Extensive Inflammatory Gingival Tumor in a Young Nonsmoking Woman: Back to Basics.

Tuberculous lesions of the oral cavity are rare and can be a diagnostic challenge, particularly in young immunocompetent patients. Most of the cases in the literature are secondary to pulmonary disease, whereas primary form is uncommon. This paper presents a case of gingival tuberculosis in a 26-year-old Indian female patient, manifesting as a rapidly extensive ulcer. The diagnosis was confirmed by histopathology and immunological investigations. Although oral manifestations of tuberculosis are rare, clinicians should include them in the differential diagnosis of various types of oral ulcers. An early diagnosis with a prompt treatment can prevent complications and potential contaminations.

Posterior vertical deficiencies of the mandible: presentation of a new corrective technique and retrospective study of 21 cases.

PURPOSE: The hyperdivergent (high-angle forms of Class II) dentoskeletal deformities are difficult entities to treat. The purpose of this study was to describe and evaluate the use of a new surgical procedure to lower the posterior portion of the occlusal plane during a sagittal split osteotomy of the mandibular ramus, to correct a Class II malocclusion resulting from insufficient development of the mandibular ramus. PATIENTS AND METHODS: During a sagittal split osteotomy of the mandibular ramus, the pterygomasseteric sling was completely incised in 21 patients, to treat Class II malocclusion with vertical ramus deficiency. The patients were evaluated clinically, radiologically, and cephalometrically. RESULTS: In all cases, the posterior occlusal plane was successfully lowered, with stable occlusal results, both vertically and sagittally. An increase in the vertical dimension of the ramus remains somewhat more difficult to document. CONCLUSIONS: Sagittal split osteotomy of the mandibular ramus with complete incision of the pterygomasseteric sling makes it possible to lower the posterior occlusal plane in cases of posterior vertical mandibular deficiency. This technique, which offers a nonexternal approach, represents a useful additional option for the treatment of these dysmorphoses.