Rani Iani Costa Gonçalo, Hianne Cristinne de Morais Medeiros, Janaina Lessa de Moraes dos Santos, Julliany Taverny Sousa, Carolina Maria Campos, Lélia Maria Guedes Queiroz
Abstract Background Choristomas consist of the proliferation of normal cells or tissue in an abnormal location. Oral choristomas are considered very rare. Aims The present study aims to report a case of dorsal tongue surface cartilaginous choristoma, with emphasis on its clinical and histopathological features. Case Report A 72‐year‐old woman attended a dental office with a chief complaint of a persistent tongue lesion. The patient reported that the lesion grew slowly for about 3 months, with no trauma history in the region. An intraoral examination revealed a nodular lesion on the dorsal tongue surface, normal mucosa coloration, firm consistency and sessile implantation, measuring approximately 1.5 cm in diameter. Based on the clinical examination, a diagnosis hypothesis of a granular cell tumour was considered, and an excisional biopsy was performed for confirmation. Given the microscopic findings, the histopathological diagnosis confirmed a cartilaginous choristoma. The patient has been under follow‐up for 12 months, with no signs of relapse. Conclusion This case highlights the importance of clinical and histopathological findings for the correct diagnosis and treatment of oral choristoma.
{"title":"A report of an unusual case of cartilaginous choristoma of the tongue and review","authors":"Rani Iani Costa Gonçalo, Hianne Cristinne de Morais Medeiros, Janaina Lessa de Moraes dos Santos, Julliany Taverny Sousa, Carolina Maria Campos, Lélia Maria Guedes Queiroz","doi":"10.1111/ors.12847","DOIUrl":"https://doi.org/10.1111/ors.12847","url":null,"abstract":"Abstract Background Choristomas consist of the proliferation of normal cells or tissue in an abnormal location. Oral choristomas are considered very rare. Aims The present study aims to report a case of dorsal tongue surface cartilaginous choristoma, with emphasis on its clinical and histopathological features. Case Report A 72‐year‐old woman attended a dental office with a chief complaint of a persistent tongue lesion. The patient reported that the lesion grew slowly for about 3 months, with no trauma history in the region. An intraoral examination revealed a nodular lesion on the dorsal tongue surface, normal mucosa coloration, firm consistency and sessile implantation, measuring approximately 1.5 cm in diameter. Based on the clinical examination, a diagnosis hypothesis of a granular cell tumour was considered, and an excisional biopsy was performed for confirmation. Given the microscopic findings, the histopathological diagnosis confirmed a cartilaginous choristoma. The patient has been under follow‐up for 12 months, with no signs of relapse. Conclusion This case highlights the importance of clinical and histopathological findings for the correct diagnosis and treatment of oral choristoma.","PeriodicalId":38418,"journal":{"name":"Oral Surgery","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136072329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sachinkumar Dahivelkar, Shrikant balasaheb Mali, A. Mahajan, Nilima Prakash
Ameloblastoma is one of the most frequent benign odontogenic tumours of the jaw, accounting for approximately 10% of all tumours in the mandible and maxilla. It is a slow‐growing, locally invasive tumour that causes painless swelling of the jaw or maxilla.Ameloblastoma is diagnosed through computerised tomography imaging and a biopsy. A biopsy can help distinguish ameloblastoma from other cancers, such as ossifying fibroma, osteomyelitis, giant cell tumour, cystic fibrous dysplasia, myeloma, and sarcoma.Ameloblastoma is best treated with vigorous en bloc excision and concomitant repair. Ameloblastoma therapy has long been plagued by high recurrence rates and extensive tissue abnormalities. Recent molecular findings strongly imply that ameloblastoma patients may benefit from targeted treatment. We offer a case report of unicystic ameloblastoma with a step‐by‐step customised therapeutic plan that prioritises patients’ desire.
