RESUMO
Calcifying epithelial odontogenic cyst (CEOC) is an odontogenic cyst with epithelial lining. CEOC is a rare entity that occurs in a wide age range, does not show any gender predilection, and accounts for only 1% of all jaw cysts. The lesion generally occurs in the region anterior to maxillary and mandibular molars and either intraosseously or extraosseusly. This entity might present as a cystic or solid lesion. Enucleation is the recommended treatment for a simple, unicystic CEOC. A case of recurring CEOC in the right maxilla antrum is presented here. The patient presented to the authors after postsurgical recurrence. The case was evaluated thoroughly, and the cyst was resolved.
Assuntos
Neoplasias do Seio Maxilar/diagnóstico , Cisto Odontogênico Calcificante/diagnóstico , Adulto , Humanos , Masculino , Neoplasias do Seio Maxilar/diagnóstico por imagem , Neoplasias do Seio Maxilar/patologia , Neoplasias do Seio Maxilar/cirurgia , Cisto Odontogênico Calcificante/diagnóstico por imagem , Cisto Odontogênico Calcificante/patologia , Cisto Odontogênico Calcificante/cirurgia , Tomografia Computadorizada por Raios XRESUMO
AIM AND BACKGROUND: An odontogenic keratocyst (OKC) or keratocystic odontogenic tumor (KCOT) and giant cell granuloma (GCG) in the jaws are common lesions which have been studied extensively in detail over the years. However, a lesion showing features of both is exceptionally rare and is reported only twice in the literature till date. CASE DESCRIPTION: A rare case of OKC in mandible showing foci of GCG like areas is reported in a 29 years old male patient. CONCLUSION: It seems to be a collision lesion, though the possibility of KCOT showing a reactive response to form giant cells or it being a rare variant cannot be totally ruled out. CLINICAL SIGNIFICANCE: This entity requires aggressive treatment since biological behavior of this unique lesion is difficult to predict unless more of such lesions are reported and followed up in future.
Assuntos
Granuloma de Células Gigantes/patologia , Doenças Mandibulares/patologia , Neoplasias Mandibulares/patologia , Tumores Odontogênicos/patologia , Adulto , Núcleo Celular/patologia , Tecido Conjuntivo/patologia , Diagnóstico Diferencial , Epitélio/patologia , Células Gigantes/patologia , Humanos , Masculino , Cistos Odontogênicos/patologiaRESUMO
INTRODUCTION: Management of mandibular deformities is challenging. Distraction osteogenesis is a relatively new technique with promising results. MATERIALS AND METHODS: We selected 12 patients. The osteotomy site decided was proximal to the antegonial notch. Latency time was five to seven days. Consolidation period was eight weeks in eleven cases and six weeks in one case. RESULTS: In all the patients, appreciable lengthening of mandible was achieved. DISCUSSION: The greatest advantage of distraction osteogenesis is growth of soft tissue along with the growth of hard tissue. This increases post operative stability.
RESUMO
Occurrence of multiple cysts (MC) involving the jaw is rare. When multiple, it is usually associated with a syndrome. Occurrence of MC without syndromic association is extremely rare. Multiple odontogenic cysts mostly could be odontogenic keratocysts or dentigerous cysts. Odontogenic keratocyst shows involvement of mandible over maxilla, with peak incidence in second and third decade and it is exceedingly rare before 10 years of age. However multiple odontogenic keratocysts found in children are often reflective of nevoid basal cell carcinoma syndrome. Here is a case report which documents multiple jaw cysts involving both the jaws, in three siblings of ages 10, 13 and 17 years with negative parental history. All three reported cases were free of any systemic involvement. As odontogenic keratocyst spreads through bone marrow, destruction is more before any clinical manifestation. Therefore, early detection and intervention are essential in preventing extensive destruction.
Assuntos
Cistos Odontogênicos , Adolescente , Criança , Feminino , Humanos , Masculino , Cistos Odontogênicos/genética , Cistos Odontogênicos/patologiaRESUMO
Tea is one of the most commonly consumed beverages with bioactive compounds like polyphenols-flavonoids-catechins, which are thought to be responsible for the health benefits that have traditionally been attributed to the tea. These compounds have multi-dimensional effects such as antibacterial action, inhibitory action on the bacterial and salivary amylase and inhibition of acid production. This article outlines the possible role of these compounds coupled with the presence of high fluoride content in tea to exhibit an anticariogenic effect.