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Odontogenic Myxoma of the Maxilla: Diagnostic Considerations, Surgical Resection and Prosthetic Rehabilitation Yehya EK Gamie Zakareya Gamie David Seymour Paul H Whitfield Dental Update 2024 45:10, 707-709.
Authors
Yehya EKGamie
BDS, MFDS RCS(Ed)
Oral and Maxillofacial Surgery Trainee/Dental Surgeon, York Hospital/Aintree University Hospital, Liverpool, UK
A 15-year-old female with a history of orthodontic treatment was referred by her general dental practitioner (GDP) to the Oral and Maxillofacial Surgery (OMFS) department after noticing a right buccal maxillary swelling during a routine check-up. Examination and radiographic investigations revealed a lesion extending from UR3 to UR6 causing bony expansion with no evidence of root resorption. Following biopsy and histopathological analysis, a diagnosis of Odontogenic Myxoma (OM) was made. Treatment involved a segmental resection and fitting an immediate partial denture. Options for long-term rehabilitation include removable and implant-supported prostheses.
CPD/Clinical Relevance: This case highlights the importance of thorough clinical and radiographic examination, and joint treatment planning between the Restorative and OMFS departments.
Article
Odontogenic Myxoma (OM) was first described in 19471 and is a benign, locally invasive, non-metastasizing neoplasm of mesenchymal origin.2,3,4 It is rare and accounts for between 1% and 17.7% of odontogenic tumours.5 Occurring at any age, it is most common in the second and third decades of life, with a higher incidence in females and in the mandible.2,3,4,5,6 Many cases are detected during routine dental examinations.5,7 Features include slow and asymptomatic growth, tooth displacement and root resorption, delayed eruption, pain, facial asymmetry, cortical bone perforation and soft tissue invasion.2,3,4,5,6,7,8 Radiographically, OM may appear as unilocular or multilocular radiolucencies and are described as having a soap bubble, honeycomb or tennis racket appearance.3,4,,6,7,8
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