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Language Journal of Clinical and Experimental Dentistry. 2010. Vol. 2, no. 3
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- Gigantic peripheral osteoma of the mandible: a case report(2010) Kaya, Göksel Şimşek; Omezli, M. Melih; Sipal, Sare; Ertas, ÜmitOsteomas are osteogenic lesions that have a limited growth potential. They are comprised of histologically and radiographically normal bone. Osteomas are categorized as central, peripheral or extraskeletal according to location. Clinically, peripheral osteomas (PO) are unilateral, sessile or pedunculated and have mushroom-like lesions ranging from 10 to 40 mm in diameter. Osteomas affecting the mandible are rare. In this report, we presented a gigantic peripheral mass on the left mandible in a 55-year old patient exhibiting clinical signs related to neoplasia.
- A case report of desmoplastic ameloblastoma(2010) Amaral, Márcio Bruno Figueiredo; Freire-Maia, Belini; Rezende Serpa, Marcella; Mesquita, Ricardo AlvesAmeloblastomas are the most common benign neoplasm of odontogenic nature. Desmoplastic ameloblastoma (DA) was included in the World Health Organization Classification of Head and Neck Tumors (WHO-2005) as a variant of ameloblastoma with specific clinical, image, and histological features. This case report focuses on a DA which occurred in the mandible of a 25 year-old man. The main signals and symptoms included painless swelling with buccal expansion and tooth displacement. Panoramic and periapical radiographs and cone-bean computed to- mography demonstrated an image mimicking a benign fibro-osseous lesion. The lower border of the mandible was not involved, but tooth displacement could be observed. An incisional biopsy was performed, and the DA was diag- nosed. A marginal resection, maintaining the lower border of the mandible, was performed on teeth 46 to 31. The post-operative period was uneventful. The patient is undergoing routine follow-up and is currently free of disease.
- Plexiform ameloblastoma of mandible: case report(2010) Varkhede, Ajinkya; Tupkari, J. V.; Mandale, M. S.; Sardar, ManishaAmeloblastoma, a benign epithelial odontogenic tumor, is locally aggressive. This tumor comprises about 1% of tumors and cysts arising in the jaws. It appears most commonly in the third to fifth decades and with equal frequency between sexes. Ameloblastoma prevalently occurs in the mandibular molar and the ramus areas. Recurrence frequently appears after inadequate treatment. They are usually benign in growth pattern but frequently invade locally and occasionally metastasize. In the present study, a case of unusually large plexiform ameloblastoma was presented with its clinical, radiological, histological features and treatment modalities, and this is the addition of one more case in the literature.
- Management of a permanent maxillary first molar with two disto buccal canals with the aid of spiral computed tomography: a case report(2010) Patil, Anand C.; Ramesh, H.G.; Yelamali, SandhyaHuman molars show considerable anatomic variations with respect to number of roots and root canals. The most common form of the permanent maxillary first molar has three roots and four canals, two mesiobuccal canals and one distobuccal and palatal canal each. 98.3% of maxillary first molar have been reported to have a single distobuccal canal. Two canals were found only 1.7% of the time, hence showing the second disto buccal canal to being a rare occurrence. Conventionally radiographs are used to determine root canal anatomy, which is a 2- dimensional representation of a 3-dimensional object. Diagnostic methods like spiral computerized tomography where a 3 dimensional data is acquired are useful to determine complex morphology. This case report presents the management of a maxillary first molar with two disto buccal root canals confirmed with the aid of computed tomography along with the conventional radiographic method. Computed Tomography scan slices revealed two separate distobuccal canals at the coronal 3rd of the root. The second distobuccal canal was missing in the middle and apical 3rd indicating; it might have joined the distobuccal canal at the middle 3rd area.
- Oral myiasis: a case report in a child with cerebral palsy(2010) Melo Nunes, Ana Margarida; Alves Nunes, Wellington José; Costa Ribeiro, Cecilia Claudia; Ferreira Lopes, Fernanda; Coelho Alvesa, Claudia MariaThis case report added Myiasis is a parasitic disease that affects humans and other vertebrates. A rare condition in humans, myiasis is a worldwide phenomenon, with a higher incidence being observed in tropical and subtropical regions. Oral myiasis is rarely observed in children, is uncommon in the oral cavity, more specifically periodontal tissue. This uncommon condition is more prevalent in tropical and subtropical American and others country where low socioeconomic conditions, residence in rural areas, mental deficiency and precarious hygiene conditions. This case reports a reality of a child with cerebral palsy in a Public Hospital in São Luis, Ma, Brasil.
