Lipomas are rare in oral and maxillofacial regions although they are the most common tumours of mesenchymal origin in human body. The etiology remains unclear. Various different theories explain the pathogenesis of this adipose tissue tumour and also different histological variants of oral lipoma have been given in literature. A case of intraoral lipoma occurring in mental region in a 77-year-old male is reported along with review of the literature. Wide surgical excision was performed and two-year followup showed excellent healing without any recurrence. Lipomas are benign soft tissue neoplasm of mature adipose tissue seen as a common entity in the head and neck region. Intraoral lipomas are a rare entity which may be noticed only during routine dental examinations. Most of them rarely cause pain, resulting in delay to seek treatment. It is mandatory for a clinician to diagnose intraoral lipomas using latest diagnostic methods and conservatively treat them without causing much discomfort.
HighlightsIncidental finding of a radiopaque mass in right posterior maxilla.A 10-year-old child.Radiopaque mass found to be associated with unerupted upper right second molar.Excisional biopsy shows the lesion to be a rare case of ameloblastic fibro-odontoma which is a mixed odontogenic tumour.
Condylar fractures account for 25-35% of mandibular fractures and deserve a special consideration apart from rest of the mandible due to their anatomical differences and healing potential. Previous clinical and biomechanical studies have recommended using two miniplates for fixation of condyle fractures. Two miniplates require a certain size of the proximal condyle fragment and thus are applicable mainly in cases involving low fractures. The present study evaluates the clinical use of indigenously developed titanium delta-shaped miniplate in open reduction and internal fixation of subcondylar fracture.
The odontogenic keratocyst usually occurs as a multilocular or unilocular radiolucency often in dentigerous relationship. While the most common site is the posterior portion of the mandible or the mandibular ramus, other locations have been reported such as anterior portion of maxilla and maxillary third molar area. Purpose of this article is to alert the clinician to the fact that odontogenic keratocyst should be included in the differential diagnosis of radiolucencies occurring around an impacted tooth in maxillary anterior region.
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