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1

Romeu, Felipe Elias Calixto, Bordini Chaves Faleiros Frederico, Carlos Marangoni Eugênio, Regina Machado de Medeiros Flávia, Fucci Wady Amanda, and Gustavo Paleari André. "Surgical and Prosthetic Approach for Oral Rehabilitation of Patient with Excessive Gingival Display and Gummy Smile." British Journal of Medicine & Medical Research 21, no. 11 (2017): 1–7. https://doi.org/10.9734/BJMMR/2017/33979.

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<strong>Aims:</strong> The aim of this study is to describe the surgical and prosthetic approaches of oral rehabilitation of a partially edentulous patient with a vertical maxillary excess with excessive gingival display when smiling. <strong>Presentation of Case:</strong> A 40-year-old female patient complaining of cosmetic dental problems reported to the School of Dentistry at Franca University (UNIFRAN). After a clinical examination and radiographic imaging, it was determined that the patient was partially edentulous with vertical maxillary excess with excessive gingival display when smilin
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2

Öğütcen-Toller, Melahat, Ismail Şener, Vildan Kasap, and Nilüfer Çakir-Özkan. "Maxillary Myxoma: Surgical Treatment and Reconstruction with Buccal Fat Pad Flap: A Case Report." Journal of Contemporary Dental Practice 7, no. 1 (2006): 107–16. http://dx.doi.org/10.5005/jcdp-7-1-107.

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Abstract Myxoma is a benign tumor that arises from mesenchymal tissue and is found less commonly in the bone than in soft tissue. The majority of bony myxomas occur in the jaws. When compared with other odontogenic tumors, myxoma of the jaws is a rare entity. Numerous types of treatment have been used for these tumors including simple curettage, enucleation, curettage with peripheral ostectomy, and en bloc resection with or without immediate reconstruction. The buccal fat pad (BFP) is a lobulated mass of fatty tissue in the oromaxillofacial region, which has long been a source of grafts in fac
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Astrid Bernadette Ulina Purba, Gatot Baydowi, and Ganendra Anugraha. "Conventional surgical excision for the treatment of Peripheral Cemento-Ossifying Fibroma Posterior Maxilla: Case report." World Journal of Advanced Research and Reviews 15, no. 3 (2022): 278–83. http://dx.doi.org/10.30574/wjarr.2022.15.3.0936.

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Background: Peripheral Cemento-Ossifying Fibroma (PCOF) usually presents as epulis, represents 3.1% of all oral tumors and 9.6% of gingival lesions, is difficult to distinguish clinically and radiographically, requires anatomic histopathological confirmation, peaking in the 2nd and 3rd decades, high recurrence 8-20%. Objective: To report the case management of Peripheral Cemento-Ossifying Fibroma in posterior maxilla with conventional surgery excision surgery, curettage, extraction, and ostectomy. Case: A 42-year-old woman came to the Oral Surgery Clinic at RSUD Haji East Java Province Hospita
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Astrid, Bernadette Ulina Purba, Baydowi Gatot, and Anugraha Ganendra. "Conventional surgical excision for the treatment of Peripheral Cemento-Ossifying Fibroma Posterior Maxilla: Case report." World Journal of Advanced Research and Reviews 15, no. 3 (2022): 278–83. https://doi.org/10.5281/zenodo.7766292.

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<strong>Background</strong>: Peripheral Cemento-Ossifying Fibroma (PCOF) usually presents as epulis, represents 3.1% of all oral tumors and 9.6% of gingival lesions, is difficult to distinguish clinically and radiographically, requires anatomic histopathological confirmation, peaking in the 2nd and 3rd decades, high recurrence 8-20%. <strong>Objective</strong>: To report the case management of Peripheral Cemento-Ossifying Fibroma in posterior maxilla with conventional surgery excision surgery, curettage, extraction, and ostectomy. <strong>Case</strong>: A 42-year-old woman came to the Oral Sur
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5

Hamdan, Usama S., Jose A. Garcia Garcia, Mario S. Haddad, et al. "Single-Stage Posterior Vomerine Ostectomy, Premaxillary Setback, Bilateral Gingivoperiosteoplasties and Primary Bilateral Cheiloplasty in Patients with Protuberant Premaxilla." Journal of Clinical Medicine 13, no. 9 (2024): 2609. http://dx.doi.org/10.3390/jcm13092609.

