RESUMEN
Cemento-ossifying fibromas are rare fibro-osseous benign neoplasms that affect the jaws. They are included in the group of mesodermal odontogenic tumors and commonly present as a progressively growing lesion that might attain enormous size with resultant deformity, if left untreated. A confusion prevails on the terminology, which can only be confirmed by histopathologic evaluation. A case of cemento-ossifying fibroma involving the right mandible is described in a 30 year-old female patient. The clinical, radiographic, histologic features are presented and the various differential diagnosis are discussed.
Asunto(s)
Neoplasias Óseas/diagnóstico , Fibroma Osificante/diagnóstico , Mandíbula/patología , Tumores Odontogénicos/diagnóstico , Adulto , Neoplasias Óseas/diagnóstico por imagen , Neoplasias Óseas/patología , Femenino , Fibroma Osificante/diagnóstico por imagen , Fibroma Osificante/patología , Humanos , Mandíbula/diagnóstico por imagen , Tumores Odontogénicos/diagnóstico por imagen , Tumores Odontogénicos/patología , Radiografía PanorámicaRESUMEN
Dentistry, like various branches in the healthcare profession, is susceptible to overtreatment, especially in the management of dental caries, due to the adoption of an aggressive restorative approach. This philosophy provides no actual benefits to the patient in terms of arresting the disease process, which initially led to the carious lesions. Yet practitioners routinely continue to initiate restorative treatment procedures without attempting to understand and alter the biologic factors contributing to the caries process. This paper examines the available scientific literature in this regard and makes recommendations to the clinicians of today based on the available evidence. CPD/Clinical Relevance: The paper provides clinicians an approach to avoiding overtreatment by adhering to established clinical guidelines and accepted operative strategies.
Asunto(s)
Caries Dental/terapia , Uso Excesivo de los Servicios de Salud , Algoritmos , Humanos , Guías de Práctica Clínica como AsuntoRESUMEN
Neurofibroma is a benign peripheral nerve sheath tumor, usually found in association with Von Recklinghausen's disease of the skin. The solitary variant commonly occurs in the head and neck region, mostly affecting young adults. They are characteristically slow-growing masses, often asymptomatic and have been found most commonly in the tongue and buccal mucosa. A recent literature review highlighting incidences in various other locations has been tabulated here. We also report a case of a solitary neurofibroma of the gingiva in a 72-year-old male of 15 years duration. Histopathology revealed a fibromyxoid stroma with sinuous nerve bundles with buckled nuclei.