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Rayavarapu BJ, Thirumalai S, Gandhi S, Singh I. Can Oral TB develop in susceptible individuals after an oral surgical procedure? 3 case reports. Indian J Tuberc 2023; 70:115-119. [PMID: 36740306 DOI: 10.1016/j.ijtb.2022.03.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2021] [Accepted: 03/05/2022] [Indexed: 02/07/2023]
Abstract
As opposed to the popular assumption, there have been an increase in the cases of Oral Tuberculosis as of late. Owing to increased drug resistance, there has been a change in the disease pattern leading to an upsurge in the Extra-pulmonary Oral Tuberculosis. According to the WHO, Diagnosis is the first step in the control of TB; but due to the lack of pathognomonic signs associated with Oral Tuberculosis and the rarity of these lesions, diagnosis is often difficult. So, to enable a timely diagnosis, we point out the occurrence of such lesions in the post-operative refractory lesions in susceptible individuals. However, a thorough search of literature did not yield any conclusive results. In this paper we present the clinical, radiographic and histopathological findings of three cases between the ages of 5 and 50 years old who were diagnosed of Oral Tuberculosis. These patients have undergone a recent oral surgical procedure prior to the development of Oral TB lesions. More research is required to increase the awareness of the pattern of this disease and to enable a quicker diagnosis so that the overall morbidity and mortality is reduced.
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Affiliation(s)
| | - Selven Thirumalai
- Department of Oral and Maxillofacial surgery, Christian Dental College, Ludhiana, Punjab, India
| | - Sumir Gandhi
- Department of Oral and Maxillofacial surgery, Christian Dental College, Ludhiana, Punjab, India
| | - Inderjot Singh
- Department of Oral and Maxillofacial surgery, Christian Dental College, Ludhiana, Punjab, India
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2
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Ganesh M, Priya VK, Banu MD, Shilpa G, Challa SK, R Krishna Murthy VVV. Cold abscess of dental origin in a 7-year-old child. J Indian Soc Pedod Prev Dent 2021; 39:225-228. [PMID: 34341246 DOI: 10.4103/jisppd.jisppd_359_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Abscess related to an infected tooth is mostly associated with pyogenic infection, but sometimes, it can be asymptomatic and indicate a chronic condition. This case report shows cold abscess with a draining sinus due to dental origin. A 7-year-old female patient complained of pain with respect to grossly decayed tooth and recurrent swelling with no response to medications. After investigations and management of the lesion, it was concluded as abscess due to chronic granulomatous infection. Cold abscess is a classical manifestation of tuberculosis with no signs of inflammation. More than 60% of cases of this pathology occur in patients below 15 years old. It needs various clinical, histopathological, and laboratory investigations. Although rare, it should be considered as a differential diagnosis when no improvement occurs postroutine therapy to prevent serious complications. Furthermore, various precautions should be taken by the clinicians to prevent cross-infection.
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Affiliation(s)
- Mayuri Ganesh
- Department of Pediatric and Preventive Dentistry, Army College of Dental Sciences, Secunderabad, Telangana, India
| | - V Krishna Priya
- Department of Pediatric and Preventive Dentistry, Army College of Dental Sciences, Secunderabad, Telangana, India
| | - M Divya Banu
- Department of Pediatric and Preventive Dentistry, Army College of Dental Sciences, Secunderabad, Telangana, India
| | - G Shilpa
- Department of Pediatric and Preventive Dentistry, Army College of Dental Sciences, Secunderabad, Telangana, India
| | - Santosh Kumar Challa
- Department of Pediatric and Preventive Dentistry, Army College of Dental Sciences, Secunderabad, Telangana, India
| | - V V V R Krishna Murthy
- Department of Pediatric and Preventive Dentistry, Army College of Dental Sciences, Secunderabad, Telangana, India
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Alhassani AA, Al-Zahrani MS, Zawawi KH. Granulomatous diseases: Oral manifestations and recommendations. Saudi Dent J 2020; 32:219-223. [PMID: 32647468 PMCID: PMC7336012 DOI: 10.1016/j.sdentj.2019.12.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2019] [Accepted: 12/19/2019] [Indexed: 12/25/2022] Open
Abstract
Granulomatous diseases may present with oral manifestations that are detectable by dental care providers. In certain cases, oral manifestations may precede systemic signs and symptoms. Dentists managing patients with these conditions may modify the dental treatment plan and possibly retain the support of other health professionals. This review gives an update on granulomatous diseases that can be faced by the dental practitioner.
