scholarly journals Central ossifying fibroma, periapical cemento-osseous dysplasia and complex odontoma occurring in the same jaw

2011 ◽  
Vol 1 (2) ◽  
pp. 36 ◽  
Author(s):  
Farzaneh Agha Hosseini ◽  
Elham Moslemi
Keyword(s):  
Case Reports ◽  
Ossifying Fibroma ◽  
Pulp Tissue ◽  
Osseous Lesion ◽  
Osseous Dysplasia ◽  
Complex Odontoma ◽  
School Of Dentistry ◽  
One Year ◽  
The Right ◽  
The Relationship

Central ossifying fibroma is a rare, benign fibro-osseous lesion that arises from the periodontal ligament. Periapical cemento-osseous dysplasia is another variant of fibro-osseous lesion which occurs in the anterior region of the mandible of females. Odontoma is a benign odontogenic tumor that contains enamel, dentine cement and pulp tissue. A 46-year-old woman was referred to the Department of Oral Medicine, School of Dentistry, Tehran University of Medical Sciences, with two nonpainful swellings on both sides of the mandible, which had been slowly growing over a period of one year. Our differential diagnosis was florid cemento-osseous dysplasia, focal cemento-osseous dysplasia for the right side, complex odontoma for the left side and periapical cement-osseous dysplasia for the anterior side. The historical feature revealed ossifying fibroma, complex odontoma and periapical cemento-osseous dysplasia. The occurrence of these three lesions in the same jaw has been rarely reported in the literature. The relationship between the occurrence of these three lesions is not obvious it could be coincidental. It seems that more case reports are needed to establish the relationship between them.

scholarly journals Implant Placement in a Cemento-Osseous Dysplasia: A case report

2021 ◽  
Vol 8 (2) ◽  
pp. 6
Author(s):  
Alexandre Perez ◽  
Avigaïl Maman ◽  
Edouard Di Donna ◽  
Tommaso Lombardi
Keyword(s):  
Case Reports ◽  
Lower Quadrant ◽  
Implant Placement ◽  
Osseous Dysplasia ◽  
Step Procedure ◽  
Mandibular Region ◽  
One Year ◽  
The Right

We present a 45-year-old black woman diagnosed with a florid cemento-osseous dysplasia (FCOD) affecting the right lower quadrant and the anterior mandibular region. The patient requested dental implants to rehabilitate the edentulous central lower incisors area (teeth # 31 and # 41) corresponding to a periapical cemento-osseous dysplasia (PCOD). Successful osseointegration of the two implants was obtained using a two-step procedure in order to limit the risk of complications associated with implant placement. Follow-up at one year showed no recurrence and good implant stability. Due to the abnormal quality of the bone in cemento-osseous dysplasia (COD), implant placement is generally avoided, and no other case reports have been reported in the literature in patients affected by PCOD. The present case suggests that in an appropriate clinical setting, implant placement may be a successful procedure.

scholarly journals Delayed-Onset Post-Stroke Delusional Disorder: A Case Report

2013 ◽  
Vol 27 (3) ◽  
pp. 287-291 ◽  
Author(s):  
Raíssa B. Barboza ◽  
Gabriel R. De Freitas ◽  
Fernanda Tovar-Moll ◽  
Leonardo F. Fontenelle
Keyword(s):  
Cerebrovascular Accident ◽  
Case Reports ◽  
Delusional Disorder ◽  
Psychotic Symptoms ◽  
Parietal Region ◽  
Post Stroke ◽  
Delayed Onset ◽  
Long Period ◽  
One Year ◽  
The Right

Although the prevalence of neuropsychiatric disorders among patients with cerebrovascular illness is relatively high, there are only few case reports describing post-stroke psychotic symptoms. In general, post-stroke psychoses have been reported to emerge few days after the vascular event and to vanish soon afterwards. In this report, we describe delayed-onset post-stroke delusional disorder, persecutory type. A middle-aged female patient developed a persistent delusional disorder with homicidal behavior about one year after a cerebrovascular accident affecting the right fronto-temporo-parietal region and a long period of chronic post-stroke mixed anxiety and depressive symptoms. Our case suggests that there might be long intervals between stroke and the appearance of psychotic symptoms.