{"title":"Case of unicystic ameloblastoma with review of literature","authors":"Sachinkumar Dahivelkar, Shrikant balasaheb Mali, A. Mahajan, Nilima Prakash","doi":"10.1111/ors.12846","DOIUrl":"https://doi.org/10.1111/ors.12846","url":null,"abstract":"Ameloblastoma is one of the most frequent benign odontogenic tumours of the jaw, accounting for approximately 10% of all tumours in the mandible and maxilla. It is a slow‐growing, locally invasive tumour that causes painless swelling of the jaw or maxilla.Ameloblastoma is diagnosed through computerised tomography imaging and a biopsy. A biopsy can help distinguish ameloblastoma from other cancers, such as ossifying fibroma, osteomyelitis, giant cell tumour, cystic fibrous dysplasia, myeloma, and sarcoma.Ameloblastoma is best treated with vigorous en bloc excision and concomitant repair. Ameloblastoma therapy has long been plagued by high recurrence rates and extensive tissue abnormalities. Recent molecular findings strongly imply that ameloblastoma patients may benefit from targeted treatment. We offer a case report of unicystic ameloblastoma with a step‐by‐step customised therapeutic plan that prioritises patients’ desire.","PeriodicalId":38418,"journal":{"name":"Oral Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42371480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Idalísio Soares Aranha Neto, Amanda Rafaela Diniz, Isabela de Castro Ribeiro, P. Martins‐Júnior, Rafael Pereira da Mata Santos, Amaro Ilídio Vespasiano Silva, Helenice de Andrade Marigo, Bárbara Morsani Mordente, Lara Góis Floresta, L. Santana, F. Manzi
{"title":"Chronic suppurative osteomyelitis secondary to endodontic treatment and posterior extraction of mandibular third molars: An uncommon case","authors":"Idalísio Soares Aranha Neto, Amanda Rafaela Diniz, Isabela de Castro Ribeiro, P. Martins‐Júnior, Rafael Pereira da Mata Santos, Amaro Ilídio Vespasiano Silva, Helenice de Andrade Marigo, Bárbara Morsani Mordente, Lara Góis Floresta, L. Santana, F. Manzi","doi":"10.1111/ors.12849","DOIUrl":"https://doi.org/10.1111/ors.12849","url":null,"abstract":"","PeriodicalId":38418,"journal":{"name":"Oral Surgery","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41251112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Farnoush Tousi, Anne Christine Johannessen, Borghild Ljøkjel, S. Loes
Dentigerous cysts are among the most common cysts of the jaw. They are attached to the crown of an unerupted tooth, most frequently third molars and maxillary canines. They are often asymptomatic and may therefore be diagnosed late. We report a case of a primary intraosseous carcinoma arising from the wall of a dentigerous cyst and describe the expression of typical genes associated with tumour growth and prognosis. The tumour expressed cytokeratins (CK) 5/6, 8, 14 and 19, but not CK7. Ki‐67 and P53 were upregulated in dysplastic epithelium and tumour tissue. Although rare, the possibility for tumour development in the wall of a common cyst should be considered. The case emphasizes the importance of histopathological examination of surgical specimens, even if the clinical diagnosis seems obvious.
{"title":"Primary intraosseous carcinoma arising in a dentigerous cyst: A case report","authors":"Farnoush Tousi, Anne Christine Johannessen, Borghild Ljøkjel, S. Loes","doi":"10.1111/ors.12843","DOIUrl":"https://doi.org/10.1111/ors.12843","url":null,"abstract":"Dentigerous cysts are among the most common cysts of the jaw. They are attached to the crown of an unerupted tooth, most frequently third molars and maxillary canines. They are often asymptomatic and may therefore be diagnosed late. We report a case of a primary intraosseous carcinoma arising from the wall of a dentigerous cyst and describe the expression of typical genes associated with tumour growth and prognosis. The tumour expressed cytokeratins (CK) 5/6, 8, 14 and 19, but not CK7. Ki‐67 and P53 were upregulated in dysplastic epithelium and tumour tissue. Although rare, the possibility for tumour development in the wall of a common cyst should be considered. The case emphasizes the importance of histopathological examination of surgical specimens, even if the clinical diagnosis seems obvious.","PeriodicalId":38418,"journal":{"name":"Oral Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45621004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Athina Tosiou, Andriana Mastrokalou, Hari S. Prasad, K. Tosios, I. Koutlas
To report a case of molar‐incisor‐malformation (MIM) in a 7‐year‐old boy with a history of congenital infantile fibrosarcoma of the upper chest, which was surgically treated, without adjuvant radio/chemotherapy.The boy presented with mobility and pain on percussion of the permanent mandibular first molars. The radiographic features were suggestive of MIM. Both teeth were extracted and processed for conventional light microscopic examination and non‐decalcified ground sections.The microscopic features confirmed the diagnosis of MIM. Regular follow‐up was recommended.Medical interventions during hospitalization for cancer treatment, other than chemo/radiotherapy, may cause MIM by adversely affecting the function of Hertwig's epithelial root sheath. Regular dental screening in paediatric cancer patients may reveal more MIM cases and help in elucidating its pathogenesis.