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Affiliation(s)
- Ahmed A Alhassani
- Department of Periodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Mohammad S Al-Zahrani
- Department of Periodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Khalid H Zawawi
- Department of Orthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
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4
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Issa SA, Abdulnabi HA, Jameel ME. Orofacial tuberculosis: A diagnostic challenge. IDCases 2020; 21:e00825. [PMID: 32461909 PMCID: PMC7242870 DOI: 10.1016/j.idcr.2020.e00825] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2020] [Revised: 05/12/2020] [Accepted: 05/12/2020] [Indexed: 12/03/2022] Open
Abstract
Tuberculosis is typically a pulmonary chronic infectious disease with a high prevalence in developing countries which carries a substantial rate of mortality. Extrapulmonary disease may occur, mainly second to the endogenous spread of the pathogen from the primary site. Oral or mandibular involvement represents a minority among the reported cases. A 12-year-old female patient with a diffuse left-sided facial swelling and dull pain that gradually developed over 8 months, presented to us with misdiagnosis and poor management. Examination was found to have a firm swelling involving the buccal region, and left posterior mandible with intact overlying skin and mucosa, and palpable cervical lymphadenopathy. Imaging showed a heterogeneous osteolytic lesion of left ramus extending to the surrounding soft tissue. The diagnosis with oro-facial tuberculosis was established by histopathological study and confirmed by the Mantoux test and polymerase chain reaction. Although it occurs rarely, oro-facial tuberculosis has detrimental local and systemic effects, and devoid of characteristic clinical and radiographic features, poses a diagnostic challenge.
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Affiliation(s)
- Sabah Abdulaziz Issa
- Consultant Oral and Maxillofacial Surgeon, Department of Oral and Maxillofacial Surgery, Medical City Complex, Bab Al Muadham, 10047, Baghdad, Iraq
| | - Hussein Ali Abdulnabi
- Oral and Maxillofacial Surgery Board Resident, Department of Oral and Maxillofacial Surgery, Medical City Complex, Bab Al Muadham, 10047, Baghdad, Iraq
| | - Mustafa Emaduldeen Jameel
- Oral and Maxillofacial Surgery Board Resident, Department of Oral and Maxillofacial Surgery, Medical City Complex, Bab Al Muadham, 10047, Baghdad, Iraq
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Kumar VS, Reddy GS, Charan DG, Swetha K, Neelima C, Ramachandruni N. Tuberculous Infection and Exodontia: A Diagnostic & Treatment Dilemma. Ann Maxillofac Surg 2019; 9:455-458. [PMID: 31909035 PMCID: PMC6933967 DOI: 10.4103/ams.ams_5_19] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
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.
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Affiliation(s)
- Vedati Santosh Kumar
- Department of Oral and Maxillofacial Surgery, Malla Reddy Dental College for Women, Hyderabad, Telangana, India
| | - G Santosh Reddy
- Department of Oral and Maxillofacial Surgery, Malla Reddy Dental College for Women, Hyderabad, Telangana, India
| | - D Guru Charan
- Department of Oral and Maxillofacial Surgery, Malla Reddy Dental College for Women, Hyderabad, Telangana, India
| | - Karipineni Swetha
- Department of Oral and Maxillofacial Surgery, Drs. Sudha and Nageswara Rao Siddhartha Institute of Dental Sciences, Vijayawada, Andhra Pradesh, India
| | - Chembolu Neelima
- Department of Oral and Maxillofacial Surgery, Malla Reddy Dental College for Women, Hyderabad, Telangana, India
| | - Nimeshika Ramachandruni
- Department of Conservation and Endodontics, Malla Reddy Dental College for Women, Hyderabad, Telangana, India
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Shimizu R, Tanaka K, Oikawa Y, Tomioka H, Kayamori K, Ikeda T, Yoshioka T, Ebihara A, Harada H. Epithelioid cell granuloma with caseating necrosis possibly caused by periapical periodontitis: a case report. J Med Case Rep 2018; 12:365. [PMID: 30537983 PMCID: PMC6290520 DOI: 10.1186/s13256-018-1891-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2018] [Accepted: 10/24/2018] [Indexed: 11/29/2022] Open
Abstract
Background Epithelioid cell granuloma with caseating necrosis is a typical pathological finding in tuberculosis. While specific inflammation, including that related to tuberculosis, can induce caseating granuloma formation, there have been very few reports on the induction of caseating granuloma by non-specific inflammation. Chronic periapical periodontitis is usually related to bacterial biofilm formation as well as fungal or viral infection in the periapical lesion. However, it is difficult to eliminate these extraradicular pathogenic microbes by normal endodontic therapy alone, and more invasive surgical removal is almost always required. Case presentation Here we describe the case of a 30-year-old Japanese woman who had suffered from dull pain related to periapical periodontitis for approximately 10 years. Although the causal tooth had been previously extracted at the Department of Oral Surgery of another hospital in 2015, inflammation of the surrounding tissue had not abated. She was referred to our hospital in May 2016 and underwent surgical debridement via an intra/extraoral approach under general anesthesia. A caseating granuloma accompanied by a small amount of fungi was histopathologically confirmed in the excised specimen. Her inflammation has not been exacerbated since the operation. Conclusions This is the first report in which non-specific inflammation is shown to induce caseating granuloma arising in the jaw. Our report also highlights the importance of sufficient root canal treatment during the first stage of the procedure.
