Active Giant Peripheral Osteoma of the mandible: presentation of one case with follow-up to 6 years

Osteoma, a benign neoplasia of bone tissue, is considered a quiescent neoplasm. An active osteoma is an uncom- mon lesion. We presented a case of a mandibular osteoma with an unusual active behavior. In January of 2001 was admitted in the Oral Medicine Service a 11-years old female because an asymptomatic growth in the left side of their face with two years of evolution. Radiographical examination revealed a well circumscribed spherical radio- paque lesion of approximately 2 x 2 cm in diameter on lateral side of the left angle of the mandible. Microscopically the surgical sample coming from incisional biopsy showed normal bone tissue. A diagnosis of osteoid osteoma was emitted. Surgical treatment was indicated and refused by the parents of the patient. In August 2007 the same was readmitted because an increase in their facial asymmetry. Radiographical examination revealed an increase in the size of the radiopaque area to 3x3 cm. A 99m Tc MDP bone scintigraphy was indicated and performed. Because the scintigraphy showed bone activity the surgical elimination of the whole lesion was indicated and done. Mi- croscopically the lesion was composed by vital mature lamellar and trabecular bone. A diagnosis of giant active osteoma of the mandible was emitted. The maxillofacial surgeon should awake by the possibility of an osteoma shows neoplastic activity

Papel de los microRNAs en la enfermedad periodontal

La enfermedad periodontal (EP) es un desorden inflamatorio e infeccioso que afecta las estructuras de soporte del diente, siendo el resultado de la interacción entre bacterias patógenas y el sistema inmune 1, anteriormente se pensaba que esta enfermedad se presentaba de forma lineal en donde la gingivitis precedía a la EP y ésta conllevaba a la pérdida ósea, actualmente se ha demostrado que la distribución y severidad de la misma está fuertemente influenciada por la susceptibilidad del huésped 2. Se estima que entre un 20 y 50% de la población mundial se ve afectada por E

Frecuencia de Lesiones y Condiciones Orales en Pacientes Mayores de 18 Años en una Clínica de Atención Primaria en México

La patología oral es el área de la odontología que se especializa en el diagnóstico y tratamiento de enfermedades orales. Se realizó un estudio transversal, en el cual fueron incluidos pacientes mayores de 18 años que acudieron a una clínica de atención primaria del departamento de estomatología de la universidad Autónoma de Ciudad Juárez, en México y a los cuales independientemente del motivo de consulta se les realizo historia clínica y exploración intraoral detallada. Fueron examinados 650 pacientes (424 mujeres y 226 hombres) con un rango de edad de 18 a 89 años (media=42,27). Las lesiones más frecuentes fueron la queratosis friccional (30,46 %) e hiperplasia fibrosa (6,92 %), la melanosis fisiológica (42,92 %) y los gránulos de Fordyce (36,46 %) fueron las condiciones más identificadas. En las lesiones de la mucosa oral que identificamos estuvo presente el factor traumático de manera crónica, es importante que el odontólogo este familiarizado con las lesiones más frecuentes, con su etiología, características clínicas y tratamiento de cada una de ellas. Oral pathology it’s the branch of medicine that focuses on the diagnosis and treatment of oral diseases. A cross-sectional study was carried out in which patients older than 18 years was included, that were attended in the primary care clinic at the stomatology department of the Autonomous University of Ciudad Juárez, in Mexico, and regardless of the reason for consultation the clinical history and intraoral examination was done We examined 650 patients (424 women and 226 men) with an age range of 18 to 89 years (mean=42.27). The most frequent oral lesion was the frictional keratosis (30.46 %), fibrous hyperplasia (6.92 %), physiological melanosis (42.92 %), and fordyce granules (36.46 %). In the oral mucosal lesions identified was present a chronic traumatic factor, it is important that the dental staff knows about the most frequent injuries, their etiology, clinical characteristics and treatment of each one

