Juvenile trabecular ossifying fibroma in association with multiple mandible deciduous teeth: an atypical case report

RSBO ◽  
2020 ◽  
Vol 17 (1) ◽  
pp. 76-83
Author(s):  
Rafael Correia Cavalcante ◽  
Camila Lago ◽  
Luiz Eduardo Baglioli ◽  
Aline Costa Vaz ◽  
Aimee Simonetto ◽  
...  
Keyword(s):  
Case Report ◽  
Maxillofacial Surgery ◽  
Deciduous Teeth ◽  
Ossifying Fibroma ◽  
Oral And Maxillofacial Surgery ◽  
Histopathological Analysis ◽  
Second Molar ◽  
Mandibular Molar ◽  
Mandibular Region ◽  
Paediatric Service

Ossifying fibroma is a benign fibro-osseous lesion characterized by the formation of a cellular fibrous connective tissue stroma with cementum-like material and/or osseous components. The juvenile variant is reported to be an aggressive lesion in paediatric patients. Its poor symptomatology contrasts with its highly aggressive behaviour in maxillary or mandibular region. Objective: The aim of the present study is to report a case of an atypical ossifying fibroma in association of multiple deciduous teeth. Case report: A nine years-old girl was referenced to the Oral and Maxillofacial Surgery Service at Positivo University by the Paediatric Service after radiographic confirmation of a round lesion in lower left mandible region. Imaginological examination revealed a well-defined, round, with multiple radiopaque foci associated with the roots of deciduous molars and with root of first permanent mandibular molar of the left side. Lesion embedded the root and crown of the unerupted second left premolar, suggesting that the tumour arouse from it. After incisional biopsy, histopathological analysis suggested the trabecular pattern of juvenile ossifying fibroma. Surgery was conducted through an intra-oral approach. Incision was drawn in gingiva from the left lateral inferior incisor region until the unerupted second molar region, finished with a relaxing incision. A round tumour in association with the unerupted permanent premolars, which were also extracted, was removed in its entire extent by enucleation. Histopathological analysis confirmed the previous diagnosis of juvenile trabecular ossifying fibroma. Peripheral ostectomy was conducted to diminish chances of lesion relapse. Conclusion: 16 months follow-up showed no lesion recurrence.

scholarly journals Single versus multiple antibiotics during extraction of mandibular first and second molar

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1943-1948
Author(s):  
Janhvi Manohar ◽  
Hemavathy O R ◽  
Saravana Dinesh S P
Keyword(s):  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Antibiotic Resistant ◽  
Second Molar ◽  
Dental Practitioners ◽  
Mandibular Molar ◽  
Alveolar Osteitis ◽  
Middle Aged Adults ◽  
Systemic Antibiotics ◽  
Multiple Antibiotics

Extractions of molars are one of the frequently performed procedures in a dental clinic and it is associated with innumerable trans operative and post-operative complications, such as edema, trismus, localized alveolar osteitis, pain and surgical site infection. Some authors advocate the use of local and systemic antibiotics to reduce the incidence of these postoperative complications. Despite the risks of allergic reactions among some individuals, toxicity and the development of antibiotic resistant microorganisms, about 50% of dentists routinely prescribe the use of prophylactic antibiotics for this purpose, however the number of antibiotics prescribed vary among dental practitioners. A retrospective study was done among patients visiting the Department of Oral and Maxillofacial Surgery undergoing extraction of first and second mandibular molar and prescribed post-operative antibiotics. The number and group of antibiotics were noted, data were tabulated, and descriptive statistics were performed. Among 1909 patients, about 95% of the patients were prescribed single antibiotic post-extraction, and this was high among young adults, whereas multiple antibiotics were highly opted and prescribed for middle-aged adults.

