Radiographic Presentation of Fibromyxoma: An Uncommon Entity.

Fibromyxoma is a rare, locally destructive, benign odontogenic mesenchymal tumor which is found exclusively in the jaw region. The maxilla and anterior part of the mandible are rarely affected. It can usually lead to extensive bony destruction with extension into the surrounding structures. The lesion often grows without symptoms and presents as a painless swelling. Histologically and radiologically it is difficult to differentiate this tumor from other odontogenic tumors and may be mistaken occasionally for a malignant pathology. A similar situation happened with our case that was clinically misdiagnosed as malignant lesion initially, but after two repeated biopsies diagnosed as a fibromyxoma.

Comparison of oral manifestations with CD4 count in HIV-infected patients.

Aim and Objective: This study was carried out with the primary aim of correlating oral changes and general changes of HIV-infected patients with their CD4 count. Materials and Methods: 124 patients were selected, and after taking their informed consent, they were subjected to detailed history taking and thorough clinical examination. Specific oral lesions and general physical changes were recorded. Every patient was subjected to laboratory investigation for CD4 count. All these findings were tabulated. The clinical observation and laboratory findings were subjected to critical analysis and correlated. Statistical test, i.e. Student's " t" test, was applied and objective conclusions were drawn. Result: Out of 124 patients, 40 had oral candidiasis, 6 had oral hairy leukoplakia, 12 had periodontal disease, 20 had xerostomia, 30 had melanin pigmentation, while 4 had HSV2, and atypical ulceration. Out of 40 patients with oral candidiasis, 28 patients had CD4 count <200 (group A), 10 patients were in group, B (CD4 count 200-500 cell/mm 3 ) and 2 patients in group C(CD4 >500 cell/mm 3 ). Oral hairy leukoplakia occurred in equal proportions in group A and B. These periodontal diseases were more commonly in group B; xerostomia and melanin pigmentation was equally seen in group A and B. Conclusion: Oral candidiasis, oral hairy leukoplakia, linear gingival erythema, necrotizing ulcerative gingivitis, and necrotizing ulcerative periodontitis are specific oral indicators which will definitely suggest to the dental surgeon that the disease is running a rapid downhill course and due to this the oral physician is in a position to raise a suspicion and alert the general physician regarding the declining immune status of patient.

Odontogenic Fibromyxoma.

Odontogenic Fibromyxoma is a rare mesodermal tumour found exclusively in the bones of the facial skeleton. Although benign, it is locally very aggressive making it difficult to eradicate. We are reporting a case of odontogenic fibromyxoma in the maxilla with review of literature.