Malignant calcifying epithelial odontogenic tumor of the mandible: report of a case with pulmonary metastasis showing remarkable response to platinum derivatives
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- 作者：Kenji Kawano ; Keiichiro Ono ; Naomi Yada ; Yoshihiro Takahashi ; Kenji Kashima ; Shigeo Yokoyama ; Shigetaka Yanagisawa
- 关键词：Developmental Eye Movement Test ; oculomotor dysfunction ; reliability ; saccadic eye movements ; symptoms ; vision therapy
- 刊名：Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology
- 出版年：2007
- 出版时间：July 2007
- 年：2007
- 卷：104
- 期：1
- 页码：76-81
- 全文大小：1219 K
文摘
A panoramic radiograph was asked for removal of wisdom tooth’s roots. The radiograph revealed an unusually large lesion extending from lower premolar to opposite lower canine. Upon clinical examination a discolored lower central incisor and an elevation of the vestibule were visible. The discolored tooth did not respond to thermal and electrical vitality tests and was not tender to percussion. No history of trauma was recorded and all other teeth in the lower anterior area were vital. Surgical excision of the lesion was decided after denial of conservative treatment by the patient. The result was satisfactory and 6 months after the operation new bone was formed at the site of the lesion.
Conclusions
Dentists should be very careful on clinical examination and should not omit any details. Before beginning any treatment a careful and complete clinical and radiographic examination is needed to supply all the required information. Small clinical signs such as a discolored tooth should alert the dentist.