Fibroma is a benign tumor of oral cavity, with usually the tongue, gingiva, and buccal mucosa being the most common sites. Females are twice more likely to develop fibroma than males. The intraoral fibroma typically is well demarcated; and its size can vary from millimeter to few centimeters. Intraorally the growth is attached to the mucosa by means of a peduncle. Fibroma is generally slow growing, painless, smooth surface lesion and the color is slightly paler than the adjacent healthy tissue. Treatment usually requires total excision and recurrence is rare. Here we present a case of 37-year-old female patient reported to the Department of Oral Medicine and Radiology with the chief complaint of a growth in the lower left posterior teeth region 3 months earlier.
Mucormycosis is caused by fungi of the order Mucorales and is one of the fulminant and fatal mycotic infections known to human beings with a high mortality rate. Rhinocerebral mucormycosis is the most common type and its extension to the orbit and brain is quite usual. It is commonly reported in immunocompromised patients such as poorly controlled diabetes mellitus, blood dyscrasias, malnutrition, neutropenia, iron overload, organ transplant, and immunosuppressive therapy. Mucormycosis is on the rise with an increase in incidence of Diabetes mellitus and HIV infection leading to immunocompromised status of the patient. Here in, reporting two cases of rhinocerebral mucormycosis in two uncontrolled diabetic patients with deep palatal perforation in one case and this is a rare and late occurrence. Both the patients were successfully treated with a combination of surgical debridement and systemic amphotericin B administration. By presenting this case report we would like to point out that mucormycosis should be included in the differential diagnosis of hard palate ulcers and cellulitis.
Key words: Fungal infection, mucorales, immunocompromised status, palatal perforation, diabetes mellitus.Sujatha RS., Rakesh N.,Deepa J., Ashish L., Shridevi B. Rhino cerebral mucormycosis. A report of two cases and review of literature. J Clin Exp Dent. 2011;3(3):e256-60.
Odontogenic cysts are pathological cavities enclosed by fibrous connective tissue and lined with epithelial tissue that develops from odontogenic tissues in the maxilla and mandible's tooth-bearing regions. Trauma or tooth caries is the main cause of radicular cysts or periapical cysts. Pulp necrosis is the outcome of dental caries irritating the pulp cavity. Once the infection has reached the root's tip, it causes periapical periodontitis, which may lead to either a chronic granuloma or an acute abscess. A persistent chronic infection led to the development of a periapical cyst. Radicular cysts are the most prevalent cystic lesions that afflict the jaw. They account for 52% to 68 percent of all cysts affecting the human jaw, making them the most common of all jaw cysts. The paper presents a case report of a 10-year-old pediatric patient who developed a radicular cyst post-trauma and eventually got infected.
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