Recurrent peripheral ameloblastoma in an elderly patient: A case report.

OBJECTIVE: To report a case of recurrent peripheral ameloblastoma (PA) in an elderly patient. BACKGROUND: PA is a benign tumour that affects soft tissues of gingiva or edentulous alveolar areas, exhibiting histopathological characteristics of ameloblastoma. METHODS: A 79-year-old man showed a nodule in the edentulous right mandibular alveolar ridge diagnosed as recurrent PA. CONCLUSION: Clinicians should consider PA as a differential diagnosis of routine nodular lesions affecting the oral mucosa of geriatric patients.

Osteolipoma: a rare tumor in the oral cavity.

Osteolipoma is a rarely reported histologic variant of lipoma that exhibits bone formation. To the best of our knowledge, only 13 well-documented case reports of osteolipoma in the oral cavity have been published in the English literature. This study presents the clinical, radiographic, and histologic features of an osteolipoma in the oral cavity and reviews the pertinent literature. The patient was a 29-year-old female, who presented with an 8-month history of a painless, progressively enlarging, well-defined, movable submucosal mass in the left posterior buccal mucosa. The lesion had a hard consistency. Imaging findings revealed a spherical radiopacity with an irregular trabecular pattern. The lesion was excised and the diagnosis of osteolipoma was established. No recurrence was observed after a 5-year follow-up.

Ameloblastoma: un estudio retrospectivo de 48 casos / Ameloblastoma: a retrospective study of 48 cases

El ameloblastoma es un tumor odontogénico benigno, localmente invasivo y recidivante, que constituye aproximadamente el 11% de los tumores odontogénicos. Estos tumores ocurren más frecuentemente en la mandíbula. El cuadro clínico se caracteriza generalmente por presentar deformaciones faciales, crecimiento lento y asintomático. El tratamiento depende del tipo, la localización y el tamaño del tumor, así como de la edad del paciente. El objetivo del presente trabajo es realizar un estudio retrospectivo de los casos diagnosticados de ameloblastomas en los datos existentes de los archivos del Departamento de Patología Oral de la Pontifícia Universidade Católica de Minas Gerais, Brasil. Se analizaron los archivos de pacientes en el periodo de enero de 1978 a marzo de 2012, con un diagnóstico definitivo de ameloblastoma. Método. Fueron analizadas las informaciones con respecto a sexo, raza, edad del paciente, presencia de síntomas, aspecto radiográfico del tumor, diagnóstico histopatológico y ubicación anatómica. Resultados. Dentro de los 48 pacientes con ameloblastoma se observó mayor incidencia en la mandíbula en la zona del cuerpo y ángulo (45,8%), que afecta por igual a hombres y mujeres, con un promedio de edad de 36 años y en su gran mayoría se mostraron asintomáticos (81,2%). El tipo más frecuente fue el multiquístico (66,7%), seguido por el uniquístico (31,2%) y el periférico (2,1%). La mayoría de lesiones fueron observadas en la raza blanca (56,3%) y radiográficamente se mostró más frecuente la imagen multilocular (60,4%). Conclusión. Los datos de los ameloblastomas reportados en este estudio fueron similares a los de otras series publicadas en la literatura médica (AU)

Ameloblastoma is a benign, locally invasive and recurrent, odontogenic tumor, which accounts for about 11% of odontogenic tumors. These tumors occur more frequently in the mandible. The clinical picture presented is generally characterized by slow growing and asymptomatic facial deformities. Treatment depends on the type, location and size of the tumor, as well as the age of the patient. The aim of this paper is to present a retrospective study of diagnosed cases of ameloblastoma in existing data files of the Department of Oral Pathology Catholic University of Minas Gerais, Brazil. Data was collected from the files of patients with a definitive diagnosis of ameloblastoma during the period January 1978 to February 2012. Method: An analysis was made of the data, including sex, race, patient age, symptoms, radiographic appearance of the tumor, the histopathological diagnosis and anatomic location. Results: Of the 48 patients with ameloblastoma there was an increased incidence in the jaw and the angle (45.8%). It affected both men and women, with a mean age of 36 years, and the large majority were asymptomatic (81.2%). The most frequent histological type was multicystic (66.7%), followed by unicystic (31.2%), and peripheral (2.1%). Most lesions were observed in white people (56.3%) and radiographically, it was more often a multilocular image (60.4%). Conclusion: The data reported in this study of ameloblastomas were similar to other series reported in the medical literature (AU)

Brazilian green propolis compared to miconazole gel in the treatment of Candida-associated denture stomatitis.

