Ameloblastic fibro-odontoma: A case report

BACKGROUND AND AIM: Ameloblastic fibro-odontoma (AFO) is a rare, mixed odontogenic tumor that usually occurs in children and young adults with no gender predominance. Posterior mandibular region is usually involved and a painless swelling is the most common clinical feature. CASE REPORT:We here report a case of AFO in a 12-year-old girl with a complaint of a painful expansive lesion in the right posterior mandible. Radiographic examination showed a well-defined radiolucency containing radiopaque materials. The second molar was displaced by the lesion. Enucleation was conducted and no recurrence was observed after 4 years of follow-up. CONCLUSION: AFO is a benign expansive jaw lesion which develops in children. To treat AFO, proper surgical excision and curettage should be performed. KEYWORDS: Ameloblastic Fibro-Odontoma; Odontogenic Tumors; Neoplas

Frequency of oral and maxillofacial giant cell lesions in Iran in a period of 22-year (1991-2012)

BACKGROUND AND AIM: Giant cell lesions as a group of the oral and maxillofacial lesions are common and potentially destructive. The aim of this study was to assess the frequency of oral lesions containing giant cells in a 22-year period in Isfahan Dental School, Iran. METHODS: In this epidemiological, cross-sectional, retrospective study the archive information in the Department of Oral Pathology, School of Dentistry between 1991 and 2012 was used. All information obtained from the patients records with giant cell lesions [peripheral giant cell granuloma (PGCG), central giant cell granuloma (CGCG), aneurysmal bone cyst, and Cherubism and Brown tumor] were analyzed using SPSS, chi-square test and Fisher (P < 0.050). RESULTS: Of the 8217 cases with pathology records, 591 cases (7.1%) were giant cell lesions. The most common lesion was PGCG (68.5%). The prevalence of lesions in the mandible was more than the maxilla (P = 0.039), and also the prevalence of these lesions in woman was slightly more than men (P = 0.078). CONCLUSION: The giant cell lesions were more common in women and in the mandible. They were seen more frequently in the second decade of life. Regards the results of this study, we can prevent PGCG using methods such as improvement of oral hygiene. KEYWORDS: Epidemiology; Giant Cells; Granulom

Comparison of cathepsin-D expression in unicystic ameloblastoma, odontogenic keratocyst and orthokeratinized odontogenic cyst using an immunohistochemical method

Background and Aims: Cathepsin-D is a well-known protease that promotes invasion in tumoral lesions. Considering the cystic neoplasm nature of odontogenic keratocyst (OKC), the aim of this study was to compare the expression of cathepsin-D in this lesion with the unicystic ameloblastoma (UA) and orthokeratinized odontogenic cyst (OOC) for better understanding of its behavior. Materials and Methods: In this descriptive-analytical study, we used paraffin blocks available in the archives of oral and maxillofacial pathology department of dental school (8 unicystic ameloblastoma (UA), 8 odontogenic keratocyst (OKC) and 8 orthokeratinized odontogenic cysts (OOC)) which they were stained immunohistochemically with cathepsin-D. Then, the samples were observed simultaneously by two oral pathologists for detection the intensity and pattern of epithelial and stromal cells staining. Data were analyzed by SPSS20 and Kruskal-Wallis, Mann-Whitney and Chi-square test (P<0.05). Results: The staining intensity of the epithelial cells of UA group was significantly more than OOC and OKC (P=0.02). The staining intensity of the stromal cells of UA was more than the other two groups, although this difference was not statistically significant (P=0.32). The pattern of cell staining in epithelium and stroma did not show any significant difference between the three groups in this study (P=0.15, 0.22). Conclusion: The results of this study regarding the intensity expression of cathepsin-D in these three odontogenic lesions could be considered as a probable evidence for the new odontogenic lesions classification (WHO2017) in terms of reintroducing OKC as an odontogenic cyst. If this idea is rejected, it seems that cathepsin-D expression is not associated with the invasive behavior of this cyst, and further investigation of other markers in the epithelium and stroma simultaneously is suggested for a better understanding of its biological nature

Central unilocular mucoepidermoid carcinoma of the mandible: A case report and literature review

Mucoepidermoid carcinoma (MEC) is the most common salivary gland malignancy. Central MEC (CMEC) is a rare tumor which affects women more than men and is more common in the mandible. Most cases are histologically classified as low-grade tumor and radiographically appear as well-defined unilocular or multilocular radiolucent lesion, although this tumor causes destruction and metastasis to other organs. In this article, we present a rare case of CMEC in a 47-year-old woman with unilocular radiolucent lesion of the mandible. Early and accurate diagnostic approach in all lesions with clinical/radiographical bland appearance is important, and all possibilities such as a malignant lesion should be considered

