1/32. Intraoral botryomycosis masquerading as a pyogenic granuloma.Bacterial pseudomycosis also known as Botryomycosis is a rare, indolent infection that has been described in patients with immunodeficiency and tissue with decreased healing ability. It affects the visceral organs and infection in the head and neck has been described as affecting the tongue and jaw bones. Histologically, the disease is characterized by the presence of 'Bollinger granules', surrounded by neutrophils in a fibrocellular stroma. A case of gingival Botryomycosis is presented which was diagnosed as a routine pyogenic granuloma in a healthy male.- - - - - - - - - - ranking = 1keywords = jaw (Clic here for more details about this article) |
2/32. Juxtacortical osteogenic sarcoma of mandible. A case report.Juxtacortical osteogenic sarcoma of bone is a relatively uncommon form of osteogenic sarcoma. In the jaw bones, it is extremely rare. Here, we present a case of Juxtacortical Osteogenic sarcoma of mandible in a 45 year old man which presented as an epulis in the mandibular incisor region.- - - - - - - - - - ranking = 43.05966429348keywords = mandible, jaw (Clic here for more details about this article) |
3/32. Large cell carcinoma of the lung metastatic to the mandibular gingiva.BACKGROUND: Although metastases of malignant tumors to the jaws are not unusual, metastases to the gingival soft tissues are relatively rare. methods: The clinicopathologic features of a metastatic tumor in the mandibular gingiva originating from lung cancer are described. The patient, a 61-year-old man, was admitted to the hospital with complaints of bloody sputum and chest pain while coughing. The patient's chest radiograph showed an abnormal mass in the left upper lobe. After admission, the patient noticed a swelling of the right mandibular gingiva. Histological and immunohistochemical analysis for tumors of the gingiva and the lung were performed. RESULTS: Radiographic examination did not indicate involvement of the underlying bone. The histopathological findings showed that the gingival tumor consisted of a large cell carcinoma, and the mass of the upper lobe displayed the same histology as that found in the gingiva. Immunohistochemical investigation of the gingival tumor revealed similar results to those found in the mass of the lung. Based on the clinicopathologic findings, this case was diagnosed as primary lung cancer with the gingival tumor deemed metastatic. Multiple metastases were found in areas other than the oral cavity; radiation and chemotherapy for the gingival tumor were performed due to persistent bleeding and pain. CONCLUSIONS: The resemblance of this gingival mass to an inflammatory lesion demonstrates the need for a detailed examination. This case also emphasizes the need to evaluate positive treatment needed to relieve complications in the mouth, even if the prognosis of the primary tumors remains unfavorable.- - - - - - - - - - ranking = 1keywords = jaw (Clic here for more details about this article) |
4/32. Gingival cysts in the adult.BACKGROUND: Gingival cysts in the adult are unusual cysts of odontogenic origin with less than 100 reported, including this series. Even rarer are cases of multiple gingival cysts. This paper reports the second largest retrospective study of biopsy cases of adult gingival cysts with a spectrum of their features and another case of multiple gingival cysts. methods: The files of a biopsy service were reviewed for the most recent 10-year period. Data collected included location, age, gender, clinical features, clinical diagnosis, and histologic features. These were compared to previous reports. There was also a case report of multiple cysts. RESULTS: Twenty-two adult gingival cysts were retrieved, 2 of which were multiple. They are uncommon cysts of odontogenic origin, noted primarily in the fifth and sixth decades with only a slight predilection for females. They occur more in the mandible on the labial attached gingiva of the anterior teeth. histology shows a very thin, uninflamed wall lined by a very thin squamoid or cuboidal epithelium. Multiple cysts are very rare. CONCLUSIONS: Gingival cysts in the adult are uncommon cysts that are diagnosed at the clinical level about 50% of the time, with others being confused with a mucocele. They may be bluish due to the fluid and may cause pressure resorption of the labial bone, yielding a radiolucency sometimes confused with a lateral periodontal cyst. Treatment consists of an excisional biopsy.- - - - - - - - - - ranking = 8.411932858696keywords = mandible (Clic here for more details about this article) |
5/32. Generalized gingival hyperplasia occurring during pregnancy.In this report, we present a case of generalized gingival hyperplasia related to pregnancy causing chewing, speaking, breathing and cosmetic problems. The patient was a 26-year-old woman in the fourth month of her second pregnancy, with generalized gingival hyperplasia affecting both buccal and lingual aspects of the maxilla and mandible. The hyperplastic tissues, together with mobile teeth, were excised completely; no recurrence was observed for the remainder of the pregnancy. Hormonal changes occurring during pregnancy have long been known to be associated with generalized gingival hyperplasia. pregnancy does not cause the condition, but altered tissue metabolism in pregnancy accentuates the response to local irritants. This case was of clinical interest because of the extent of tissue proliferation, with the teeth in both the upper and lower jaw completely submerged.- - - - - - - - - - ranking = 9.411932858696keywords = mandible, jaw (Clic here for more details about this article) |
