Glandular odontogenic cyst: report of two cases and review of literature

Recurrence of Glandular Odontogenic Cysts: A Systematic Review

BACKGROUND

The glandular odontogenic cyst (GOC) is a benign developmental cyst of the jaws that is characterized by a high recurrence rate.

METHODS

A systematic review is presented of reported cases, case series, and retrospective studies of recurrent cases of glandular odontogenic cysts, to determine the overall and detailed demographic features with documentation of the specific histologic features of the initial presentation of each cyst. Searches of detailed databases were carried out to identify articles published in the English language from 1988 to 2023. The variables were demographics, patient symptoms, cyst location, radiographic features, histopathological findings, type of treatment, and minimum eight months of follow-up.

RESULTS

Eighteen cases were identified: with an equal gender presentation of 50% females and 50% males. The average age was 44.7. The mean size was 3.5 cm. The most common location was in the anterior mandible in 50% (n = 9) of cases, followed by the posterior mandible 27.8% (n = 5). Most patients were asymptomatic 55.6% (n = 10). The most common histologic features at first diagnosis were mucous cells in 88.9% (n = 16), variable thickness with 83.3% (n = 15), eosinophilic cuboidal cells 88.9% (n = 16), microcysts 83.3% (n = 15), and clear cells 77.8% (n = 14) cases.

CONCLUSION

GOC has an aggressive behavior. Evidence was not conclusive to link any single or combination of histologic features to recurrence, and the strongest correlation for recurrence was the type of treatment. Since this is an uncommon cyst, more cases are needed. Follow-up should continue for at least five years, because recurrences were higher between years 3 and 5.

Cholesterol Granuloma in the Maxillary Sinus: A Rare Presentation Associated With an Odontogenic Cyst

Cholesterol granuloma is a histopathological finding characterized by a mass of connective tissue and granulation tissue. It is primarily observed in the middle ear, mastoid process, or paranasal sinuses, with rare occurrences in the dental odontogenic region. A dentigerous cyst encloses the crown of an unerupted tooth by expanding its follicle and attaches to the neck of the tooth. Here, we report a 63-year-old female who presented to the dental clinic complaining of an ill-fitted denture. A panoramic radiograph showed a well-defined radiolucent lesion in the upper left maxillary sinus with an impacted third molar. Computed tomography revealed loss of the anterior and lateral sinus walls. The cyst was enucleated surgically. The final diagnosis was confirmed by histopathological examination, which revealed focal areas of cholesterol clefts in the cystic wall of the dentigerous cyst.

Glandular Odontogenic Cyst in the Anterior Mandible: A Case Report of a Conservative Approach and a Recurrence Detection

PURPOSE

The glandular odontogenic cyst (GOC) is considered a rare developmental cyst, with an odontogenic origin and both epithelial and glandular characteristics, with less than 200 reported cases in the literature.

METHODS

In the present case, a 29-year-old man was referred for evaluation of an asymptomatic slow-growing swelling in the anterior region of the mandible, with one-year history. The patient's medical history did not reveal any systemic alteration. The extraoral examination did not show enlargement of the facial contour and the intraoral examination showed vestibular and lingual swelling. Panoramic radiography and CT scan revealed a well-defined unilocular radiolucent lesion involving the inferior incisors and canines bilaterally.

RESULTS

Histopathological analysis revealed multiple cysts lined by stratified epithelium with varying thickness and characteristics, in addition to duct-like structures filled with PAS-positive amorphous material, suggestive of GOC. Conservative treatment was performed through surgical curettage, peripheral ostectomy of the surgical site and apicectomy of the teeth involved in the lesion. There was one recurrence, which was detected in postoperative follow-up, leading to a new surgical approach.

CONCLUSIONS

Fifteen months after the second procedure, no signs of recurrence were identified, and bone neoformation within the surgical site occurred, supporting that a conservative approach for the treatment of GOC is viable.

