scholarly journals Clinico-Radiological assessment of Unicystic Ameloblastoma of mandible – a case report

Author(s):  
Sadakshram Jayachandran ◽  
A.V. Annapoorni

Ameloblastoma is a most common benign odontogenic tumour. It is slow growing but aggressive tumour which causes destruction of jaw bones. Clinically it is asymptomatic and can be noticed when the tumour increases gradually in size and causes facial asymmetry or detected during dental radiographic procedures for evaluating the missing or impacted teeth, especially third molar. Unicystic ameloblastomas account for 10-15 % of all intraosseous ameloblastomas. Here we discuss a case report of unicystic ameloblastoma with its clinical and radiological features along with emphasizing the three-dimensional imaging assessment of the case. Key words Ameloblastoma, jaw cyst, Odontogenic tumor, adamantinoma

Dental Update ◽  
2021 ◽  
Vol 48 (7) ◽  
pp. 564-569
Author(s):  
Lily Long ◽  
Jasveen Matharu ◽  
Sunil Sah

An ameloblastoma is a benign, yet locally aggressive odontogenic tumour. The vast majority (80%) of ameloblastomas arise in the mandible, and unicystic ameloblastomas are commonly found in relation to an unerupted lower third molar. We present the case of a 39-year-old patient with an incidental finding of an enlarged dental follicle around an unerupted lower third molar that progressed to an extensive unicystic ameloblastoma. This ameloblastoma was decompressed and marsupialized before enucleation to reduce the risk of pathological fracture due to the extensive size of the tumour. CPD/Clinical Relevance: The case is relevant to general dental practitioners when considering monitoring dental follicles of unerupted teeth because the enlarged dental follicle described progressed to an extensive odontogenic tumour.


2020 ◽  
Vol 5 (2) ◽  
pp. 34-36
Author(s):  
Afreen Fathima ◽  
◽  
Hema Gopalaiah ◽  
Sathya Prakash Reddy K ◽  
Alekhya Kanaparthi ◽  
...  

Ameloblastoma is the term first suggested by Churchill in 1934. This is an odontogenic tumour where epithelium is the neoplastic component with no involvement of ectomesenchyme. As a well known fact that ameloblastoma is a benign tumour which invades locally with most common site being the third molar region mandibular jaw. Most commonly ameloblastoma occurs in mandibular third molar region upto 66%, followed by 11% in mandibular premolar region, 10% in mandibular anterior region, 6% in maxillary anterior and posterior region and only 1% in maxillary premolar region. Here in this case report we present a rare case of unicystic ameloblastoma occuring in anterior mandibular region crossing the midline along with radiographic investigations done in two dimensional and three dimensional imaging.


Author(s):  
Georges Abi Khalil ◽  
Georges Aoun ◽  
Banine Khalifeh ◽  
Toni Zeinoun

Ameloblastoma is an aggressive slow growing benign epithelial odontogenic tumor usually associated with an unerupted third molar. In this report, we present the case of a 71-year-old male with a large swelling on the left mandibular region causing a remarkable facial asymmetry. After clinical, radiological, and histopathological examinations the diagnosis of conventional ameloblastoma was made. To avoid probable recurrence our treatment choice was a segmental mandibular resection with the placement of a reconstructive titanium plate to maintain the space for subsequent bone graft.


2020 ◽  
Vol 10 (2) ◽  
pp. 81-83
Author(s):  
Vivek Singh ◽  
Jasmeet Singh

The term odontoma refers to hamartomatous lesions (malformations) rather than true neoplasms. They are the most common odontogenic tumour of jaws. They are slow growing in nature. Miss­ing permanent tooth or retained deciduous tooth brings the patient to the clinician usually dur­ing second decade of life. Two types of odontomas has been described: complex and compound. The compound type is more common and frequently found in the anterior maxilla. A 15-year-old male patient reported to department Oral and Maxillofacial Surgery, with missing permanent right central and lateral incisor with retained deciduous in place. Intraoral radiographs were done and multiple small denticles were seen. A total of 39 denticles of various sizes were enucleated from the lesion making this case very unusual.


RSBO ◽  
2021 ◽  
Vol 17 (2) ◽  
pp. 189-195
Author(s):  
Eugênio Esteves Costa ◽  
Paola Corso ◽  
Luciana Lyra ◽  
Gleisse Wantowski ◽  
Suyany Gabriely Weiss ◽  
...  

