1/88. Maxillofacial osteonecrosis in a patient with multiple "idiopathic" facial pains.Previous investigations have identified focal areas of alveolar bone tenderness, increased mucosal temperature, abnormal anesthetic response, radiographic abnormality, increased radioisotope uptake on bone scans, and abnormal marrow within the quadrant of pain in patients with chronic, idiopathic facial pain. The present case reports a 53-year-old man with multiple debilitating, "idiopathic" chronic facial pains, including trigeminal neuralgia and atypical facial neuralgia. At necropsy he was found to have numerous separate and distinct areas of ischemic osteonecrosis on the side affected by the pains, one immediately beneath the major trigger point for the lancinating pain of the trigeminal neuralgia. This disease, called NICO (neuralgia-inducing cavitational osteonecrosis) when the jaws are involved, is a variation of the osteonecrosis that occurs in other bones, especially the femur. The underlying problem is vascular insufficiency, with intramedullary hypertension and multiple intraosseous infarctions occurring over time. The present case report illustrates the extreme difficulties involved in the diagnosis and treatment of this disease.- - - - - - - - - - ranking = 1keywords = jaw (Clic here for more details about this article) |
2/88. Computerized tomography in the management and follow-up of extensive periapical lesion.Radiographs are good diagnostic aids in endodontics, although they have limitations. The purpose of this article is to discuss the use of computerized tomography in differential diagnosis, treatment planning, follow-up and overall clinical management of complex periapical lesions. A clinical case of an extensive symptomatic periapical lesion of the upper jaw is presented, in which the use of computerized tomography allowed evaluation of the true extent of the lesion and its spatial relationship to important anatomical landmarks. Computerized tomography also provided specific information about the type of lesion and the degree of bone repair which had taken place 18 months after non-surgical treatment had been completed.- - - - - - - - - - ranking = 1.0018066436441keywords = jaw, relation (Clic here for more details about this article) |
3/88. Glandular odontogenic cyst. A rare entity with aggressive biological behaviour. A case report.Glandular Odontogenic cyst is an apparently rare jaw cyst characterised by typical histopathological features, propensity to reach large size and high rate of local recurrence, if not adequately treated. Identification of this cyst as a separate entity is important because of the difference in biological behaviour. We report a case of Glandular Odontogenic cyst occurring in maxilla.- - - - - - - - - - ranking = 1keywords = jaw (Clic here for more details about this article) |
4/88. eosinophilic granuloma as a form of inflammatory reaction. A case report.eosinophilic granuloma consists of the proliferation and/or accumulation of langerhans cells in the bones, generally of the cranium and face, as a uni- or multifocal cystic lesion. It is considered to be a localized chronic form of Langerhans cell disease. The most frequent oral location is the posterior part of the mandible, where the bone lesion often gives rise to lesions of the overlying soft tissues. We report a case showing bilateral involvement of the upper jaw and unilateral involvement of the mandible. The eosinophilic granulomas arose in association with odontogenic periapical infectious processes, suggesting that this disorder may be a form of inflammatory response.- - - - - - - - - - ranking = 1keywords = jaw (Clic here for more details about this article) |
5/88. eosinophilic granuloma of the jaws: a report of three cases.Three cases of eosinophilic granuloma involving two boys and a girl are reported. Osteolytic lesions of the jaws were seen in all three patients. The two boys presented mandibular lesions, while the girl had lesions in both jaws. Patient age at the onset of the disease was 6 and 9 years in the boys and 10 years in the case of the girl. The affected zone was painful to palpation in all cases, with intra- and extraoral swelling and bone bulging that caused slight facial deformity and bleeding of the gums. Biopsies were obtained in all three cases, and the histopathological study confirmed the diagnosis. The clinical course was favorable in all three children.- - - - - - - - - - ranking = 6keywords = jaw (Clic here for more details about this article) |