{"title":"Molar‐incisor‐malformation in a paediatric cancer patient: Case report","authors":"Athina Tosiou, Andriana Mastrokalou, Hari S. Prasad, K. Tosios, I. Koutlas","doi":"10.1111/ors.12844","DOIUrl":"https://doi.org/10.1111/ors.12844","url":null,"abstract":"To report a case of molar‐incisor‐malformation (MIM) in a 7‐year‐old boy with a history of congenital infantile fibrosarcoma of the upper chest, which was surgically treated, without adjuvant radio/chemotherapy.The boy presented with mobility and pain on percussion of the permanent mandibular first molars. The radiographic features were suggestive of MIM. Both teeth were extracted and processed for conventional light microscopic examination and non‐decalcified ground sections.The microscopic features confirmed the diagnosis of MIM. Regular follow‐up was recommended.Medical interventions during hospitalization for cancer treatment, other than chemo/radiotherapy, may cause MIM by adversely affecting the function of Hertwig's epithelial root sheath. Regular dental screening in paediatric cancer patients may reveal more MIM cases and help in elucidating its pathogenesis.","PeriodicalId":38418,"journal":{"name":"Oral Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45297034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yuri de Lima Medeiros, Breno Nogueira Silva, Henrique Duque de Miranda Chaves Netto, Paula Afonso Rodrigues de Carvalho, Gisele Maria Campos Fabri, Matheus Furtado de Carvalho
The approach to vascular malformations in the face is a challenging step for professionals involved in the treatment of these anomalies. The objective is to describe a rare case of extensive vascular malformation in the face in an adult patient who had previously undergone several unsuccessful treatments during childhood and adolescence.A 46‐year‐old female patient reported an aesthetic discomfort in her face due to an increase in the volume of the upper lip and recurrent spontaneous bleeding in the oral cavity. On oral clinical evaluation, a blue‐purple colour, firm consistency on palpation, extension into the oral cavity, and moderate mobility of the incisors in the right hemimaxilla were observed. Angiography, magnetic resonance imaging and cone beam computed tomography were performed to verify the lesion's anatomical limits and hemodynamic properties. Four injections of sclerotherapy with an injection of 5% monoethanolamine oleate foam were performed.A significant reduction in the extent of vascular malformation was noted. At the moment, the patient had 3 years of follow‐up. She is extremely satisfied with the aesthetic result, and has had no episode of spontaneous bleeding or other complications.The request for new imaging exams allowed the characterization and precise delimitation of the vascular malformation, guiding the use of a minimally invasive technique using the injection of monoethanolamine oleate foam, providing an effective and satisfactory result for the patient.
{"title":"Extensive vascular malformation in the face treated by sclerotherapy with 5% ethanolamine oleate foam","authors":"Yuri de Lima Medeiros, Breno Nogueira Silva, Henrique Duque de Miranda Chaves Netto, Paula Afonso Rodrigues de Carvalho, Gisele Maria Campos Fabri, Matheus Furtado de Carvalho","doi":"10.1111/ors.12842","DOIUrl":"https://doi.org/10.1111/ors.12842","url":null,"abstract":"The approach to vascular malformations in the face is a challenging step for professionals involved in the treatment of these anomalies. The objective is to describe a rare case of extensive vascular malformation in the face in an adult patient who had previously undergone several unsuccessful treatments during childhood and adolescence.A 46‐year‐old female patient reported an aesthetic discomfort in her face due to an increase in the volume of the upper lip and recurrent spontaneous bleeding in the oral cavity. On oral clinical evaluation, a blue‐purple colour, firm consistency on palpation, extension into the oral cavity, and moderate mobility of the incisors in the right hemimaxilla were observed. Angiography, magnetic resonance imaging and cone beam computed tomography were performed to verify the lesion's anatomical limits and hemodynamic properties. Four injections of sclerotherapy with an injection of 5% monoethanolamine oleate foam were performed.A significant reduction in the extent of vascular malformation was noted. At the moment, the patient had 3 years of follow‐up. She is extremely satisfied with the aesthetic result, and has had no episode of spontaneous bleeding or other complications.The request for new imaging exams allowed the characterization and precise delimitation of the vascular malformation, guiding the use of a minimally invasive technique using the injection of monoethanolamine oleate foam, providing an effective and satisfactory result for the patient.","PeriodicalId":38418,"journal":{"name":"Oral Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46344235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The transformative potential of ChatGPT in dentistry—Advantages, limitations, ethical concerns and way forward","authors":"Amol S. Dhane","doi":"10.1111/ors.12845","DOIUrl":"https://doi.org/10.1111/ors.12845","url":null,"abstract":"","PeriodicalId":38418,"journal":{"name":"Oral Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41619988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
