Long-term Observation of Case of Fibrous Dysplasia was Doubted

  • Arai Kiyoshi
    Deparment of Pediatric Dentistry, Nihon University School of De ntistry at Matsudo
  • Okamoto Harunori
    Deparment of Pediatric Dentistry, Nihon University School of De ntistry at Matsudo
  • Yamaguchi Harunobu
    Deparment of Pediatric Dentistry, Nihon University School of De ntistry at Matsudo
  • Matsune Kensuke
    Deparment of Pediatric Dentistry, Nihon University School of De ntistry at Matsudo
  • Sakamaki Hiroyuki
    Deparment of Oral and Maxillofacial Surgery, Nihon University School of Dentistry at Matsudo
  • Kondo Toshiro
    Deparment of Oral and Maxillofacial Surgery, Nihon University School of Dentistry at Matsudo
  • Maeda Takahide
    Deparment of Pediatric Dentistry, Nihon University School of De ntistry at Matsudo

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Other Title
  • 線維性骨異形成症が疑われた症例の長期観察

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Abstract

The authors encountered a 9 year 3 month old girl with fibrous dysplasia who had undergone checked up the concerning oral health since she was 3 years 5 months old at the Pediatric Dental Clinic at Nihon University School of dentistry in Matsudo.<BR>At first her mother complained about the asym metry of her face with alveolar bone protrusion around right buccal area above the maxillary 1 st and 2 nd primary molars when she was 9 years 3months old.<BR>The panorama X-ray photograph indicated impermeable frosted glass images with a width of 3×3cm around right the maxillary bone. When she was 10 years and 5 months of age, Apon iwspection the bone protrusion area was seen to be enlarged and was increased in density with suspected maturation of abnormal bone at the frosted glass images with 5×5cm width of using panorama X-ray photograph.<BR>Differential diagnosis in bone disease such as this case should be performed not based on clinical manifestation and X-ray findings but also histopathological findings and bone scintigram etc.<BR>As the bone protrusion was diagnosed temporally as Based on these findings, we will observe the bone size, function and esthetics, and have to choose the treatment method of either total or partial surgical resection.

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