An incidental dense bone island: A review of potential medical and orthodontic implications of dense bone islands and case report

2020 ◽  
Vol 47 (3) ◽  
pp. 251-256 ◽  
Author(s):  
Paula Mairead Sinnott ◽  
Samantha Hodges
Keyword(s):  
Case Report ◽  
Incidental Finding ◽  
Root Tip ◽  
Alveolar Process ◽  
Lateral Aspect ◽  
Radiographic Appearance ◽  
Space Closure ◽  
Bone Island ◽  
The Right ◽  
The Impact

Dense bone islands (DBIs) are usually asymptomatic and do not require any treatment. This case report presents a DBI of an unusual presentation, which was an incidental finding on a radiograph of a 15-year-old orthodontic patient. The DBI lesion was 24 mm in size, occupying at least 50% of the alveolar process between the upper right canine and lateral incisor, extending up the lateral aspect of the anterior margin of the right nasal fossa. Generally, DBIs are 2–3 mm in size and more commonly found in the mandible in the molar and premolar region. This article further discusses the impact of DBIs on orthodontic treatment such as difficulty with achieving space closure and adequate root tip or torque. We also examine the potential medical implications of DBIs. This is clinically important, especially if multiple DBIs, or osteomas which have a similar radiographic appearance to DBIs, are found in a patient as they may be associated with adenomatous intestinal polyps, which, if not treated, have a 100% chance of becoming malignant transformation

scholarly journals Management of Fused Two Mandibular Incisors In The Same Quadrant With Space Closure: Case Report

2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Hayder Abdallah Hashim ◽  
Mohamed Hayder A. Hashim Mohamed
Keyword(s):  
Case Report ◽  
Treatment Options ◽  
Fixed Appliance ◽  
Space Closure ◽  
Impacted Canine ◽  
The Right ◽  
Mandibular Incisors

A twelve-year-old Filipino female presented to the Orthodontic Clinic with fused mandibular central and lateral incisors and an impacted canine, all on the right side, and severe crowding in both arches.  Fixed appliance therapy was employed to align the buccally located maxillary right and left permanent canines and the mandibular right canine, and to close the space created by the extraction of the fused mandibular incisors.  Various treatment options were presented and discussed.

scholarly journals Case Report: Metastatic Parosteal Osteosarcoma in a Dog

2021 ◽  
Vol 8 ◽  
Author(s):  
Sarah K. Samuels ◽  
Matthew R. Cook ◽  
Eric Green ◽  
Ryan Jennings ◽  
Roy R. Pool ◽  
...  
Keyword(s):  
Case Report ◽  
Stereotactic Body Radiation Therapy ◽  
Distal Humerus ◽  
Parosteal Osteosarcoma ◽  
Lateral Aspect ◽  
Rare Form ◽  
Lung Lobe ◽  
Imaging Characteristics ◽  
Histopathologic Diagnosis ◽  
The Right

This case report describes a rare form of malignant bone tumor in an 8-year-old Labrador retriever. This dog initially presented for evaluation of a right distal humeral mass. Radiographs of the right elbow and thorax were performed, revealing a smooth mineralized mass adjacent to the lateral aspect of the distal humerus and a 5mm pulmonary nodule. Computed tomography (CT) of the humerus and thorax showed a smooth mineralized lesion adjacent to the lateral humeral epicondyle, and a right cranial lung lobe nodule with a thin mineral rim. Surgical biopsies of both lesions were diagnostic for parosteal osteosarcoma (POSA). The dog was then treated with stereotactic body radiation therapy (SBRT) which controlled the dog's discomfort for 14 months until he became progressively painful and subsequently had his right forelimb amputated. This case report is the first to document the CT imaging characteristics of a metastatic appendicular POSA in a dog and the first dog described with POSA treated with SBRT. The dog lived for 623 days after histopathologic diagnosis and 849 days after initial presentation with pulmonary metastatic disease.

scholarly journals Case Report: Synchronous adenoid cystic variant of basal cell carcinoma in the right lumbar region: case report of an incidental finding in a patient with breast carcinoma