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Affiliation(s)
- Risa Shimizu
- Department of Oral and Maxillofacial Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan
| | - Kae Tanaka
- Department of Oral and Maxillofacial Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan.
| | - Yu Oikawa
- Department of Oral and Maxillofacial Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan
| | - Hirofumi Tomioka
- Department of Oral and Maxillofacial Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan
| | - Kou Kayamori
- Section of Diagnostic Oral Pathology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan
| | - Tohru Ikeda
- Section of Diagnostic Oral Pathology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan
| | - Takatomo Yoshioka
- Yoshioka Dental Office, 2-3-13 Kanda-Surugadai, Chiyoda-ku, Tokyo, 101-0062, Japan
| | - Arata Ebihara
- Pulp Biology and Endodontics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan
| | - Hiroyuki Harada
- Department of Oral and Maxillofacial Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan
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Girgis S, Leakey N, Ali E, Cheng L. Mandibular tuberculosis presenting as a squamous cell carcinoma. ORAL AND MAXILLOFACIAL SURGERY CASES 2018. [DOI: 10.1016/j.omsc.2018.07.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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8
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Ioannou S, Henneberg RJ, Henneberg M. Presence of dental signs of congenital syphilis in pre-modern specimens. Arch Oral Biol 2017; 85:192-200. [PMID: 29102860 DOI: 10.1016/j.archoralbio.2017.10.017] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2017] [Revised: 10/10/2017] [Accepted: 10/19/2017] [Indexed: 02/06/2023]
Abstract
OBJECTIVE Tooth morphology can vary due to genetic factors, infectious diseases and other environmental stresses. Congenital syphilis is known to interrupt tooth formation i.e. odontogenesis and amelogenesis, producing specific dental characteristics. Variation of those characteristics can occur, resulting in dental signs "not typical" of the disease, however, they are described in the 19th century literature. Past treatments of congenital syphilis with mercury also interrupted dental processes resulting in significantly different dental signs. The aim of this study is to examine the dentition of the oldest (pre 15th century) cases attributed to congenital syphilis to determine whether their dental processes have been affected by either congenital syphilis itself, its treatments (mercury) or a combination of both (syphilitic-mercurial). DESIGN Comparisons of dental signs of congenital syphilis and its mercuric treatments as described by Hutchinson, Moon and Fournier in the 1800s and in standardised methods as established by modern studies, are made with the dentition of specimens found in archaeological sites in Mexico, Italy, Turkey and Austria dating back to the Terminal Formative Period, Classical Antiquity, Byzantine times and Middle Ages. RESULTS The dentitions of a child from Oaxaca, Mexico, St. Pölten, Austria, and two juveniles from Classical Antiquity site Metaponto, Italy, show signs attributed to syphilis only. One adolescent from Byzantine site Nicaea, Turkey, shows dental signs characterised as syphilitic-mercurial. CONCLUSIONS Dental abnormalities observed in Mediterranean individuals match a range of signs attributable to congenital syphilis and its treatments, more so than the New World case. Therefore, it is likely that these individuals suffered from congenital syphilis.
