Osteoradionecrosis (ORN) of the jaws is a late complication after radiotherapy to head and neck cancer. To describe a rare case of ORN of the torus mandibularis that was successfully managed exclusively with antimicrobial photodynamic therapy (aPDT). A 72-year-old man presented an exposed necrotic bone observed in the torus mandibularis, extending to the lingual alveolar ridge with no edema nor suppuration. The treatment provided a noninvasive treatment leading to spontaneous sequestrectomy of the torus in 2 weeks with complete mucosal repair in 5 weeks and absence of lesion signs and/or symptoms even after 6 months of follow-up. The aPDT indicated to be a satisfactory treatment for ORN affecting torus mandibularis, a region with surgical limitations, avoiding surgery.
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http://dx.doi.org/10.1089/photob.2023.0173 | DOI Listing |
Cureus
November 2024
Oral Medicine and Radiology, Vinayaka Mission's Sankarachariyar Dental College, Vinayaka Mission's Research Foundation (DU), Salem, IND.
Mandibular bony exostoses or hyperostoses are benign, non-neoplastic, localized bony outgrowths that are broad-based, slow-growing, and surface masses on the buccal or lingual surface of the mandible alveolar bone. Such exostoses grow over several years. Exostoses are more common in the maxilla posterior region along the maxillary tuberosity, called palatal exostoses.
View Article and Find Full Text PDFCureus
August 2024
Department of Public Health, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Tori are reactive or developmental localized overgrowths of alveolar bone that are not cancerous. A thin, weakly vascularized mucosa surrounds a densely cortical, low-density mass of bone marrow known as tori or exostosis. Tori are more frequently observed in middle age.
View Article and Find Full Text PDFDent J (Basel)
July 2024
Faculty of Medicine, Head of Statistic Service, UHC "Mother Teresa", University of Medicine Tirana, 1001 Tirana, Albania.
Cureus
June 2024
Otolaryngology, Stony Brook University, New York, USA.
In this case report, we detail a rare instance of sialadenitis secondary to bilateral hypertrophic torus mandibularis (TM) in a 70-year-old Caucasian male who presented with neck swelling, dysphagia, and weight loss. Radiographic evaluations revealed enlarged TM obstructing Wharton's duct, further complicated by a sialolith. The patient's treatment regimen included antibiotics, oral steroids, and sialogogues, accompanied by surgical removal of the hypertrophic TM and sialoendoscopy, which resulted in significant symptomatic relief and the resolution of sialadenitis.
View Article and Find Full Text PDFInt J Mol Sci
May 2024
Center of Excellence in Medical Genetics Research, Chiang Mai University, Chiang Mai 50200, Thailand.
KCTD1 plays crucial roles in regulating both the SHH and WNT/β-catenin signaling pathways, which are essential for tooth development. The objective of this study was to investigate if genetic variants in might also be associated with isolated dental anomalies. We clinically and radiographically investigated 362 patients affected with isolated dental anomalies.
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