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Oral Pathology Short Case 5 - 15-year old Female - Lesion present in anterior maxilla. A mixed radiodense lesion
Oral Pathology Short Case 5 - 15-year old Female - Lesion present in anterior maxilla. A mixed radiodense lesion
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Oral Pathology Short Case 5 - 15-year old Female - Lesion present in anterior maxilla. A mixed radiodense lesion
Answer : Fibrous dysplasia Skeletal anomaly which normal bone is replaced and distorted by poorly organized and inadequately mineralized immature bone and fibrous tissue Single bone – Monostotic (Craniofacial fibrous dysplasia – monostotic variant) Multiple bone – Polyostotic fibrous dysplasia Multiple bone + multiple endocrine abnormalities – Mc cune Albrights syndrome 7 % of all benign tumours Disorder of growing bone in children and adolescents A missense mutation in GNAS gene – overexpression of cAMP – changes in properties of osteoprogenitor cells Milder forms affect few bones – craniofacial and femur Maxilla > mandible Clinical – Painless swelling of jawbones, Facial asymmetry First 2 decades of life Displacement of teeth, malocclusion Paranasal sinuses, orbits and foramina of the base of the skull can produce – Visual loss, hearing loss, headache, nasal obstruction Radiology – Classic lesions show ground glass appearance Table 4 Histopath...