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Various patients with complete bilateral cleft lip and palate present with a protruded premaxilla. Several techniques have been described for correctional repair of the projection with a plethora of unsatisfactory outcomes. This poses a challenge not only for the cleft team providing care but also for the patients and their respective families. Multiple patients suffer from residual deformities after inadequate primary repair, which increase surgical, financial, and psychological burden. Premaxillary setback with posterior vomerine ostectomy and complete bilateral cleft lip repair can promote
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6

Kim, Sang Wha, Yong Woo Lee, Jeong Tae Kim, and Youn Hwan Kim. "Reconstruction of a maxillary defect using the remnant bone of mandibular angle ostectomy." Journal of Plastic, Reconstructive & Aesthetic Surgery 65, no. 7 (2012): e189-e192. http://dx.doi.org/10.1016/j.bjps.2012.01.023.

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7

Kablan, Fares. "Alveolar Bone Box Ostectomy Grafted with Particulate Bone Substitute with Subsequent Dental Implant Placement in a Case of Craniofacial Fibrous Dysplasia Involving the Posterior Maxilla: Case Report and Literature Review." Journal of Clinical Medicine 12, no. 20 (2023): 6452. http://dx.doi.org/10.3390/jcm12206452.

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Background: Patients with dysplastic bone diseases, including fibrous dysplasia (FD), represent a particular challenge for placement of dental implants. This is due to structural bony changes that may compromise the bone blood supply and plasticity, thus potentially affecting the process of osseointegration. This case report describes a novel approach for dental-implant-based rehabilitation of the posterior maxilla affected by craniofacial fibrous dysplasia (CFD), with 7 years of treatment follow-up. Case presentation: A 35-year-old female patient was referred due to a suspected unidentified b
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MAIA, Francisco Paulo Araújo, Priscilla Sarmento PINTO, and Anibal Henrique Barbosa LUNA. "Adenomatoid odontogenic tumor simulating periapical cyst: case report." RGO - Revista Gaúcha de Odontologia 65, no. 1 (2017): 92–95. http://dx.doi.org/10.1590/1981-86372017000100003048.

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ABSTRACT The adenomatoid odontogenic tumor is a benign, non-invasive tumor and has a slow growth. Its preferred location is the anterior maxillary area, most often causing root displacement, more rarely resorption and mostly affects young women. Being asymptomatic, this injury is discovered upon routine radiographic examination, in which, in most cases, a unilocular, radiolucent image is observed and it may have some degree of calcification within the lesion. This work aims to report the case of a 14-year-old patient who attended the Lauro Wanderley University Hospital (UFPB), complaining of i
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9

Jurado, Carlos A., Venkata Parachuru, Jose Villalobos Tinoco, et al. "Diagnostic Mock-Up as a Surgical Reduction Guide for Crown Lengthening: Technique Description and Case Report." Medicina 58, no. 10 (2022): 1360. http://dx.doi.org/10.3390/medicina58101360.

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Background and Objectives: The report describes a technique using a diagnostic mock-up as a crown-lengthening surgical guide to improve the gingival architecture. Materials and Methods: The patient’s primary concern was improving her smile due to her “gummy smile” and short clinical crowns. After clinical evaluation, surgical crown lengthening accompanied by maxillary central full-coverage single-unit prostheses and lateral incisor veneers was recommended. The diagnostic mock-up was placed in the patient’s maxillary anterior region and used as a soft tissue reduction guide for the gingivectomy
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Rafael Correia Cavalcante, Camila Lago, Luiz Eduardo Baglioli, et al. "Juvenile trabecular ossifying fibroma in association with multiple mandible deciduous teeth: an atypical case report." RSBO 17, no. 1 (2020): 76–83. http://dx.doi.org/10.21726/rsbo.v17i1.358.

