Focal fibrous hyperplasia: a case report

Fibromas are the benign tumours that are most commonly encountered among the oral soft tissue lesions. They are mostly seen as a protective mechanism of the mucosa towards chronic irritation. They present clinically as a round or ovoid, soft to firm in consistency, exophytic growth, mostly pale pink in colour with smooth surface. These lesions are asymptomatic and do not require any treatment until bothersome to the patient. The clinical features, histopathological features and treatment of an irritational fibroma occurring on the hard palate of a 32 year old female are presented.

Capdepont’s teeth: a case report

Dentinogenesis imperfecta is an autosomal dominant disorder of tooth development characterized by the presence of opalescent dentine, resulting in a dusky blue to brownish discoloration of the teeth. It is the most common dental genetic disease. This condition is genetically and clinically heterogeneous, it may affect only the teeth or it may be associated with the osteogenesis imperfecta. Diagnosis is based on history, clinical examination and radiographic features. This report describes an 18 year old male patient who showed the characteristic dental features of dentinogenesis imperfecta.

Oral mucocele treated using diode laser: a case report

The mucocele is a salivary gland pathology that results from rupture of salivary gland duct and spillage of mucin into the surrounding tissues. The term mucous extravacation is also used to describe this lesion. The rupture of the gland or duct may be due to local trauma. The most common site of mucocele is lower lip. The treatment of mucocele includes cryosurgery , intra-lesional corticosteroid injection, micro-marsupialization, marsupialization of the mucocele, conventional surgical removal of the lesion , and laser ablation. The advantages of laser ablation over other methods include less treatment time, avoidance of suturing, minimal complications and relapse. Here we report a case of mucocele on lower lip treated using diode laser.

Dentoalvolar abscess with extra oral sinus in a pediatric patient: a case report

Cutaneous sins tract of dental origin are often misdiagnosed and inappropriately treated because of their uncommon occurrence and absence of symptoms in about half of the patients. A case report describing the diagnosis and treatment of an extra oral cutaneous sinus tract of odontogenic origin in relation to mandibular left first molar with surgical treatment and proper antibiotic coverage is presented.

Denture induced inflammatory hyperplasia – a case report

Epulis fissuratum is a benign tumor like inflammatory hyperplastic growth which occurs on the mucosa along the borders of an ill fitting full or partial removable denture. If ulcerated, it can mimic oral squamous cell carcinoma. The treatment includes surgical removal of excess fibrous tissue and remodelling or reconstructing the denture suitably, ensuring better adaptability to the ridges. This case report describes a 55 year old male patient with characteristic clinical features of denture induced inflammatory hyperplasia.

Chronic arthritis in Juvenile Behcet’s Syndrome: a rare case

Behçet’s syndrome is a chronic multisystem vasculitis characterized by mucocutaneous, articular, neurological, gastrointestinal and ophthalmological lesions. Behcet’s syndrome is a disease of uncertain etiology. It may be due to immune dysregulation including circulating immune complex, autoimmune cytokines and heat shock proteins are major factor in the pathogenesis of Behcet’s syndrome. Patient’s positive pathergy test suggests a diagnosis of Behcet’s disease. Corticosteroids and immunosupressive drugs are the first line of treatment. This is a case report of juvenile Behcet’s syndrome in a thirteen year old girl associated with arthritis.

Erosive variant of oral lichen planus - a case report

Lichen planus (LP) is a chronic mucocutaneous disorder in which auto-cytotoxic T lymphocytes trigger apoptosis of epithelial cells leading to chronic inflammation. Oral Lichen Planus (OLP) is a disease which has a slight malignant potency. The diagnosis of OLP can be made from the clinical features if they are sufficiently characterized, but biopsy is recommended to confirm the diagnosis and to exclude dysplasia and malignancy. This is a case report of erosive lichen planus in a female patient, aged 45 years.

Unusual presentation of keratocystic odontogenic tumor in the mandible with imaging features – a case report

Keratocysytic Odontogenic tumor is a lesion occurring in the oral cavity that has a high recurrence rate. This lesion has an ability to mimic other lesions affecting the jaw. The tumor has a varied clinical and radiographic presentation. This article presents a case report of a 45 year old male patient presenting with an asymptomatic swelling on the right lower jaw associated with an impacted tooth and depicts an unusual radiographic picture.

