An erupted complex odontoma.

Odontomas are benign tumors of odontogenic origin. The cause of the odontoma is unknown, but it is believed to be hereditary or due to a disturbance in tooth development triggered by trauma or infection. Odontomas may be either compound or complex. Although these tumors are seen frequently, erupted odontomas are rare. The purpose of this study is to present a rare case of complex odontoma that erupted into the oral cavity.

Extraoral removal of a transmigrant mandibular canine associated with a dentigerous cyst.

Although the maxillary permanent canine is frequently misplaced, misplacement of the mandibular canine is a comparatively rare event. Pre-eruptive migration of a tooth across the midline is called transmigration. This condition has not been reported for teeth other than canines. Dentigerous cysts can involve any tooth, but mandibular canines are rarely affected like premolars and molars. Odontogenic cysts associated with impacted teeth are usually removed through an intraoral approach. However, on rare occasion, an extraoral approach is required to remove these lesions. A case of transmigrant mandibular canine associated with a dentigerous cyst that required an extraoral submental approach for removal is presented.

Transmigrant mandibular canines.

PURPOSE: The aim of the present study was to investigate the patterns of transmigrant mandibular canines, the incidence and classification of transmigrant canines, and the associated pathology of these teeth. PATIENTS AND METHODS: This retrospective cohort study was composed of 4,500 panoramic radiographs of patients who presented to our Oral and Maxillofacial Surgery Services from January 1998 to December 2005. Panoramic radiographs were reviewed. Observations were made on the status of missing permanent mandibular canines, retained deciduous canines, side and number of transmigrant canines, gender and age of patients, and any other associated pathology. RESULTS: In the present study, a total of 15 patients had transmigrated canines-6 females (ages 13-33 years) and 9 males (ages 13-57 years). All transmigrant canines were unilateral. Two canines were impacted in the mandible enveloped in cystic lesions. The rest of the transmigrated canines were in varying stages of intraosseous travel and positioning within the mandible, with no pathological entity. CONCLUSION: The use of a panoramic radiograph is imperative and is recommended for discovering such rare malpositions. If the mandibular canine that has migrated across the mandible is associated with pathology, it may be removed. Otherwise, it should be kept under observation.

The effect of a single dose prednisolone with and without diclofenac on pain, trismus, and swelling after removal of mandibular third molars.

PURPOSE: The purpose of this study was to evaluate the effect of a single intramuscular dose of prednisolone and the prednisolone-diclofenac combination on postoperative pain, trismus, and edema after the removal of third molars. PATIENTS AND METHODS: Forty-five patients who were to undergo surgical removal of lower third molars were studied. Patients were divided into 3 groups. In the first group, each patient was given 25 mg prednisolone intramuscularly immediately after surgery. In the second group, each patient was given 25 mg prednisolone and diclofenac intramuscularly immediately after surgery, and in the third group, each patient was given sterile saline solution as control group. Postoperative pain was evaluated by visual analogue scale on the day of surgery. Facial swelling and trismus were evaluated on postoperative days 2 and 7. ANOVA was used to analyze these data. RESULTS: Statistical analysis of the data indicated the prednisolone-diclofenac combination suppressed pain intensity in comparison with control (P < .05) at the 6-hour observation. Both the prednisolone and prednisolone-diclofenac combinations suppressed pain at the seventh postoperative hour in comparison with the control (P < .05). The prednisolone-diclofenac combination group also had a smaller loss of opening at postoperative days 2 and 7 in comparison with both the prednisolone and control groups (P < .05). Postoperative swelling was less in both the prednisolone and prednisolone-diclofenac combination groups, as compared with the control group (P < .05) at postoperative day 2. The prednisolone-diclofenac combination group also had a smaller swelling at postoperative day 7 in comparison with both the prednisolone and control groups (P < .05). CONCLUSION: It was determined that the combination of a single dose of prednisolone and diclofenac is well-suited to the treatment of postoperative pain, trismus, and swelling after dental surgical procedures and should be used when extensive postoperative swelling of soft tissue is anticipated.

Ectopic eruption of a maxillary third molar tooth in the maxillary sinus: a case report.

Ectopic eruption of teeth into regions other than the oral cavity is rare although there have been reports of teeth in the nasal septum, mandibular condyle, coronoid process, palate, chin, and maxillary sinus. Occasionally, a tooth may erupt in the maxillary sinus and present with local sinonasal symptoms attributed to chronic sinusitis. We present a case of an ectopic maxillary third molar tooth that caused chronic sinusitis in the maxillary sinus.

Benign fibrous histiocytoma: report of case.

Benign fibrous histiocytoma is a rare and usually painless oral neoplasm found in adults that may affect either soft tissue or bone typically noted in their fifth decade. This case was found in a 32 year-old Caucasian male who presented with a fairly well circumscribed unilocular radiolucent lesion extending from the mandibular right first incisor to the left first premolar and reaching the inferior mandible on a panoramic radiograph. A bony window was created and the intrabony lesion was curetted. Multiple sections revealed a cellular tumor composed of uniform spindle-shaped cells arranged in a prominent whorled or storiform pattern. Scattered xanthoma cells, multinucleated giant cells, lymphocytes, and deposits of hemosiderin were noted throughout the lesional stroma. Although malignant fibrous histiocytoma of the bone is relatively well known, benign fibrous histiocytoma of the bone is very rare.

A large glandular odontogenic cyst of the mandible: report of case.

Glandular odontogenic cyst (GOC) is generally considered uncommon, but several investigators claim there is a more frequent occurrence than previously thought. However these case reports lacked confirming data to validate their claim. On the other hand, it is possible that cases of central mucepidermoid carcinoma or later periodontal cyst might be viewed as glandular odontogenic cyst. This is a report of a case of a 70-year old male who presented with a firm swelling in the right side of his edentulous mandible. Radiographic examination revealed a multilocular radiolucent lesion in the mandible extending from the right first premolar to the left second premolar and reaching the inferior mandible. Clinical findings, the health history, and microscopic examination of excised tissue confirmed the diagnosis of GOC. The lesion was excised and post-operative healing was uneventful.