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Affiliation(s)
- Stella Ioannou
- Biological Anthropology and Comparative Anatomy Research Unit, The University of Adelaide, Adelaide Medical School,Frome Road, Adelaide, 5005, South Australia, Australia.
| | - Renata J Henneberg
- Biological Anthropology and Comparative Anatomy Research Unit, The University of Adelaide, Adelaide Medical School,Frome Road, Adelaide, 5005, South Australia, Australia
| | - Maciej Henneberg
- Biological Anthropology and Comparative Anatomy Research Unit, The University of Adelaide, Adelaide Medical School,Frome Road, Adelaide, 5005, South Australia, Australia; Institute of Evolutionary Medicine, University of Zurich, Switzerland
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Dalmia D, Shah P, Pillai J. Primary Tuberculous Osteomyelitis of the Mandible Mimicking a Parotid Gland Abscess. Indian J Otolaryngol Head Neck Surg 2016; 68:257-60. [PMID: 27340647 DOI: 10.1007/s12070-016-0968-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2015] [Accepted: 02/08/2016] [Indexed: 12/01/2022] Open
Abstract
Tuberculosis has become a rare disease in the developed countries but it is still a serious problem in the developing countries. Incidence of tuberculous osteomyelitis of the jaw bones is very low. This rare incidence is the primary reason that the lesion gets misdiagnosed many times. Here we report the diagnosis, treatment and follow up of a case which is not a classical presentation of tuberculous osteomyelitis of mandible. Early diagnosis of tuberculous osteomyelitis will certainly reduce the morbidity of this disease condition.
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Affiliation(s)
- Deepak Dalmia
- Dr Baba Saheb Ambedkar Memorial Central Railway Hospital, 37, no OPD, Ground Floor, Dr Baba Saheb Ambedkar Memorial Hospital, Byculla (E), Mumbai, 400027 India
| | - Pankil Shah
- Dr Baba Saheb Ambedkar Memorial Central Railway Hospital, 37, no OPD, Ground Floor, Dr Baba Saheb Ambedkar Memorial Hospital, Byculla (E), Mumbai, 400027 India
| | - Jeena Pillai
- Dr Baba Saheb Ambedkar Memorial Central Railway Hospital, 37, no OPD, Ground Floor, Dr Baba Saheb Ambedkar Memorial Hospital, Byculla (E), Mumbai, 400027 India
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10
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Bai S, Sun CF. Tuberculous Osteomyelitis of the Mandible With Diffuse Swelling of the Floor of the Mouth: A Case Report. J Oral Maxillofac Surg 2014; 72:749.e1-6. [DOI: 10.1016/j.joms.2013.11.030] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2013] [Revised: 11/26/2013] [Accepted: 11/28/2013] [Indexed: 11/29/2022]
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Sheikh S, Pallagatti S, Gupta D, Mittal A. Tuberculous osteomyelitis of mandibular condyle: a diagnostic dilemma. Dentomaxillofac Radiol 2012; 41:169-74. [PMID: 22074872 PMCID: PMC3520369 DOI: 10.1259/dmfr/56238546] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2010] [Revised: 07/24/2010] [Accepted: 08/26/2010] [Indexed: 11/05/2022] Open
Abstract
The incidence of tuberculosis (TB) is increasing worldwide and so are its consequences. Its oral manifestations are infrequent, occurring in approximately 3% of all cases. Although the primary lesion occurs as a pulmonary infection, the extrapulmonary infections have also shown an increase over the past few years. These infections generally involve the head and neck through haematogenous or lymphatic routes. The clinical presentation may be as an ulcer, granuloma, orofacial TB, TB of the salivary glands or tuberculous lymphadenitis. Rarely, secondary oral manifestations associated with pulmonary infection are seen, which can appear as lesions on the gingiva, palate, lips, tongue, buccal mucosa, frenulum and in the jaw bones. Owing to the rarity of orofacial TB, it seldom arouses clinical suspicion, especially when a positive history of a systemic infection or therapy is denied. Tuberculous involvement of the mandibular condyle is even rarer, and only two such cases are reported so far, both in English-language literature. Further, the diagnosis of such a case is extremely difficult as there are no specific signs pathogonomic of infection. The only manifestation may be a localized painful swelling of the jaw. The presented case is of osteomyelitis of the mandibular condyle in a 20-year-old male patient in whom TB was later suspected. In this case report the role of diagnostic techniques is emphasized as the osteomyelitis of the condyle has the risk of being easily missed owing to its atypical signs and symptoms and atypical radiographic appearance.
