scholarly journals Uncommon bilateral maxillary exostosis: case report

Author(s):  
Ana Luiza Lataliza COSTA ◽  
Ana Luísa Machado BATISTA ◽  
Sara Ferreira dos Santos COSTA ◽  
Juliana Vilela BASTOS ◽  
Roselaine Moreira Coelho MILAGRES ◽  
...  

ABSTRACT Exostoses or hyperostoses are benign bony outgrowths originating from the cortical bone and depend on their location for a more precise designation. The most common types found in the oral cavity are the torus palatinus and the torus mandibularis. Buccal and palatal exostoses are located along the buccal aspect of the maxilla and/or the mandible (commonly in the premolar and molar areas) and on the palatal aspect of the maxilla (usually in the tuberosity area), respectively. The etiology of exostoses still hasn’t been enlightened but an interaction between environmental and genetic factors is accredited. They are usually asymptomatic, unless the mucosa becomes ulcerated. The frequency of exostoses increases with age, having their biggest prevalence from 60 years old, being more common in men and suffering ethnic influences. A thorough evaluation is important for the correct diagnosis since other lesions have similar clinical characteristics to the exostoses such as osteomas. The majority of exostoses are diagnosed clinically along with radiographic interpretations, making the biopsy dispensable and the treatment is usually unnecessary. The aim of this article was to describe a case report of bilateral maxillary exostosis, unusual, in a female patient. If an excessive amount of bone is present the exostoses may exhibit a relative radiopacity on dental radiographs. Initially, periapical and panoramic radiographs were performed to evaluate the alterations. Due to the size of the exostoses a concomitant Cone Beam Computed Tomography was performed to confirm the diagnosis. The patient is in follow-up.

2014 ◽  
Vol 13 (3) ◽  
pp. 249-253 ◽  
Author(s):  
Salomão Israel Monteiro Lourenço Queiroz ◽  
Gleysson Matias de Assis ◽  
Valéria Damasceno Silvestre ◽  
Adriano Rocha Germano ◽  
José Sandro Pereira da Silva

Hemangiomas are benign neoplasms that are common in the head and neck, but relatively rare in the oral cavity. They can cause esthetic and functional impairment, depending on location. The most common site is the upper lip, but they can occur in other areas, such as the tongue, buccal mucosa and palate. Treatment is primarily dependent on correct diagnosis of the lesion and on its anatomic location. The purpose of this article is to provide a description of a case of a hemangioma on the upper lip, treated by therapeutic sclerosis with monoethanolamine oleate (Ethamolin®), covering clinical characteristics and methods for diagnosing these lesions. Precise diagnosis and appropriate therapeutic management resulted in satisfactory esthetic and functional results, with total regression of the lesion and no signs of relapse at 1-year follow-up.


Author(s):  
Won-Bae Park ◽  
Young-Jin Kim ◽  
Ji-Young Han ◽  
Jung-Soo Park ◽  
Philip Kang

Severe atrophy of the maxillary anterior region may make implant placement difficult and as a result, iatrogenic complications such as nasal floor perforation may occur.  The purpose of this case report is to present radiographic and nasal endoscopic features in the anterior nasal floor when dental implants were inadvertently perforated into nasal cavities. Between 2003 and 2018, four patients recorded with anterior nasal floor perforation with dental implants were followed and reviewed with panoramic radiographs and cone-beam computed tomography. Also, nasal endoscopic examinations were performed by one otolaryngologist. Four implants in four patients were included in this case report. All implants achieved osseointegration and survived for 5-23 years without clinical complications. Three implants did not show any mucosal thickening and only one had minor mucosal thickening as visible on the radiographs.  Nasal endoscopy examinations revealed that three implants were covered with mucosa and one had threads exposed. Intraorally, only one had clinical signs of peri-implant mucositis. Dental implants that perforated into the anterior nasal floor did not show clinical, radiographic, and nasal endoscopic complications during the long-term follow-up period. Nasal endoscopy was a better diagnostic tool to evaluate the implants perforated into the nasal cavity than conventional panoramic or cone-beam computed tomography.


2019 ◽  
Vol 65 (2) ◽  
Author(s):  
Aleksandra Rubinkiewicz ◽  
Maciej Sikora ◽  
Marcin Sielski ◽  
Agata Stąpor ◽  
Dariusz Chlubek

Supernumerary teeth as mesiodentes in adults are a rare condition. Given that mesiodentes often interfere with the eruption of normal permanent incisors, the majority are diagnosed in teenagers. In some cases, this pathology is associated with the presence of a dentigerous cyst. Imaging techniques play a significant role in the diagnosis of cysts, particularly cone beam computed tomography (CBCT). Once the correct diagnosis is established, appropriate therapeutic measures – usually surgical – should be initiated promptly. The case presented here is that of a 55-year-old male with an extensive dentigerous cyst arising from a maxillary mesiodens. The decision was made to perform enucleation of the cyst along with the mesiodens inside it. The procedure was performed under general anesthesia. No complications were observed in the postoperative period. The histopathology report confirmed a dentigerous cyst. Radiograph images obtained 10 months postsurgery showed spontaneous bone tissue reconstruction.


