scholarly journals Multimodular Assessment of a Traumatic Bone Cyst Overlapped with Apical Periodontitis

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Davide Musu ◽  
Giulia Bardini ◽  
Hagay Shemesh ◽  
Claudia Dettori ◽  
Elisabetta Cotti
Keyword(s):  
Osteolytic Lesion ◽  
Bone Cyst ◽  
Multidisciplinary Treatment ◽  
Signs And Symptoms ◽  
Surgical Excision ◽  
Apical Periodontitis ◽  
Diagnostic Assessment ◽  
Radiographic Examination ◽  
Second Molar ◽  
The Right

Traumatic bone cyst (TBC), a “pseudocyst” that usually affects long bones, is a rare lesion among cystic lesions in the jaws. The most commonly affected site is the posterior mandible. Most of the time, TBC is asymptomatic and discovered during routine radiographic examination. The treatment recommended for TBC is surgical exploration followed by curettage of the bony walls, which also serves as a diagnostic procedure. A 27-year-old Caucasian male with a noncontributory medical history was referred to our department for the endodontic evaluation of the mandibular right first and second molars, which were connected to an extensive asymptomatic osteolytic lesion. A multimodular diagnostic assessment involving CBCT imaging, ultrasound, and histopathologic examination led to a definite diagnosis of a TBC overlapping with apical periodontitis (AP). Subsequently, a multidisciplinary treatment approach was performed, including surgical excision and biopsy of the lesion, endodontic retreatment of the right mandibular first molar, and postsurgical root canal treatment of the second molar. During the follow-up period of five years, the patient was reassessed periodically once a year and showed, in the absence of signs and symptoms, progressive healing of the affected area. The present article reports a case following the CARE guidelines of a TBC combined with AP where a multimodular diagnostic assessment was performed and discusses the possible pathogenetic mechanisms involved in its generation.

Adenomatoid odontogenic tumor: a report of two unusually large lesions in the mandible

2021 ◽  
Vol 156 (Supplement_1) ◽  
pp. S88-S89
Author(s):  
A Lazim ◽  
R Kuklani ◽  
D Sundararajan
Keyword(s):  
Benign Neoplasm ◽  
Surgical Excision ◽  
Odontogenic Tumor ◽  
Radiographic Examination ◽  
Adenomatoid Odontogenic Tumor ◽  
Impacted Tooth ◽  
Anterior Maxilla ◽  
Recommended Treatment ◽  
First Case ◽  
The Right

Abstract Introduction/Objective Adenomatoid odontogenic tumor (AOT) is an uncommon benign odontogenic tumor representing 3 to 7% of all odontogenic tumors. This tumor was first reported as adeno-ameloblastoma by Bernier and Tiecke in 1950 as it was initially assumed to be a type of ameloblastoma. In 1969, Philipsen and Bern proposed the term adenomatoid odontogenic tumor which was subsequently adopted by WHO and became the accepted terminology for this tumor. AOT is classified as a tumor of odontogenic epithelium but occasionally abnormal hard tissues consistent with dentinoid material may also be present as part of the tumor. AOT tends to occur in younger patients and 50% of the cases are diagnosed in teenagers. It occurs twice as commonly in females and frequently involves the anterior maxilla. Radiographically, AOT can appear as a radiolucent or mixed lucent-opaque lesion and may be associated with an impacted tooth. Methods/Case Report We report two unusually large expansile lesions of AOT that presented in the mandible. In the first case, the tumor presented as an expansile radiolucent lesion involving the right posterior mandible in a 32 year old female. In the second case, the tumor presented as an expansile mixed lucent-opaque lesion involving the left anterior mandible in a 21 year old female. The clinical presentation, radiographic and imaging findings, histopathologic features and treatment of these two cases will be discussed. The recommended treatment for AOT is surgical excision. The prognosis is good as this tumor seldom recurs after excision. Results (if a Case Study enter NA) NA Conclusion AOT is considered to be a non-aggressive, non-invasive and slow growing benign neoplasm. It is usually discovered on routine radiographic examination as the lesion is usually small and asymptomatic at the time of diagnosis but occasional cases that are larger in size have been reported in the literature.

