Cases reported "Hyperostosis"

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1/10. An unusual cause of trismus.

    This paper reports a case of limited mandibular movement caused by the rare condition of bilateral coronoid hyperplasia. Dental surgeons should be aware of the possibility of this condition when encountering patients with movement problems in the mandible.
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keywords = mandible
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2/10. Craniometaphyseal dysplasia associated with obstructive sleep apnoea syndrome.

    Craniometaphyseal dysplasia (CMD) is a genetic craniotubular bone disorder characterized by early progressive hyperostosis and sclerosis of the craniofacial bones, and abnormal modelling of the metaphyses of the tubular bones. We present the case of a patient with a confirmed history of the autosomal dominant form of CMD, associated with symptoms of obstructive sleep apnoea syndrome. Examination and imaging studies revealed several unusual features in addition to the common findings of CMD such as: bimaxillary retrusion with hyperostosis of the mental area, severe notching of the external occipital protuberance, huge occipital horn, decreased angle of the mandible with notching of the body and thickening of the areas of muscle attachment, and macrodontia. The literature and differential diagnoses are reviewed.
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keywords = mandible
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3/10. hyperostosis as a late sequel of parasymphyseal mandibular fractures in 2 children.

    BACKGROUND: The potential problem of growth anomalies affecting a mandible following a fracture of a mandibular condyle in childhood is well established. However, there have been no previous reports of this phenomenon affecting other fracture sites in the mandible. patients: Two patients who had parasymphyseal fractures treated in childhood presented at skeletal maturity with hyperostosis at the fracture site, producing chin asymmetry in their teens. RESULTS: In both cases the hyperostosis produced significant chin asymmetry without disturbance of the occlusion. Both patients were managed with corrective genioplasty. CONCLUSION: These cases reinforce the previous recommendations regarding the need for long-term follow-up of children who sustain facial fractures of the mandible, and that the protocol should be expanded to include parasymphyseal fractures as well as fractures of the condyle.
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ranking = 3
keywords = mandible
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4/10. Spontaneous fracture of genial tubercles: case report.

    A case is presented of fractured genial tubercles, revealed by occlusal radiography, in a 63-year-old edentulous woman. Isolated fractures are a rare event that may present with pain and edema in the floor of the mouth. It occurs mainly in patients wearing a complete denture when the mandible is atrophied and the genial tubercles are hypertrophied. Only 11 case reports have been found in the English literature.
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ranking = 1
keywords = mandible
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5/10. osteogenesis of the mandible associated with implant reconstruction: a patient report.

    A patient report is presented illustrating bone growth of the posterior mandible associated with a fixed implant reconstruction of the Branemark type. In this instance, the mandible had grown vertically approximately 3 mm and was causing discomfort beneath the cantilever sections of the prosthesis because of gingival impingement between the restoration and the bony mandible. The literature relative to osteogenesis associated with osseointegrated implants is reviewed.
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ranking = 7
keywords = mandible
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6/10. Is diffuse sclerosing osteomyelitis of the mandible part of the synovitis, acne, pustulosis, hyperostosis, osteitis (SAPHO) syndrome? Analysis of seven cases.

    Diffuse sclerosing osteomyelitis of the mandible has been described as a localized disease of unknown origin. We offer evidence that mandibular involvement in the recently described synovitis acne pustulosis hyperostosis osteitis syndrome exactly fits the accepted description for diffuse sclerosing osteomyelitis of the mandible. The clinical, radiologic, and pathologic findings in seven such cases are presented and discussed.
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ranking = 6
keywords = mandible
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7/10. diagnosis and treatment of subpontic osseous hyperplasia. Report of a case.

    This report describes a case of subpontic osseous hyperplasia that occurred in the posterior mandible of a healthy 67-year-old woman. The two hard masses, which were removed from beneath a fixed partial denture that was placed 35 years ago and spanned the lower left first premolar and the first and second molars, consisted of normal viable dense cortical bone. Only 30 cases of this phenomenon defined as a slow-growing, benign osseous proliferation occurring on the crest of the alveolar ridge beneath the pontic of a fixed partial denture have been described in the literature. Possible causes, including genetic programming, functional stimulus, and mild chronic irritation are discussed, as well as rationale for treatment of this anomaly.
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ranking = 1
keywords = mandible
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8/10. Subpontic hyperostosis.

    Two cases of subpontic hyperostosis are presented. This condition is an intraoral bony exostosis that has been observed beneath a fixed partial denture. Subpontic hyperostosis seems to be associated exclusively with the posterior mandible, usually the first molar position. The first case occurred in a 64-yr-old Asian male and the second appeared bilaterally in a 79-yr-old female. It has not been described extensively in the literature, with only 33 cases having been reported previously. The etiology of this condition is unknown, with factors such as genetic predisposition, mechanical stress, and inflammation suggested as possible causes. Treatment of this hyperostosis is be surgical excision, and if necessary is usually due to the impingement of the growth on the pontic and the inability of the patient to maintain adequate oral hygiene in the area.
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ranking = 1
keywords = mandible
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9/10. Chronic diffuse sclerosing osteomyelitis of the mandible or mandibular location of S.A.P.H.O. syndrome.

    The chronic diffuse sclerosing osteomyelitis (CDSO) of the mandible has been described as an inflammatory disease characterized by recurrent episodes of intense pain in the mandible, often accompanied by trismus, paresthesia and progressive mandibular deformity. The etiopathogeny of this entity is not fully known. The differential diagnosis must be carried out very carefully, and the treatment results are very disappointing. Recently, evidence that suggests that CDSO may be the mandibular location of a more diffuse condition, the synovitis, acne, pustulosis, hyperostosis, osteitis (SAPHO) syndrome, has been offered. We describe two clinical cases of CDSO of typical evolution which fulfill the criteria for SAPHO syndrome, offering us an occasion for a review of the current literature.
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ranking = 6
keywords = mandible
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10/10. The importance of the maxillary sinuses in facial development: a case report.

    A case of mandibular asymmetry is presented. It appears that in this patient the mandible was adapted to changes in the maxillary sinus area. Abnormal bone growth of unknown aetiology inside the sinus most likely caused complete remodelling in the maxillary sinuses and asymmetry of the mandible. Special tests used for detailed assessment of the patient supported the definitive diagnosis.
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ranking = 2
keywords = mandible
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