novel flexible β-TCP plate in orbital floor reconstruction, focusing on anatomical restoration, functional outcomes, and safety profiles.
Methods
A prospective clinical study of 10 patients (8 males, 2 females; aged 20–70 years) with orbital floor fractures was conducted. Treatment involved surgical reconstruction using β-TCP plates. Preoperative assessment included CT imaging and ophthalmologic evaluation (visual acuity, forced duction test). β-TCP plates were applied via a subciliary approach to reconstruct the orbital floor. Clinical and radiological evaluations were performed at 15 days, 1, 3, and 6 months postoperatively.
Results
Anatomical outcomes showed complete enophthalmos resolution in 80 % of cases (8/10), with minor residual enophthalmos in 30 % (3/10). Functional recovery was excellent, with diplopia resolving in all cases (9/9) and unrestricted ocular motility achieved in 100 % of patients. The procedure was safe, with no infections, implant migrations, or extrusions observed. Radiologic integration was confirmed by stable graft positioning on CT scans during follow-up.
Conclusion
The flexible β-TCP plate demonstrates excellent efficacy in orbital floor reconstruction, with high rates of functional recovery and minimal complications. Its adaptability and biocompatibility support its use as a viable alternative to traditional materials. Larger studies with extended follow-up are warranted to validate long-term outcomes.
{"title":"Assessment of flexible β-TCP plates in orbital floor fracture management: A prospective clinical and Radiographic study","authors":"Raghad Eid, Eiad Khouri, Nadim Sleman","doi":"10.1016/j.omsc.2025.100433","DOIUrl":"10.1016/j.omsc.2025.100433","url":null,"abstract":"<div><h3>Background</h3><div>The orbital floor represents a complex challenge in facial trauma, often requiring reconstruction using materials that provide a stable base and restore the correct orbital volume.</div></div><div><h3>Purpose</h3><div>The aim of this study is to evaluate the efficacy of a novel flexible β-TCP plate in orbital floor reconstruction, focusing on anatomical restoration, functional outcomes, and safety profiles.</div></div><div><h3>Methods</h3><div>A prospective clinical study of 10 patients (8 males, 2 females; aged 20–70 years) with orbital floor fractures was conducted. Treatment involved surgical reconstruction using β-TCP plates. Preoperative assessment included CT imaging and ophthalmologic evaluation (visual acuity, forced duction test). β-TCP plates were applied via a subciliary approach to reconstruct the orbital floor. Clinical and radiological evaluations were performed at 15 days, 1, 3, and 6 months postoperatively.</div></div><div><h3>Results</h3><div>Anatomical outcomes showed complete enophthalmos resolution in 80 % of cases (8/10), with minor residual enophthalmos in 30 % (3/10). Functional recovery was excellent, with diplopia resolving in all cases (9/9) and unrestricted ocular motility achieved in 100 % of patients. The procedure was safe, with no infections, implant migrations, or extrusions observed. Radiologic integration was confirmed by stable graft positioning on CT scans during follow-up.</div></div><div><h3>Conclusion</h3><div>The flexible β-TCP plate demonstrates excellent efficacy in orbital floor reconstruction, with high rates of functional recovery and minimal complications. Its adaptability and biocompatibility support its use as a viable alternative to traditional materials. Larger studies with extended follow-up are warranted to validate long-term outcomes.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"12 1","pages":"Article 100433"},"PeriodicalIF":0.0,"publicationDate":"2025-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145927183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-15DOI: 10.1016/j.omsc.2025.100429
André Pereira Falcão , Letícia Yin Chun Lin , Bianca Russian , Luan Borges Venturi , Farzad Baghaie , Luiz Carlos Magno Filho
{"title":"Short split osteotomy for the management of facial deformity following gunshot wound: A case report","authors":"André Pereira Falcão , Letícia Yin Chun Lin , Bianca Russian , Luan Borges Venturi , Farzad Baghaie , Luiz Carlos Magno Filho","doi":"10.1016/j.omsc.2025.100429","DOIUrl":"10.1016/j.omsc.2025.100429","url":null,"abstract":"","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"12 1","pages":"Article 100429"},"PeriodicalIF":0.0,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145798942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-11DOI: 10.1016/j.omsc.2025.100427
Pooria Fallah Abed , Stephanie C. Bowers , Ericka Miller , Milad Matinfar
This technique report demonstrates the use of a novel endoscope which enhanced visualization during implant placement with simultaneous sinus augmentation in 3 patients. An endoscope with a 3.9 mm high-definition camera, adjustable-angle and detachable tips for instrumentation, was used to visualize and lift the Schneiderian membrane, detect perforations, and guide bone graft placement. The endoscope was inserted through either a lateral window or the crestal implant osteotomy. Implant success, surgical outcomes, and postoperative healing were assessed over a 6-month period. Four implants were successfully placed without complication in the three patients. Endoscope-assisted sinus augmentation, or E.M.S, allowed for continuous magnified visualization while lifting the membrane, ensuring its integrity and precise bone graft placement. The novel endoscope supports a minimally invasive, patient-centered approach which may offer improved intraoperative control and potentially reduces the incidence of complications.