scholarly journals Traumatic bone cyst of mandible: a case series

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Farnoosh Razmara ◽  
Zahra Ghoncheh ◽  
Ghazal Shabankare
Keyword(s):  
Bone Cyst ◽  
Clinical Signs ◽  
Case Series ◽  
Signs And Symptoms ◽  
Radiographic Examination ◽  
Radiographic Evaluation ◽  
History Of ◽  
Mandibular Region ◽  
Clinical Signs And Symptoms ◽  
Anterior Mandible

Abstract Background A traumatic bone cyst is an uncommon nonneoplastic lesion of the jaws that is considered as a “pseudocyst” because of the lack of an epithelial lining. This lesion is particularly asymptomatic and therefore is diagnosed by routine dental radiographic examination as a unilocular radiolucency with scalloped borders, mainly in the posterior mandibular region. The exact etiopathogenesis of the lesion remains uncertain, though it is often associated with trauma. Case presentation We report three Persian cases of traumatic bone cyst with different clinical and radiographic features, and we present a review of the literature to further discuss diagnostic and treatment challenges. Only one of the three patients reported a history of trauma, and despite the usual signs and symptoms of the lesion, extension of the defect to the ramus, swelling of the lingual cortex, and their unusual presence in the anterior mandible were noted in these patients. Conclusions Because features of this cyst can be varied, careful history taking and radiographic evaluation alongside the clinical signs and symptoms have a very significant role in definitive diagnosis, appropriate treatment, and accurate assessment of prognosis.

Guided Endodontics in Root Canals with Complex Access: Two Case Reports

2021 ◽  
Vol 32 (6) ◽  
pp. 115-123
Author(s):  
Wesley Fernandes Gonçalves ◽  
Lucas da Fonseca Roberti Garcia ◽  
Daniela Peressoni Vieira-Schuldt ◽  
Eduardo Antunes Bortoluzzi ◽  
Luiz Carlos de Lima Dias-Júnior ◽  
...  
Keyword(s):  
Root Canal ◽  
Case Reports ◽  
Signs And Symptoms ◽  
Radiographic Examination ◽  
Free Access ◽  
Filling Material ◽  
Radiographic Images ◽  
Root Canals ◽  
First Case ◽  
The Right

Abstract This article reported two clinical cases in which the guided endodontics was used to perform the access to the root canals. The first case presents a 40-year-old female with a history of pain related to the left maxillary canine. After radiographic examination, the presence of severe calcification up to the apical third of the root canal, associated with a periapical radiolucency, was noted. In the second case, an 85-year-old male was referred to our service with pain upon palpation, at the right mandibular first molar. The radiographic images revealed the presence of endodontic treatment and a fiberglass post in the distal root canal, which was associated with extrusion of the filling material and a periapical lesion. The 3D-guides were planned based on cone beam computed tomography and intraoral digital scanning, which were aligned using a specific software. Therefore, implant drills could be guided up to the root canal length required for each case. In the first case, a surgical root canal was created and the patient was free of signs and symptoms after the treatment was completed. In the second case, it was observed that the fiber post was worn by the drill, allowing free access to the filling material. It was possible to perform the endodontic reintervention in a more predictable way and in less time. In both cases, the use of the guided endodontics allowed the preservation of a large part of the dental structure. The procedures were performed faster, without the occurrence of fractures and perforations.

scholarly journals Femoral nerve compression caused by a hibernoma in the right thigh: a case report and literature review