To use auto‐transplantation of a central incisor and canine and repositioning of a lateral incisor with corticotomy as an alternative to complex lengthy orthodontics and possible tooth loss.Following initial consultation in a joint orthodontic/oral surgery clinic in Guy's Hospital, the decision was made to carry out auto‐transplantation of the ectopic teeth under general anaesthesia. The procedure included extraction of retained primary teeth, auto‐transplantation of upper right permanent central incisor and canine, segmental osteotomy/corticotomy to reposition the lateral incisor, followed by splinting of the upper 3–3 for 6 weeks. The patient was reviewed multiple times over a 2.5‐year period and no signs of inflammation, ankylosis, sensitivity, root resorption, mobility or loss of vitality was noted.Auto‐transplantation is an underutilised technique despite being used for over 70 years. It does, however, have its limitations and there are several factors that can affect its success and predictability. This case highlights that it can be an excellent alternative to lengthy and difficult orthodontic treatment and resulted in avoidance of loss of teeth. This treatment method reduced time and cost to the NHS as well as improved the patient journey. It is important to work closely with colleagues and adopt a multidisciplinary approach to treatment planning and have an awareness for alternative treatment options that are available for joint orthodontic/oral surgery cases.Auto‐transplantation, in certain cases and conditions, can be very successful and save both patient and the NHS time and money. Greater awareness of this technique is required so that it can be offered more regularly as a treatment option.
{"title":"Rapid orthodontics via surgery: Multiple auto‐transplantations","authors":"Catherine E. P. Rowlands, Jerry Kwok","doi":"10.1111/ors.12840","DOIUrl":"https://doi.org/10.1111/ors.12840","url":null,"abstract":"To use auto‐transplantation of a central incisor and canine and repositioning of a lateral incisor with corticotomy as an alternative to complex lengthy orthodontics and possible tooth loss.Following initial consultation in a joint orthodontic/oral surgery clinic in Guy's Hospital, the decision was made to carry out auto‐transplantation of the ectopic teeth under general anaesthesia. The procedure included extraction of retained primary teeth, auto‐transplantation of upper right permanent central incisor and canine, segmental osteotomy/corticotomy to reposition the lateral incisor, followed by splinting of the upper 3–3 for 6 weeks. The patient was reviewed multiple times over a 2.5‐year period and no signs of inflammation, ankylosis, sensitivity, root resorption, mobility or loss of vitality was noted.Auto‐transplantation is an underutilised technique despite being used for over 70 years. It does, however, have its limitations and there are several factors that can affect its success and predictability. This case highlights that it can be an excellent alternative to lengthy and difficult orthodontic treatment and resulted in avoidance of loss of teeth. This treatment method reduced time and cost to the NHS as well as improved the patient journey. It is important to work closely with colleagues and adopt a multidisciplinary approach to treatment planning and have an awareness for alternative treatment options that are available for joint orthodontic/oral surgery cases.Auto‐transplantation, in certain cases and conditions, can be very successful and save both patient and the NHS time and money. Greater awareness of this technique is required so that it can be offered more regularly as a treatment option.","PeriodicalId":38418,"journal":{"name":"Oral Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46391682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
There is increasing interest in the management of osteoradionecrosis via pharmacological therapy as an alternative to surgery. Successful outcomes have been presented in the literature based on clinical and radiographic assessment. The current case reports on a clinically healed case of osteoradionecrosis who subsequently underwent resection for the purpose of oro‐dento‐facial rehabilitation providing a rare insight into the histopathological status of resolved case via medical management.
{"title":"Histopathological insight into a healed case of osteoradionecrosis treated with triple therapy medical management","authors":"R. Arya, G. Hall, V. Patel","doi":"10.1111/ors.12839","DOIUrl":"https://doi.org/10.1111/ors.12839","url":null,"abstract":"There is increasing interest in the management of osteoradionecrosis via pharmacological therapy as an alternative to surgery. Successful outcomes have been presented in the literature based on clinical and radiographic assessment. The current case reports on a clinically healed case of osteoradionecrosis who subsequently underwent resection for the purpose of oro‐dento‐facial rehabilitation providing a rare insight into the histopathological status of resolved case via medical management.","PeriodicalId":38418,"journal":{"name":"Oral Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44289110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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