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Smita R. Priyadarshini ¹, Pradyumna Ku Sahoo ², Swagatika Panda ³, R. Sivakumar ⁴

Affiliations
1 Department of Oral Medicine & Radiology, Institute of Dental Sciences, Siksha O Anusandhan (Deemed to be University) Bhubaneswar, Odisha, IN
2 Department of Prosthodontics, Institute of Dental Sciences, Siksha O Anusandhan (Deemed to be University) Bhubaneswar, Odisha, IN
3 Department of Oral Pathology & Microbiology, Institute of Dental Sciences, Siksha O Anusandhan (Deemed to be University) Bhubaneswar, Odisha, IN
4 Department of Oral Pathology & Microbiology Govt. Dental College, Trivandrum, Kerala, IN

Abstract

Lymphangiomas are congenital benign focal malformations of the lymphatic system diagnosed after birth & early childhood & predominantly seen in the head and neck region. These are uncommon when oral cavity, subcutaneous tissues and skin in involved. They are associated with a number of syndromes and is one of the causes of macroglossia. Usually the anterior one third and dorsal aspect of tongue is involved & is the common site when there is an intra oral involvement. Treatment consists of sclerotherapy and local excision of the lesion. Here we report a case of a 12-year-old male patient.

Keywords

Lymphangioma, Benign Malformations, Lymphatics.

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Gunjan Srivastava ¹, Subrat Kumar Padhiary ², Swagatika Panda ²

Affiliations
1 Department of Prosthodontics, Institute of Dental Sciences, Siksha O Anusandhan (Deemed to be University), Bhubaneswar, Odisha, IN
2 Department of Oral and Maxillofacial Pathology, Institute of Dental Sciences, Siksha O Anusandhan (Deemed to be University), Bhubaneswar, Odisha, IN

Abstract

Odontogenic Keratocyst (OKC) defined as a cystic lesion of odontogenic origin characterized by invasiveness and a high tendency for recurrence. This case report describes the treatment of patient presenting with as welling on the right side of face. Clinical and radiological examination revealed a unilocular radiolucent area in maxillary anterior region. Histopathological report confirmed the diagnosis of odontogenic keratocyst. Surgical treatment consisted of complete enucleation with curettage. Occurrence of odontogenic keratocyst in anterior maxilla is a rare clinical finding. Rehabilitation of the patient was required in order to maintain the esthetics as well as the for functional purpose. Therefore,Prosthetic Rehabilitation with fixed dental prosthesis was undertaken after a 5-year period of follow-up after surgery.

Keywords

Odontogenic Keratocyst, Clinical & Radiological Examination, Histopathology, Prosthetic Rehabilitation.

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Alkananda Sahoo ¹, Swagatika Panda ¹, Subrat Padhiary ², Neeta Mohanty ¹, Debkant Jena ³

Affiliations
1 Department of Oral and Maxillofacial Pathology and Microbiology, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, IN
2 Department of Oral and Maxillofacial Surgery, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, IN
3 Department of Conservative Dentistry and Endodontics, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha,, IN

Abstract

Jaffe in 1953 differentiated Central Giant Cell Granuloma (CGCG) from Giant Cell Tumor of bone. This intra-osseous lesion has been described by various authors’ as a reactive lesion or as a developmental anomaly or as a non neo-plastic lesion. Though inflammation, haemorrhage, local trauma has been suggested as some of the aetiological factors but actual aetiology is still unclear. Genetic aetiology has also been hypothesized. Mandible is the common site of occurrence, frequently crossing the midline. Incidences in females are more and less than 30 is the age of occurrence. The clinical behaviour of CGCG ranges from a slowgrowing asymptomatic swelling to an aggressive lesion with pain, local osteolysis, ischolar_main resorption and tooth displacement. Most widely accepted treatment is surgery. Nonsurgical treatments with alpha-interferon, calcitonin and corticosteroids have been described and their benefits may be worthy of consideration. Contrary to the age, gender and site here we present a case of CGCG in a 52-year-old male patient presenting with a swelling in the right anterior maxilla.

Keywords

Central Giant Cell Granuloma, Swelling, Maxilla.

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Swagatika Panda ¹, Sreepreeti Champatyray ¹, Alkananda Sahoo ¹, Neeta Mohanty ²

Affiliations
1 Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar. Odisha, IN
2 Department of Oral Pathology and Microbiology, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar. Odisha, IN

Abstract

Focal cemento-osseous dysplasia (FCOD) is a fibro-osseous lesion that is a nonneoplastic reactive lesion. Fibro-osseous lesions are disturbances in bone metabolism in which normal bone is replaced by a connective tissue matrix that then gradually develops into cemento-osseous tissue. Typically, the lesion is asymptomatic and is detected on routine radiographic examination. Radiologically, this lesion has three stages of maturation: pure radiolucent, radiopaque/mixed radiolucent, and radiopaque appearance. During these stages the lesion can be misdiagnosed. In this case report a 57-year- old patient complaint of painless swelling of the right mandibular front tooth region which is presented along with a review of the differential diagnosis considered in order to reach a final diagnosis of focal cemento-osseous dysplasia.

Keywords

Cemento-Osseous Dysplasia, Fi Bro-Osseous Lesion, Focal Cemento-Osseous Dysplasia, Periapical Cemento-Osseous Dysplasia.