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Affiliation(s)
- S Sheikh
- Department of Oral Medicine and Radiology, M.M. College of Dental Sciences and Research, Mullana, Ambala, Haryana, India
| | - S Pallagatti
- Department of Oral Medicine and Radiology, M.M. College of Dental Sciences and Research, Mullana, Ambala, Haryana, India
| | - D Gupta
- Department of Oral Medicine and Radiology, M.M. College of Dental Sciences and Research, Mullana, Ambala, Haryana, India
| | - A Mittal
- Department of Radiodiagnosis and Imaging, M.M. Institute of Medical Sciences and Research, Mullana, Ambala, Haryana, India
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Sansare K, Gupta A, Khanna V, Karjodkar F. Oral tuberculosis: unusual radiographic findings. Dentomaxillofac Radiol 2011; 40:251-6. [PMID: 21493882 DOI: 10.1259/dmfr/75047143] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Oral tuberculosis and its radiographic findings are not commonly encountered in an oral and maxillofacial radiology practice. Literature has occasional mention of the radiographic findings of oral tuberculosis, which are still ambiguous. When affected, it is manifested majorly in the oral mucosa and rarely in the jaw bones. Here, we report certain unusual radiographic findings of oral tuberculosis which have been rarely mentioned in the literature. Four illustrative cases describe bony resorption, condylar resorption, resorption of the inferior border of the mandible and rarefaction of the alveolar bone as radiographic findings of oral tuberculosis. Follow up of the first case demonstrated regeneration of the condylar head after anti-Kochs therapy was completed, a hitherto unreported phenomenon. The importance of including tuberculosis in the differential diagnosis of some of the unusual radiographic manifestations is emphasized.
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Affiliation(s)
- K Sansare
- Department of Oral Medicine and Radiology, Nair Hospital Dental College, Mumbai, India.
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13
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Ortega KL, Rezende NP, Lotufo MA, Magalhães MH. Mandibular Lesion in an HIV-Positive Patient. J Oral Maxillofac Surg 2008; 66:2140-4. [DOI: 10.1016/j.joms.2008.03.010] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2007] [Revised: 01/11/2008] [Accepted: 03/16/2008] [Indexed: 11/24/2022]
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14
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Dinkar AD, Prabhudessai V. Primary tuberculous osteomyelitis of the mandible: a case report. Dentomaxillofac Radiol 2008; 37:415-20. [DOI: 10.1259/dmfr/73393014] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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15
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Karbach J, Thal SC, Weber A, Springer E, Eich A, Genitsariotis R, Al-Nawas B. Swelling of the Buccal Cheek: An Unusual Presentation of Primary Tuberculosis. J Oral Maxillofac Surg 2007; 65:2108-11. [PMID: 17884549 DOI: 10.1016/j.joms.2007.05.015] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2006] [Revised: 02/05/2007] [Accepted: 05/08/2007] [Indexed: 10/22/2022]
Affiliation(s)
- Julia Karbach
- Department of Oral Surgery, Johannes Gutenberg University, Mainz, Germany.
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16
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Berkia I, El Kharras A, Darbi A, Chaouir S, Amil T, Benameur M, Bassou D. [Primary tuberculosis of the mandible: a case report]. JOURNAL DE RADIOLOGIE 2007; 88:1193-5. [PMID: 17878883 DOI: 10.1016/s0221-0363(07)89933-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/17/2023]
Affiliation(s)
- I Berkia
- Services d'Imagerie Médicale, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
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17
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N'Golet A, N'Golet Ocini L, Mboussa J, N'Gouoni BG. [Primary mandibular tuberculosis]. ACTA ACUST UNITED AC 2007; 108:65-7. [PMID: 17275863 DOI: 10.1016/j.stomax.2005.11.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2005] [Accepted: 11/22/2005] [Indexed: 10/28/2022]
Abstract
CASE REPORT A 42 year-old patient presented a chronic submandibular tumefaction. Antibiotics were not effective. Diffuse osteolysis was noted on the panoramic. The diagnosis was provided by biopsy. The patient was cured after 9 months of antituberculosis tritherapy. DISCUSSION Mandibular tuberculosis osteitis is extremely rare. Clinical and radiological presentation is not specific. Diagnosis can be suggested by the chronic course and the epidemiologic context.
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Affiliation(s)
- A N'Golet
- Service d'anatomie et de cytologie pathologiques, CHU de Brazzaville, BP 32, Brazzaville, Congo.
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