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 1950
Author(s):  
Sucheta Gandhe ◽  
Rahul Patil ◽  
Rajnish Nagarkar
Keyword(s):  
Case Report ◽  
Skin Cancer ◽  
Breast Carcinoma ◽  
Basal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Incidental Finding ◽  
Lumbar Region ◽  
Adenoid Cystic ◽  
The Right

Skin cancer has emerged as a major problem for light-skinned people globally. Basal cell carcinoma (BCC) is one of the most common forms of skin cancer. BCC is associated with significant morbidity. There are multiple histological patterns of BCC, wherein the adenoid cystic variant is a rare form. A 75-year-old female with a history of breast carcinoma visited our centre for a routine follow-up. The patient was diagnosed with invasive breast carcinoma and underwent left breast conservation surgery in August 2018. At follow-up, the patient complained of itchiness, redness, and ulceration over a long-standing mole located at the right lumbar region. The lesion was excised and histopathologically diagnosed as the adenoid cystic variant of BCC. Adenoid cystic variant of BCC is an uncommon presentation. Identifying the mole in the lumbar region with clinical signs and symptoms was an incidental finding. In most cases, skin moles are benign. However, this case is of considerable interest as the patient presented with two primary cancers of different pathological characteristics within 3 months. The patient is currently doing well and is due for follow-up.

scholarly journals Amalgam restoration or just a deposit? A riveting incidental finding- a case report

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Anka Sharma ◽  
Vikrant O. Kasat ◽  
Amit R. Parate ◽  
Anirudh Upmanyu ◽  
Jaishri S. Pagare
Keyword(s):  
Case Report ◽  
Incidental Finding ◽  
Female Child ◽  
History Taking ◽  
Hard Tissue ◽  
Case Presentation ◽  
Traumatic Injuries ◽  
Amalgam Restoration ◽  
The Impact ◽  
Comprehensive History

Abstract Background Parafunctional oral habits are known to cause deleterious effects on maxillofacial structures. One such effect is traumatic injuries secondary to chewing inanimate objects like pencils. Following trauma, the lead of the pencil has been reported to embed in the soft tissue of the oral cavity, appearing as a grayish pigmentation (graphite tattoo). However, such pigmentation has never been reported in the hard tissue (teeth). Case presentation We hereby report an interesting, first of its kind case in a four-year-old female child. She had been misdiagnosed and referred for the management of a carious tooth; which was, in reality, an exogenous deposit. Conclusions The authors highlight the impact of comprehensive history taking on arriving at the diagnosis. Counselling of the child and the parents goes a long way in flouting such deleterious habits.

scholarly journals A Rare Presentation of Radicular Cyst: A Case Report and Review of Literature

2021 ◽  
Author(s):  
Rohan Jagtap ◽  
Nick Shuff ◽  
Maram Bawazir ◽  
Michelle Garrido ◽  
Indraneel Bhattacharyya ◽  
...  
Keyword(s):  
Case Report ◽  
Histopathological Diagnosis ◽  
Dystrophic Calcification ◽  
Radicular Cyst ◽  
Periapical Lesion ◽  
Rare Presentation ◽  
Radiographic Appearance ◽  
Periapical Lesions ◽  
Cellular Debris ◽  
The Right

The radicular cyst is the most common inflammatory odontogenic cyst in the jaws. It is a periapical lesion associated with non-vital teeth in the tooth-bearing regions of the jaws with a slight male predilection. A radicular cyst is typically asymptomatic, but if large or secondarily infected may cause swelling. The usual radiographic appearance of a radicular cyst is that of a periapical radiolucent lesion. This case report documents a rare case of 61-year-old male with a mixed-density periapical lesion diagnosed as a radicular cyst. The lesion presented as a well-defined, expansile, space occupying, corticated, sclerotic, hydraulic, unilocular, mixed density lesion, associated with the right mandibular second premolar that was predominantly radiolucent with scattered foci of radiopacities. Microscopic examination revealed fragments of lining epithelium along with small fragments of inflamed fibrous connective tissue, aggregates of necrotic cellular debris, and bacterial colonies intermixed with foci of dystrophic calcifications. The histopathological diagnosis was a radicular cyst with dystrophic calcification. Although rare, this entity should be considered in the differential diagnosis of mixed-density periapical lesions. Complete history and proper diagnosis is important in this type of rare cases as treatment varies between a radicular cyst and other odontogenic neoplasms.

