Aggressive Fibromatosis in the Mandible of a Child: A Rare Case Report.

Aggressive fibromatosis (AF) is an uncommon, benign, collagen-forming soft tissue neoplasm that is characterized by monoclonal myofibroblast cell proliferation and derived from musculoaponeurotic structures. It has a locally invasive pathological behavior and a high potential for recurrence. Fibromatoses with onset in infancy and childhood are characterized with higher cellularity and more aggressive growth.

Discontinuation of Oral Antiplatelet Agents before Dental Extraction - Necessity or Myth?

Background: The risk of excessive bleeding often prompts physicians to interrupt the antiplatelet agents as acetylsalicilyc acid and clopidogrel before dental extractions which puts patients at risk of adverse thrombotic events.

Aim: To assess the bleeding risk during dental extractions in patients with continued antiplatelet therapy.

Materials And Methods: The study included 130 patients (64 men and 66 women) aged between 18 and 99 years old.

Aggressive juvenile mandibular fibromatosis.

Aggressive juvenile fibromatosis of the jawbones is a rare tumor presenting as infiltrative mass with unpredictable evolution. We report herein a 17-year-old student with a 6-month history of radiologically proven resorption of a part of the mandible, lingual displacement of tooth 34 and malocclusion. Alveolar ridge resorption and three dark-brown foci in the bone were seen after the tooth was extracted.

Dental anxiety in adults in Bulgaria.

Unlabelled: The anxiety experienced by some patients before or during dental visits poses a problem for patients and the dental practitioners alike. Some people consider them a stressful experience which manifests itself as anxiety, fear and even phobia and results in avoidance of proper dental care. The dental anxiety, dental fear and dental phobia stand out against the background of general anxiety.

Ultrasound treatment of cellulitis in the maxillofacial region: a ten-year experience.

Aim: To evaluate the effect of therapeutic ultrasound in the treatment of cellulitis in the maxillofacial region.

Patients And Methods: We report our experience in the management of maxillofacial cellulitis in thirty six patients using therapeutic ultrasound as an adjunct to the standard treatment. The patients were allocated to two groups: group A, treated by surgery, drugs and ultrasound therapy, and group B, where the patients were treated only surgically and medicamentously.

Sarcomas of the mandible. Literature review and case reports.

Sarcomas of the maxillofacial region are rare tumors presenting with wide variety of histopathological and clinical features. The authors treated six patients with sarcomas of the mandible over a period of ten years: 2 patients with fibrosarcomas, 2 with lymphosarcomas, one with osteogenic sarcoma and one with chondrosarcoma. The patients' ages ranged from 28 to 65 years, one was male and five - female.

Vertical ramus osteotomy for treatment of mandibular prognathism.

Following a brief literature review of treatment modalities for mandibular prognathism the authors propose a simplified method for vertical ramus osteotomy. The method was successfully used in 24 patients with mandibular prognathism (alone or in combination with open bite). Postoperative complications (suppuration of the operative wound) were found in 2 patients (8%), and postoperative recurrences--in 5 patients (20.

Intermaxillary transalveolar fixation for treatment of mandibular fractures.

The author describes a technique for intermaxillary transalveolar fixation for management of mandibular fractures and discusses the results of treatment of 25 patients (19 male and 6 female) with 39 fractures (12 unilateral, 12 bilateral and 1 triple fracture). The technique was used as the only treatment (22 fractures in 14 patients) or in combination with intraosseous osteosynthesis by wires or miniplates (17 fractures in 11 patients). In comparison to traditional techniques the discussed method is simple and easy to implement, suitable for partially or totally edentulous patients.

Sialolithiasis or complex odontoma?

We present a case of a 53-year old woman admitted for treatment in the clinic after detection of radiopacity in the left half of the mandible. The patient was operated on with a tentative diagnosis of complex odontoma. No pathological lesion was found intraoperatively after trepanation of the mandibular bone.

A retrospective study of 3326 mandibular fractures in 2252 patients.

Fractures of the lower jaw are the most common facial traumatic injuries and their therapy dominates the treatment activities of oral and maxillofacial surgeons. The present study aimed at determining the types of mandibular fractures and the common trends in their treatment in patients who have sustained facial trauma. The patients have been treated for the last 15 years.

Surgical treatment of chronic mandibular dislocation--report of a case.

Chronic dislocation of the temporomandibular jaw (TMJ) can result from lax joint ligaments and parafunctioning joints; it can also be a consequence of a systemic connective tissue disorder. The authors report a case of hypermobile joint syndrome in combination with mitral valve prolapse. The case was managed by osteosynthesis using modified titanium plate.