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Background: Paralysis of the facial muscles produces functional and aesthetic disturbance that has a negative impact for the patient's quality of life. Objective: To evaluate the effects of a photo...

Cystinosis is a rare autosomal recessive lysosomal storage disorder, which leads to abnormal accumulation of cysteine in various organs, including progressive dysfunction of kidneys. The most severe and frequent form, affecting ∼95% of patients, is termed infantile nephropathic cystinosis (NC) (OMIM 219800). We have reported oral findings in two patients with NC and described esthetic and functional rehabilitation in one of them. The first case describes a 16-year-old male patient, who was diagnosed with NC when he was 1-year-old. The patient exhibited generalized enamel hypoplasia, grade 1 drug-induced gingival overgrowth, caries lesion in molar tooth and supernumerary tooth (ie, distomolar). The second case describes a 14-year-old male patient diagnosed with NC at 3 years old. Clinical examination revealed generalized enamel hypoplasia and grade 1 drug-induced gingival overgrowth. Radiographic examination showed supernumerary tooth (mesiodens). The treatment included gingivoplasty and restoration with direct composite resin. The severity of hypoplasia highlights the importance of a dental rehabilitation treatment, as proposed here. Direct restoration with composite resin allowed harmony, function, and esthetics to be restored, in addition to being a rapid and low-cost technique.

OBJECTIVE: Supernumerary teeth (ST) are associated with many complications that include tooth impaction, ectopic eruption, and abnormal development of root. The usual treatment is the extraction, although repositioning in the dental arch may sometimes be an alternative. The present study reports the treatment of a case of multiple supernumerary teeth in a non-syndromic patient.CASE DESCRIPTION: A 16-year-old male patient presented two ST in each side of the jaw, detected by panoramic radiography. Syndromes or systemic diseases were not revealed by the anamnesis/ general health history. Cone Beam Computed Tomography (CBCT) showed that the teeth were positioned in the lingual region between the inferior premolars at both right and left sides. Surgical therapy was the treatment of choice, in order to avoid possible eruption.CONCLUSION: An early and accurate diagnosis is extremely important for treatment decision and success, thus avoiding future complications often related to ST. OBJECTIVE: Supernumerary teeth (ST) are associated with many complications that include tooth impaction, ectopic eruption, and abnormal development of root. The usual treatment is the extraction, although repositioning in the dental arch may sometimes be an alternative. The present study reports the treatment of a case of multiple supernumerary teeth in a non-syndromic patient.CASE DESCRIPTION: A 16-year-old male patient presented two ST in each side of the jaw, detected by panoramic radiography. Syndromes or systemic diseases were not revealed by the anamnesis/ general health history. Cone Beam Computed Tomography (CBCT) showed that the teeth were positioned in the lingual region between the inferior premolars at both right and left sides. Surgical therapy was the treatment of choice, in order to avoid possible eruption.CONCLUSION: An early and accurate diagnosis is extremely important for treatment decision and success, thus avoiding future complications often related to ST. *** Dentes supranumerários múltiplos em paciente não sindrômico: caso clínico e revisão de literatura ***OBJETIVO: Os dentes supranumerários estão associados com muitas complicações que inclui a impactação de dentes, erupção ectópica, e desenvolvimento anormal da raiz. Normalmente, o tratamento escolhido é a extração dental, embora o reposicionamento na arcada dentária pode ser uma alternativa. O presente estudo reporta o tratamento de um caso de dentes supranumerários múltiplos em um paciente não sindrômico. RELATO DO CASO: Paciente do sexo masculino de 16 anos de idade apresentou 2 dentes extranumerários em cada lado da mandibular, detectado pela radiografia panorâmica. Doenças sistêmicas e síndromes não foram reveladas durante a anamnese do paciente. A tomografia computadorizada Cone Beam mostrou que os dentes estavam posicionados na região lingual entre os pré-molares de ambos os lados direto e esquerdo. A terapia cirúrgica foi o tratamento de escolha, a fim de evitar possível erupção.CONCLUSÃO: Um diagnóstico precoce e preciso é extremamente importante para a decisão e o sucesso do tratamento, evitando assim futuras complicações frequentemente relacionadas ao supranumerário.Palavras-chave: Dentes supranumerários, Anomalia dental, Mal oclusão, Hyperdontia.

Several photobiomodulation (PBM) protocols with low-power lasers have been reported for pain control and tissue repair in the postoperative period of oral surgeries. However, there are still no reports of a protocol for bichectomy surgeries' postoperative period.This article presents six reports of clinical cases in which bichectomy surgery was performed.In the postoperative period, three patients were submitted to PBM with low-power lasers, while three patients did not receive it. Facial edema was evaluated using a millimeter tape. Pain was determined using the visual analog scale.Data of each clinical case were evaluated in a descriptive way and compared.The efficacy of the PBM protocol on the postoperative period of bichectomy surgeries was evidenced by the decrease of edema and pain.