091.
Oral
manifestations of hemochromatosis.A report of two cases
Dr. HESSA M. AL-WAYLI
Consultant
in Oral Medicine, King Khalid Hospital,
Ministry of Health, Riyadh,
Saudi Arabia
Hemochromatosis is a disorder of iron metabolism
characterized by excess deposition of iron in the tissue, especially in the
liver and pancreas, bronze pigmentation of the skin, cirrhosis, diabetes
mellitus and associated bone and joint changes.
The causes of hemochromatosis are numerous, including high iron intake
and prolonged ingestion of medicinal iron.
Two cases with early signs of hemochromatosis will be
presented as well as the importance of taking informative medical and dental
history which could reveal medications that patients are taking, in what
dosages and over what length of time. The necessary investigation to be made
for the patient and careful interpretation will be discussed.
Saudi Dental Journal
2007;19(SI)-Abstr.091
092.
Ameloblastoma
fibro-odontoma: A case report and literature review
Dr. AHMED AL-ZAHRANI**, Dr. RANDA A. AL-FOTAWEI*
*Registrar, **Assistant Professor, Oral
and Maxillofacial Surgery, Department of Maxillofacial Surgery and Diagnostic
Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
Ameloblastic fibro adenoma is benign, slow growing,
expansile epithelial odontogenic tumor with odontogenic mesenchyme. Although it
was reported in literature that ameloblastic fibro adenoma and
odontoameloblastoma are identical lesions in 1968, WHO defined this tumors as
two distinctly separate lesions. Clinically this lesion is an expansile lesion
exhibited little tendency to infiltrate bone. The majority of these tumors were
reported in younger patient (mean age 11.5). The maxilla and mandible appear to
be equally affected. Altered occlusion and delay eruption of teeth are the
common features. A 10-year-old female patient presented to oral and
maxillofacial surgery clinic with chief complained of huge swelling on the right
maxilla, with retained deciduous tooth No. 52 and delay eruption of the tooth No.
22. Radiographic interpretation shows well-circumscribed, multilocular cavity
in right maxillary bone and right maxillary sinus. Within the cavity are varied
amount of radiopaque material that represents the hard dental structures and
impacted tooth No. 23 and 24. Careful surgical curettage of the entire tumor
and capsule fragment was done. Histopathology report reveals that it is ameloblastic
fibro-odontoma. The purpose of this report is to describe a relatively rare benign tumor in young age group and to
emphasize on the importance of including such a lesion in the differential
diagnosis of any expensile lesion accompanied with delay of eruption of teeth
of young age patient.
Saudi Dental Journal
2007;19(SI)-Abstr.092
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