Lingual Schwannoma Involving The Posterior Lateral Border Of The Tongue In A Young Individual: Case Report

2008 ◽  
Vol 33 (1) ◽  
pp. 59-62 ◽  
Author(s):  
Luciano José Pereira ◽  
Patrícia Peres Iucif Pereira ◽  
João de Paula dos Santos ◽  
Viator Ferreira Reis Filho ◽  
Paulo Roberto Dominguete ◽  
...  
Keyword(s):  
Case Reports ◽  
Neck Region ◽  
Excisional Biopsy ◽  
Individual Case ◽  
Autonomic Nerves ◽  
Current Case ◽  
Lateral Border ◽  
Individual Case Report ◽  
One Year ◽  
The Right

A schwannoma, also called neurilemmoma, is a benign, encapsulated, slow growing tumor, arising from the neural sheath's Schwann cells of the peripheral, cranial or autonomic nerves. The etiology is unknown, there is no gender preference and the tumors occur most commonly between the ages of 20 and 50 years. Approximately 25–48 % of these tumors occur in the head and neck region, with only 1% occurring in the mouth. The current case reports a schwannoma of the tongue, found in a 12 year-old boy. The lesion was present for 6 months. The clinical examination revealed a 1.5x1.0 cm, sessile, rubbery, non-tender, non-ulcerated mass on the right posterior lateral border of the tongue. An excisional biopsy was performed under local anesthesia. The histological sections showed a circumscribed submucosal nodule composed of spindle cells with thin wavy nuclei arranged as typical Antoni A (with Verocay bodies) and Antoni B areas. Nuclear palisading distribution (typical of a schwannoma) was readily identifiable. The patient was recurrence free after one year.

scholarly journals The importance of cone-beam computed tomography for the diagnosis and treatment plan of florid cemento-osseous dysplasia: a case report

2021 ◽  
Vol 62 (2) ◽  
Author(s):  
Natállia Corrêa ◽  
◽  
Hary Silva ◽  
Cristine Amaral ◽  
Claudia Valle ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Resorption ◽  
Treatment Plan ◽  
Cone Beam ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
Osseous Lesion ◽  
Osseous Dysplasia ◽  
The Right

Cone-beam computed tomography (CBCT) provides images without overlapping anatomical structures, which is important for the diagnosis and assessment of florid cemento-osseous dysplasia. This fibro-osseous lesion that affects the alveolar process without compromising the teeth’ pulp vitality is usually asymptomatic, and bone expansion, cortical disruption, and root resorption are uncommon. Due to its avascular characteristic, surgical procedures are often contraindicated. In this case, a 59-year-old female patient presented with a complaint of pain in the right maxillary central incisor. Panoramic and periapical radiographs showed florid cemento-osseous dysplasia in some regions. The right maxillary central incisor showed an extensive radiolucent image suggestive of root resorption but without fibro- -osseous lesion. For better evaluation and implant planning, CBCT was performed and demonstrated florid cemento-osseous dysplasia adjacent to the right maxillary central incisor, contraindicating implant placement. In other regions, CBCT enabled the identification of the expansive features of this fibro-osseous lesion.

scholarly journals A path less travelled — Short review on ossifying fibroma and osseous dysplasia

2021 ◽  
Vol 11 (2) ◽  
pp. 90-95
Author(s):  
Deepali P Mohite ◽  
Devendra H Palve ◽  
Snehal R Udapure ◽  
Vinanti V Bodele ◽  
Mrunali D Jambhulkar ◽  
...  
Keyword(s):  
Fibrous Tissue ◽  
Short Review ◽  
World Health ◽  
Ossifying Fibroma ◽  
Osseous Lesion ◽  
Osseous Dysplasia ◽  
Cementifying Fibroma ◽  
Calcified Tissue ◽  
Health Organization ◽  
Slow Growing

Fibro-osseous lesions (FOL) are characterized by replacement of normal bone by fibrous tissue containing a newly formed mineralized product. The mineralized product may be ossification (sometimes cementum formation) or calcification of fibrous tissue by metaplasia. These lesions have similar radiographic and histopathologic features hence the term fibre- osseous lesion is not a diagnosis, rather a description of the presence of fibrous and calcified tissue. They may be developmental (fibrous dysplasia), reactive (cemento-osseous dysplasia) or neoplastic (ossifying/cementifying fibroma). This article presents the commonly used classification for fibro-osseous lesions and an insight into a few changes that have been introduced in the recent past with emphasis on Ossifying Fibroma and Osseous Dysplasia.Ossifying fibromas are considered as benign fibro-osseous neoplasms which are principally encountered within the jawbones. Cemento-osseous dysplasias are non-neoplastic fibro- osseous lesion. Since 1971, the World Health Organization classified cemental lesions into 4 distinct entities, as follows: Periapical Cemental Dysplasia, Benign Cementoblastoma (true cementoma), Cementifying Fibroma and Gigantiform Cementoma (GC). The term, gigantiform cementoma, may imply a solitary process but it is misleading because the condition typically presents as slow-growing, multifocal/multiquadrant and expansile lesions involving both jaws. WHO classified it in Osseous dysplasia and El-Mofty et al. under Ossifying fibroma.

