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      Multiple Calcifying Hyperplastic Dental Follicle (MCHDF): A Case Report

      case-report

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          Abstract

          Evaluation of enlarged follicles with unerupted teeth is always important because some changes may occur. One of the ex-tremely rare conditions seen in dental follicles is multiple calcifying hyperplastic dental follicle. We report a case of multi-ple calcifying hyperplastic dental follicle. Radiographs showed that mandibular third molars had a pericoronal radiolucent zone delineated by a well-defined and sclerotic border. Microscopic examination revealed a combination of fibrous connec-tive and small calcifications. Multiple calcifying hyperplastic dental follicle is a rare condition and its correct diagnosis is necessary to apply appropriate treatment.

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          Multiple calcifying hyperplastic dental follicles: comparison with hyperplastic dental follicles.

          Il Lee, HYE-SUN YOON, Si-Young Cho … (2011)
          Multiple calcifying hyperplastic dental follicles (MCHDF) is a rare disorder that is characterized by multiple impacted teeth and enlarged dental follicles that include calcifications. The current lack of information characterizing MCHDF impedes clinicians from making prompt differential diagnoses. We describe five cases of MCHDF and analyze their clinical and histopathological features in an effort to compare MCHDF with hyperplastic dental follicles (HDF) of singly impacted teeth. Our five cases of MCHDF were examined and clinically/histologically compared with data from 50 singly impacted teeth with HDFs. The five patients described in this study were all male. The pattern of impaction varied, but every second molar was impacted in all the patients. Alterations in the number of teeth, such as supernumerary or congenitally missing teeth were observed. Upon microscopic examination, most of the calcifications consisted of basophilic droplets that were fused to one another, and were surrounded by whirling spindle cells. Another type of calcification that was observed less frequently resembled woven bone. These features were consistent with three previously reported cases and observed in HDFs of 20 singly impacted teeth. While the average period of impaction and the time to reach some level of calcification in MCHDFs was shorter than in single calcifying HDFs, the calcification was more generalized in MCHDFs. This study indicates that MCHDF is a separate pathologic entity with exclusive male predilection and earlier calcifications, different to HDF. Further studies are needed to understand the etiology of MCHDFs to provide various options for treatment, and to clarify the mechanisms of eruption. © 2010 John Wiley & Sons A/S.
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            Multiple calcifying hyperplastic dental follicles.

            Robert Gardner, B Radden (1995)
            This article describes two additional examples of this unusual condition; two others were reported previously. The microscopic features are those of the hyperplastic dental follicles that occur in regional odontodysplasia. However, the teeth are not defective, as in regional odontodysplasia. This rare condition is sufficiently distinctive to be considered a pathologic entity.
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              Regional odontodysplasia.

              Robert Gardner, J H Sapp (1973)
              Article 0 comments Cited 8 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): J Dent Res Dent Clin Dent Prospects
                Journal ID (iso-abbrev): J Dent Res Dent Clin Dent Prospects
                Journal ID (publisher-id): Journal of Dental Research, Dental Clinics, Dental Prospects
                Title: Journal of Dental Research, Dental Clinics, Dental Prospects
                Publisher: Tabriz University of Medical Sciences
                ISSN (Print): 2008-210X
                ISSN (Electronic): 2008-2118
                Publication date (Print): 2013
                Publication date (Electronic): 30 August 2013
                Volume: 7
                Issue: 3
                Pages: 174-176
                Affiliations
                1Department of Oral and Maxillofacial Pathology, Faculty of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran
                2Dental Research Center ,Department of Oral and Maxillofacial Pathology, Faculty of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran
                3Department of Oral and Maxillofacial Pathology, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran
                Author notes
                [* ]Corresponding Author; massoumehzargaran@ 123456gmail.com
                Article
                DOI: 10.5681/joddd.2013.028
                PMC ID: 3779378
                PubMed ID: 24082990
                SO-VID: 4173a6b0-f117-4b7c-9ea5-438f5ebdfbda
                Copyright © © 2013 The Authors; Tabriz University of Medical Sciences
                License:

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 27 November 2011
                Date accepted : 1 December 2012
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Dentistry
                Keywords: dental follicle,hyperplastic,teeth
                Data availability:
                ScienceOpen disciplines: Dentistry
                Keywords: dental follicle, hyperplastic, teeth

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