Pyogenic granuloma is a commonly occurring inflammatory hyperplasia of the skin and oral mucosa. It is not associated with pus as its name suggests and histologically it resembles an angiomatous lesion rather than a granulomatous lesion. It is known by a variety of names such as Crocker and Hartzell's disease, granuloma pyogenicum, granuloma pediculatum benignum, benign vascular tumor and during pregnancy as granuloma gravidarum. This tumor like growth is considered to be non-neoplastic in nature and it presents itself in the oral cavity in various clinical and histological forms. Due to its frequent occurrence in the oral cavity, especially the gingiva, this article presents a case report of a large pyogenic granuloma of the gingiva and its management, reviews the literature and discusses why the term “pyogenic granuloma” is a misnomer.
Background. The coronavirus disease 2019 pandemic has brought about radical changes in our habits and lifestyles. The suspension of schools has led children to spend long hours at home, with reduced socialization, and changes in dietary patterns, oral hygiene practices and sleep routines. During a pandemic, appropriate oral health management and disease prevention are very important for the child's oral and general health.Objectives. The aim of this study was to assess the attitudes and practices of parents with regard to their children's oral healthcare, dietary habits and dental care during the COVID-19 pandemic.Material and methods. This cross-sectional study included 381 Indian parents of children aged 4-7 years. A self-instructed questionnaire was designed in English using the Google Forms platform. The questionnaire consisted of 4 parts: sociodemographic data; dietary habits of the child; oral hygiene measures; and dental information. The collected data was analyzed using descriptive and analytical statistics (the χ 2 test).Results. Among the children included in the study, 48% of those who experienced dental problems during the pandemic consumed more snacks and packaged foods between meals. Among the parents, 80% reported that their children used electronic devices at mealtimes, and 60% reported the food pouching habit in their children. A total of 71% of parents assisted their child at tooth brushing, while only 28% of the parents would take their child to the dental clinic for treatment.Conclusions. This study highlights the shortfalls in attitudes and practices among parents in relation to dietary habits, oral hygiene measures and the use of dental services during the COVID-19 pandemic regarding their children. This could be attributed to a lack of awareness, the fear of exposure and the inconveniences faced by parents.
Introduction: Ameloblastoma is a clinically benign and locally aggressive tumor of odontogenic origin. The tumor exhibits a variety of biological behaviors from a small cystic expansion to a large aggressive mass which is invasive, recurrent and may also show malignant transformation. Case Report: This paper reports a unique case of a female patient with giant ameloblastoma of the mandible. Radiograph revealed an enormous swelling of the left side of the face, resorption of the affected hemi-mandible. Pressure from the tumor resulted in displacement and destruction of the facial skeleton. The patient was treated by radical hemimandibulectomy with removal of the tumorous mass. Conclusion: Ameloblastoma of the mandible and maxilla is generally a benign tumor of the odontoma with locally aggressive behaviour. Post operative radiotherapy for patients at increased risk of local recurrence improves local tumor control.
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