Severe facial pain and removal of maxillary sinus mucous retention cyst.

Maxillary sinus retention cysts (MRCs) are typically asymptomatic and require no treatment. An early 30s man presented with a decade-long history of severe left-sided chronic facial pain (CFP). Multiple prior treatments resulted in an edentulous patient with persistent pain. Imaging revealed a dome-shaped radiopaque change in the left maxillary sinus. History and clinical examination suggested persistent idiopathic facial pain, and doubts about the outcome of a surgical intervention were explained to the patient. Surgical removal of the MRC via lateral antrotomy led to complete symptom resolution of CFP. This case substantiates the importance of considering MRCs as a possible cause of CFP. It also emphasises the need for a systematic multidisciplinary approach in cases of unexplained CFP.

Schwannoma of the tongue.

Schwannoma, neurilemmoma or neurinoma is a rare, benign nerve sheath neoplasm composed of Schwann cells. It is usually solitary, slow growing and asymptomatic. Approximately 1-12% of the tumours occur intraorally with the tongue being the most common location. We report a rare case of lingual schwannoma in a 20-year-old female patient involving the tip of the tongue, which was slow growing and asymptomatic. For diagnosis histopathological examination and also immunohistochemistry testing were carried out to confirm the nature of tissue fragments. The treatment was complete surgical excision.

A novel method of dental panoramic tomogram analysis: a perspective tool for a screening test for osteoporosis.

OBJECTIVE: The purpose of this study was to test a new method of dental panoramic tomogram (DPT) analysis to show the differences of mandibular bone volume and relative bone density (RBD) in order to detect osteoporosis. MATERIALS AND METHODS: A case-control study compared 62 women with osteoporosis (O) and 24 women with osteopenia (o) to a control group of 33 women with normal bone mineral density (N). DPTs were analyzed using an original method resulting in anatomic and RBD indexes as well as using previously described methods: panoramic mandibular index (PMI) and mandibular cortical width (MCW). RESULTS: One anatomic and four RBD indexes differed statistically significantly between the group O and N and three RBD indexes differed statistically significantly between o and N. PMI did not show statistically significant differences between the groups. The MCW differed significantly at two measured sites between O and N. CONCLUSIONS: Average values of RBD indexes were statistically significantly different between O and N and also between o and N. Important differences regarding RBD were confirmed using a new and original method of common DPT analysis. This method could serve as a screening tool for osteoporosis.

Novel method of 3-dimensional soft-tissue analysis for Class III patients.

INTRODUCTION: The aim of this study was to evaluate 3-dimensional facial shells by incorporating a population-specific average template with a group of Class III subjects preparing to have orthognathic surgery. METHODS: The Class III group included 14 male (MCIII) and 15 female (FCIII) subjects. We used 43 male and 44 female Class I subjects to construct average male (AvM) and female (AvF) faces. Coordinates of 3 points on the facial templates of groups MCIII and FCIII and the templates AvM and AvF were compared. MCIII-AvM and FCIII-AvF superimpositions were evaluated for differences. RESULTS: Vertical distances (sella to soft-tissue pogonion) were statistically significantly higher for the AvM (9.1%) and MCIII (10.1%) than for the AvF and FCIII, respectively (P < 0.05). The distances of soft-tissue pogonion in the horizontal x-axis were positive in 80% of the FCIII group and 85.7% of the MCIII group. The Class III subjects differed from the average face in the lower two thirds, but, in 50% (MCIII) and 60% (FCIII), they differed also in the upper facial third. CONCLUSIONS: (1) The average and Class III Slovenian male morphologic face heights are statistically significantly higher than those of the female subjects. (2) The Slovenian Class III male and female subjects tend toward a left-sided chin deviation. (3) Differences between Class III patients and a normative data set were determined.

Cone-beam computed tomography of the maxillofacial region--an update.

BACKGROUND: During the last few years, craniomaxillofacial diagnosis of the head has been confronted with an increasing number of innovations and improvements. The main progress occurred following the introduction of cone-beam technology in computed tomography in the 1990s. The number of manufacturers and devices using this technology for the maxillofacial region is growing rapidly and they are now becoming readily available. MATERIALS: This article focuses on cone-beam computed tomography (CBCT) devices applied to the maxillofacial region. CBCT serves as a bridge from two dimensions (2D) to three dimensions (3D), with lower irradiation than conventional CT. Different manufacturers and models are now available to satisfy the different needs of clinicians. RESULTS: A recent review of the manufacturers found 23 CBCT devices on the market. The specifications, applications and other issues of currently available CBCT devices are presented and discussed. CONCLUSIONS: 3D imaging is developing at a very fast pace. New technologies and machines are emerging and CBCT is becoming readily available. Due to the growing demand for the technology based on the needs of clinicians, there is now a wide and growing selection of devices on the market. Some of the new advances now mean that CBCT imaging should be a well-considered option in maxillofacial imaging.