Introduction: Central giant cell granuloma (CGCG) is a rare bony lesion in the Head and Neck region. It is a non-odontogenic tumor never seen in any other bone of the skeleton. It is an intraosseous lesion consisting of cellular fibrous tissue that contains multiple foci of hemorrhage, aggregations of multinucleated giant cells and occasionally trabeculae of woven bone. Case Report: We report a case of a 50-year-old female patient with swelling on the right side of face for 4 months. Intraoral examination shows a mass in right lower jaw in the region of 45 and 46 edentulous areas. The swelling had smooth surface, firm and tender on palpation. There was no expansion of lingual region. The radiological examination revealed a well-defined multiloculated expansile and lytic lesion in the right mandible, extending from the 44 to 47 with a resorption of teeth 44. The patient underwent incisional biopsy and the diagnosis of CGCG and brown tumor of hyperparathyroidism was proposed. According to the clinical radiological and biological findings, the diagnosis of CGCG was confirmed. The enucleation of the lesion with the extraction of 44 was done. Discussion: Central giant cell granuloma (CGCG) is a benign intraosseous lesion of the head and neck with potential for aggressive and locally destructive behaviour. Lesions of the maxilla tend to expand more than those of the mandible due to the thinner cortices and spongy tissue of this location. Surgical removal is the most common treatment; however, it may be disfiguring in aggressive cases, especially for lesions located in the maxilla. Alternative treatments, such as intralesional corticosteroid injections, have been performed with satisfactory results.
Odontoma is defined as calcifying benign odontogenic tumor composed of various tooth tissues such as enamel, dentin, pulp, and cementum and representing the second most common odontogenic tumor of the jaw bones. These lesions are often associated with impacted permanent teeth. They are usually small, asymptomatic and diagnosed after routine radiographic examination. The aim of this work was to report a case of a compound odontoma in the anterior maxilla of a 35-year-old woman, which was causing the impaction of the maxillary left central incisor. A removal of the tumor was planned. An orthodontic approach was proposed as a surgical procedure for orthodontic traction of the impacted tooth. After 12 months, the clinical and radiographic examination revealed the eruption of the impacted incisor. The recommended treatment of compound odontoma is the complete removal of the tumour. An orthodontic approach may be indicated to correct any malocclusion or to perform the traction of the tooth, due to a possible impaction.
A frenum, a triangle-shaped fold of tissue connects the lip, tongue and buccal musculature to the alveolar bone in the oral cavity. Any abnormalities in the size and location of the frenum can cause functional and esthetic problems which require surgical excision. Frenectomy can be accomplished either by the routine scalpel technique, or by using lasers such diode laser. The 1st case is an 8-year-old healthy boy with the chief complaint of spacing between his upper front teeth and a palatoversion of the left central incisor. Intraoral clinical examination revealed the presence of midline diastema (1 mm) with high, fibrous labial frenal attachment. The 2nd case is a 6-year-old boy consulted with the complaint of difficulty in speech associated to the limitations of the lingual movements. Intraoral examination revealed partial ankyloglossia. The 2 cases, the frenectomy was then made with 980 nm diode laser.
Introduction: Progressive ossifying fibrodysplasia (POF) is a rare autosomal dominant disease characterized by the congenital malformation of the big toes and progressive postnatal heterotopic ossification of soft tissues with characteristic anatomical profiles. The maxillofacial region may also be affected. Observation: A 24-year-old man was referred by a traumatologist for the restoration of the oral cavity. He showed characteristic signs of POF. Oral clinical examination showed limitation of the oral opening, multiple dental caries, dental necrosis, and an asymptomatic impacted 48. Management included motivation for oral hygiene, scaling and dental extractions, followed by a prescription of steroidal anti-inflammatory drugs at a single dose of 2 mg/kg/day for 4 days. Discussion: The management of patients with POF in oral surgery has particularities. Dental care must be performed in brief sessions. The patient must be in a semi-sitting position, with the neck held upright, to avoid hyper extension of the neck and to improve comfort and safety. A prescription for corticosteroids is necessary after dental care to prevent possible heterotopic ossification. Through this article, we highlight the characteristics of POF, therapeutic attitude, and precautions to take to avoid possible complications.
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