Bilateral Inverted and Impacted Mandibular Third Molars: A Rare Case Report.

Even while certain forms of mandibular impactions (such as inverted molars) might be considered unusual findings, mandibular impacted teeth are really one of the most regularly seen dental abnormalities. Two female patients' mandibular third molars were discovered to be inverted during a regular inspection, and two such examples are reported here in this article. Both patients underwent routine radiographic examination. Cone beam computed tomography and orthopantomogram were requested to evaluate the state of the bone and to check for any abnormalities, and inverted impacted teeth were discovered. A tooth is said to be inversed when it is placed reversed and seated upside down. Ascending ramus is the most common site for third molars in the mandible. It is also possible for a maxillary tooth to get impacted and for the tooth to be pushed all the way to the orbit's floor, though mandibular impacted teeth are more common. Only a few cases of inverted and impacted mandibular third molars have been reported in the literature. No definitive treatment protocols exist for the removal of inverted teeth. The safest protocol is conservative treatment in which the teeth are not extracted until they produce pathological signs.

Pediatric Aggressive Benign Mandibular Tumors: Clinical Features and Management.

INTRODUCTION: Aggressive benign mandibular tumors are uncommon in the pediatric population, and there is few publishing in the literature specifically dealing with them. Aggressive tumors can be defined based on known biologic behavior and/or histologic type and/or clinical characteristics. AIM OF THE STUDY: To review the clinical features and management of lower jaw pediatric aggressive benign tumor. PATIENTS AND METHODS: Medical records review of pediatric patients presented with aggressive benign mandibular tumors to the Maxillofacial and Plastic Surgery Department, University of Alexandria, Egypt between 2011 and 2019. RESULTS: Fifty-eight patients were included in this study, aged between 2 and 16 years (average = 11.8). Ameloblastoma was the commonest pathological diagnosis (n = 18) followed by central giant cell granuloma (n = 11) and juvenile ossifying fibroma (n = 10). Patients with central giant cell granuloma were treated by en-block resection (n = 4) or curettage after interferon alfa injection (n = 7). All other benign tumors were treated by en-block resection. The length of follow-up ranged from 1 to 8 years. Successful reconstruction was accomplished in 45 patients (88.2%). CONCLUSIONS: Aggressive lesion should be treated in an aggressive manner and immediate reconstruction is advocated. However, pharmacotherapy combined with enucleation is a more conservative approach for management of aggressive central giant cell tumors.