Chronic fibrosing osteomyelitis: a position statement.

Chronic Fibrosing Osteomyletis (CFO) is a commonly found condition which is often undiagnosed because of its co-morbidities with other systemic conditions. Clinicians should consider CFO in their differential diagnosis when confronted with complex head, neck and facial pain patients who present with multi-symptom/systems overlay. A multi-disciplinary approach is often required for proper patient diagnosis and treatment.

Development of an oro-antral fistula following sinus elevation surgery: a case report on management using platelet-rich plasma.

The aim of this case report is to present the use of platelet-rich plasma (PRP) in the management of an oro-antral fistula occurring as a complication of lateral wall sinus augmentation. Currently, platelet-rich plasma is being used in periodontal and oral surgical practices in a wide variety of applications. The patient in this case report developed an oro-antral fistula following sinus augmentation. This was treated using platelet-rich plasma combined with a flap approach. Following clinical healing, three single-stage implants were placed and restored. Clinical and histologic results are discussed in relation to clinical management, wound healing, and regenerative outcomes of treatment. The patient has been followed up for six years.

Papillary squamous cell carcinoma presenting on the gingiva.

BACKGROUND: Papillary squamous cell carcinoma (PSCC) is a rare variant of squamous cell carcinoma. PSCC can occur as either an in situ or invasive tumor. The sites of occurrence in order of the most to least prevalent are the larynx, oropharynx, and nasopharynx. We present an unusual case of PSCC occurring on the gingiva. METHODS: A 72-year-old white female presented with a chief complaint of tooth mobility in the right posterior mandible. Clinical examination revealed a Miller's Class 2 mobility of tooth #28 along with an erythematous, papillary appearance of the lingual gingiva on teeth #27, #28, and #29. Her dental history revealed treatment of tooth #28 with locally delivered antibiotics. Her medical history revealed a diagnosis of breast cancer 8 years prior to examination that was treated with partial mastectomy and radiation therapy. An initial differential clinical diagnosis of verrucous carcinoma or metastatic carcinoma was made. RESULTS: Surgical therapy included extraction of tooth #28 and an excisional biopsy of the lesion on the lingual gingiva. Microscopic evaluation of the gingival specimen revealed a neoplastic papillary proliferation of the surface epithelium with a thick layer of parakeratin, deep parakeratin-lined crypts, and a thickened spinous cell layer along with islands and strands of malignant epithelium. The microscopic appearance of the lesion was characteristic for PSSC. The patient's tumor was removed via a block resection that included teeth #27 through #31 and a radical neck dissection. CONCLUSIONS: This is a case report of PSCC occurring on the gingiva. This report demonstrates that, even though oral cancers involving the periodontium are a relatively rare occurrence, periodontists cannot be complacent about the diagnosis of periodontal bone loss. It also highlights the importance of utilizing a histopathologic examination to confirm the clinical diagnosis for any suspicious lesion.

Implant treatment and the role of platelet rich plasma.

Implant supported restorations have become and continue to be a very popular clinical option for patients who are either partially or completely edentulous. This article, the third in a series dealing with implant dentistry, describes the role of platelet rich plasma as an adjunct to help with the healing process following tooth extraction, socket preservation, and, ultimately, replacement with implant supported restorations. A clinical case is used to illustrate surgical options available in the restoration of the posterior partially edentulous maxilla.

Recent advances in non-surgical and surgical periodontics.

The role of periodontal surgery in the management of periodontal diseases has continued to develop and benefit from advances in clinical as well as basic science research. The periodontist now has a wide variety of surgical treatment options to help patients who present with the manifestations of periodontal disease. This article looks at the surgical treatment modalities that are currently being used in clinical practice. In addition, it looks at the role of genetic testing in the overall patient management sequence.

Implant treatment planning and rehabilitation of the anterior maxilla, Part 2: The role of autogenous grafts.

Implant-supported restorations have become and continue to be a very popular clinical option for patients who are either partially or completely edentulous. This article describes the management of a resorbed anterior maxilla using autogenous bone grafts harvested from the patient's mandibular symphysis region. Following an adequate healing period, the patient's treatment was completed by an implant-supported restoration. The case is used to illustrate surgical options available in the restoration of the anterior partially edentulous maxilla.