scholarly journals Compound Odontoma in young girl

2015 ◽  
Vol 27 (3) ◽  
Author(s):  
Nurwahida N. ◽  
Melita Sylvyana ◽  
R. Agus Nurwiadh ◽  
Rizki Diposarosa
Keyword(s):  
Case Report ◽  
Maxillofacial Surgery ◽  
Posterior Part ◽  
Panoramic Radiograph ◽  
Young Girl ◽  
Oral And Maxillofacial Surgery ◽  
Anterior Maxilla ◽  
Second Molar ◽  
Unerupted Teeth ◽  
Compound Odontoma

Introduction. Odontomas are the most common type of odontogenic tumors and generally they are asymptomatic. These tumors are formed from enamel and dentin, and can have variable amounts of cement and pulp tissues. According to radiographic, microscopic, and clinical features, two types of odontomas are recognized: Complex and compound odontomas. Complex odontomas occur mostly in the posterior part of the mandible and compound odontomas in the anterior maxilla. Case Report. A young girl patient, 9 years old came to Department of Oral and Maxillofacial Surgery with a slow growing and asymptomatic swelling in her left posterior mandible for 5 years in his history taking. The panoramic radiograph show  a radioopacity and radiolucent lesion at the lower second molar region, with well-corticated limits. An insisional biopsi   confirmed  as compound odontoma. The surgery  performed with simple enucleation and curettage under general anaesthesia. Discussion. Compound odontomas are usually located in the anterior maxilla, over the crowns of unerupted teeth, or between the roots of erupted teeth. In this case report, Compound odontomas are found in the posterior mandible. Conclusion. Compound odontomas in the posterior mandible is a rare. The treatment of odontomas depends on the size of the lesion. The early diagnosis, the treatment of choice is conservative surgical enucleation and curettage and prognosis is excellent.

scholarly journals Rare Iatrogenic Oronasal Communication after Superior Canine Odontectomy Attempt

2021 ◽  
Vol 2020 (2) ◽  
pp. 1
Author(s):  
Ciprian Roi ◽  
Emilia Ianeș ◽  
Diana Nica ◽  
Alexandra Roi ◽  
Laura Cristina Rusu ◽  
...  
Keyword(s):  
Case Report ◽  
Scientific Literature ◽  
Oral Surgery ◽  
Healing Process ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Unsuccessful Attempt ◽  
One Year ◽  
General Dentist

(1) Background: Oronasal communication is described in the scientific literature as a common complication that occurs after a cleft palate surgery. In some cases, it can also be a consequence of oral surgery procedures; the main problem of this type of rare accident is related to the correct healing process and treatment option. (2) Case report: A patient with oronasal communication caused by an unsuccessful attempt of a superior canine odontectomy presented at the Emergency Department of the Oral and Maxillofacial Surgery Hospital, Timișoara. The case management is described from the first consult to one-year follow-up. We consider that this pathology was optimally treated surgically, and the results are more than satisfactory, taking into consideration the high rates of recurrence. (3) Conclusion: This case report can be a useful to a general dentist who is trying to decide whether to perform the canine odontectomy or refer to a specialist surgeon due to the accidents and complications of this procedure.

scholarly journals Primary Tuberculous Lymphadenitis: a Rare Case Report

2018 ◽  
Vol 22 (2) ◽  
pp. 106-110
Author(s):  
Mustafa Mert Açikgöz ◽  
Ayşem Yurtseven ◽  
Gülsüm Ak
Keyword(s):  
Case Report ◽  
Multidisciplinary Approach ◽  
Maxillofacial Surgery ◽  
Excisional Biopsy ◽  
Oral And Maxillofacial Surgery ◽  
Tuberculous Lymphadenitis ◽  
Rare Case Report ◽  
Long Term Follow Up

SummaryBackground/Aim: Our aim is to describe multidisciplinary approach to primary tuberculous lymphadenitis with a case report.Case Report: A 6-year-old boy was referred to İstanbul University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery with the symptoms of painless extra-oral abscess and lymphadenopathy. The diagnosis of primary tuberculous lymphadenitis was proved by microbiological culture and ultrasound imaging.Conclusions: Combine tuberculosis treatment should be applied and long term follow up is necessary. Excisional biopsy for tissue diagnosis and bacterial examination with culture should be performed for an early diagnosis as a delay in treatment can lead to devastating consequences.