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chao Huang ◽  
Lian Zhang ◽  
Xiaohan Hu ◽  
Quanzhe Liu ◽  
Wenrui Qu ◽  
...  
Keyword(s):  
Tumor Recurrence ◽  
Early Stage ◽  
Femoral Nerve ◽  
Signs And Symptoms ◽  
Surgical Excision ◽  
Nerve Compression ◽  
Brown Adipose ◽  
Giant Tumor ◽  
Proximal Thigh ◽  
The Right

Abstract Background A hibernoma, also known as a brown fat tumor, is a rare benign soft tissue tumor, which originates from brown adipose tissue remaining in the fetus after the gestational period. It is often detected in adult men, presenting as a painless slow-growing mass. Hibernomas of the thigh have been reported; however, motor and sensory disorders caused by the tumors compressing the femoral nerve have not been reported. We report a case of a histopathologically proven hibernoma that induced femoral mononeuropathy. Case presentation A 26-year-old man was admitted to the hospital due to a mass, approximately 11.0 × 9.0 × 4.0 cm in size, that had developed 5 years ago in the anterolateral aspect of the proximal thigh. Furthermore, he had a history of hypoesthesia 1 month prior to his admission. He had signs and symptoms of both a motor and sensory disorder, involving the anterior aspect of the right thigh and the medial aspect of the calf, along the distribution of the femoral nerve. During surgery, the femoral nerve was found to be compressed by the giant tumor. The resultant symptoms probably caused the patient to seek medical care. Marginal resection of the mass was performed by careful dissection, and the branches of the femoral nerve were spared. Histopathology examination showed findings suggestive of a hibernoma. At the 4-month follow-up, no femoral nerve compression was evident, and local tumor recurrence or metastasis was not found. Conclusions Asymptomatic hibernomas do not require treatment; however, in cases of hibernomas with apparent symptoms, complete marginal surgical excision at an early stage is a treatment option because it is associated with a low risk of postoperative tumor recurrence.

scholarly journals A Case Report of A Giant Parathyroid Adenoma Presenting with A Brown Tumor

2020 ◽  
Author(s):  
Katsuhisa Enomoto ◽  
Satsuki Fukumoto ◽  
Eiji Osaka ◽  
Yoshiaki Kusumi ◽  
Keiichiro Tada
Keyword(s):  
Computed Tomography ◽  
Parathyroid Adenoma ◽  
Hot Spot ◽  
Osteolytic Lesion ◽  
Radiographic Examination ◽  
Brown Tumor ◽  
Small Incision ◽  
99Mtc Mibi ◽  
The Right ◽  
Internal Texture

Abstract Background: Giant parathyroid adenoma presenting with a brown tumor is considered extremely rare.Case Presentation: A 21-year-old woman presented to the clinic with persistent pain in her right knee. A radiographic examination showed an osteolytic lesion in her right tibia. Blood laboratory tests revealed that serum calcium and intact parathyroid hormone were increased significantly. Physical examination showed a 3-cm, firm, immovable lump in her neck. Ultrasonography of the patient’s neck revealed a 3.5-cm, well-circumscribed mass with a homogeneous internal texture. Computed tomography also showed a localized tumor with clear margins. The 99mTc-MIBI scintigraphy showed a hot spot in the right inferior gland. Based on these findings we judged that she had giant parathyroid adenoma presenting with a brown tumor. We ruled out the possibility of carcinoma based on image studies. We performed a parathyroidectomy via a small incision. The excised parathyroid gland weighed 10.3 g. The patient’s postoperative course was unremarkable. Conclusions: Giant parathyroid adenoma presenting with a brown tumor is extremely rare. Accordingly, the differentiation between giant adenoma and parathyroid carcinoma is crucial. However, we could rule out the possibility of carcinoma based on imaging studies, including ultrasonography and computed tomography. As a result, we performed successful parathyroidectomy with a small incision.

