IADR Abstract Archives
Multisiciplinary Treatment of Ossifiying Fiboma of Upper Jaw: 1 year follow-up
Objectives: Ossifying fibroma is a benign fibro-ossifying lesion which arises mostly on mandibular posterior region. It is usually seen on women between second and fourth decades. It may be asymptomatic or may cause pain. The localization of the lesion is mainly on non-tooth bearing areas of the posterior region. Radiographically the lesion is presented with a range of radiographic patterns including pure radiolucency, pure radioopacity or the combination of both.
Methods: Case: 28 year old female patient was admitted to the Faculty of Dentistry Department of Oral Surgery with a cystic lesion located in the right posterior region of the upper jaw. Large lesions located in upper right jaw and the periapical region of the teeth 41, 42, 31, 32 were observed on Panoramic radiography. Computed tomography revealed that the large lesion was related with maxillary sinus as well as the roots of the tooth 16 and had a radiopaque component. Following apical resection of the teeth 41, 42, 31, 32 retrograde fillings with MTA (MTA-Angelus, Londrina, PR, Brazil) were performed. Endodontic treatment and restoration of tooth 16 was completed before surgical intervention and placed immediately to protect the tooth from fracture during a long surgical and follow-up procedure and to avoid from oroantral fistula.
Results:
The soft and hard tissues located in large lesion was removed with multidiciplinary team under general anesthesia. Apical thirds of mesial, distal and palatinal roots of the tooth 16 were resected and retrograde fillings were performed with MTA (MTA-Angelus, Londrina, PR, Brazil). Diagnosis of ossifiying fibroma was established based on clinical, radographical and histopathological findings. Both lesions were found to be smaller at 12 months follow-up.
Conclusions: A multidciplinary team constructed based on computerized tomography findings improve the success rate of surgical intervention as well as helping to achive correct diagnosis.
Methods: Case: 28 year old female patient was admitted to the Faculty of Dentistry Department of Oral Surgery with a cystic lesion located in the right posterior region of the upper jaw. Large lesions located in upper right jaw and the periapical region of the teeth 41, 42, 31, 32 were observed on Panoramic radiography. Computed tomography revealed that the large lesion was related with maxillary sinus as well as the roots of the tooth 16 and had a radiopaque component. Following apical resection of the teeth 41, 42, 31, 32 retrograde fillings with MTA (MTA-Angelus, Londrina, PR, Brazil) were performed. Endodontic treatment and restoration of tooth 16 was completed before surgical intervention and placed immediately to protect the tooth from fracture during a long surgical and follow-up procedure and to avoid from oroantral fistula.
Results:
The soft and hard tissues located in large lesion was removed with multidiciplinary team under general anesthesia. Apical thirds of mesial, distal and palatinal roots of the tooth 16 were resected and retrograde fillings were performed with MTA (MTA-Angelus, Londrina, PR, Brazil). Diagnosis of ossifiying fibroma was established based on clinical, radographical and histopathological findings. Both lesions were found to be smaller at 12 months follow-up.
Conclusions: A multidciplinary team constructed based on computerized tomography findings improve the success rate of surgical intervention as well as helping to achive correct diagnosis.