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Ossifying fibroma is a benign fibro-osseous lesion characterized by the formation of a cellular fibrous connective tissue stroma with cementum-like material and/or osseous components. The juvenile variant is reported to be an aggressive lesion in paediatric patients. Its poor symptomatology contrasts with its highly aggressive behaviour in maxillary or mandibular region. Objective: The aim of the present study is to report a case of an atypical ossifying fibroma in association of multiple deciduous teeth. Case report: A nine years-old girl was referenced to the Oral and Maxillofacial Surgery S
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Vidya, Nursolihati, and Osa Amila Hafiyyah. "FUNCTIONAL CROWN LENGTHENING AS A PRE-RESTORATIVE PROCEDURE IN THE AESTHETIC ZONE." Interdental Jurnal Kedokteran Gigi (IJKG) 20, no. 1 (2024): 149–55. http://dx.doi.org/10.46862/interdental.v20i1.7863.

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Introduction: Crown lengthening is a surgical procedure to increase the height of the clinical crown for aesthetic and restorative purposes, or combination. The indications include treatment of subgingival caries and altered passive eruption. Functional crown lengthening for restorative purposes in the esthetic zone should consider the concept of biologic width and the ideal proportion of the dentogingival complex. Case: A 39-year-old male patient was referred from the Department of Conservative Dentistry, RSGM UGM Prof. Soedomo to expose the maxillary anterior teeth crowns for full crown and
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Marques, Diogo Henrique, Maylson Alves Nogueira Barros, Vitor Bruno Teslenco, et al. "Tratamento cirúrgico do ceratocisto odontogênico por meio de enucleação e osteotomia periférica: relato de caso." ARCHIVES OF HEALTH INVESTIGATION 9, no. 6 (2020): 531–34. http://dx.doi.org/10.21270/archi.v9i6.4776.

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Introdução: Os ceratocistos odontogênicos (CCA) são considerados raros cistos de desenvolvimento, derivados dos remanescentes da lâmina dentária, com atividade intraóssea benigna, porém localmente invasivo e agressivo. O tratamento para o ceratocisto odongênico é variado, podendo-se encontrar modalidades tais como:enucleação, isolada ou associada a curetagem, com osteotomia periférica, aplicação da solução de Carnoy ou crioterapia, descompressão, marsupialização e ressecções. Objetivo: O presente trabalho tem como objetivo relatar um caso de ceratocisto odontogênico, onde foi escolhida abordag
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13

Matijevic, Stevo, Zoran Damjanovic, Zoran Lazic, Milka Gardasevic, and Dobrila Radenovic-Djuric. "Peripheral ostectomy with the use of Carnoy’s solution as a rational surgical approach to odontogenic keratocyst: A case report with a 5-year follow-up." Vojnosanitetski pregled 69, no. 12 (2012): 1101–5. http://dx.doi.org/10.2298/vsp1212101m.

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Introduction. Odontogenic keratocyst (OKC) is a rare developmental, epithelial and benign cyst of the jaws of odontogenic origin with high recurrence rates. The third molar region, especially the angle of the mandible and the ascending ramus are involved far more frequently than the maxilla. The choice of treatment approach was based on the size of the cyst, recurrence status, and radiographic evidence of cortical perforation. Different surgical treatment options like marsupialization, decompression, enucleation, enucleation with Carnoy?s solution, peripheral ostectomy with or without Carnoy?s
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14

Gupta, Monica, Manish Gupta, and Akanksha Gupta. "Odontogenic keratocyst of maxilla managed with enucleation and peripheral ostectomy: A case report." Journal of Surgical Specialties and Rural Practice 4, no. 1 (2023): 39. http://dx.doi.org/10.4103/jssrp.jssrp_16_22.

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Tonellini, Gabriele, Raquel Saez Vigo, and Giorgio Novelli. "Double Guided Surgery in All-on-4® Concept: When Ostectomy Is Needed." International Journal of Dentistry 2018 (2018): 1–7. http://dx.doi.org/10.1155/2018/2672549.

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Background. The rehabilitation of edentulous jaws with guided and flapless surgery applied to the All-on-4 concepts is a predictable treatment with a high implant and prosthetic survival rates, but there are several contraindications for this technique like when bone reduction is needed due to a high smile line in the maxilla or when there is an irregular or thin bone crest. Purpose. To report a technique with double guided surgery for bone reduction and implant placement with the All-on-4 concept. Materials and Methods. 7 patients were included in the study. Guided implant planning was perfor
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16

Oluwakuyide, Remilekun T., Babalola O. Castano, Abdulwarith O. Akinshipo, and Adeshina O. Ayodele. "Giant Cell Fibroma in an Elderly Woman: A Report of a Rare, Late and Unusually Large Presentation." Nigerian Journal of Dental Research 8, no. 1 (2023): 1–6. http://dx.doi.org/10.4314/njdr.v8i1.1.