scholarly journals Spontaneous Regression and Reoccurrence of Osteosarcoma in a Canine Tibia

VCOT Open ◽  
2021 ◽  
Vol 04 (02) ◽  
pp. e86-e91
Author(s):  
Olivia Obringer ◽  
Bradley Coolman ◽  
Jason Crawford
Keyword(s):  
Case Report ◽  
Core Biopsy ◽  
Proximal Tibia ◽  
Cruciate Ligament ◽  
Osteolytic Lesion ◽  
Bone Tumour ◽  
Lateral Aspect ◽  
Cranial Cruciate Ligament ◽  
Multiple Biopsies ◽  
The Right

AbstractA 32-month-old female Labrador Retriever mix-breed presented for right pelvic limb lameness with firm swelling on the lateral aspect of the stifle. Radiographs revealed a mass with periosteal elevation along the lateral cortex of the proximal tibia. Histology on a core biopsy sample was diagnostic for osteosarcoma. Surgical treatment was declined. Eight months post diagnosis, the patient was re-evaluated by the primary care veterinarian and had no lameness, pain, or tibial swelling. Sixty-three months later (5.2 years), the patient presented for cranial cruciate ligament ruptures. Radiographs revealed a smooth bony protuberance on the lateral aspect of the right proximal tibia in the area of the previous osteosarcoma. The patient underwent bilateral tibial plateau levelling osteotomies. The surgical recovery was uneventful with normal healing. Twenty-seven months following surgery, the patient returned for painful swelling around the right proximolateral tibia. Radiographs revealed an 8 × 9 cm osteoproliferative and osteolytic lesion of the proximal tibia. Osteosarcoma was confirmed via core biopsy. The bone tumour grew rapidly, and the patient was euthanatized 3 months thereafter. This case report demonstrates the unusual occurrence of an osteosarcoma in a young dog which spontaneously regressed. Ninety months (7.5 years) after clinical resolution of the initial tumour, osteosarcoma formed again in the same location. Lifetime patient monitoring with repeated clinical exams, serial radiographs, and multiple biopsies by the same surgeon, pathologists, and radiologist are unique features of this case report.

scholarly journals Case report. Giant ethmoido-frontal osteoma with intracranial and orbital extension – Case report

2017 ◽  
Vol 7 (26) ◽  
pp. 109-112
Author(s):  
Vlad Budu ◽  
Tatiana Decuseara ◽  
Andreea Nicoleta Costache ◽  
Loredana Ghiuzan ◽  
Lavinia Sava ◽  
...  
Keyword(s):  
Case Report ◽  
Frontal Sinus ◽  
Therapeutic Approach ◽  
Incidental Finding ◽  
Intracranial Extension ◽  
Surgical Team ◽  
Multiple Factors ◽  
Nasal Tumor ◽  
The Right

Abstract BACKGROUND. The most frequent benign nasal tumor is the osteoma. It is commonly asymptomatic and usually an incidental finding and can be caused by multiple factors. The therapeutic approach for symptomatic osteomas is strictly surgical. CASE REPORT. The authors present a patient with giant ethmoido-frontal osteoma, causing the compression of the ocular globe and the right frontal lobe. Considering the intracranial extension, a combined surgical team consisting of an ENT surgeon and neurosurgeon decided to deal with the case. The tumoral mass was removed with no recurrence after a follow-up of two years. CONCLUSION. Surgery via external and endoscopic approach aims to completely resect the osteoma with frontal sinus origin and orbital or intracranial extension.

scholarly journals Temuan insidental dense bone island pada radiograf panoramik

2020 ◽  
Vol 4 (1) ◽  
pp. 37
Author(s):  
Anak Agung Istri Agung Feranasari ◽  
Ria Noerianingsih Firman ◽  
Farina Pramanik
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Bone Density ◽  
Dental Implants ◽  
Dental Implant ◽  
Radiographic Examination ◽  
Bone Island ◽  
Dental Hospital ◽  
Patient Will ◽  
The Right