Evaluation of copper salivary level in oral squamous cell carcinoma, occupationally copper exposed, and its normal population and its association with cytomorphologic changes of oral mucosa

Background: Oral squamous cell carcinoma (SCC) is one of the most common malignancies in oral cavity. Hence, presenting methods for early diagnosis and find the etiologic factors of oral SCC are important. Saliva analysis can be used to discover various conditions because of its noninvasive methods. Copper as a useful metal has been used by men since ancient times. The level of copper increases when the cancerous changes occur in addition to biopsy, an alternative method for examining oral lesions is exfoliative cytology. The primary objective of this study was to determine the salivary copper level and cytomorphologic changes of oral mucosa among three study groups. Materials and Methods: This cross-sectional study included 15 individuals with oral SCC, 15 workers exposed to copper, and 15 healthy individuals. Saliva samples were collected and analyzed by atomic absorption spectrophotometer. The exfoliative smears were prepared by brush biopsy and stained by Papanicolaou and argyrophilic nucleolar organizer region (AgNOR) staining methods. Data analysis using one-way ANOVA and Kruskal–Wallis test. P < 0.05 was considered significant. Results: There was a significant difference in mean salivary copper (P = 0.008), cytomorphology of oral mucosa, and AgNOR among the three groups (P < 0.001). Conclusion: The results suggested that occupational exposure to copper increases the salivary levels of this element and causes changes in mucosal cells. Since this increase was very high and evidence of nuclear activity was seen in this group and in oral SCC patients, exposure to copper should be considered an important risk factor for oral mucosal changes

Frequency of oral and maxillofacial giant cell lesions in Iran in a period of 22-year (1991-2012)

BACKGROUND AND AIM: Giant cell lesions as a group of the oral and maxillofacial lesions are common and potentially destructive. The aim of this study was to assess the frequency of oral lesions containing giant cells in a 22-year period in Isfahan Dental School, Iran. METHODS: In this epidemiological, cross-sectional, retrospective study the archive information in the Department of Oral Pathology, School of Dentistry between 1991 and 2012 was used. All information obtained from the patients records with giant cell lesions [peripheral giant cell granuloma (PGCG), central giant cell granuloma (CGCG), aneurysmal bone cyst, and Cherubism and Brown tumor] were analyzed using SPSS, chi-square test and Fisher (P < 0.050). RESULTS: Of the 8217 cases with pathology records, 591 cases (7.1%) were giant cell lesions. The most common lesion was PGCG (68.5%). The prevalence of lesions in the mandible was more than the maxilla (P = 0.039), and also the prevalence of these lesions in woman was slightly more than men (P = 0.078). CONCLUSION: The giant cell lesions were more common in women and in the mandible. They were seen more frequently in the second decade of life. Regards the results of this study, we can prevent PGCG using methods such as improvement of oral hygiene

Ameloblastic fibro-odontoma: A case report

BACKGROUND AND AIM: Ameloblastic fibro-odontoma (AFO) is a rare, mixed odontogenic tumor that usually occurs in children and young adults with no gender predominance. Posterior mandibular region is usually involved and a painless swelling is the most common clinical feature. CASE REPORT: We here report a case of AFO in a 12-year-old girl with a complaint of a painful expansive lesion in the right posterior mandible. Radiographic examination showed a well-defined radiolucency containing radiopaque materials. The second molar was displaced by the lesion. Enucleation was conducted and no recurrence was observed after 4 years of follow-up. CONCLUSION: AFO is a benign expansive jaw lesion which develops in children. To treat AFO, proper surgical excision and curettage should be performed

Epithelial Dysplasia in Oral Cavity

Among oral lesions, we encounter a series of malignant epithelial lesions that go through clinical and histopathologic processes in order to be diagnosed. Identifying these processes along with the etiology knowledge of these lesions is very important in prevention and early treatments. Dysplasia is the step preceding the formation of squamous cell carcinoma in lesions which have the potential to undergo dysplasia. Identification of etiological factors, clinical and histopathologic methods has been the topic of many articles. This article, reviews various articles presenting oral cavity dysplasia, new clinical methods of identifying lesions, and the immunohistochemical research which proposes various markers for providing more precise identification of such lesions. This article also briefly analyzes new treatment methods such as tissue engineering