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BackgroundGiant cell fibroma (GCF) is a rare benign oral fibrous lesion which is predominantly found in the mandible of Caucasians but rarely in the maxilla and black population above the third decade of life.&#x0D; Objective: To draw the attention of clinicians to a rare, late and unusually large presentation of Giant Cell Fibroma&#x0D; Case report: The index case was a 68-year-old fisherwoman with a ten-year-old slow-growing painless swelling occupying the left anterior maxilla. The lesion crossed the midline to the right causing incompetent lips and teeth displacement leading to aesthetics
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17

Rahman, Mohammad Asifur, Tarin Rahman, and Ismat Ara Haider. "A clinicopathological study and management of odontogenic keratocyst." Update Dental College Journal 9, no. 1 (2019): 8–15. http://dx.doi.org/10.3329/updcj.v9i1.41200.

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Odontogenic Keratocyst is an aggressive odontogenic cyst with a high recurrence rate. After radicular and follicular cysts, odontogenic keratocysts are the third most common cyst of the jaws and approximately 12-14% of all odontogenic cysts. It has been retermed to Keratocystic odontogenic tumour (KCOT) as it better reflects its neoplastic nature but recently it has been re classified and retermed into the cystic category. Various surgical methods have been proposed but comparatively, conservative treatment options such as Dredging methods might be the treatment of choice due to preservation o
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Beeram, Ratna Kumari, Busa Vamshidhar, Sareen Seelam, Kotya Naik Maloth, Kundoor Vinay Kumar Reddy, and Moni Thakur. "Melanocytic Neuroectodermal Tumour of Infancy-A Rare Case Report." Annals of Maxillofacial Surgery 14, no. 2 (2024): 244–47. https://doi.org/10.4103/ams.ams_120_24.

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Abstract Rationale: Melanotic neuroectodermal tumour of infancy (MNTI) is an unusual, rapid growing, pigmented tumour of neural crestal origin that is seen in infants. It is more common in males with predilection for the maxilla and an unpredictable malignant potential. It constitutes a great challenge in diagnosis, treatment planning and prognosis. Patient Concerns: This is a case of MTNI in a 5-month-old female child, who presented to the Department of Oral and Maxillofacial Surgery with progressive swelling on the right side of the upper jaw over the last two weeks with ‘teeth floating appe
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Handayani, Dik Mega Putri, Vidya Nursolihati, and Osa Amila Hafiyyah. "Lip Repositioning with Internal Suturing and Crown Lengthening in a Single Visit: Case Report." Interdental Jurnal Kedokteran Gigi (IJKG) 20, no. 2 (2024): 335–43. http://dx.doi.org/10.46862/interdental.v20i2.7861.

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Introduction: A gummy smile becomes one of the esthetic problems for patients, especially when smiling or laughing. Etiology-based treatment should be considered to fulfill the patient’s needs. In this case report, we performed treatment focused on both extraoral and intraoral etiology: lip repositioning with smile elevator muscle sutures and crown lengthening respectively. Case: A 27 year old female patient presented with the chief complaint of excessive appearance of gingiva when especially laughing. The patient has a gummy smile and a disharmonious gingival line on the anterior maxilla. The
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Hotokezaka, Hitoshi, Carmen Karadeniz, Yuka Hotokezaka, Takemitsu Matsuo, and Noriaki Yoshida. "A severe skeletal Class III malocclusion treated with Le Fort I combined with sagittal split ramus osteotomy, mandibular body ostectomy and tongue reduction surgery. A case report." APOS Trends in Orthodontics, February 4, 2022, 1–9. http://dx.doi.org/10.25259/apos_139_2021.

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This case report describes the orthodontic-orthognathic management of a 17-year-old male patient with extremely severe skeletal Class III malocclusion due to a marked mandibular protrusion with a small and narrowed upper jaw which increased the remarkable concave facial profile. Dental articulation was entirely lacking, resulting in great difficulty in masticating food. A two-jaw surgery combined with mandibular body ostectomy was performed to correct mandibular asymmetry and the severe sagittal skeletal discrepancy (Wits appraisal –36.5 mm and ANB angle –14.3°). Bi-maxillary surgery was perfo
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Kshirsagar, Yogita Kshirsagar, Varsha Jadhav, Prashanth Shetty, and Khushee Agrawal. "Interdisciplinary approach for surgical exposure and traction of impacted maxillary canine: A case series." International Journal For Multidisciplinary Research 7, no. 3 (2025). https://doi.org/10.36948/ijfmr.2025.v07i03.49718.