scholarly journals Aneurysmal bone cyst of the frontal bone

2005 ◽  
Vol 62 (6) ◽  
pp. 491-494
Author(s):  
Predrag Peric ◽  
Branislav Antic ◽  
Olga Radic-Tasic
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Osteolytic Lesion ◽  
Bone Cyst ◽  
Bone Lesion ◽  
Frontal Bone ◽  
Skull Bone ◽  
Blunt Head Trauma ◽  
Nosological Entity ◽  
Skull Bone Defect ◽  
The Right

Background. Aneurysmal bone cyst (ABC) is a benign, expansive, osteolytic lesion that mainly occurs in young people, and involves the skull bones only exceptionally. The origin of ABC is controversial: secondary reactive bone lesion, or primary disease that represents an independent nosological entity. Blunt head trauma was suggested as a possible etiological factor. Case report. A case of a 19-year old man with primary ABC of the right frontal bone was reported. The lesion was totally excised through frontal craniotomy, and the skull bone defect primarily reconstructed with an acrilate cranioplasty. Five years after the surgery, the patient was without signs of local recurrence. Conclusion. Clinical and neuroradiological presentation of the skull ABC was not specific. Pathohistology confirmed the diagnosis. Total excision was the treatment of choice.

scholarly journals Peritrochanteric Unicameral Bone Cyst in A 9-year-old Girl: A Case Report and Review of Literature

2021 ◽  
Vol 9 (3) ◽  
pp. 269-276
Author(s):  
Salman Ghaffari ◽  
◽  
Mehran Razavipour ◽  
Kosar Maleki ◽  
Ali Akbar Farsavian ◽  
...  
Keyword(s):  
Growth Plate ◽  
Knee Pain ◽  
Osteolytic Lesion ◽  
Bone Cyst ◽  
Pathologic Fracture ◽  
Unicameral Bone Cyst ◽  
Chronic Knee Pain ◽  
Long Time ◽  
The Right

Introduction: The Unicameral Bone Cyst (UBC) is a benign osteolytic lesion primarily found in the metaphyseal part of long bones in children. It is important as it can involve growth plate involvement, cause pathological fractures and deformities of the affected limb. We report this case to emphasize that hip area pathologies can be represented with knee pain and discomfort. Case Presentation: The patient was a 9-year-old girl with a bone cyst in the right proximal femur, with functional knee pain and limping. The diagnosis was made after two years of pain in the knee area. As the cyst was symptomatic and the signs of impending pathological fracture were seen, the lesion was managed by curettage and fibular strut allograft and proximal humerus locking plate. Conclusions: The patient has been examined for knee joint problems for a long time, and her femur bone cyst was diagnosed after two years of pain. However, it could become a pathologic fracture or involve the growth plate and stop the limb’s growth, thus affecting the patient’s quality of life. Therefore, in children with chronic knee pain, careful assessment of the hip area is recommended.

scholarly journals A case of systemic precursor T-cell lymphoblastic lymphoma presenting with single tooth mobility

2020 ◽  
Vol 8 ◽  
pp. 2050313X2092796 ◽  
Author(s):  
Lampros Goutzanis ◽  
John Apostolidis ◽  
Chara Giatra ◽  
Evanthia Chrysomali ◽  
Dimitrios Deskos
Keyword(s):  
T Cell ◽  
Osteolytic Lesion ◽  
Large Family ◽  
Oral Pathology ◽  
Lymphoblastic Lymphoma ◽  
Second Molar ◽  
Non Hodgkin Lymphoma ◽  
Computed Tomography Scanning ◽  
Old Adult ◽  
The Right

Lymphoblastic lymphoma, seen primarily in children or young adults, is a type of non-Hodgkin lymphoma that originates from B or T lymphocyte precursors and rarely occurs in the oral cavity. A case of systemic precursor T-cell lymphoblastic lymphoma mimicking periodontitis of a lower second molar in a 20-year-old adult is currently presented. The case was initially misdiagnosed as periodontal disease and treated with tooth extraction by a dentist. Re-evaluation of the patient due to worsening of symptoms lead to cone beam computed tomography scanning that thoroughly revealed an extended osteolytic lesion of the right mandible. Afterward, a biopsy was performed, thus reaching the diagnosis of precursor T-cell lymphoblastic lymphoma. This report discusses differences in epidemiology of T-cell and B-cell lymphoblastic lymphomas, as well as their various intraoral manifestations that are mimicking a large family of oral pathology. It also focuses on conventional imaging findings that imply malignancy, which are often neglected during routine radiology interpretation.