Aim. To evaluate the efficacy of Brazilian green propolis in comparison to miconazole gel in the treatment of Candida-associated denture stomatitis. Methods. Forty-five denture stomatitis patients, with palatal mucosa erythema levels classified according to Newtons's criteria and with positive culture to Candida spp., were randomly divided into three treatment groups: 15 received miconazole gel 2%, 15 received propolis gel 2,5%, and 15 received propolis 24% for mouthwash. After four daily use lasting two weeks, they were reexamined for the denture stomatitis degree and for a second culture of Candida. The Wilcoxon's test was applied to compare the results of clinical classification of the denture stomatitis and the Candida spp. colonies numbers, before and after each treatment. The Kruskall-Wallis's test was used to compare efficacy among the three treatment groups. Results. There were a significant reduction or complete remission of denture stomatitis (P < 0.05) and a significant decrease of Candida colonies for the three groups (P < 0.05). There was no difference in the efficacy among the treatment groups (P > 0.05). Conclusion. Brazilian green propolis has a similar effect as miconazole in the treatment of Candida-associated denture stomatitis being an alternative in the therapeutics of this condition.

Impacto do Diagnóstico de Câncer de Boca em Alunos da Disciplina de Estomatologia do Departamento de Odontologia da PUC - Minas / Oral Cancer Diagnosis Impact on Stomatology Students of the PUC Minas School of Dentistry

Avaliar o impacto do diagnóstico de câncer bucalnos alunos do curso de Odontologia da Pontifícia UniversidadeCatólica de Minas Gerais. Material e Métodos: 64 alunos, deambos os sexos e em formação universitária, cursando o 50e o 60 períodos da disciplina de Estomatologia doDepartamento de Odontologia da Pontifícia UniversidadeCatólica de Minas Gerais responderam a um questionárioespecífico relacionado aos fatores emocionais associadosao atendimento de pacientes com lesões suspeitas demalignidade até o diagnóstico final e a comunicação ao mesmoe aos seus familiares Resultados: Dados mostraram que54,5% dos alunos apontaram o diagnóstico precoce docâncer como o fator relevante para a recuperação dopaciente e 75% responderam que o choro seguido de revoltae desespero são as reações mais difíceis de lidar diante docomunicado do diagnóstico de câncer ao paciente.Entretanto, o resultado aponta presença de algumastransformações subjetivas experimentadas pelos estudantesapós a experiência clínica com o diagnostico de câncer e aimportância de introduzir no meio acadêmico um espaço paradiscussões interdisciplinares e trocas de experiências evivências que as relações humanas no campo da saúdeevocam. Conclusão: Ficou evidente a necessidade dereconhecer nestes futuros profissionais condutas guiadaspelos valores humanos e não apenas por conhecimentostécnicos e terapêuticos, compreendendo a angústia e o pedidode ajuda, aplicando sua sensibilidade para lidar com o ouvire o sentir de uma pessoa fragilizada pela doença e pelotempo que perdeu para chegar ao diagnóstico e pelastentativas frustradas de solução de seu problema...

To evaluate the impact of the diagnosis of oralcancer in students of the School of Dentistry, PontificalCatholic University of Minas Gerais. Material and methods:64 students of both genders and in higher degree, taking the5th and 6th semesters of the discipline of Stomatology, DentistryDepartment, Pontifical Catholic University of Minas Gerais,answered a questionnaire related to specific emotional factorsassociated with care in patients presenting lesionssuspicious of malignancy until the final diagnosis and thereporting to them and to their families. Results: Importantdata showed that 54.5% of the students indicated earlydetection of cancer as a factor relevant to the patient’srecovery and 75% answered that crying followed by revoltand despair are the reactions most difficult to deal before thenotice of a diagnosis of cancer to a patient. However, theresults indicate presence of some subjective changesexperienced by students after the experience with the clinicaldiagnosis of cancer, and emphasize the importance ofintroducing in the academic space interdisciplinarydiscussions and exchanges of experiences that humanrelations in health evoke. Conclusion: It was evidenced theneed to recognize in those future professionals someconducts guided by human values †and not just therapeuticand technical expertise, understanding the distress and callfor help, applying their sensitivity to deal with the hearingand feeling of a person weakened by illness and by the losttime until diagnosis was confirmed as well as by theunsuccessful attempts to solve his/her problem...

Periapical cemental dysplasia in twin sisters: a case report.

The aim of this study was to report a case of periapical cemental dysplasia affecting the mandibular incisors in 38-year-old twin sisters. The major concern is failure to recognize the nature of the lesion, which may result in unnecessary root canal treatment or extractions on the assumption that the lesion represents inflammatory periapical pathosis.