ABSTRACT
Angiomyomas are found with some frequency in the female genital tract. They can also appear in both sexes in the gastrointestinal tract and in the skin. The oral cavity is an unusual site for an angiomyoma. In this article, we describe the case of a 74-year-old woman who came to us with a nodule at the palatal midline. Following surgical excision of the growth and stent placement over the wound site, a biopsy analysis was performed. Histology of the removed tissue revealed an unusual variant of an angiomyoma: a myxoid angiomyoma.
Subject(s)
Angiomyoma/diagnosis , Neoplasms, Second Primary/diagnosis , Palatal Neoplasms/diagnosis , Palate, Hard/pathology , Aged , Angiomyoma/pathology , Biopsy , Diagnosis, Differential , Female , Humans , Palatal Neoplasms/pathologyABSTRACT
A patient presented with a large, multilocular, refractory traumatic bone cyst. The radiolucency had increased in dimension since her last recall. Over 11 years, therapy had included needle aspiration biopsies followed by simple curettage and closure, the most common therapy for traumatic bone cysts. However, all treatment had proved unsuccessful for this patient. It was decided to treat the patient with a slightly unique method. After curettage of the lesion, the traumatic bone cyst was packed with a mixture of autogenous blood, harvested autogenous bone chips, and hydroxyapatite.
Subject(s)
Jaw Cysts/surgery , Mandibular Diseases/surgery , Blood , Bone Regeneration , Bone Transplantation , Curettage , Durapatite , Female , Humans , Jaw Cysts/complications , Jaw Cysts/etiology , Mandibular Diseases/complications , Mandibular Diseases/etiology , Middle Aged , Paresthesia/etiology , Reoperation , Tooth Extraction/adverse effects , Tooth Mobility/etiologyABSTRACT
Traditionally, general dentists have been reluctant to treat pregnant patients due to uncertainty of the risks that might be imposed on both the mother and the fetus. However, preventive, emergency, and routine dental procedures are all suitable during various phases of a pregnancy, with some treatment modifications and initial planning. This article will review some of the physiologic changes and oral pathology associated with pregnancy, and how these alterations affect dental care for the patient. A brief discussion concerning the risks and benefits of radiation, certain medications, and pre-natal fluoride is also given. Additionally, an overview of possible obstetric emergencies that may arise during a general dental appointment is presented with treatment options outlined.
Subject(s)
Dental Care , Pregnancy Complications , Pregnancy , Dental Caries/complications , Dental Caries/therapy , Emergency Treatment , Female , Humans , Oral Hygiene , Periodontal Diseases/complications , Periodontal Diseases/therapy , Pregnancy Complications/therapy , Prenatal Care , Radiography, Dental/statistics & numerical dataABSTRACT
Glycogen storage diseases (GSD) are metabolic disorders which impair the body's ability to store glucose and utilize it later, requiring patients to take multiple daily dietary supplementation with a high carbohydrate content. Patients undergoing this treatment modality are placed at increased risk for gross dental caries and other oral abnormalities. Additionally, GSD may prolong the patient's bleeding time, which may necessitate consultation with the treating physician. In the following case, our patient required a multidisciplinary approach to address not only her dental needs, but also to coordinate the management of both her GSD and an additional complication, von Willebrand's disease. This was best achieved in a hospital setting.
