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Eagle's syndrome is a frequently overlooked nosological condition that arises from an elongated styloid process or calcified stylohyoid ligament, resulting in varying degrees of cervicofacial or craniofacial pain. Diagnosis typically relies on a physical examination of the styloid process in the tonsillar fossa, which exacerbates pain during neck movements. Radiographic evaluation should encompass orthopantomography (OPG) and Cone Beam Computed Tomography (CBCT), revealing styloid elongation exceeding 3 cm. While surgical reduction of the styloid process via intraoral or external approaches remains the cornerstone, some patients benefit from pharmacological interventions. Here, we elucidate the case of a 37-year-old woman experiencing cervicofacial pain exacerbated by neck movements, opting for conservative therapy with gabapentin, amitriptyline, and paracetamol. Her symptoms markedly improved over a three-month follow-up period.

Introduction: Hereditary bleeding disorders are the diverse group of disorders that happen due to the inherent abnormalities in the blood vasculature preventing the blood clotting process and leading to delayed bleeding. Objectives: To review this heterogenous group of disorders and update the clinicians about their oral manifestations and dental management to prevent the onset of any complications in dental settings. Materials and Methods: Review papers, original studies, case reports published in PubMed/MEDLINE, Web of Science, Scopus, Science Direct, and Google Scholar, as well as numerous publications, were used to compile the data by four reviewers. Result and Conclusion: This review article explains the existing paradigm. Children with various hereditary bleeding disorders are a significant challenge for clinicians. Many authors have emphasized that patients with bleeding disorders can be managed safely in a dental setting if specific recommendations are followed. [ABSTRACT FROM AUTHOR]

This case report describes the management of a mandibular first molar with an additional distolingual root (radix entomolaris) and grade III cervical enamel projection through a multidisciplinary approach. Diagnosis for the case was endodontic-periodontal lesion due to non-vitality and associated advanced periodontal destruction. The patient was treated with drainage of the periodontal abscess with adjunct antibiotics, phase I periodontal therapy, endodontic therapy, radiculoplasty, regenerative periodontal therapy, replacement of the missing right mandibular second molar, and long-term maintenance. Follow-up of the patient up to 9 months has been uneventful. Cases of advanced periodontal destruction typically show some degree of tooth mobility, which was absent in this case. The article discusses the tripod effect as well as the increased surface area for periodontal attachment provided by the additional root contributing to the non-mobility of the involved tooth. [ABSTRACT FROM AUTHOR]

Background: Differentiating between chronic periodontitis (CP) and aggressive periodontitis (AgP) is challenging. The aim of this study was to assess the variations in diagnosis between CP versus AgP and the staging of AgP based on the disease-staging index for AgP among periodontists, specialists in oral medicine, and general dental practitioners (GDPs). Materials and Methods: Fifteen cases diagnosed as either CP or AgP were included in a "case document" and sent electronically to 75 respondents. Case document included a detailed history with periodontal charting, clinical features, images, and radiographs for all the cases. Diagnosis and staging for the case (if diagnosed as AgP) were requested. A reordered case document (cases in a different sequence) was again sent to respondents after a gap of 1 month. Statistical analysis: Descriptive statistics including frequency and percentage were calculated. Pearson's Chi-square test was used to analyze the data collected. Results: For the "case document," 10.17% of the responses were different from those of the authors for diagnosis, whereas 4.48% of the responses were different from those of the authors for the staging of AgP. The agreement in the overall responses was in the range of 0.69-0.84, which was considered good. Comparison of the responses for diagnosis showed statistically significant (P = 0.009) difference between specialists in oral medicine and GDPs. Conclusions: Variations exist among respondents regarding the diagnosis of CP versus AgP. Staging of AgP based on the listed criteria showed low variations. [ABSTRACT FROM AUTHOR]