6/88. Rapid growth of giant cell granuloma in pregnancy treated with calcitonin.The giant cell granuloma of the jaws is a benign osteolytic lesion that may be treated by curettage, intralesional corticosteroids, or calcitonin. These medical treatments may be particularly useful when lesions arise in the immature facial skeleton, recur, or enlarge very rapidly-the last two situations being recognized complications of pregnancy. In this study, a patient is presented with a central giant cell lesion of the maxilla that switched from a relatively indolent growth pattern to become a rapidly enlarging and destructive lesion in the maxilla almost immediately after the patient became pregnant. Although calcitonin treatment is normally avoided in pregnancy, it proved highly effective, caused no obstetric or fetal side effects, and was not contraindicated by renal failure due to lupus nephritis. Histologically, the lesion was converted to a fibro-osseous lesion-like appearance. On the basis of the results of this case, calcitonin appears to be a safe, effective, and conservative treatment for giant cell granulomas that enlarge rapidly during pregnancy.- - - - - - - - - - ranking = 1keywords = jaw (Clic here for more details about this article) |
7/88. Unusual jaw lesions in the paediatric and adolescent patient: a management challenge.While major maxillofacial pathology in the young patient is relatively uncommon, non-malignant conditions may pose a significant treatment dilemma due to their aggressive or unpredictable behaviour. Several such diseases managed by the Oral and Maxillofacial Surgery Unit at the Royal Children's Hospital of Melbourne have been selected for review. Illustrative case reports to highlight the principles of management are presented.- - - - - - - - - - ranking = 4keywords = jaw (Clic here for more details about this article) |
8/88. Maintaining and attenuating periodontal tissues for aesthetic implant placement.Alveolar ridge resorption and soft tissue recession after tooth extraction inevitably disrupted the harmonious pre-existing periodontal complex, compromising clinicians' ability to recreate successful aesthetic restorations. Although numerous surgical procedures had been advocated for the augmentation of both the alveolar ridge and its soft tissue to ideal contours, questions remain regarding viability and predictability of these procedures. This is especially critical in the maxillary anterior region, where a the condition of the soft tissue complex and its relationship to the implant restoration and its adjacent dentition often determines the implant's success. The described technique of retaining the root remnant and inducing the proliferation of the surrounding tissue in conjunction with immediate implant placement results in the preservation of existing soft and hard tissue, thus minimizing the necessity of grafting procedures and facilitating primary flap closure during implant placement.- - - - - - - - - - ranking = 0.0018066436440963keywords = relation (Clic here for more details about this article) |
9/88. Multiple recurrent and de novo odontogenic keratocysts associated with oral-facial-digital syndrome.In 1954, Papillon-Leage and Psaume were the first to describe the clinical characteristics of oral-facial-digital syndrome (OFDS). On the basis of their clinical features and the inheritance pattern, 2 variants were initially distinguished, namely OFDS type I (Papillon-Leage and Psaume) and OFDS type II, or Mohr syndrome. At present, 11 types of OFDS have been discovered. OFDS represents a heterogeneous group of disorders characterized by oral manifestations including oral frenula, cleft or lobulated tongue, high arched palate, cleft lip and/or palate, facial anomalies, and digital abnormalities such as syndactyly, polydactyly, brachydactyly, and clinodactyly. Depending on the type of OFDS, abnormalities may be present in other organs, such as the brain and heart. We report a patient with OFDS in whom multiple recurrent and de novo keratocysts were found. Although multiple keratocysts are commonly found in Gorlin-Goltz nevoid basal cell carcinoma syndrome, a relationship between OFDS and multiple keratocysts has not been described.- - - - - - - - - - ranking = 0.0018066436440963keywords = relation (Clic here for more details about this article) |
10/88. A review of odontogenic keratocyst with a report of unusual occurrence in the maxilla.Odontogenic keratocysts (OKC) are keratinizing epithelium-lined cycts of the jaws with well-defined histologic criteria and possessing one clinical feature warranting their recognition and separation as a distinctive entity, due to their exceedingly high recurrence rate. This report describes a case of OKC which occurred in the anterior maxilla in a 12 year old female child, with its treatment. These lesions are normally seen in the mandible, and are rare in the maxilla.- - - - - - - - - - ranking = 1keywords = jaw (Clic here for more details about this article) |
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