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After third molar, maxillary canine is the most impacted tooth in the oral cavity. Impacted maxillary canine compromises the arch form as well as the aesthetic feature of patients’ smile. Various methods have been described in the literature for the exposure of impacted maxillary canine. Selection of one technique among these methods depends on the position of the impacted canine and also the hard and soft tissue surrounding the tooth. In this case series various techniques such as gingivectomy and closed technique along with ostectomy are advocated for the exposure of maxillary buccally place
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Kumar K, Naveen, Mithra N Hegde, Priyadarshini Hegde, and Shishir Shetty. "Management Of Crown Root Fracture Of Maxillary Central Incisors – A Multidisciplinary Approach: A Case Report And An Overview." RGUHS Journal of Dental Sciences 8, no. 2 (2016). http://dx.doi.org/10.26463/rjds.8_2_1.

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This case report describes the successful management of complicated crown root fracture of maxillary central incisors and their subsequent treatment to restore form function and esthetics. A 26 year old female had fractured her maxillary central incisors. The right central incisor had fracture which involved mesial 23rd of the crown and the maxillary left central incisor had fracture line which extended distally with fracture fragment still in place. The teeth were first endodontically treated orthodontically extruded crown lengthening was done with apically displaced flap and ostectomy follow
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Borzabadi-Farahani, Ali. "Diode Laser Applications for Muco-Gingival Surgical Orthodontics; A Case Series." Journal of Maxillofacial and Oral Surgery, June 10, 2025. https://doi.org/10.1007/s12663-025-02599-w.

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Abstract Background Diode lasers are highly effective adjuncts in surgical orthodontics. This paper highlights the in-office use of diode lasers for common muco-gingival surgical orthodontic procedures. This paper demonstrates four common soft tissue orthodontic applications of the diode laser that orthodontists can master to reduce the need for lengthy referrals and minimize delays in orthodontic treatment. Methods A retrospective series of case reports were presented, demonstrating the use of a 940-nm (InGaAsP) diode laser in contact cutting mode. Procedures included: Laser gingivectomy to i
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Zamare, Vrushali Baburao, Rahul Bhowate, Vidya Lohe, and Mrunal Meshram. "Multiple Keratocyst Glimpses Falx Cerebri and Bifid Rib- A Case of Gorlin-Goltz Syndrome." JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2020. http://dx.doi.org/10.7860/jcdr/2020/44920.14312.

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Multiple Odontogenic keratocysts with multi-organ abnormalities are a feature of Gorlin-Goltz Syndrome (GGS) which is an autosomal dominant inherited disorder. The most common oral manifestation of GGS is odontogenic keratocyst. Early diagnosis of GGS without cutaneous manifestations is important as this syndrome has basal cell carcinoma as one of its major criteria. This paper includes a case report of a 24-year-old female who reported with swelling and pus discharge in lower right posterior region. The swelling was clinico-radiologically diagnosed as odontogenic keratocyst on a panoramic rad
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Pramesti Lastianny, Sri, and Muhammad Yusuf. "Perio-Aesthetic Treatment With Frenectomy and Crown Lengthening: A Case Report." KnE Medicine, April 25, 2022, 302–12. http://dx.doi.org/10.18502/kme.v2i1.10863.

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Background: High frenum attachment has a detrimental effect on periodontal tissue and esthetics. High adhesion to the frenulum can lead to gingivitis and central diastema, which are indications for frenectomy. A better oral aesthetic appearance improves the overall appearance and personality and self-confidence when smiling. Short clinical crown is often a patient complaint, one of the causes being altered passive eruption.&#x0D; Objective: To describe the correction of high frenulum with frenectomy and correction of altered passive eruption with crown-lengthening surgery with ostectomy.&#x0D;
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Pasqualini, Damiano, Giorgia Carpegna, Mario Alovisi, Elio Berutti, and Sami Chogle. "Virtual reality and haptic simulation in modern microsurgical endodontics: Case report and proof of concept." International Endodontic Journal, April 19, 2025. https://doi.org/10.1111/iej.14239.

