Tuberculous infection is more common in developing countries which are often overlooked by most of the doctors due to improper medical case history. This causes further complications as they proceed with their procedure. Till date, in dentistry, 90 such cases have been reported in literature. Hence, a dentist should be suspecting preexisting tuberculous osteomyelitis or postextraction complications from such an infection in patients with a positive history of tuberculous infection. Diagnosis as such is often overlooked despite a high prevalence of the disease in high-burden countries such as India. We report this case because of the rarity of its clinical presentation, which was misdiagnosed as odontogenic problem instead of preexisting tuberculous osteomyelitis in the mandibular retromolar region.
Fibrous dysplasia (FD) is a nonneoplastic hamartomatous developmental fibro-osseous lesion, with anomaly in bone-forming mesenchyme which manifests as a defect in osteoblastic differentiation and maturation leading to fibro-osseous tissue formation characterized by deformities in the bone, fractures, nerve compression, and bone pain. The clinical behavior and progression of FD make the management of this condition difficult. Here is a case report of a young male patient who was diagnosed as having craniomaxillofacial FD. The diagnosis was based on clinicoradiological and histopathological investigations. In this case, management of FD poses significant challenges to the surgeon.
Cancrum oris or noma is a rapidly spreading gangrenous stomatitis which occurs chiefl y in debilitated or malnourished children, destroying the soft and hard tissue structures. Its fulminating course causes progressive and mutilating destruction of the affected tissues. As most patients with noma do not report until the disease is at an advanced stage, its onset and progression still remains a mystery. Survivors of this disease suffer severe facial deformity due to loss of facial tissues and scarring. We report a case report of noma highlighting its onset and progression, the extent of tissue necrosis and its management with an emphasis on the need for early diagnosis and prompt treatment.
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