case_images: PMC11340844_01
case_images: (a) Swelling over the upper lip and cheek (b) Upper lip and left lateral cheek had an avascular necrosis by 2 months
case_images: AMS-14-96-g001.jpg
case_images: PMC11340844_01_AMS-14-96-g001.jpg
case_images: ams.ams_204_23-f001
case_images: Initially, the patient had redness and a painful swelling with a foul smell [Figure 1a], which gradually increased in size and led to ulcerative necrosis of the pre-maxilla and right cheek region in 2 months [Figure 1b] from the first symptom.
case_images: Histopathology picture - mucormycosis (H&E Staining with 10 x magnification)
case_images: AMS-14-96-g002.jpg
case_images: PMC11340844_01_AMS-14-96-g002.jpg
case_images: ams.ams_204_23-f002
case_images: Various laboratory tests were performed, including blood cultures, histopathology reports [Figure 2], and imaging scans.
case_images: (a) Excision and decortication done both intraoral and extraoral, along with removal of two primary incisors (b) Dermal regeneration templates were placed. (c) Protocol of low level laser therapy followed 0.5 mV/200 ms for 21 days
case_images: AMS-14-96-g003.jpg
case_images: PMC11340844_01_AMS-14-96-g003.jpg
case_images: ams.ams_204_23-f003
case_images: Decortication of the labial cortex was performed to accelerate bone regeneration and prepare the area for further procedures [Figure 3a]. An Integra Dermal Template was placed over the upper lip and cheek region [Figure 3b]. Low-level laser therapy was used for biostimulation [Figure 3c], which helped in reducing pain and inflammation, improving tissue repair and increasing circulation.
case_images: (a) Silicone splint fabrication; (b) Follow-up within 3 years (note: presence of permanent incisors, which may be due to removal of the buccal cortical bone during surgical debridement and retention of palatal shelf, triggering the early eruption)
case_images: AMS-14-96-g004.jpg
case_images: PMC11340844_01_AMS-14-96-g004.jpg
case_images: ams.ams_204_23-f004