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Satya Ranjan Misra ¹, Swagatika Panda ², Subrat Padhiary ³, Subhangi Pareek ², Saswati Priyadarshini ¹, Neeta Mohanty ²

Affiliations
1 Department of Oral Medicine & Radiology, Siksha O Anusandhan (Deemed to be University), Bhubaneswar, Odisha, IN
2 Department of Oral Pathology & Microbiology, Siksha O Anusandhan (Deemed to be University), Bhubaneswar, Odisha, IN
3 Department of Oral Surgery, Siksha O Anusandhan (Deemed to be University), Bhubaneswar, Odisha, IN

Abstract

Dentinogenic ghost cell tumor DGCT) is a rare, locally invasive and aggressive, benign odontogenic neoplasm which is considered to be a solid variant of calcifying odontogenic cyst COC) with locally aggressive behavior.These resemble other epithelial odontogenic tumors having proliferation of odontogenic epithelium, an abnormal keratinization in the form of ghost cells and dysplastic dentine. There are no characteristic clinical or radiologic pathognomonic features of this rare neoplasm and is confirmed by histopathological evaluation. The present report describes an extremely rare presentation of a DGCT in the posterior body-ramus of the mandible of a 13-year-old male child, which is an unusual age of occurrence.

Keywords

Calcifying Odontogenic Cyst, Dentine, Ghost Cells, Aggressive Tumor.

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Shubhangi Pareek ¹, Swagatika Panda ², Tariq Soyab ³, Anurag Satpathy ⁴, Rashmita Nayak ⁴, Neeta Mohanty ²

Affiliations
1 Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, IN
2 Department of Oral and Maxillofacial Pathology and Microbiology, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, IN
3 Institute of Dental Sciences, Department of Oral and Maxillofacial Pathology and Microbiology, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, IN
4 Department of Periodontics and Implantology, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, IN

Abstract

Oral Verruciform xanthoma (OVX) is a benign mucocutaneous, rare, asymptomatic lesion of unknown etiology and ambiguous nature involving the oral mucous membrane of the middle-aged during the fifth to seventh decadeof life. Clinically it may be presented as a verrucous, polyploid or sessile mass mostly solitary and slow growing in the hard palate,gingival, tongue or buccal mucosa. Colour of the lesion may vary from white, pink or red and there is a slight male predilection. The histopathological features of OVX are however pathognomonic, characterized by the presence of lipid- laden foam cells confined to the papillary areas of connective tissue. The final diagnosis is always histopathological as its clinical features are not distinct and OVX must always be considered in the differential diagnosis of other verrucous and papillary lesions. Treatment of OVX is complete surgical excision with follow up to avoid its recurrence. We present2 cases of oral verruciform Xanthoma, which were provisionally misdiagnosed as pyogenic granuloma and traumatic fibroma respectively based upon their clinical presentation and after a thorough histopathological examination revealed an entirely different diagnosis in both the cases.

Keywords

Oral Verruciform Xanthoma, OVX, Mucocutaneous Lesion, Foam Cells.

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Swagatika Panda ¹, Saswati Sidharatha ¹, Neeta Mohanty ²

Affiliations
1 Institute of Dental Sciences, Siksha‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, IN
2 Department of Oral Pathology and Microbiology, Institute of Dental Sciences, Siksha‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, IN

Abstract

This report has described a case of central odontogenic fibroma coexisting with inflammatory odontogenic cyst for the second time in the literature. The case describes a 48-year-old female presented with swelling and intermittent pain in the upper left posterior teeth region. Mobile maxillary left second premolarwas found to be associated with a well-defined unilocular radiolucency and ischolar_main resorption. Histopathology showed collagenous connective tissue and odontogenic epithelial cells arranged in the form of nests and cords. Along with the conventional features of central odontogenic fibroma an inflammatory cyst was also found. Therefore, the case of central odontogenic fibroma coexisting with inflammatory odontogenic cyst shall be discussed in this report highlighting the possible aetiopathogenesis and prognosis of such lesions.

Keywords

Odontogenic Fibroma, Central Odontogenic Fibroma. Odontogenic Fibroma, Central Odontogenic Fibroma.

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Jagannath Patro ¹, Swagatika Panda ¹, Sreepreeti Champatyray ¹, Alkananda Sahoo ¹, Neeta Mohanty ¹

Affiliations
1 Department of Oral Pathology and Microbiology, Institute of Dental Sciences, Siksha ‘O’ Anusandhan, Deemed to be University, Bhubaneswar, Odisha, IN

Abstract

Dentigerous cyst is the most commonly occurring developmental odontogenic cyst. Because of the typical clinical and radiologic attributes, the present case was clinically misdiagnosed as Dentigerous cyst which was later confirmed histopathologically as Lateral periodontal cyst. Lateral periodontal Cyst is defined as non-keratinized developmental cyst located lateral to the ischolar_main of a vital tooth. This case report presents a unique case of lateral periodontal cyst present in 58-year-old female patient. Atypical presentation of lateral periodontal cyst as is presented in this case report should be considered by the histopathologist while interpreting microscopic preparations of odontogenic cysts.

Keywords

Lateral Periodontal Cyst, Dentigerous Cyst, Histopathology, Orthopantomograph.

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