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Nasopalatine cysts.

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Dentigerous Cyst↗

[APHTHOSIS].

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Geriatrics↗

Therapeutic arterial embolisation of vascular lesions in the maxillofacial region.

The technique of therapeutic arterial embolisation involves the introduction of a thrombus-inducing material into the lumen of a blood vessel to occlude the vessel and reduce the blood supply to a lesion or to a specific part of the body. It is particularly useful in the maxillofacial region in the management of vascular lesions where marked diminution in blood flow can be achieved. This paper reviews the procedure and the materials for embolisation, and describes four patients for whom it was of considerable assistance.

Adolescent↗

Cancer in the differential diagnosis of orofacial pain.

The clinician must maintain an awareness that at some time a patient may present in their busy dental practice with a chief concern of dental, sinus, or TMD-like pain that, in fact, is of cancer origin. The question remains if an earlier diagnosis can be established in cases similar to those illustrated. It is mandatory that a thorough medical and dental history be taken by all health care practitioners along with a systematic and comprehensive examination when addressing head and neck pain. This includes careful examination, including inspection and palpation, of the oral and extraoral structures and the cervical lymph nodes at regular intervals in all patients but especially in those who are at high risk. History of smoking and alcohol use is of particular concern. Early head and neck cancer is usually symptomatic. Persistence in applying this practice philosophy is imperative.

Carcinoma, Squamous Cell↗

Extranodal non-Hodgkin's lymphoma of the maxillofacial region: analysis of 88 consecutive cases.

Examination of the records of 88 consecutive patients with extranodal maxillofacial non-Hodgkin's lymphoma (ENHL) was undertaken. Each patient's complete record was reviewed. Males outnumbered females by 1.7:1. Age at diagnosis ranged from 22 to 94 years (median 60.0). Affected anatomic sites included: maxillary sinus (22), nasal cavity (8), maxilla (13), mandible (8), salivary glands (14), and other (23). The most common presenting symptom was a non-painful mass. Associated dental symptoms were present in 72 patients and included intraoral swelling, pain, and loose teeth. Treatment included chemotherapy and radiation with a follow-up of 1-25 years. Treatment trends indicate a shift towards multimodal therapy. Non-Hodgkin's lymphoma of the head and neck, if discovered early, has an excellent prognosis.

Adult↗