6/32. Comprehensive treatment concept in a young adult patient with severe periodontal disease: a case report.This case report describes the comprehensive treatment of generalized, advanced periodontal disease in a young patient. In view of the necessary reconstruction, the extensive destruction of the periodontal tissues required a systematic approach to determine the possibilities and the expectations of the patient. The subsequent oral rehabilitation was accomplished with fixed prosthodontics. In the mandible, strategically important anchor teeth were replaced with implants, allowing smaller units to be inserted. The long-term treatment result, however, can only be ensured with the full cooperation of the patient and consistent periodontal maintenance care.- - - - - - - - - - ranking = 8.411932858696keywords = mandible (Clic here for more details about this article) |
7/32. Peripheral odontogenic keratocyst: a report of 2 cases.BACKGROUND: Occurrence of a gingival cyst in adults that exhibits the histopathologic hallmarks of an odontogenic keratocyst (OKC) is rare. methods: Two cases of primary soft tissue OKC in an adult female are described. Both presented as an asymptomatic small nodule on the buccal gingiva of the anterior mandible. RESULTS: After simple excision, no recurrence was observed. CONCLUSIONS: All available data indicate that, irrespective of the nomenclature, peripheral OKC should be included under the histopathological spectrum of gingival cysts in the adult.- - - - - - - - - - ranking = 8.411932858696keywords = mandible (Clic here for more details about this article) |
8/32. Laser irradiation inhibition of open gingival embrasure space after orthodontic treatment.The purpose of this study was to investigate the inhibitory effect of low-energy laser irradiation on an incidence of open gingival embrasure space after orthodontic treatment. The patient was a 20-year, 7-month-old Japanese female with an Angle Class I malocclusion and crowding in the mandible. Treatment consisted of extraction of maxillary and mandibular first premolars and use of the Edgewise technique. A Ga-Al-As diode laser was used to irradiate an area of 0.5 cm2 at the labial and lingual gingival papilla between the canines. The time of exposure was 6 minutes for 3 days, carried out between the relevelling and en masse stages of movement. The total energy corresponding to 6 minutes of exposure varied from 1.90 J/cm2. There was no further evidence of open gingival embrasure space, except at the mandibular central incisor. Further: an improvement in the gingival inflammation caused by a periodontal disease was observed, and periodontal pocket depth was maintained. These results suggest that low-energy laser irradiation may inhibit the incidence of open gingival embrasure space after orthodontic treatment.- - - - - - - - - - ranking = 8.411932858696keywords = mandible (Clic here for more details about this article) |
9/32. Congenital gum synechiae as an isolated anomaly: a case report.Congenital adhesions between different parts of the oral cavity rarely occur. These adhesions usually present difficulty in feeding and even respiration soon after birth. In the case presented here the mild form of gum synechia without associated congenital anomaly was treated by excision of the anterior and posterior alveolar bands. Potential jaw and temporomandibular joint development was not compromised and functional problems were eliminated with such a noninvasive procedure.- - - - - - - - - - ranking = 1keywords = jaw (Clic here for more details about this article) |
10/32. Esthetic management of peripheral giant cell granuloma.BACKGROUND: Peripheral giant cell granuloma (PGCG) is a relatively rare hyperplastic lesion of the oral cavity. The lesion occurs in females more frequently than males and more often in the mandible than the maxilla. Although the precise etiology of PGCG is unknown, it might represent a local reaction to trauma or irritation. methods: In general, treatment requires a wide excision of the lesion due to its possible recurrence. RESULTS: This report describes the clinical and histopathological findings of PGCG diagnosed in the maxilla of a young male, as well as the successful treatment of a gingival defect that occurred following excision of the lesion, by placement of a subepithelial connective tissue graft concurrently with the biopsy procedure. CONCLUSIONS: This report emphasizes the importance of having histopathological data to confirm the clinical diagnosis, and the importance of an adequate excision to prevent recurrence even in less extensive cases.- - - - - - - - - - ranking = 8.411932858696keywords = mandible (Clic here for more details about this article) |
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