scholarly journals Chylopericardium as a complication of cardiac surgery: Report of two cases and review of the literature

2007 ◽  
Vol 135 (1-2) ◽  
pp. 88-91 ◽  
Author(s):  
Milos Velinovic ◽  
Mile Vranes ◽  
Mladen Kocica ◽  
Petar Djukic ◽  
Aleksandar Mikic ◽  
...  
Keyword(s):  
Pericardial Effusion ◽  
Case Reports ◽  
Lymphatic Vessels ◽  
Medium Chain Triglycerides ◽  
High Concentration ◽  
Ductus Thoracicus ◽  
Medium Chain ◽  
One Year ◽  
The Right

Chylopericardium refers to existing communication between the pericardial sac and the thoracic duct carrying the chyle. The objective of our report was to highlight the specificity of diagnosis and treatment of this rare but tedious condition through the analysis of two case reports. Male patient, aged 63 years, with chylopericardium was diagnosed perioperatively (implantation of artificial aortic - St. Jude No 21 and mitral valve - St. Jude No 29). Etiology of pericardial effusion was established by Sudan III staining of punctate specimen obtained by subxiphoid pericardial puncture. Probable cause of chylopericardium was the lesion of ductus thoracicus during cross-clamping of the superior caval vein with a Cooley clamp. Initial treatment included diet rich in medium-chain triglycerides which resulted in resolution of the effusion. During five-year follow-up, there were no recurrences of pericardial effusion. The second patient was female, 21 years old, with chylopericardium after partial pericardiectomy performed because of the chronic severely symptomatic pericardial effusion, resistant to other forms of treatment. Pericardiocentesis provided 650 ml of yellowish fluid with a high concentration of cholesterol (3.2 mmol/l), triglycerides (16.6 mmol/l), and proteins (64.7 g/l), which verified chylopericardium, most probably as a consequence of the lesion of ductus thoracicus during partial pericardiectomy. Diet rich in medium-chain triglycerides failed to decrease the effusion, after two weeks of treatment (daily secretion 250-350 ml). Lymphography revealed lesion of ductus thoracicus, most probably at Th9/Th10 level, with no direct visualization of extravasal accumulation of contrast media. Surgical ligation of ductus thoracicus was performed through the right thoracotomy. However, postoperative secretion increased to 1000 ml/day. Patient underwent redo surgery comprising the ligation of lymphatic vessels, guided by extravasation of intraoperatively iwected methylene-blue indicator. During one-year follow-up, there were no recurrences of pericardial effusion. In conclusion, intraoperative lymphography significantly contributed to successful surgical treatment of patients with chylopericardium.

scholarly journals Pseudoephedrine-induced Hemorrhage Associated with a Cerebral Vascular Malformation

2005 ◽  
Vol 32 (2) ◽  
pp. 248-252 ◽  
Author(s):  
Steven K. Baker ◽  
Jamie E. Silva ◽  
Ken K.S. Lam ◽  
Steven K. Baker
Keyword(s):  
Intracerebral Hemorrhage ◽  
Vascular Malformation ◽  
Chronic Sinusitis ◽  
Case Reports ◽  
Resonance Imaging ◽  
Cerebral Angiogram ◽  
Cerebral Vascular Malformation ◽  
One Year ◽  
The Relationship