2016 ◽  
Vol 27 (4) ◽  
pp. 476-480 ◽  
Author(s):  
Karla de Faria Vasconcelos ◽  
Sergio Lins de-Azevedo-Vaz ◽  
Deborah Queiroz Freitas ◽  
Francisco Haiter-Neto

Abstract This case report aimed to highlight the usefulness of cone beam computed tomography (CBCT) and its post-processing tools for the diagnosis, follow-up and treatment planning of invasive cervical resorption (ICR). A 16-year-old female patient was referred for periapical radiographic examination, which revealed an irregular but well demarcated radiolucency in the mandibular right central incisor. In addition, CBCT scanning was performed to distinguish between ICR and internal root resorption. After the diagnosis of ICR, the patient was advised to return shortly but did so only six years later. At that time, another CBCT scan was performed and CBCT registration and subtraction were done to document lesion progress. These imaging tools were able to show lesion progress and extent clearly and were fundamental for differential diagnosis and treatment decision.


2011 ◽  
Vol 81 (5) ◽  
pp. 800-806 ◽  
Author(s):  
Krister Bjerklin ◽  
Chanelle Houmet Guitirokh

Abstract Objective: To evaluate the long-term clinical and radiographic effects of maxillary incisor root resorption in cases of ectopic canines treated during the late 1970s and 1980s in Jönköping, Sweden. Subjects and Methods: The material comprised 55 incisors in 38 subjects. The posttreatment follow-up time was 13 to 28 years. All subjects underwent intraoral radiography, 33 were referred for computed tomography or cone beam computed tomography, and 24 also underwent clinical examination. The severity of incisor root resorption was correlated with clinical characteristics. Radiographs of the resorptive lesions were documented in detail and compared with intraoral radiographs taken immediately posttreatment. Results: Four incisors in three subjects had been lost, in part because of root resorption. Of the 36 incisors with root resorption, the lesions were unchanged in 26 teeth, improved in three teeth, and exacerbated in seven. In one case the resorption had progressed to pulpal exposure, necessitating endodontic treatment. For most of the incisors, the periodontal ligament was more clearly defined and the lamina dura showed improved trabeculation. The clinical characteristics of the incisors with resorption were not significantly different from those of sound incisors. Conclusions: In this long-term follow-up, most cases of incisor root resorption induced by ectopic maxillary canines did not progress and teeth with root resorption showed no clinically relevant symptoms. The prognosis for long-term survival of teeth with resorbed roots is good, but in cases where extraction is indicated, lateral incisors with severe root resorption should be extracted in favor of healthy premolars.


2019 ◽  
Vol 11 (2) ◽  
pp. 39-45
Author(s):  
Pedro Diniz Rebouças ◽  
Lorena Walesca Macedo Rodrigues ◽  
Adriana Kelly de Sousa Santiago ◽  
Clarice Santana Milagres ◽  
Juliana Oliveira Gondim ◽  
...  

Intrusive luxation is a kind of traumatic injury characterized by an axial displacement of the tooth toward the alveolar bone. Its main causes are bicycle accidents, sports/recreational activities, and falls or collisions. Treatment strategies include waiting for the tooth to return to its position, immediate surgical repositioning and repositioning through dental traction by orthodontic devices. The correct diagnosis must be based on clinical and radiographic exams and it is crucial for decision-making in the treatment of injured patients. Currently, the cone beam computed tomography (CBCT) has been widely used in orthodontics, restorative dentistry and implantology as well as in the diagnosis of complex dental trauma. This article reports a case of severe dental intrusion, in which the cone beam computed tomography (CBCT) was performed because of doubts generated after clinical examination and panoramic radiograph analyze. This case report confirmed that the CBCT is an important exam to correct diagnostic.


2019 ◽  
Vol 21 (10) ◽  
pp. 798-800 ◽  
Author(s):  
Zhijun Zhang ◽  
Qinghong Ke ◽  
Weiliang Xia ◽  
Xiuming Zhang ◽  
Yan Shen ◽  
...  

Background: Hemolymphangioma is a rare benign tumor. To the best of our knowledge, there were only 10 reports of this tumor of the pancreas until March 2018. Case Report: Here, we reported a large invasive hemolymphangioma of the pancreas in a young woman with a complaint of abdominal distension and an epigastric mass about 3 weeks. She was found to have a huge multilocular cystic tumor at the neck and body of pancreas on computed tomography. She was eventually diagnosed with hemolymphangioma of the pancreas after operation. After 2 years of follow-up, there was no signs of recurrence. Conclusion: From our case and literature, we can conclude that hemolymphangioma of the pancreas is uncommon benign tumor, and it is hard to make an accurate diagnosis preoperatively. Radical surgical resection should be performed whenever possible. The prognosis of this disease seems good.


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