Spindle cell carcinoma of the maxillary sinus with extension to the oral cavity

Spindle cell carcinoma (SCC) is a rare variant of squamous cell carcinoma characterized by elongated and pleomorphic epithelial cells that resemble a sarcoma. Due to its rareness, and histological resemblance to various sarcomas, the diagnosis of this neoplasia is challenging. Herein we present the case of an 82-year-old female with a polypoid, ulcerated, soft tissue mass located on the left side of the maxilla. The tomographic examination showed a hyperdense mass that infiltrated the orbital cavity, ethmoidal cells, middle and lower nasal concha, maxillary sinus, zygomatic arch, and mandibular ramus on the left side. Histopathologically, the tumor was composed of spindle cells that were sarcomatous in appearance, with aberrant mitosis, along with a group of pleomorphic cells with a more epithelioid and hyperchromatic appearance on a stroma of densely vascularized fibrous tissue. The immunohistochemistry panel used to determine the lineage of the tumor rendered the diagnosis of SCC. The diagnosis of SCC is challenging to the pathologist since its morphology can resemble a sarcoma. Thus, immunohistochemistry is a valuable resource to support the diagnosis. We propose that SCC should be considered when examining a biphasic neoplasm with the aforementioned histological characteristics and markers

Tumor invasion front in oral squamous cell carcinoma

Oral squamous cell carcinoma is a neoplasm that originates from the epithelial mucosa. It is usually more frequent between the fifth and sixth decades of life, and more than 90% of carcinomas of the oral cavity are squamous cell carcinoma. It is an invasive neoplasia with a significant recurrence rate; 40% of patients present with metastases in the cervical lymph nodes at the time of diagnosis. The tumor invasion front is a characteristic of tumor growth, which can be infiltrative or noninvasiv

Review of the synthesis, characterization and application of zirconia mixed metal oxide nanoparticles

There has been different synthetic route used for the synthesis of zirconia mixed metal oxide nanoparticles. The different synthetic methods coupled with other factors like concentration, PH, type of precursor used etc help to synthesize zirconia mixed metal oxide nanoparticles having different physicochemical properties. This paper discusses the different synthetic routes of sol-gel, hydrothermal and coprecipitation method for the formation of zirconia in combination with other metal oxide to form zirconia mixed metal oxide nanoparticles, the physicochemical properties of the synthesized zirconia mixed metal oxide nanoparticle, their characterization and application

Spindle cell carcinoma of the maxillary sinus with extension to the oral cavity

Spindle cell carcinoma (SCC) is a rare variant of squamous cell carcinoma characterized by elongated and pleomorphic epithelial cells that resemble a sarcoma. Due to its rareness, and histological resemblance to various sarcomas, the diagnosis of this neoplasia is challenging. Herein we present the case of an 82-year-old female with a polypoid, ulcerated, soft tissue mass located on the left side of the maxilla. The tomographic examination showed a hyperdense mass that infiltrated the orbital cavity, ethmoidal cells, middle and lower nasal concha, maxillary sinus, zygomatic arch, and mandibular ramus on the left side. Histopathologically, the tumor was composed of spindle cells that were sarcomatous in appearance, with aberrant mitosis, along with a group of pleomorphic cells with a more epithelioid and hyperchromatic appearance on a stroma of densely vascularized fibrous tissue. The immunohistochemistry panel used to determine the lineage of the tumor rendered the diagnosis of SCC. The diagnosis of SCC is challenging to the pathologist since its morphology can resemble a sarcoma. Thus, immunohistochemistry is a valuable resource to support the diagnosis. We propose that SCC should be considered when examining a biphasic neoplasm with the aforementioned histological characteristics and markers

Hyalinizing clear cell carcinoma-a rare entity in the oral cavity: A case report

BACKGROUND Hyalinizing clear cell carcinoma (HCCC) is an uncommon tumor that originates in the salivary glands. This neoplasia constitutes less than 1% of minor salivary gland tumors. CASE SUMMARY A 67-year-old female visited the maxillofacial surgery department owing to a smooth, slightly yellowish protruding mass on the left side of the floor of the mouth, at the level of the molars; the tumor mass had a soft consistency on palpation and did not adhere to deep planes. The microscopical analysis of the excisional biopsy showed that the lesion was composed of sheets and cords of clear cells separated by thick eosinophilic bands of hyaline collagen. Normal glandular tissue was absent, periodic acid-Schiff with and without diastase stains, and immunohistochemical reactions were performed to confirm the diagnosis. This is the second case reported in the literature of HCCC arising in the floor of the mouth. CONCLUSION HCCC is a rare salivary gland tumor that has not been studied extensively. Its diagnosis is usually challenging, because clinically, it can be confused with a benign neoplasm