No abstract

Central Giant Cell Granuloma (CGCG) is a benign, proliferative, intraosseous and nonodontogenic lesion of unknown etiology accounting for approximately 10% of all benign lesions of the jawbones. Lesion usually occurs in patients younger than 30 years, is more common in females than males, and is more common in mandible than maxilla. The clinical feature of CGCG ranges from a slow growing asymptomatic swelling to a rapidly enlarging aggressive lesion. CGCG of the jaws are histologically benign lesions characterized by the presence of giant cells in the richly vascularized stroma of the spindle cells. Differential diagnosis should be performed with other lesions that have multinucleated giant cells (MGCs). Definitive diagnosis relies on correct interpretation of clinical, radiographical and histopathological data. The treatment of CGCG ranges from curettage to resection. Alternative treatments are worthy of consideration, although surgical excision remains the treatment of choice. The aim of this presented case highlights a diagnostic challenge of an aggressive CGCG arising from the maxilla and to discuss a precise differential diagnosis, as well as the surgical approach and follow up which is decisive for successful conventional surgical treatment with no lesion recurrence.

Background: Fissured Tongue (FT) is a benign asymptomatic disorder manifested with grooves that can vary in size and depth on the dorsum of the tongue. The prevalence of FT worldwide has been reported to be as high as 30.5%. Aim: The present study was designed to determine the prevalence of FT among the Libyan population and also to evaluate its association with age, gender, burning symptoms and some medical conditions.

Background: Third molar impaction is a prevalent condition that affects a substantial percentage of the global population, with a global prevalence ranging from 16.7% to 68.6%. 2. Nearly half of impacted third molars are associated with some form of pathology. Aim: To ascertain the prevalence of third molars that have been impacted in the large Tripoli, Libyan population, in relation to the level of eruption, the angulation of impaction, their accompanying pathologies, and associated demographic data (sex and age of the patients). Material and Methods:The 8860 digital panoramic radiographs (PRs) from the large Tripoli city population were obtained retrospectively for the current investigation. Using Microsoft Excel, the sampled PRs were assessed, and the information gathered was collated and examined (Microsoft Office 2013). The data was examined using the Chi-Square analysis technique. Results: A total sample of 8860 digital panoramic radiograph, 2077 (23.4%) cases of impacted third molars to show at least one impacted third molar. The prevalence of impacted third molars was found significantly higher in the twenties and thirties age groups (35.1%).A total of 2077 digital PRS were diagnosed with impacted third molars out of which 642 (31%) were associated with pathologies. Conclusion: This study's sample of impacted third molars demonstrated a low frequency in the large Tripoli population. Males are more prone than females to have an impaction. The most prevalent impaction patterns were mesioangular angulation, level C impaction, and class II impaction. The enlargement of the periodontal ligament space was one of the most frequent related hard tissue diseases.

Background: tongue lesions are reflecting many systemic diseases of the body. Despite the relative frequency of Median Rhomboid Glossitis (MRG), its exact etiopathogenesis is controversial. A direct association between tongue lesions including MRG and oral candidiasis, tobacco smoking, denture wearing, and systemic conditions such as diabetes mellitus (DM) has been reported. Objective: The objective of this present study was performed to determine the prevalence of MRG among Libyan diabetic and non-diabetic patients (NDPs), and hence detect and estimate the possible associations. Method: The sample was made of 928 patients, divided into 2 groups. Group1 consist of 464 diabetic patients (DPs), while group 2 consists of 464 NDPs as a control group. Results: the prevalence of MRG in all diabetic cases was (12%) whilst in NDPs was 3.4%. MRG was present in 56 DPs 39 (70%) were males and 17(30%) were females. There was a significant association between MRG and burning sensation P < 0.001. Conclusion: MRG among Libyan patients was significantly more prevalent in DPs than in NDPs.