- Neuropathic pain associated with mucocele in the maxillary sinus(2010) López-Valverde Centeno, Antonio; Gómez de Diego, Rafael; Montero Martín, Javier; Albaladejo Meroño, A.Mucocele in the paranasal sinuses consists of a clinically unpainful, pseudocystic lesion that may be confused with cysts with mucosal accumulation due to an obstruction of a seromucinous gland or with other lesions displaying expansive masses in the maxillary sinuses. Histologically, mucocele consists of an accumulation of seromucosal secretion lined by epithelium. It is an infrequent pathology, whose treatment has evolved favourably to a considerable extent over the past decades. Here we report a case of mucocele located in a paranasal sinus associated with a syndrome of odontalgic neuritic pain. After the collection of complementary radiological evidence, antrostomic surgical treatment was implemented on the lateral-external wall of the maxillary sinus with a view to fully removing the cystic capsule, after which a histopathological study of the sample was performed. The lesion and the neuropathic pain disappeared following removal of the cystic mass, and after 21 months of follow-up the patient has remained free of relapse. Conclusions: lateral antrostomy for the removal of mucocele in the maxillary sinus can alleviate the neuropathic pain possibly associated with the pathology.
- Use of bone plates and screws to manage chronic mandibular dislocation(2010) Rodrigues Azenha, MarceloDifferent treatment modalities are described in literature to treat mandibular recurrent dislocation, including intra- capsular esclerosant injections, articular eminence reduction, soft tissues suture to limit condilar movement, and grafts or implants to create mechanical interference, like zygomatic arch down fracture or articular eminence in- crease by bone plates. In this paper, a patient with mandibular recurrent dislocation episodes were eliminated after bilateral fixation of bone plates to the lateral sur-face of the zygomatic arch to restrict mandibular movements. One arm of the plate was extended me-dially just below the articular eminence and fixed at lateral zygomatic arch portion by two screws. The surgical technique is described and 24 months follow-up period is demonstrate with excellent recovery and functional activities. The temporomandibular joint (TMJ) function was unimpeded and no recu-rrence of condilar dislocation was observed. We concluded that this technique is safe and efficient to hinder dislocations of mandible, preserve the TMJ initial characteristics, and prevent abnormal condi-lar movements over the eminence
- Orofacial granulomatosis: a rare case report with review of literature(2010) Reddy, Sujatha S.; Rakesh, Nagaraju; Ramadoss, Thanuja; Jatti, DeepaThe term orofacial granulomatosis (OFG) is a descriptive term used for granulomatous disorders affecting the face and oral cavity, which can occur for a variety of reasons resulting in significant morbidity. It is characterised by persistent swelling that may involve one or both the lips and /or recurrent ulcers and a variety of other orofacial features. Medical history is very important in the diagnosis of OFG as medical condition like Crohn’s disease can also present an extra intestinal manifestation of OFG. Exclusion of other entities like sarcoidosis, mycobacterial infections, foreign body reactions and biopsy helps to establish a correct diagnosis. Herein we report a case of OFG in a 55 year old female patient with review of literature.
- Osteosarcoma of maxilla: a case report(2010) Sheikh, Soheyl; Pallagatti, Shambulingappa; Aggarwal, Amit; Gupta, Deepak; Puri, Nidhi; Mittal, AmitOsteosarcoma is a common primary malignant bone tumor producing osteoid or bone. It occurs very infrequently in the jaws and comprises of 4% of the tumour number as compared to the osteosarcoma of the long bones. Os- teosarcoma of the maxilla is even rarer presenting with common clinical features of pain and swelling. This pre- sented case is a rare case of osteosarcoma of maxilla in a 21-year-old female patient. Diagnosis and pre-operative assessment was performed using a combination of intraoral periapical radiograph, occlusal radiograph, paranasal view and computed tomography (CT). CT revealed destruction of the walls of maxillary sinus and sunray type of ossification in the soft tissues. Conformation was done with histology report followed by surgical removal of the tumor with safety margins. Dental professionals may be the first to detect jaw osteosarcomas in their initial stages. Regardless of the favourable biological behaviour, the patients of jaw osteosarcoma usually exhibit advanced tumor as it often goes unnoticed by the dental professional thus stressing on the need for early diagnosis of the lesion. The aim of this case report is to draw attention to the possibility of diagnosing this tumor based on clinical and radio- graphical characteristics before confirmation by histology.
