Intraorally exposed anterior Stafne bone defect: a case report

Anterior Stafne bone defect is a rare lingual bone depression mostly seen in the mandibular canine-premolar region; however, exposure of the defect into the oral cavity is quite rare. In this article, a case of anterior Stafne bone cavity, which can be seen in the intraoral examination, is presented with clinical features. Surgery is not considered for this case and after 2 years of follow-up, the defect remained stable.     

Pyknodysostosis: an unusual presentation in a denture wearer. A case report.

Pyknodysostosis is a rare craniofacial syndrome characterized by cranial anomalies, dwarfism, osteopetrosis, hypoplasia of the angle of the mandible, abbreviated terminal phalanges, and dysodontiasis. The syndrome was first differentiated by Maroteaux and Lamy in 1962. Fewer than 130 cases have been described since that time. A 30-year-old Filipino man had most of the characteristics of the syndrome. Of particular interest is that he wore complete dentures and had a chief complaint of pain arising from partially erupting teeth under the denture. To our knowledge this is the first reported case from the Philippines.     

An unusual bilateral cervical paraganglioma: a case report

Paragangliomas are neoplasms originating from paraganglion tissue derived from mesoderm, the most common location being adjacent to carotid bifurcation. Rarely these tumours can be bilateral. We present here a case of bilateral paraganglioma occurring in a young woman. On one side the tumour was arising from the vagus nerve and on the other, from the carotid body. Clinical, radiological and histopathological features and treatment dilemmas are discussed.     

Dentigerous cyst: report of an unusual case.

A case of dentigerous cyst in the maxillary sinus of a 16-year-old boy is reported due to its unusual presentation and extensive nature.     

An unusual presentation of talon cusp: a case report

The talon cusp is a relatively rare dental developmental anomaly characterised by cusp-like projections, usually observed on the lingual surface of the affected tooth. Normal enamel covers the cusp and fuses with the lingual aspect of the tooth. The cusp may or may not contain an extension of the pulp. This occurs in either maxillary or mandibular anterior teeth in both the primary and permanent dentition. This study reports the unusual case of a 47-year-old female with a taloned tooth on the right maxillary central incisor possessing both lingual and labial talons, with an x-shaped appearance when viewed occlusally.     

Anterior lingual mandibular salivary gland defect (Stafne defect) presenting as a residual cyst

Lingual mandibular salivary gland inclusion (Stafne defect) is a developmental anomaly represented by a bone concavity usually containing submandibular gland tissue. The posterior mandible region, particularly at the angle and below the mandibular canal, is the common location, and the anterior mandibular variants occur rather seldom. The latter is usually observed in the premolar and cuspid region, or more rarely in the symphysis, as a round or ovoid radiolucency sometimes appearing superimposed over the teeth's apices, resembling a true cystic lesion or an odontogenic tumor. We report an additional case of anterior lingual mandibular salivary gland defect occurring in a 42-year-old white man. It presented as an asymptomatic radiolucency located on the left side of the mandible, in the region of an absent second premolar and first molar, above the alveolar canal, mimicking a residual cyst. Histopathologic examination of the "cyst" content revealed the absence of a cyst lining and the presence of normal sublingual gland tissue.     

An unusual case of double idiopathic ramus-related Stafne bone cavity

Stafne’s mandibular cyst, defect, or cavity, are asymptomatic lingual or buccal bone depressions of the lower jaw frequently caused by soft-tissue inclusion. Radiographically, they are usually located in the lingual cortex, between the angle and the first molar area of the mandible, as round or ovoid radiolucencies with thick and corticated borders. Mandibular bone depressions located on the lingual or buccal aspect of the ramus are the rarest locations with very few cases reported in the literature. In this paper, double idiopathic Stafne bone cavities, one located on the buccal and other located on the lingual aspect of the ramus, are reported, with CBCT and MRI findings.     

An unusual case report of bilateral mandibular radicular cysts

A radicular cyst is one of the most common odontogenic cysts of anterior maxilla, not commonly seen in adolescence. Here, we present a rare, atypical case, of bilateral radicular cysts of the mandibular posterior region in a 13-year-old girl. The patient management comprised surgical enucleation of cystic sac under general anesthesia followed by rehabilitation of the same area. The purpose of this article is to lay emphasis on the pedodontist's role in early diagnosis and treatment of such lesions.     

Post operative maxillary cyst: report of an unusual presentation

A postoperative maxillary cyst is a rare, delayed complication of operations on the maxillary sinus, trauma. or infection, particularly in Japan. As far as we know this is the first reported case in a patient of African origin. The cyst presented as a midline palatal swelling that arose from the nasal, rather than the antral, mucosa. Awareness of this condition will expedite its correct diagnosis and management. In most cases, enuclcation is the treatment of choice.     

Lower mesiodens: report of an unusual case

This report describes a case of an 11 years old girl presenting a supernumerary tooth between lower central incisors. The case initially required only surgical treatment to remove the lower mesiodens. Sequentially, the patient was referred to an orthodontic therapy due to a presence of diastema.     

Maxillary ameloblastoma: report of an unusual case

The ameloblastoma is an unusual neoplasm in the pediatric population. A maxillary ameloblastoma was discovered during evaluation for premolar extractions. Treatment and the importance of obtaining a histological evaluation are discussed.     

Unilateral rampant caries: an unusual presentation.

An unusual presentation of rampant caries in a child was described. Lactose from bovine milk, bad feeding habits and poor oral hygiene appear to play a major role in its aetiology.     

Dens in dente: an unusual sequela. Abbreviated case report.

Dens in dente is the result of an invagination of the enamel organ into the developing dental papilla. The full pathologic potential of this lesion is often not fully appreciated. A case is reported in which a cyst resulting from a dens in dente obliterated the maxillary sinus and necessitated root canal therapy and apicoectomies in four adjacent teeth.     

Granulocytic sarcoma of gingiva: an unusual case with aleukemic presentation

BACKGROUND: Granulocytic sarcoma (GS) is an uncommon extramedullary tumor composed of dense aggregates of immature myeloid precursor cells, which is usually associated with acute or chronic myeloid leukemia. The tumor may also be a predecessor to acute myeloid leukemia (AML). It may be found in any location throughout the body; however, intraoral occurrence is extremely rare. This report describes a case of gingival granulocytic sarcoma that developed prior to AML in a 12-year-old female. METHODS AND RESULTS: The patient, who had a 3-month history of gingival enlargement, was diagnosed as having granulocytic sarcoma based on clinical, radiological, and histological findings. Although the tumor regressed significantly after two induction chemotherapy courses, the patient subsequently died due to pneumococcal sepsis and pleurisy. CONCLUSION: This case report affirms the importance of granulocytic sarcoma in the differential diagnosis of gingival enlargements, since the tumor may occur before bone marrow involvement by leukemic cells.