No abstract

Iatrogenic displacement of a tooth or tooth fragment is a rare but well-recognized complication that occurs during exodontia. The most common sites of dislodgment of a mandibular third molar fragment are the sublingual, submandibular, and pterygomandibular and lateral pharyngeal spaces. Removal of a displaced tooth from these spaces may be complex due to poor visualization and limited access. A thorough evaluation of all significant risk factors along with precise localization of the tooth by clinical and radiographic means should be performed to prevent untoward complications. This paper reports two cases of iatrogenic displacement of mandibular third molar teeth, in the sublingual space and lingual pouch. Both the cases were managed intraorally under general anesthesia, and the postoperative healing was satisfactory and uncomplicated. A brief review of literature is also provided in this paper.

Angiomyxomas are a group of rare myxoid benign mesenchymal tumors prone to local recurrences. Two types of angiomyxomas are well recognized in the literature: superficial and aggressive angiomyxoma. Aggressive angiomyxomas are relatively uncommon, poorly circumscribed, locally infiltrative myofibroblastic tumors with a specific predilection for the perineal regions and exceedingly rare in the head and neck region. To the best of our knowledge, we report the first case of a gigantic aggressive angiomyxoma occurring in both the maxilla and mandible in a 30-year-old male patient. Clinicians should carefully evaluate the clinical, radiological and histological data to derive the correct diagnosis of this myxoid intraoral soft-tissue neoplasm.

Rationale: Occurrence of peripheral ameloblastoma (PA) is rare. Excision of PA by diode laser is infrequent. Patient Concerns: A 27-year-old female patient presented with an asymptomatic mass on the retromolar trigone for the past one year. Diagnosis: Incisional biopsy showed aggressive PA. Treatment: The lesion was excised using a diode laser under local anaesthesia. The excised specimen revealed histopathological features of the acanthomatous variant of PA. Outcomes: The patient was followed up for two years without any evidence of recurrence. Take-Away Lessons: Diode laser is an acceptable alternative to conventional scalpel excision for intraoral soft tissue lesions, whereas, in the case of PA, it proves to be no exception.