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Article: Volume 45 Number 10 Page 985 - November 2018

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  Dent Update 2018; 45: 985-990

O&M Surgery/Restorative Dentistry:  Odontogenic Myxoma of the Maxilla: Diagnostic Considerations, Surgical Resection and Prosthetic Rehabilitation

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Abstract: 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.

Clinical relevance: This case highlights the importance of thorough clinical and radiographic examination, and joint treatment planning between the Restorative and OMFS departments.

Author notes: Yehya EK Gamie, BDS, MFDS RCS(Ed), Oral and Maxillofacial Surgery Trainee/Dental Surgeon, York Hospital/Aintree University Hospital, Liverpool, Zakareya Gamie, BSc(Hons), MBChB, MRCS, PGCert (Genomic Medicine), PhD Student and Honorary Clinical Research Associate in Trauma and Orthopaedic Surgery, Newcastle University, David Seymour, BChD, MFDS RCS(Ed), MSc ClinDen(Rest Dent) FDS RCS(Ed), Consultant in Restorative Dentistry, Paul H Whitfield, MBBS, BDS, FDS, FRCS, Consultant Oral and Maxillofacial Surgeon, York Hospital, Wigginton Road, York, North Yorkshire, YO31 8HE, UK.

Objective: To review odontogenic myxoma and follow a case from tumour resection to immediate restorative rehabilitation.