A Case Report on Gardner Syndrome With Dental Implant Treatment and a Long-Term Follow-Up

Wexell, Cecilia Larsson; Bergenblock, Sibel; Kovács, Anikó

doi:10.1016/j.joms.2019.03.002

Cited by 9 publications

(8 citation statements)

References 18 publications

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“…Gardner’s syndrome is a hereditary autosomal dominant disease characterized by cysts of the sebaceous glands, osteomas, odontomas, and supernumerary teeth. The dental implant was placed in the upper jaw, and the osteoid osteoma area was functionally stable for a seven-year follow-up period [ 9 ].…”

Section: Resultsmentioning

confidence: 99%

“…If they are located in areas that do not require therapeutic or surgical intervention, they remain incidental findings on radiographs and computed tomography [ 4 ]. If dental implants are necessary, a number of questions about the effectiveness and safety of implantation arise [ 5 , 6 , 7 , 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

“…Regarding hyperdense lesions, there are currently no clinical guidelines on dental implantation in these areas. It is related to the rarity of such lesions, the difficulties in diagnosis, problems in implant insertion, and complications during the operation and in the postoperative period [ 6 , 7 , 9 ]. In this regard, in the literature, only individual clinical cases are presented.…”

Section: Introductionmentioning

confidence: 99%

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Efficiency and Safety of Dental Implantation in the Area of Hyperdense Jaw Lesions: A Narrative Review

et al. 2022

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Background. Mineralized lesions of the jaws are often found incidentally on radiographs and computed tomography. Most of them are benign, and only a few rare cases are associated with malignant transformation. However, there is little clinical data on successful rehabilitation with implants in patients with mineralized lesions. This narrative review aimed to study the efficiency and safety of dental implantation in the area of hyperdense lesions. Materials and Methods. A PubMed, Google Scholar, and Science Direct database search was carried out with keywords and manually. Results. The literature exploration identified 323 articles; only 19 of them matched the search criteria and reported cases about dental implantation in the lesion area. It has been shown that in 84.2% of described cases, dental implantation was successful: in the osteoid osteoma, odontoma, cementoblastoma, idiopathic osteosclerosis, and condensing osteitis areas dental implantation was performed without any complications. The possibility of lesion recurrence and implant failure limited the use of dental implants in the area of osteoblastoma and cemento-osseous dysplasia. Although most cases of dental implantation in hyperdense jaw lesions were successful and were not accompanied by complications, further research is needed.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Efficiency and Safety of Dental Implantation in the Area of Hyperdense Jaw Lesions: A Narrative Review

et al. 2022

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“…Larsson Wexell et al, 2019 [ 16 ] described a case of a woman with a GS diagnosis several years after osteoma radiographic findings, and papers by Alvarez Salgado et al, 2017 [ 17 ] and Seehra et al, 2016 [ 2 ] noted how the “[…] identification of the dental features of GS during routine orthodontic assessment resulted in the early diagnosis of this condition”.…”

Section: Discussionmentioning

confidence: 99%

Osteoma of the Jaw as First Clinical Sign of Gardner’s Syndrome: The Experience of Two Italian Centers and Review

D’Agostino

Dell’Olio

Tempesta

et al. 2023

JCM

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Gardner’s syndrome (GS) is a combination of polyposis, osteomas, fibromas, and sebaceous cysts. The aim of the study is to highlight whether maxillofacial osteoma could represent an early detection symptom of GS. Patients with suspected osteoma of the jaw underwent genetic and radiographical examinations. The database gathered 19 patients with oral osteoma that was histologically diagnosed; the whole sample was positive for APC gene mutation. Other cranial and peripheral locations were reported. Osteoma of the jaw is a crucial predictive factor of GS, and dentists and oral and maxillofacial surgeons must be aware of the importance of a timely diagnosis.

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“…E por meio das características clínicas e radiográficas presentes no paciente é que foi considerado o diagnóstico de SG. Desse modo, a presença de dentes supranumerários 3,31 , dentes impactados 2-4,29-31 , osteomas 7,17-21 e pólipos intestinais 4,8,29-31 é fortemente sugestiva para o diagnóstico da SG, e a malignização dos pólipos é observada em alguns pacientes 2 . Esse fato ocorre devido ao diagnóstico precoce e intervenção cirúrgica profilática, a colectomia, que extirpa o pólipo evitando sua evolução natural para CCR.…”

Section: Discussão|unclassified

Anomalias dentárias associadas ao desenvolvimento do câncer colorretal: revisão integrativa

Almeida

Batista²,

Nagibo³

et al. 2022

RBPS

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Introdução: Tanto a oligodontia/hipodontia, quanto a presença de hiperdontia na Síndrome de Gardner (SG) têm sido associadas ao desenvolvimento de Câncer Colorretal (CCR), com envolvimento dos genes AXIN2 e APC, respectivamente. Nessas condições, a evolução para CCR ocorre a partir de pólipos intestinais pré-existentes. Objetivos: Verificar a presença de evidência científica da associação de oligodontia/hipodontia e hiperdontia com o CCR, bem como a prevalência de evolução para CCR nesses quadros. Métodos: Revisão integrativa com levantamento de estudos nas bases de dados PubMed, SciELO, LILACS, Scopus e Embase sem restrição de idioma e ano de publicação. Resultados: Foram incluídos 16 artigos - 10 oligodontia/hipodontia e 6 de hiperdontia, todos com análise molecular para os genes. Dos 10 estudos com mutações no gene AXIN2, 3 (30%) evoluíram para CCR. Na SG em 1 estudo (16,6%) houve evolução para CCR. Com relação às anomalias, na SG a hiperdontia foi relatada em 4 estudos e dentes impactados em 6 estudos. Nos 10 estudos para o gene AXIN2 foram relatados oligodontia/hipodontia sendo os dentes mais ausentes o incisivo lateral superior, pré-molares e molares. Conclusão: A prevalência de CCR foi maior em pacientes com oligodontia/hipodontia. Embora ainda não se possa fazer a associação do CCR com a presença dessas anomalias dentárias têm-se na literatura fortes indicadores dessa correlação. Por isso, o papel do cirurgião-dentista é fundamental na identificação de pacientes com hiperdontia e oligodontia/hipodontia para o encaminhamento e realização do rastreamento e tratamento precoce de pólipos adenomatosos.

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A Case Report on Gardner Syndrome With Dental Implant Treatment and a Long-Term Follow-Up

Cited by 9 publications

References 18 publications

Efficiency and Safety of Dental Implantation in the Area of Hyperdense Jaw Lesions: A Narrative Review

Efficiency and Safety of Dental Implantation in the Area of Hyperdense Jaw Lesions: A Narrative Review

Osteoma of the Jaw as First Clinical Sign of Gardner’s Syndrome: The Experience of Two Italian Centers and Review

Anomalias dentárias associadas ao desenvolvimento do câncer colorretal: revisão integrativa

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