Eruption cyst: a case report

Eruption cyst (EC) is a benign cyst associated with a primary or permanent tooth in its soft tissue phase after erupting through the bone. It is most prevalent in the Caucasian race. It is clinically significant in that knowledge among general dentists is very essential regarding this developmental disturbance to reach the correct diagnosis and to provide proper treatment. We are reporting a case of eruption cyst in an 11 year old boy.

Bilateral recurrent speckled leukoplakia: a case report

Largely oral cancers are preceded by potentially malignant lesions, which may appear as white or red patches on the oral mucosa. Leukoplakia is one of the most common epithelial precursors of oral squamous cell carcinoma. Speckled leukoplakia is a rare type of leukoplakia with a very high risk of premalignant growth and mortality rate. Though it is the common precancerous lesion, it poses a major diagnostic and therapeutic challenge. We present a rare case of bilateral recurrent speckled leukoplakia with malignant transformation and discuss this relatively rare entity in light of current information from the literature. We also attempt to present the clinical relevance, and the therapeutic modalities available for the management of the disease.

Unusual occurrence of Epidermolysis bullosa with Amelogenesis Imperfecta – a rare case

Epidermolysis bullosa is an inherited disorder which is characteristically presented as skin blisters developing in response to minor injury. Junctional variety of Epidermolysis bullosa is associated with enamel hypoplasia. Amelogenesis imperfecta presents with abnormal formation of the enamel both in deciduous and permanent dentition. This is a case report of amelogenesis imperfecta with complete loss of enamel in a young female patient with epidermolysis bullosa.

Foreign body penetration: a missed diagnosis

Healing of the injured site is a complex biological process of carefully orchestrated cellular events. Presence of any foreign body at the site of injury delays the healing along with inducing biological response such as inflammation, infections, allergic reactions, toxic events and tissue alterations. Such body reactions against an exogenous materials depends upon the mode of entry, chemical composition of material, quantity of material its physical form and also depends upon the body site. A careful history, clinical examination and imaging techniques should be considered for patients with any suspected penetrating injuries.

Bilateral Cholesterol Granuloma of Maxillary Sinus: A Case Report

Cholesterol Granuloma [CG] is a rare pathology found in the paranasal sinuses and is usually associated with middle ear infections. The etiology of sinonasal CG is not yet known. The clinical manifestations are nonspecific. Most patient presents with nasal discharge, facial pain and nasal obstruction similar to current case. The additional feature observed in the present case was bilateral CG of the maxillary sinus which was extending into ostiomeatal complex and into the oral cavity, whose clinical, imaging and histological characteristics were unique.

Actinic Lichen Planus of Lip – A Case Report

Actinic lichen planus is a rare variant of lichen planus seen commonly in tropical and subtropical countries in the dark complexioned individuals. It manifests in the sun exposed areas of the face, neck and limbs. Though many cases have been reported in the skin, few lesions associated with the lip have been reported. The Lip is highly susceptible to actinic changes increasing the chances of malignancies. This is an unusual case report of 32 year old female patient where the lip lesion was seen mimicking discoid lupus erythematoses.

Tobacco induced lichenoid reaction

The oral mucosa may present clinical features of a certain conditions similar to those observed in lichen planus called lichenoid reaction. The pathological feature resembles that of lichen planus. The pathologist requires the indication of a cause – effect relationship by the clinician in order to provide a diagnosis of lichenoid reaction. This condition is treated by removal of the causal factor. Here we report a case of lichenoid reaction due to tobacco chewing habit in an 30 year old male patient. This case was reported from Yenepoya dental college, Yenepoya University, Mangalore, India.

Need for histopathological examination of odontomas

Odontomas are benign hamartomas which are often detected on routine radiographic examinations for other dental complaints. They are usually surgically removed but are rarely examined histopathologically. We report two cases with identical radiological features but different histopathological outcome, thus stressing the importance of histopathological examination of odontoma.