Background: The impaction rate is higher for the third molars than for any other tooth in modern human population. This study was conducted with the aim to evaluate the validity of linear and angular measurements on the digital panoramic radiograph as a reference for early prediction of mandibular third molar eruption/impaction. Materials and Methods: Digital panoramic radiographs of 200 subjects were selected based on their status of eruption of mandibular third molars; fully erupted (Group A), partially erupted (Group B), fully developed but not erupted (Group C) and partially developed groups (Group D). Each group comprised 50 subjects with 25 males and 25 females. Nine variables (linear measurements, angles, and ratios) were determined and measured bilaterally by two observers and values were compared between the study groups and genders. Results: The data thus obtained were analyzed for comparison among all the study groups. It was found that the difference in the mean values of lower eruption space (LES) measurements, α-angle (angle between long axis of the third molar and gonial-symphyseal plane) and β-angle (angle between long axis of mandibular second and third molars) were significant (P < 0.05). The mean values of mesiodistal width, LES-ramus, LES-Xi point and β-angle were found more in males than in females. No significant difference was observed between the sides. Conclusion: α- and β-angle together with LES measurements give the accurate information on early prediction of lower third molar eruption or impaction. [ABSTRACT FROM AUTHOR]

Susuk, or charm needles, are needles made up of gold or other precious metals, which are inserted into the soft tissues of the body to act as talismans. Susuk has various supposed purposes, ranging from the purely esthetic to the treatment of joint pains and other minor ailments. This practice is also used as protection against injury and accidents. This obscured secret of inserting charm needles is a traditional belief and a cultural phenomenon, commonly practiced among Southeast Asian women. Here, we present two such interesting cases of this concealed art as the incidental radiographic finding, which was done on a routine basis as a part of diagnostic workup at our SEGi Oral Health Center. [ABSTRACT FROM AUTHOR]

Rhinocerebral mucormycosis (zygomycosis) is an opportunistic fungal infection caused by saprophytic fungus. It involves several areas of the body, but the rhinocerebral form is most relevant to health care providers. Zygomycosis is associated with medically compromised patients. Our case reports an unhealed ulcer present over the palate of 15 days duration associated with swelling over the maxillary sinus region. This case is a blend of clinical, radiological, and histological manifestations of mucormycosis in a patient. [ABSTRACT FROM AUTHOR]

Background: Mucormycosis is a rare opportunistic fungal infection, which has a rapidly progressive and fulminant course with fatal outcome. It is the need of the hour to diagnose and treat the increasing cases urgently., Aim: The aim of this article is to study the common radiographic features of rhinomaxillary mucormycosis (RMM), find diagnostic criteria, and grade the disease according to the radiographic features., Settings: This study was conducted at Face Three-Dimensional Cone-Beam Computed Tomography (CBCT) Center, Aurangabad, Maharashtra., Materials and Methods: CBCT scans of 30 patients who were referred for CBCT scanning of suspected RMM were retrospectively evaluated for relevant radiological data., Results: The most common CBCT features of RMM were osteolytic lesions in alveolar bone, palate, nose and nasal cavity, and zygoma along with involvement of paranasal sinuses. About 76.66% of patients had a history of COVID-19 infection., Conclusion: According to the collected data, the scans of probable rhinomaxillary mucormycosis were graded in three groups - mild, moderate, and severe. The goal of this article is to emphasize the most overlook diagnostic entity - CBCT and its significant importance in early diagnosis, treatment, and prognosis of RMM. Early diagnosis of RMM can save the patients from the extent of morbidity and mortality., Competing Interests: There are no conflicts of interest., (Copyright: © 2022 Contemporary Clinical Dentistry.)

This report presents a 29-year-old aggressive periodontitis patient from Morocco with a history of orthodontic treatment. Despite all the first molars showing advanced bone loss, the maxillary anterior teeth did not show any periodontal destruction. The scientific literature rarely reports cases of aggressive periodontitis without involving maxillary anterior teeth. The treatment provided includes extraction of hopeless tooth, removal of overhanging restoration, scaling, root debridement, and regenerative periodontal therapy. The discussion highlights the dilemma during diagnosis of the case as either "iatrogenic periodontitis due to orthodontic treatment" or "localized aggressive periodontitis." The age group of 15-35 years is the common age group for patients' seeking orthodontic treatment and the occurrence of aggressive periodontitis. Sound knowledge of periodontitis and identification of early signs of aggressive periodontitis through meticulous periodontal examination may help in earlier identification and minimalistic treatment. Education regarding periodontitis, especially aggressive periodontitis, is essential among orthodontists and general dentists. This case report aims to discuss the dilemma involved during diagnosis of localized aggressive periodontitis., Competing Interests: There are no conflicts of interest.