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AbstractAimTo highlight the development and application of a novel virtual reality (VR) haptic simulation program in endodontic microsurgery (EMS) to prepare for a clinical case performed by a resident student.SummaryModern EMS requires adequate training and a learning curve for mastering surgical techniques and refining individual skills. VR haptic simulation is gaining attention in dentistry. Pre‐clinical virtual training may enhance skills and minimize the risk of unintentional iatrogenic damage during surgery. VR simulation offers an innovative approach, allowing for the saving, reviewing
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Bangun, Kristaninta, Jessica Halim, and Vika Tania. "Repair of Protruding Bilateral Cleft Lip and Palate With Staged Premaxilla Setback Osteotomy, Cheiloplasty, and Palatoplasty in Trisomy 17p Patient: A Review of Syndromic Clinical Characteristic." Cleft Palate-Craniofacial Journal, December 30, 2021, 105566562110698. http://dx.doi.org/10.1177/10556656211069820.

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Chromosome 17 duplication is correlated with an increased risk of developmental delay, birth defects, and intellectual disability. Here, we reported a female patient with trisomy 17 on the whole short arm with bilateral complete cleft lip and palate (BCLP). This study will review the surgical strategies to reconstruct the protruding premaxillary segment, cleft lip, and palate in trisomy 17p patient. The patient had heterozygous pathogenic duplication of chromosomal region chr17:526-18777088 on almost the entire short arm of chromosome 17. Beside the commonly found features of trisomy 17p, the
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Mckenzie, Jamie, Zhi Yon Charles, Ellen Simpson, Thasvir Singh, and Archana Pandita. "Pediatric Odontogenic Myxoma: A Case Report and a Systematic Review of the Literature." FACE, September 29, 2022, 273250162211244. http://dx.doi.org/10.1177/27325016221124491.

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Purpose: Odontogenic myxoma (OM) is a benign, locally invasive odontogenic tumor, which has been historically treated with en bloc resection to prevent recurrence. In pediatric patients en bloc resection is associated with significant morbidity in relation to growth, function, cosmesis, and the associated risks of radical surgery. Methods: This research aims to present an up-to-date series of OM in pediatric patients (0-3 years), to evaluate treatment approaches and recurrence in this population, and provide treatment recommendations through the presentation of a case report in a 15-month-old
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Wang, Yu, Xiaoshuang Guo, Dong Zhang, and Xiaolei Jin. "A novel chin-reductive drawer-genioplasty using subapical and mandibular contouring ostectomy." Plastic & Reconstructive Surgery, October 13, 2023. http://dx.doi.org/10.1097/prs.0000000000011131.

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Summary: As the most prominent feature of the lower face, the chin is crucial to human facial morphology and it plays a large role in contributing to facial attractiveness and harmony. Although an increasing number of genioplasty procedures are being introduced for chin augmentation, chin reduction procedures are rarely performed. Due to the inevitable cervicomental angle (CA) widening and relaxation of the floor-of-mouth muscles caused by chin shortening and the elevation of the lower edge of the mandible, chin reduction remains a challenging procedure. Our novel drawer-genioplasty approach i
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Nikunj, Anand Mohan, Biswajit Mishra, Bathri Elangovan, and Dhanashree Jadhav. "Gorlin–Goltz Syndrome with Jaw and Minimal Skin Manifestations - A Case Report." Annals of Maxillofacial Surgery, April 16, 2025. https://doi.org/10.4103/ams.ams_139_24.

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Abstract Rationale: Multiple odontogenic keratocysts (OKC) occurs as a component of nevoid basal cell carcinoma syndrome (NBCCS) with concomitant cutaneous, skeletal, ophthalmic and neurological abnormalities. Patient Concerns: A 15-year-old male patient reported with chief complaint of swelling in his upper and lower jaws. Diagnosis: Orthopantomogram was taken and it showed multiple radiolucent areas present in the maxilla and mandible. Aspiration of the cystic lesion was done under local anaesthesia and it yielded a cheesy exudate which is characteristic of OKC. Treatment: Complete enucleati
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