Report of an odontogenic anterior mandible Keratocyte in a 50 years old woman with bucal swelling

Oral cysts are divided into two subgroups as odontogenic and non-odontogenic. One of the most common and important cysts is odontogenic keratocyst which called O.K.C. this lesion has a different nature and it is noted as a tumor lesion in recent years. This lesion most frequently appears in first and third decade of life and occurs in the posterior part of the mandibular bone. This lesion has a more extension than expansion. In this present study a case of O.K.C was presented with uncommon appearances. A 50 - year old female with history of expansion in the anterior part of mandibles was referred to the department of oral medicine, 600 NEZAJA center. Clinically, there were a bucal expansion without pain over the Teeth with crowding. Radiographic images and CT scan showed a unicystic radiolucency with teeth movement, without cortical perforation. After biopsy, the diagnosis of O.K.C was reported. Six months follow - up did not show any recurrent lesion. This article is recommended to the dentists because OKS has different clinical and radiographic findings. For this reason all cysts should be considered and evaluated

[Prevalence of orofacial complication among thalassemic patients in thalassemia center of Qazvin]

Thalassemia is the most common monogenic disorder of which Homozygote type [major-beta-thalassemia] is the most severe hemolytic anemia in Iran. Regarding the importance of orofacial complications in these patients and not having enough information about this disease in Iran, it's necessary to do a research in this point as well as knowing and reducing of orofacial complications of thalassemia. This descriptive [Case Series] study was done among all patients of Qazvin thalassemia center [110 patients]. Orofacial examinations [shape of face and nose, maxillary protrusion, oral paleness, delayed eruption of teeth, caries rate and type of occlusion] were done and their relation with medical treatment was evaluated. Statistical analysis was conducted by using SPSS software and Chi[2] test. The prevalence of orofacial complications are ranged as fallow: Saddle nose[71.08%], maxillary protrusion [55.5%], paleness of oral mucosa[48.2%], rodent face [30%], deep bite [28.2%], spaces between maxillary anterior teeth [22.7%], open bite [13.6%], delayed eruption of primary [10%] and permanent [8.2%] teeth. Prevalence of occlusion types were decreased as fallow: class I,II and III. Caries index [DMFT and dmft] was significantly more among the thalassemic patients than healthy peoples [P<0.05]. The prevalence of orofacial complications of thalassemia was very considerable. This study also showed the importance of early diagnosis and intensive medical treatment in reducing these complications

three years retrospective study of prevalence of patients with oral lesions hospitalized in ENT ward of Qaem hospital

Epidemiologic studies have an important role in increasing our knowledge about the nature of diseases, which will result in better preventive and treatment modalities and promotes the general health and education of a society. These studies must be performed in all communities to obtain the geographical patterns of various diseases. One of the medical disciplines which have a close relation with dentistry is Otolaryngology. Some patients with malignant oral lesions, due to delayed referring have advanced or invasive lesions at their first admission, which necessitate hospitalization and extensive surgical interventions. On the other hand patients with posterior oral lesions seeking diagnosis and treatment, generally refer to ENT specialists rather than to dental practitioners. This was the reason why we were interested to study prevalence of patients with oral lesions admitted in ENT ward of a university hospital [Qaem hospital]. This was a retrograde study by using the existing data and reviewing the medical records of patients admitted between May 1999-2002 [Khordad 1378-81]. In case of pathology results, it was also added to our study sheets. We searched medical documents for the following criteria. 3497 patients admitted in ENT ward during the study period in ENT ward, that 141 cases were hospitalized for their oral lesions of which 4 were excluded because of lacking of medical documents. From the remaining 137 cases, the most common lesion was cleft palate [45.99%], followed by dental abscesses [15.32%] and oral SCC [13.14%], salivary gland tumor and hemangioma [4/38%]. Other lesions were sialadenitis, carcinoma of maxillary sinus, pseudoepithelial hyperplasia, central giant cell granuloma, fibrouse dysplasia, ranula, epidermoid cyst, Thyrogloss cyst, ameloblastoma, lymphangioma, angiofibroma. The most common location was maxilla [35.19%] and men were more affected than women. Our study revealed that if patients [except for developmental anomalies like cleft palate] refer in an early stage to their dentist and a careful examination is performed, they can be treated as outpatients or will need more conservative surgical interventions. These findings emphasize the important role of public educations and periodic examinations by dentists and the key role of preventive dentistry in oral health in general. Another problem to be addressed is that during the short course of education in ENT ward [one month for dental students] few number of cases with oral lesions may be observed, so it seems that this short course has little role in the educational programs of dental students and it should be revised