ABSTRACT:Background:Sympathomimetic-related intracerebral hemorrhage is well-documented. Most cases are associated with phenylpropanolamine use.Case Report:We report a case of intracerebral hemorrhage occurring in a middle-aged man who suffered from chronic sinusitis and had been ingesting pseudoephedrine daily for one year. This patient was previously well with no known cardiovascular risk factors. Clinical examination revealed no evidence of vasculitis nor coagulopathy and initial neuroimaging (i.e., computed tomography, angiography, magnetic resonance imaging) demonstrated no features consistent with aneurysm, arteriovenous malformation (AVM), cavernoma, nor cerebral metastases. A follow-up cerebral angiogram demonstrated a small AVM arising off a branch of the pericallosal artery and a small arteriovenous fistula arising off the costal marginal branch. The AVM was embolized without incident, however, the AVF was not accessible.Conclusions:Sympathomimetics have long been associated with intracerebral hemorrhage. Since 1979, over 30 published case reports have documented the relationship between phenylpropanolamine and stroke. Only one report links phenylpropanolamine consumption to an intracerebral hemorrhage in a patient with an AVM. There is a paucity of literature etiologically inculpating other ephedra alkaloids in the causation of intracerebral hemorrhage. This is a case of pseudoephedrine-induced intracerebral hemorrhage in a patient with an underlying vascular malformation.

scholarly journals Endodontic treatment of the teeth with different root canal curvatures: Two case reports

2009 ◽  
Vol 56 (2) ◽  
pp. 91-96
Author(s):  
Katarina Beljic-Ivanovic ◽  
Nevenka Teodorovic ◽  
Dejan Ostojic
Keyword(s):  
Clinical Practice ◽  
Root Canal ◽  
Case Reports ◽  
Endodontic Treatment ◽  
X Rays ◽  
Root Canals ◽  
Root Canal Morphology ◽  
Instruments And Techniques ◽  
School Of Dentistry ◽  
The Right

Endodontic treatment of the teeth with severe root canal curvatures has become one of the greatest problems in clinical practice. Recently, new instruments and techniques have been introduced in the endodontic procedure. The aim of this study was, on the basis of clinical practice, to show the possibilities of the endodontic treatment in the teeth with severely curved root canals, after dependable decision about endodontic instruments and techniques. This article presents a complete endodontic procedure in two teeth with different curvature shape of the root canal in patients that were treated at the Department of Restorative Dentistry and Endodontics, School of Dentistry, Belgrade. Coronal to apical 'crown down' technique was used for the root canal preparation with hand NiTi ProTaper instruments with progressive multicone design. The main reasons for choosing manual technique were complexity, shape of presented curvatures and better tactile sensation control of canal instruments in order to avoid possible mistakes and complications. Clinical X-rays of the teeth with permanent obturation clearly showed that extremes of the root canal morphology could be successfully solved by the right choice of all factors during endodontic procedure.

scholarly journals One-year Effect of Wearing Orthokeratology Lenses on the Myopia Progression

2021 ◽  
Author(s):  
Bei Gao ◽  
Jing Xu ◽  
Guodong Tang ◽  
Chenying QU ◽  
Dongxue Du ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Univariate Analysis ◽  
Anterior Chamber Depth ◽  
Myopia Progression ◽  
Year Effect ◽  
Baseline Factors ◽  
One Year ◽  
The Right ◽  
The Relationship

Abstract Background: To Investigate the efficacy of overnight orthokeratology (Ortho-k) for myopia control and the relationship between axial length (AL) changes and different baseline factors.Methods: This is a retrospective study of 675 myopic patients (Affiliated Eye Hospital of Shandong University of TCM) who received Ortho-k correction between August 2015 and July 2017. These subjects were followed up at least for 12 months. Genders, age, parental refractive status, manifest refractions, cycloplegic refractions, uncorrected and best-corrected visual acuities, power vector of astigmatism, corneal curvature, age at initiation of Ortho-k wear (year), intraocular pressuren (IOP), anterior chamber depth (ACD), pupil size (PL), corneal diameter (CD) and AL were obtained for analysis. Correlation and multivariate logistic regression analyses were used to screen for the factors that can improve treatment outcome. Results: The baseline 675 patients’ AL of was 25.12±1.00 mm, and after 12 months of treatment, the AL was 25.30±0.94 mm, and the axial elongation was 0.18±0.22 mm. Univariate analysis of the right-eye independent variable of 675 patients showed a statistically significant association between age at initiation of Ortho-k wear, spherical equivalent refractive (SER), and changes in AL. Regression analysis results show that age at initiation of Ortho-k wear and SER are independent factors with effects on the treatment outcome.Conclusion: Ortho-k was effective in slowing myopia progression over a one-year follow-up period. Age at initiation of Ortho-k wear, and SER were found to be associated with increased change of AL during follow-up.

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