ABSTRACT
Dermoid cysts are rare benign cystic lesions encountered in the head and neck region. Only 7% of dermoid cysts occur in the head and neck area of which only 1.6% appears in the oral cavity. Still rarer is the presentation of the dermoid cyst in the maxillofacial region in a pediatric patient, which is about 0.29%. Herein, we report a pediatric case of a female patient of 13 years old who came with the chief complaint of swelling below the chin since 8 years. Th e purpose of this case report is to emphasis on the rarity of the condition and how important it is to be considered in the differential diagnosis of lesions seen in relation to floor of mouth.
ABSTRACT
Acromegaly is an acquired disorder related to overproduction of growth hormone (GH). The condition, though described more than 120 years ago, was only later found to be due to pituitary over secretion and adenomas. It is a rare condition with a tendency toward overgrowth of the mandible, maxillary widening, tooth separation, and skeletal malocclusion which makes its diagnosis important for us dentists. The majority of the cases in the past have been diagnosed by physicians and endocrinologists. Here, we present a case of a 38-year-old male patient who presented with the complaint of increase in the size of lips and forward movement of the jaws since 1 year. Clinical features, radiographic features, and arrival at the diagnosis of Acromegaly with the subsequent referral and treatment are discussed.
ABSTRACT
Background: Teeth provide excellent materials for forensic investigations intended for sex identification as they are the hardest and chemically most stable tissues in the body. The aim of this study was to evaluate the existence of sexual dimorphism in maxillary and mandibular permanent canines and also to estimate the level of accuracy with which they could be used for sex determination. Methods: The study sample consisted of 300 healthy adult patients aged between 20-30 years. Using sliding vernier calliper and divider, the maxillary and mandibular inter-canine distances and mesio-distal widths (MD) of left and right permanent maxillary and mandibular canines were recorded. The data was then subjected to Student’s t-test. Results: Mandibular canine width (MnCW) in males was significantly higher as compared to females. The mesiodistal widths of all the canines (MxRC, MxLC, MnLC, MnRC) were significantly higher in males than in females. Both maxillary right as well as left canine index (MxRCI, MxLCI) was significantly higher in males than the females. Statistically significant difference between male and females subjects was not observed pertaining to Maxillary canine width (MxCW) and mandibular canine index (MnRCI, MnLCI). Sexual dimorphism was exhibited by two teeth: maxillary right canine (8.34%) and maxillary left canine (13.04%). Conclusion: We evaluated a simple and inexpensive linear method as canine measurement for sexual dimorphism. Maxillary canines (particularly, maxillary left canine) showed a greater percentage of sexual dimorphism. Thus, maxillary canines can be used as an adjunct along with other accepted procedures for sex determination.
ABSTRACT
Dens invaginatus is a developmental malformation that causes changes in the internal anatomy of the tooth. Fusion and twinning are terms commonly used to describe the clinical presentation of double teeth. The presence of double dens invaginatus is extremely rare. Therefore understanding the complex morphology, type and extension of dens invaginatus are very essential. To establish the diagnostic hypothesis based on a periapical radiograph is a challenge for all different dentistry specialties. With cone-beam computed tomography (CBCT), the diagnostic dilemma is minimized because of the accurate visualization of the anatomy. The visualization of three-dimensional structures is very helpful in the diagnosis of these complex anatomic variations as it favors precise definition of the problem and treatment planning. With this case report, we would like to highlight how CBCT helped in the evaluation and treatment planning of Double dens invaginatus of a fused supernumerary tooth and maxillary central incisor, which could not be done using the intraoral periapical method.
ABSTRACT
An unusual case of a unilaterally elongated styloid process with a length of 6.8 cm was found on orthopantomogram (OPG) of male patient. The patient reported with ipsilateralotalgia presumably due to nerve compression from the elongated styloid process. The symptomatology appeared by such an anatomical variant as well as relative literature is discussed in the present case.