- The use of hyperbaric oxygen therapy in actinomycotic osteomyelitis associated florid cemento osseous dysplasia: report of a familial case.(2010) Mehkri, Sushma; Nagesh, K. S.; Iyengar, Asha R.; Rao, S. GirishFlorid Cemento-Osseous Dysplasia (FCOD) is a well recognized fibro-osseous disease of the jaws commonly seen in the middle aged African women, although it may occur in the Caucasians and Asians. There is a reported incidence of less than 2% in the Indian population. The clinical and the radiographic features of FCOD may overlap with features of chronic diffuse scle-rosing osteomyelitis, which makes diagnosis of the disease difficult in symptomatic cases. Moreover the jaws may be susceptible to osteomyelitis, which may mask the underlying FCOD in some cases. The case reported here is that of a 56 year old Indian female patient with long standing FCOD invol-ving the maxilla and the mandible, who was asymptomatic till all her teeth were extracted for fabrica-tion of complete dentures. The patient experienced symptoms of pain, swelling and purulent discharge soon after the use of dentures and was treated by surgical removal of the affected bone. The same symptoms recurred in other areas of the jaw over a period of time and these areas were treated surgica-lly. The patient subsequently presented with pain in the mandibular left posterior region of ten days duration, and was diagnosed as FCOD with superimposed Actinomycotic Osteomyelitis based on his-topathology and Gram’s stain, and was treated by surgical removal of the affected bone followed by hyperbaric oxygen therapy (HBO). The radiograph of the surgical site showed good amount of bone regeneration within six months of HBO therapy without recurrence of the FCOD in the same area till date.
- Modified ridge splitting technique using conical space maintainers for delayed implant placement in highly atrophic maxillae.(2010) Cabanes Gumbau, Guillermo; Silvestre Donat, Francisco JavierBackground: A low-morbidity surgical technique is described for the horizontal augmentation of highly atrophic alveolar ridges in which first surgical step implant placement is contraindicated. The aim of this case report was to present an alternative treatment for the rehabilitation of the atrophic maxilla. Methods: The technique involves a crestal corticotomy with transverse expansion of the vestibular and lingual cortical layers, followed by the placement of threaded titanium space maintainers between the expanded bone tables. Results: The resulting surgically created biological space within the residual socket is completely filled with blood of marrow origin and great osteogenic potential. Due to the preserving effect of the titanium maintainers, we avoid partial collapse of the ridge widening initially obtained, which tends to occur to one degree or other as a consequen- ce of reabsorption during the physiological tissue repair process. Conclusions: This type of bone regeneration requires no autologous bone harvesting from other intra- or extraoral donor zones, thereby avoiding the increased morbidity associated with such procedures. It appears that alveolar ridge augmentation through corticotomy and threaded space maintainers may be a viable treatment approach for the implants placement in the severely atrophied maxilla.
- Longitudinal study of age and order of eruption of primary teeth in Indian children(2010) GunaShekhar, M.; Tenny, JohnObjective: To determine the chronological eruption parameters of primary teeth in Indian children. Study Design: A longitudinal study consisting of 135 healthy children (74 boys and 61 girls) attending three child health centres in the city of Hyderabad, India were randomly selected and followed from the emergence of the first to the last tooth. Ages and order of tooth eruption were studied for both genders. Results: Boys showed tendency towards earlier eruption for all teeth except maxillary second molar and maxillary/mandibular first molars which erupted earlier in girls. Comparison between maxillary and mandibular showed a tendency to earlier mandibular eruption of central incisors, lateral incisors and second molars in both genders. Conclusions: Within the limitations of this study, a ba- seline data and chronological table for eruption of primary teeth among Indian children has been established. Indian children experienced delayed eruption of primary teeth when compared to their counterparts in other populations.