{"title":"Endoscopy-mediated sinus augmentation (E.M.S): A technique report","authors":"Pooria Fallah Abed , Stephanie C. Bowers , Ericka Miller , Milad Matinfar","doi":"10.1016/j.omsc.2025.100427","DOIUrl":"10.1016/j.omsc.2025.100427","url":null,"abstract":"<div><div>This technique report demonstrates the use of a novel endoscope which enhanced visualization during implant placement with simultaneous sinus augmentation in 3 patients. An endoscope with a 3.9 mm high-definition camera, adjustable-angle and detachable tips for instrumentation, was used to visualize and lift the Schneiderian membrane, detect perforations, and guide bone graft placement. The endoscope was inserted through either a lateral window or the crestal implant osteotomy. Implant success, surgical outcomes, and postoperative healing were assessed over a 6-month period. Four implants were successfully placed without complication in the three patients. Endoscope-assisted sinus augmentation, or E.M.S, allowed for continuous magnified visualization while lifting the membrane, ensuring its integrity and precise bone graft placement. The novel endoscope supports a minimally invasive, patient-centered approach which may offer improved intraoperative control and potentially reduces the incidence of complications.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"12 1","pages":"Article 100427"},"PeriodicalIF":0.0,"publicationDate":"2025-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145798865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-10DOI: 10.1016/j.omsc.2025.100434
Jiří Blecha, Ladislav Dzan, Daniel Kovář, Kristýna Mamiňák, Jaromír Astl
Displacement of dental implants into the maxillary sinus is a rare but serious complication that can lead to odontogenic sinusitis and other health issues. This case study involves a 44-year-old male patient whose implant migrated from the tooth #3 region into the right maxillary sinus. After the detection of the presence of a foreign body in the maxillary sinus and the development of inflammatory complications, endoscopic surgery was planned to remove the implant. Surprisingly, a preoperative CT scan on the day of the surgery did not confirm the presence of the implant in the sinus. Further examinations revealed the implant to be located in the gastrointestinal tract, suggesting that the patient had inadvertently swallowed it. The patient remained asymptomatic, and subsequent radiographic monitoring confirmed the implant's spontaneous excretion via natural pathways. This case illustrates an unusual course of implant displacement and underscores the importance of meticulous preoperative planning and patient monitoring.
{"title":"Complications following dental implant placement: Spontaneous migration of a dental implant into the gastrointestinal tract","authors":"Jiří Blecha, Ladislav Dzan, Daniel Kovář, Kristýna Mamiňák, Jaromír Astl","doi":"10.1016/j.omsc.2025.100434","DOIUrl":"10.1016/j.omsc.2025.100434","url":null,"abstract":"<div><div>Displacement of dental implants into the maxillary sinus is a rare but serious complication that can lead to odontogenic sinusitis and other health issues. This case study involves a 44-year-old male patient whose implant migrated from the tooth #3 region into the right maxillary sinus. After the detection of the presence of a foreign body in the maxillary sinus and the development of inflammatory complications, endoscopic surgery was planned to remove the implant. Surprisingly, a preoperative CT scan on the day of the surgery did not confirm the presence of the implant in the sinus. Further examinations revealed the implant to be located in the gastrointestinal tract, suggesting that the patient had inadvertently swallowed it. The patient remained asymptomatic, and subsequent radiographic monitoring confirmed the implant's spontaneous excretion via natural pathways. This case illustrates an unusual course of implant displacement and underscores the importance of meticulous preoperative planning and patient monitoring.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"12 1","pages":"Article 100434"},"PeriodicalIF":0.0,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145927184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-08DOI: 10.1016/j.omsc.2025.100432
Sanjana Narendra Wadewale , Nitin Bhola
Ossifying fibroma is a benign fibro-osseous neoplasm that rarely arises in the maxillary alveolus and is uncommon in elderly patients, making diagnosis particularly challenging. We report the case of a 70-year-old male who presented with a gradual enlarging pedunculated intraoral swelling measuring approximately 3.5 × 2.5 cm on the left maxillary alveolus. Contrast-enhanced computed tomography revealed internal bony deposits that suggested a chondroid benign tumor, while fine-needle aspiration cytology showed extensive hemorrhage with dense lymphocytic infiltrate but uneventful and no recurrence was observed at six months. This case illustrates that ossifying fibroma should be considered in the differential diagnosis of maxillary swellings in elderly patients, and emphasizes that definitive diagnosis relies on histopathology while surgical excision remains the treatment of choice.
{"title":"Pedunculated ossifying fibroma of the maxillary alveolus mimicking a chondroid tumor in an elderly patient","authors":"Sanjana Narendra Wadewale , Nitin Bhola","doi":"10.1016/j.omsc.2025.100432","DOIUrl":"10.1016/j.omsc.2025.100432","url":null,"abstract":"<div><div>Ossifying fibroma is a benign fibro-osseous neoplasm that rarely arises in the maxillary alveolus and is uncommon in elderly patients, making diagnosis particularly challenging. We report the case of a 70-year-old male who presented with a gradual enlarging pedunculated intraoral swelling measuring approximately 3.5 × 2.5 cm on the left maxillary alveolus. Contrast-enhanced computed tomography revealed internal bony deposits that suggested a chondroid benign tumor, while fine-needle aspiration cytology showed extensive hemorrhage with dense lymphocytic infiltrate but uneventful and no recurrence was observed at six months. This case illustrates that ossifying fibroma should be considered in the differential diagnosis of maxillary swellings in elderly patients, and emphasizes that definitive diagnosis relies on histopathology while surgical excision remains the treatment of choice.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"12 1","pages":"Article 100432"},"PeriodicalIF":0.0,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145711733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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