scholarly journals Dental Implant Placement with Simultaneous Anterior Maxillary Reconstruction with Block and Particulate Fresh Frozen Allograft Bone: A Case Report with 24-Month Follow-Up Data

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
J. S. Vieira ◽  
E. M. Brandão-Filho ◽  
F. R. Deliberador ◽  
J. C. Zielak ◽  
A. F. Giovanini ◽  
...  
Keyword(s):  
Case Report ◽  
Dental Implants ◽  
Clinical Success ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Allograft Bone ◽  
Anterior Maxilla ◽  
Implant Placement ◽  
Fresh Frozen ◽  
Fixed Prosthesis

Fresh frozen allograft bone is routinely used in orthopedic surgery for the reconstruction of large bone defects, and its use in oral and maxillofacial surgery is increasing. The purpose of this case was to demonstrate the installation of dental implants and the use of fresh frozen bone for reconstruction of anterior maxilla in the same surgery. This case report presents the insertion of dental implants followed immediately by a placement of fresh frozen allograft in block and particle for a reconstruction of atrophic anterior maxillary in the same surgery. Ten months subsequent to this procedure, provisional fixed prosthesis was installed on the implants. Four months later (postoperative month 14), the final fixed prosthesis was installed and the clinical success was observed. The insertion of dental implants followed immediately by a placement of fresh frozen allograft is a safe and efficient process that results in the successful return of dental function and aesthetic rehabilitation for the patient.

scholarly journals Uprighting Impacted Mandibular Second Molar Using a Skeletal Anchorage: A Case Report

2020 ◽  
Vol 8 (4) ◽  
pp. 129
Author(s):  
Federica Altieri ◽  
Rosanna Guarnieri ◽  
Martina Mezio ◽  
Gabriella Padalino ◽  
Angela Cipollone ◽  
...  
Keyword(s):  
Case Report ◽  
Treatment Time ◽  
Skeletal Anchorage ◽  
Impacted Tooth ◽  
Short Treatment ◽  
Second Molar ◽  
Advantages And Disadvantages ◽  
Mandibular Molar ◽  
Mandibular Second Molar ◽  
The Impact

The aim of this case report is to present an innovative combined orthodontic-surgical technique to disimpact mandibular second molar (MM2) using an orthodontic miniscrew and an elastic chain. The impact on the Oral health-related quality of life (OHRQoL) was also evaluated. Using the present techinique, it is possible to expose the impacted tooth, insert a self-drilling miniscrew in the retromolar area, and remove the bud of third mandibular molar. At the same time the orthodontic force is applied with the use of an elastomeric chain that connects the head of miniscrew and vestibular and oral buttons bonded on MM2. A close traction is performed for the whole treatment time without the reactivation of the elastic force. The use of skeletal anchorage allowed the disimpaction of impacted MM2 in a short treatment time (about three months) avoiding the typical biomechanical side effects of traditional orthodontic appliance and increasing the effectiveness of the treatment. Further studies are necessary to evaluate the real advantages and disadvantages of this combined orthodontic-surgical approach.

scholarly journals Fracture of an Intravenous Cannula in the Vein during Removal: A Case Report

2016 ◽  
Vol 06 (02) ◽  
pp. 079-081
Author(s):  
Jayanth B. S. ◽  
Piyush M. Bhandari
Keyword(s):  
Case Report ◽  
Blood Vessel ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Venous Cannulation ◽  
Surgical Incision ◽  
Intravenous Cannula ◽  
Radial Vein

AbstractIn Oral and Maxillofacial Surgery, peripheral venous cannulation is done for administrating antibiotics, fluids and supplements. Here we introduce the fracture of i.v cannula during removal inside the blood vessel. Peripheral i.v cannulation was done in radial vein with a 20G cannula in a patient with trauma for receiving antibiotics and fluids.Under sterile conditions, the broken piece of the cannula was removed from a vein with a surgical incision and the skin was sutured.

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