scholarly journals Diagnosis and management of eosinophilic granuloma of the jaw: a case report

2019 ◽  
Vol 67 ◽  
Author(s):  
Marcos Vinícius Mendes DANTAS ◽  
Paloma Beatriz Rosa Nunes de SOUZA ◽  
Marisa Aparecida Cabrini GABRIELLI
Keyword(s):  
Alveolar Bone ◽  
Histopathological Examination ◽  
Eosinophilic Granuloma ◽  
Osteolytic Lesion ◽  
Bone Destruction ◽  
Signs And Symptoms ◽  
Therapeutic Interventions ◽  
Facial Swelling ◽  
Mandibular Body ◽  
The Right

ABSTRACT The eosinophilic granuloma is the most common form of the Langherans’ cell histiocytosis. In the majority of cases it is represented by a unilocular osteolytic lesion which can occur in adults and children. It is an intraosseous destructive lesion characterized by the presence of vast numbers of eosinophils and histiocytes. It can be localized or multifocal. The tumor is more prevalent in the first two decades of life and tends to affect mandibular body and angle. Most frequent signs and symptoms are pain, swelling, ulceration, gingival necrosis, alveolar bone destruction with mobility and loss of teeth. Therapeutic interventions for this pathology are surgical curettage, local radiotherapy and chemotherapy. This article presents the case of a 9-year old patient who came in for treatment with facial swelling, pain, tooth mobility and intraoral ulcer in the vestibular sulcus of the right mandibular angle region. Imaging and incisional biopsy were obtained. After the histopathological examination confirmed the diagnosis of eosinophilic granuloma, the lesion was removed by curettage and a reconstruction titanium plate was inserted to avoid a pathological fracture. After 14 years of follow-up no recurrence was found and mandibular growth was not impaired. A discussion about this type of tumor is presented, based on the current literature.

scholarly journals Root Canal Treatment of the Maxillary Second Molar with an Root Canal Treatment of the Maxillary Second Molar with an Unusual Morphology: A Case Report Unusual Morphology: A Case Report

2020 ◽  
Vol 27 (2) ◽  
Author(s):  
Lia Desire Octarina ◽  
◽  
Tri Endra Untara ◽  
Ema Mulyawati ◽  
◽  
...  
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Rare Condition ◽  
Short Fiber ◽  
Root Canal Treatment ◽  
Radiographic Examination ◽  
Second Molar ◽  
Reinforced Composite ◽  
Direct Restoration ◽  
The Right

Four rooted maxillary second molar is a rare condition. A research of 1,200 maxillary second molars found only 0.4% of the sample with this condition. In a tooth with two palatal roots, one of them is the normal palatal root, while the other is a supernumerary structure which can be found mesiolingually (radix mesiolingualis) or distolingually (radix distolingualis). Objective: to describes a successful root canal treatment of a maxillary second molar with radix mesiolingualis. Final restoration using a short fiber-reinforced composite as the bottom structure under the onlay composite direct restoration. Case report: A 39-year old female patient complained of pain continuously for the past two weeks in her right maxillary second molar (tooth #17). Clinical examination revealed a deep mesioocclusal caries lesion and presence of extra cusps on the palatal surface of the crown. Conclusion: Crown with extra cusps relatively larger compared to a normal crown. It could be indicated the additional palatal roots. Those variations could be identified by clinical and radiographic examination, while more accurate assessment with CBCT imaging. The right material was required to support function and strengthen the tooth after root canal treatment.

Sign in / Sign up

Export Citation Format

Share Document