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American Burkitt's lymphoma: a 10-year review and case study.

Burkitt's lymphoma is a malignancy of B-lymphocyte origin that was initially described in African children with jaw tumors. These tumors often spread to involve abdominal viscera and other sites, have rapid growth kinetics, and are principally responsive to chemotherapy. Prolonged survival is predicted by site and extent of tumor, with bone marrow and central nervous system involvement being indicators of a poor prognosis. The dental practitioner plays an important role in diagnosis of jaw lesions and treatment throughout the course of the disease. An examination of 17 cases of Burkitt's lymphoma diagnosed at The North Carolina Memorial Hospital, University of North Carolina at Chapel Hill, North Carolina, over a 10-year period is undertaken and an illustrative case study is presented to demonstrate the challenge of caring for the patient with Burkitt's lymphoma.

Antineoplastic Combined Chemotherapy Protocols↗

An American Board of Orthodontics case report.

The patient's opinion of himself greatly improved following correction of a disfiguring malocclusion. He experienced a marked personality change and increased self-esteem following correction of his malocclusion. Oral hygiene was much improved when the teeth became a source of pride rather than embarrassment. The chief concern of this patient was the appearance and alignment of crooked teeth. Facial balance and esthetics were improved following placement of anterior teeth over supporting bone and reduction of the bimaxillary dental protrusion. The temporomandibular joint is asymptomatic. All retention devices have been removed and the case has remained stable. The prognosis is excellent. Literature references are normally not included in the American Board presentation. The author added the references to present readers access to the philosophic background related to clinical management of this interesting case.

Adolescent↗

Substitution of a transposed premolar for a congenitally absent lateral incisor.

The purpose of this report is to review the orthodontic treatment of a patient with bilateral transposition of maxillary canines and first premolars in addition to congenital absence of a maxillary lateral incisor. This unique combination of factors led to substitution of the maxillary left first premolar for the left lateral incisor. The occlusal fit, gingival form, and esthetic appearance of premolar/lateral incisor substitution are discussed.

Adolescent↗

Extraoral inverted teeth eruption: a case report.

A 14-year-old female presented with extraoral inverted eruption of left mandibular permanent molars 18 and 19 at the lower left inferior border of the mandible. Both the teeth started erupting 1 year after an extraoral surgical intervention for a discharging sinus 6 years ago. The subsequent eruption to the extraoral position of the permanent molars at the inferior border of mandible may be the result of the previous surgical procedure or pathology related to the abnormally positioned teeth. This case presents an infrequent complication affecting the adjacent permanent teeth.

Adolescent↗

Peripheral osteoma of the maxilla: report of an unusual case.

Peripheral osteomas of the maxilla are relatively rare. A case of a solitary peripheral osteoma of the anterior right maxilla in a 16-year-old girl is presented. The tumor was asymptomatic and was removed via an intraoral approach without any complications. Both hamartomatous and neoplastic factors have been advocated concerning the pathogenesis of such lesions, but no definite conclusion has been reported. Certain features of the case, such as obstruction of the eruption of the permanent canine, displacement of an adjacent tooth, intraoperatively noted infiltration of the interdental bone, and clearly abnormal histological bone structure might support the neoplastic nature of this lesion.

Adolescent↗

Classification of maxillary tooth transpositions.

Tooth transposition is a severe disturbance of tooth order and eruptive position, involving certain teeth, that may occur at any of several specific sites in the mouth. Published cases of transposition involving maxillary teeth were gathered from worldwide sources to study, identify, and classify these occurrences of orthodontic interest. With a sample of 201 cases and on the basis of anatomic factors, five types of maxillary tooth transpositions were discerned: canine--first premolar (Mx.C.P1), 143 cases; canine--lateral incisor (Mx.C.I2), 40 cases; canine to first molar site (Mx.C to M1), 8 cases; lateral incisor--central incisor (Mx.I2.I1), 6 cases; and canine to central incisor site (Mx.C to I1), 4 cases. As a benefit from this large-scaled study of an uncommon anomaly, new analyses are presented on cause and treatment aspects for each of these five classes of maxillary tooth transpositions.

Child↗