Sheldon M. Mintz

The central odontogenic fibroma. Clinical and morphologic studies.

The clinical, pathologic, and ultrastructural features and pertinent case history of an 11-year-old boy with a rare benign odontogenic neoplasm, the central odontogenic fibroma, are presented. A review of the literature reveals seven other lesions with clinical and pathologic findings similar to those of this case. This study supports the concept that the central odontogenic fibroma is a distinct odontogenic neoplasm of bone which occurs most commonly in the mandible as a multilocular, radiolucent, and slowly growing expansile lesion with no tendency to recur after surgical enucleation. The ultrastructural findings indicate that the central odontogenic fibroma and the odontogenic myxoma share many common morphologic features and have an apparently similar histogenesis.

Dentin dysplasia Type I: Clinical, morphologic, and genetic studies of a case

This report documents a case of dentin dysplasia Type I in a 17-year-old boy and two members of his family. The clinical, radiographic, histologic, and ultrastructural findings indicate that this condition is distinct from other heritable defects of dentin. The entity is transmitted as an autosomal dominant trait and is characterized by teeth which have a normal color and exhibit pulpal obliteration, short roots, periapical radiolucencies, and spontaneous exfoliation. Our ultrastructural findings in agreement with those reported by Sauk and associates.

Primary malignant hemangioendothelioma of the gingiva: Report of a case and review of the literature

Primary malignant tumors of vascular origin are exceedingly rare in the oral cavity. Consequently, knowledge of their clinical and pathologic features is scanty. The varied array of terms applied to malignant vascular tumors has only further confused the issue. This article presents a review of twenty examples of oral malignant vascular tumors, with a report of a single personally studied case. Specifically, this case presented as a soft-tissue gingival lesion which subsequently invaded bone and represents a malignant hemangioendothelioma.

Myositis ossificans traumatica of the masseter muscle

Abstract A case report demonstrating traumatic myositis ossificans of the left masseter muscle is presented. An update of the current literature, with treatment philosophy, is presented.

Use of the carbon dioxide laser to locate small sialoliths

Six cases of small salivary duct sialoliths were treated using the carbon dioxide laser as a surgical dissector. When the laser beam encountered the small sialolith (3 mm or less), a light-scattering effect (flash or burst) was observed, thus enabling an almost immediate localization of the stone in the salivary duct or in the surrounding tissue. Stone extirpation is more rapid, with less surgical trauma, using this technique.

Seventeen granular cell lip tumors in a six-year-old boy

A review of the literature and a rare report of a case involving multiple (17) granular cell tumors of the lips are presented. The surgical approach and management were predicted on the principles of complete surgical removal, cosmetics, and producing anatomic symmetry.

Complex composite odontoma of maxilla with impaction: Report of a case

Abstract A patient was referred by his dentist for the surgical removal of a complex composite odontoma of the left maxilla. During the procedure an impacted maxillary molar that had been displaced by the odontoma was found against the adjacent left nasal cavity. The results of the surgical procedure were excellent, and the postoperative course was entirely uneventful.

Metastatic bronchial carcinoid tumor of the soft palate: Report of a case

The metastasis of tumors to the soft palate is a rather rare occurrence, with few cases documented in literature. Even more extraordinary is the metastasis of a carcinoid tumor to the palate. Problems in evaluation of carcinoid tumors arise from histologic and cytologic characteristics that are not accurate indices of malignancy, at times making recognition and treatment difficult.

A nasoalveolar cyst without an epithelial lining: Report of a case

Abstract The foregoing case manifests the classic diagnostic features of nasoalveolar cyst, except for the fact that no epithelial layer was present. This absence of epithelium is unique, but it is apparent that a correct diagnosis of nasoalveolar cysts is contingent upon a combination of clinical, roentgenographic, and microscopic studies.

Nasal-vestibular drainage systems for infections of the maxilla

Two vertical incisions are made: one in the unattached mucosa in the canine fossa and the second at the zygomaticomaxillary buttress. The incisions are made down to the bone and a subperiosteal tunnel joining them is created with a periosteal elevator. The subperiosteal tunneling is extended anteromedially along the anterior maxillary wall and, using a hemostat, the nasal vestibule is penetrated. A 0.7 x