Review of myofascial pain dysfunction syndrome and its prominence in military personnel

This article have been compiled to introduce the MPDS syndrome and review the syndrome treatment approach, ethiology and clinical manifestation with an emphasis on it's importance in military personnel. This research is a descriptive- Liberian study, which this kind of studies refers to all of resources and precedents present in access. MPDS syndrome is a multi-factorial disease and usually doesn't have a unique reason. In despite of some believe that malocclusion is the main reason, some others believe in stress. Recent studies emphasize more on role of stress. Diagnosis criteria of MPDS are: 1-A vague pain that usually is unilateral. 2- Limitation opening. 3- Tenderness of masticator muscles. According to treatment aspects, this disorder is treated in two phases. The first phase includes patient education, behaviour shaping, desensitization, pharmacy therapy and physiotherapy. The second phase includes occlusal adjustment, orthodontic treatment and surgery. Meanwhile recent researches demonstrated that the first treatment phase would be successful about 75 to 90 percent by conducting this phase correctly and principally. Although general emphasis on psychological treatments, there is not a unique definitive treatment which have a high effect on most of patients. However because of probabilities in high incidence of this disorder in military personnel and their families, it seems the existence of a special clinical researching centre is necessary

[Prevalence of orofacial complication among thalassemic patients in Thalassemia center of Qazvin]

Background: thalassemia is the most common monogenic disorder of which Homozygote type [major-beta-thalassemia] is the most severe hemolytic anemia in Iran. Regarding the importance of orofacial complications in these patients and not having enough information about this disease in Iran, it`s necessary to do a research in this point as well as knowing and reducing of orofacial complications of thalassemia

Materials and Methods: this descriptive [Case Series] study was done among all patients of Qazvin thalassemia center [110 patients]. Orofacial examinations [shape of face and nose, maxillary protrusion, oral paleness, delayed eruption of teeth, caries rate and type of occlusion] were done and their relation with medical treatment was evaluated. Statistical analysis was conducted by using SPSS software and x[2]test

Results: the prevalence of orofacial complications are ranged as fallow: Saddle nose [71.08%], maxillary protrusion [55.5%], paleness of oral mucosa [48.2%], rodent face [30%], deep bite [28.2%], spaces between maxillary anterior teeth [22.7%], open bite [13.6%], delayed eruption of primary [10%] and permanent [8.2%] teeth. Prevalence of occlusion types were decreased as fallow: class I, II and III. Caries index [DMFT and dmft] was significantly more among the thalassemic patients than healthy peoples [P<0.05]

Conclusions: the prevalence of orofacial complications of thalassemia was very considerable. This study also showed the importance of early diagnosis and intensive medical treatment in reducing these complications

[Effect of high dose of oral amoxicilin on local lymphadenopathies of the head and neck]

Most of solitary head and neck lymphadenopathic patients, due to similar symptoms and histories, are evaluated by special paraclinical tests and even unneccessary biopsies. The aim of this study was to investigate the effect of high does of oral amoxicilin on solitary head and neck lymphadenopathies during a limited period of time. This descriptive-interventional study was conducted in census form. The experimental populations were solitary head and neck lymphadenopathic patients suffering for a period of less than two months with the lymph node size of 1.5 cm or more. Patients with weight of more than 27 kg, were treated by 2 gr of amoxicilin every six hours for three days and received the drug daily as follow up. For individuals weighted less than 27 kg, the drug was prescribed as 100 mg / kg daily divided in four equal doses. At the end of the third day to the end of the seventh day from the treatment onset, amoxicilin offering was continued by a lower dose of one gram every six hours. Data obtained on the lymph node size were analyzed using Mann-Whitney test [p < 0/05]. Seventeen patients developed complete improvement, but eight did not respond to this treatment regimen. The failure was found to be due to the existence of tumoral tissue, infection or treatment resistance, and lymphocytic infiltration without any particular etiology in two, two, and remaining four cases, respectively. According to the results of this study, it is concluded that prescribing high dose of amoxicillin, for a limited period of time, for all questionable solitary head and neck lymphadenopathic patients, considering the previous descriptive conditions, would be a useful diagnostic-treating approach