Odontogenic origins are rarely implicated in the formation of brain abscesses. The relative paucity of this kind of infection and the difficulty in matching the causative microorganisms of a brain abscess to an odontogenic source can explain the late management of patients. We herein describe a case of a 46-year-old man with a cerebellar abscess that was probably due to an odontogenic infection. The diagnosis supported by imaging and microscopic identification, mini craniectomy for abscess drainage followed by eradication of all potential dental infectious foci, and an antibiotic regimen based on cephalosporins, metronidazole, and vancomycine contributed to a successful outcome.

-Introduction:Intentional replantation is a recognized endodontic procedure in cases in which root canal and surgical endodontic treatments are not recommended. Although not frequently used, intentional replantation is a treatment option that dentists should consider. Three keys point should be keep in mind to ensure the success of replantation procedure. To overcome any complications, the surgical procedure have to be rigorous, the extra-alveolar time properly managed, and the splint adapted. In the other hand, the knowing of the indications and the advantages is advocated for the success of this procedure. Conclusion: When standard protocols of intentional replantation are followed, clinical and radiological success is expected. From this point of view, intentional replantation should be considered as a viable therapeutic and not as a procedure of last resort

RÉSUMÉUne patiente âgée de 20 ans consulte pour une tuméfaction parasymphysaire gauche évoluant depuis quelques mois. L'examen clinique montre une tuméfaction dure et indolore avec, à l'examen endobuccal, un comblement du vestibule allant de la 33 à la 36 avec absence de la 34. Les dents de voisinage sont vivantes. L'examen radiologique révèle une image radioclaire uniloculaire en rapport avec la couronne de la 34 qui est incluse.

Objective. The aim of this study was to investigate the prevalence and characteristics of oral lichen planus (OLP) and oral lichenoid lesions (OLL) in Sjogren’s syndrome (SS) patients. Patients and Methods. A prospective clinical study was conducted at the Department of Oral Medicine and Oral Surgery in Sahloul Hospital, Sousse, from January 2012 to June 2018. The patients involved in this study were diagnosed with Sjogren’s syndrome according to the AECG (American-European consensus group) diagnostic criteria. Among these patients, we searched for those affected by OLP or OLL as determined by the WHO (World Health Organisation) classification of 2003. Clinical variables such as age, sex, medical conditions and medications, type of SS (primary or secondary), clinical form of OLP, and treatment were analyzed. The assessment of the results was performed using SPSS software. Results. We evaluated 30 patients (27 females and 3 males) diagnosed with SS (24 had primary SS) with a mean age of 55 years and 11 months (±11,714). Overall, 9 patients had oral lesions (30%). Two patients had OLP associated with secondary SS (25%). Primary Sjogren’s syndrome patients had 6 OLP lesions and one erythematous lichenoid lesion. OLP was erosive in eight patients, among them two had vulvo-vaginal-gingival syndrome. OLP lesions showed improvement in symptoms after topical or general corticosteroids treatment, while OLL showed improvement only under antibiotic treatment. Conclusion. The results of our analysis suggest that patients with SS have 30% prevalence of OLP and OLL. This possible association shows the importance of screening for oral dryness in patients with OLP or OLL. Treatment includes topical or general corticosteroids for erosive forms associated or not with topical antifungal treatment to treat or prevent oral candidiasis.