Dentigerous cyst is the most prevalent lesion of odontogenic origin, commonly radiographically diagnosed, between the second and fourth decades of life, with a predilection for the male sex. The treatment of choice is enucleation; however, decompression is indicated for cysts that reach large proportions. The most frequent complications are expansion and resorption of the bone cortex, facial asymmetry, root resorption of adjacent teeth, migration or delay of dental eruption and compression of the lower alveolar nerve canal. Objective: To report a clinical case of a dentigerous cyst adjacent to an impacted mandibular third molar, treated with decompression and enucleation. Case report: A 39-year-old male, attended the Stomatology service with a history of a radiographic finding in the mandible. At the radiopraghic evaluation, it was possible to observe a radiolucent unilocular cystic tumor lesion, well delimited by a radiopaque, asymptomatic, intraosseous image in the region of the mandible right angle, extending from the left first pre molar to the left third molar, with the later included in a mesioangular position. The patient underwent a previous cystic decompression process, followed up regularly for 6 months, and referred for endodontic treatment of the left first and second molars to prepare for surgical enucleation and removal of the third molar. After removal, the material was sent to anatomopathological analysis, and the results confirmed the diagnosis of dentigerous cyst. The patient is being followed up without postoperative comorbidities. Conclusion: The chosen treatment allowed the maintenance of the teeth involved in the lesion, and mainly, the minimization of the enucleation procedure by previous decompression.


2017 ◽  
Vol 10 (2) ◽  
pp. 205-207
Author(s):  
Anju Bansal ◽  
Chitrita G Mukherjee ◽  
Uday Mukherjee ◽  
Anupriya Jha

ABSTRACT Odontogenic myxomas are rarely occurring, slow-growing, asymptomatic, and locally aggressive odontogenic tumors with high rate of recurrence, mainly of ectomesenchymal origin. Three-dimensional imaging techniques can be used to diagnose such pathological lesions, but have limited use as they are not cost-effective and are selectively available for better outcome. Following is a case report of OM of a 5-year-old child with a brief discussion on its diagnosis and management. How to cite this article Mukherjee CG, Mukherjee U, Bansal A, Jha A. A Misdiagnosed Odontogenic Tumor: A Clinical Dilemma. Int J Clin Pediatr Dent 2017;10(2):205-207.


F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 9
Author(s):  
Lourdes de Fátima Ibañez Valdés ◽  
Jerry Geroge ◽  
Sibi Joseph ◽  
Mohamed Alshmandi ◽  
Wendy Makaleni ◽  
...  

Dyke-Davidoff-Masson syndrome (DMMS) is a non-inherited rare condition with a clinical constellation of hemiparesis/hemiplegia, facial asymmetry, intellectual disability, and epilepsy. The radiological features can be including unilateral cerebral atrophy, calvarial thickening, and hyper pneumatization of the paranasal sinuses. The condition can either be congenital or acquired. The presentation usually occurs during childhood or early adolescents, but there have been adult cases reported. Here we report a 48-year-old male who was a known poorly controlled epileptic that contracted SARS-CoV-2 with subsequently developed status epilepticus and, when worked up, was shown to have features of DDMS. This case is unique as the patient had hemiatrophy and epilepsy but managed to lead a normal, physically demanding, and high functioning academic career and presented late in life. Perhaps only due to coronavirus disease 2019 (COVID-19) was this diagnosis picked up. This report contains a case presenting atypical DDMS in status epilepticus and COVID -19 plus other complications. From our knowledge, this is the first case presenting these comorbidities reported to the medical literature.


2015 ◽  
Vol 6 (1) ◽  
pp. 11-13
Author(s):  
MS Nalini ◽  
Balasubramanya Kumar ◽  
Sunil Shroff

ABSTRACT A dentigerous cyst is an odontogenic cyst associated with the crown of the impacted or unerupted teeth. Such cyst remains initially completely asymptomatic unless when infected and can be discovered only on routine radiographic examination. Here is a case of dentigerous cyst, present in left mandibular region associated with cortical expansion and facial asymmetry which has been enucleated and the tooth extracted surgically is discussed in present case report. How to cite this article Nalini MS, Kumar B, Shroff S. Dentigerous Cyst Associated with Impacted Third Molar. J Health Sci Res 2015;6(1):11-13.


2020 ◽  
Vol 47 (2) ◽  
pp. 163-169
Author(s):  
Geetanjali Sharma ◽  
Mohammad Shorafa ◽  
Gurdeep Hans

Osteochondroma of the condyle is a rare, slow-growing, benign tumour of the temporomandibular joint that can result in facial asymmetry, limited mouth opening, temporomandibular joint dysfunction and malocclusion. The large majority of osteochondromas occur at the distal metaphysis of the femur and the proximal metaphysis of the tibia, whereas only 0.6% of osteochondromas have been reported as occurring in the craniofacial region. We discuss the diagnosis and treatment of a 56-year-old fit and well male patient who presented to the Orthodontic Department at Wexham Park Hospital with a four-year history of progressive facial asymmetry and functional concerns, owing to a rare osteochondroma of the condyle.


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