Objectives: The aim of this study is to increase knowledge about Dense Bone Island diagnosis and differential diagnosis as well as emphasize on radiographic characteristics of this lesion. Case Report: A male 24 years came to the Dentomaxillofacial Radiology Installation, Faculty of Dentistry Dental Hospital Universitas Padjajaran  referred for radiographic examination from the Periodontics Department. The patient will be paired dental implants in the second premolar in the right mandible. Patients had no inflammation and pain. The patient then were take radiography examinations as indicated dental implant, that were periapical, panoramic and CBCT, then one of the radiographic examination was done, the panoramic which shows radiopaque, well-defined, rounded irregularly shaped lesion with a diameter of approximately 6 mm, which is located around apical first premolar teeth in the right mandible. Mandible first premolar is still vital. Conclusion: Dense bone Island is an increased bone density that occurs in the maxilla or mandible especially around the root of a tooth, and is often asymptomatic. Cases that occur in these patients have no clinical complaints either before or after the installation of dental implant.  

scholarly journals Pre-anesthesia clinic: skip it or not? A case report

2019 ◽  
pp. 221-224
Author(s):  
Amr Abdullah ◽  
Amir Fouad ◽  
Ahmed Mamdouh Esmat ◽  
Ali Elhefnawy
Keyword(s):  
Case Report ◽  
Aortic Valve ◽  
Incidental Finding ◽  
Previous History ◽  
Mobile Mass ◽  
History Of ◽  
Total Knee ◽  
Coronary Cusp ◽  
The Right ◽  
Right Coronary Cusp

We present a rare case of papillary fibroelastoma (PFE) of the aortic valve diagnosed after being referred from a pre-anesthesia clinic. This patient presented in preanesthesia clinic for assessment prior to right total knee replacement. Along with other investigations, echocardiography was ordered as the patient had a previous history of ischemic heart disease with angioplasty. There was no previous echocardiogram (ECHO) in the patient records. An incidental finding of a sclerotic aortic valve with highly mobile mass was seen attached to the right coronary cusp on the aortic side with same echogenicity as the valve. Based on this rare finding, the patient was referred to an interventional cardiac center prior to an elective orthopedic surgery.Citation: Abdullah A, Fouad A, Esmat AM, Elhefnawy A, Adeel S. Pre-anesthesia clinic: skip it or not? A case report. Anaesth. pain & intensive care 2019;23(2):221-224

scholarly journals Analisis gambaran radiologis suspek ameloblastoma tipe solid pada radiograf CBCT 3D

2019 ◽  
Vol 3 (2) ◽  
pp. 15
Author(s):  
Farina Pramanik ◽  
Lusi Epsilawati ◽  
Yurika Ambar Lita ◽  
Erna Herawati
Keyword(s):  
Case Report ◽  
Dentigerous Cyst ◽  
Radiographic Examination ◽  
Soap Bubble ◽  
Supernumerary Teeth ◽  
Anterior Maxilla ◽  
Radiological Features ◽  
The Right ◽  
The Impact ◽  
Solid Type

Objectives: The aim of this case report is to provide further information on the radiological features of a solid type ameloblastoma suspected on a 3D CBCT radiograph. Case Report: A patient came referred by a dentist for CBCT 3D radiography with suspected clinical diagnosis of a maxillary anterior dentigerous cyst. The results of the CBCT 3D radiographic examination showed a radiointermediate with a clear border on the anterior maxilla and in the right maxillary sinus accompanied by the impact of two supernumerary teeth. Radiological features of ameloblastoma generally show a multilocular radiolucent picture and have a radiopaque septa bone internal structure such as a soap bubble appearance or honey combed appearance. This case showed a clearly demarcated radiointermediate image because a solid type ameloblastoma contains tissue that is histologically formed from cells hat are follicular or plexiform and derived from the results of a degenerative process at the center of the Langerhans islands. Conclusion: Radiographic examination with high modality such as CBCT 3D is very important in helping to establish a diagnosis, especially for cases that sometimes show differences in the radiographs.

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