Posterior mandibular glandular cyst: A rare case report

BACKGROUND

Odontogenic glandular cyst (GOC) is one of the uncommon cysts of the jaws with difficult diagnosis due to the presence of many clinical and histopathological overlaps with other odontogenic lesions, and the definitive diagnosis is only possible by histological examination. It is initially asymptomatic and affects the anterior mandible with no gender predilection. Surgical resection is the preferred treatment due to the high rate of recurrence. To date, there are less than 200 documented cases worldwide.

CASE PRESENTATION

A 33-year-old female patient who consulted the Department of Oral and Maxillofacial Surgery due to numbness and swelling. She has no medical history with medications or genetic diseases. The lesion was diagnosed as an odontogenic glandular cyst, and then treated with surgical resection and plate-and-screw replacement.

CLINICAL DISCUSSION

Odontogenic Glandular cyst is an uncommon cyst it is difficult to diagnose depending on clinical features and radiographic imaging only, the definitive diagnosis is based on histological examination. The preferred treatment is surgical resection with safety edges.

CONCLUSION

More care should be given to report this rare entity to assure accurate and early diagnosis.

Molecular docking analysis of oxazole compounds with the heme-binding protein from Porphyromonas gingivalis

Porphyromonas gingivalis, a peripathogen, has several methods to impede or modify the protective mechanisms of the teeth. Targeting the inhibition of the heme protein will prevent the organism from multiplying and inhibit the virulence mechanism. The literature derived oxazole compounds (1-5) were docked against the protein's active site, and the results show that the selected oxazole derivatives exhibit better interaction compared to clinically proven drugs.

Molecular docking analysis of Indole based diaza-sulphonamides with JAK-3 protein

JAK-3 gene is a part of an important signalling pathway in oral cancer. Therefore, it is of interest to evaluate the inhibitory properties of new indole based diaza-sulphonamides compounds against JAK3 gene. Molecular docking analysis showed that among the selected compounds (1-9), the compounds 1-4 turned out to be the most potentially capable ones to be used as ant-cancer drugs. Also, they are proved to be non-toxic.

Unusual presentation of non-inflamed glandular odontogenic cyst presenting with cholesterol clefts

Glandular odontogenic cysts (GOCs) are relatively rare among odontogenic cysts but are widely discussed owing to their multifaceted nature. We present a case of a women in her late 30s with a large radiolucency of right posterior ramus area and an associated impacted third molar. Histopathology confirmed GOC; although it presented with unusual presence of cholesterol clefts in absence of inflammation. This report emphasises the novelty and significance of the aforementioned finding.

Molecular docking analysis of thiazo inhibitors with the virulent factor cystalysin from Treponema denticola

Treponema Denticola has a virulent protein called cystalysin, which causes periodontitis. Therefore, it is of interest to design efficient drug that may have fewer side effects than the present clinical drugs, considering most of them are multidrug resistant. The molecular docking analysis show that the selected thiazo derivatives (1-6) show better binding energies and amino acid interactions compared to the clinically proven drugs proving to be potential inhibitors against the protein.

Molecular docking analysis of protein filamin-A with thioazo compounds

It is of interest to document the molecular docking analysis of protein Filamin-A with thioazo compounds. The compounds 1, 3, 5, and 6 showed best molecular docking interaction as compared to the drug doxorubicin. Among the selected ligands (1-6), compound 3 shows better interaction score than doxorubicin and follows Lipinski's rule of five. Hence, it could be considered as a potential lead molecule for inhibiting protein filamin A in the treatment of oral cancer.

Molecular docking analysis of the oral tumor target JAK STAT 3 with oxo-azo compounds

It is of interest to identify the JAK STAT 3 signaling inhibitors to abrogate tumorigenesis in oral cancer. Hence, molecular docking was performed with known oxazole compounds (1-5) and the 3D crystal structure of JAK-1 protein from Homo sapiens (PDB ID: 3EYG). The results show that the oxo-azo derivatives showed better interactions within the binding site of proteins. We report that compounds 1, 4 and 5 optimal binding features with JAK STAT 3.

Knowledge, attitude, and awareness toward orthodontic treatment among patients: A questionnaire survey

The current study's objective is to learn more about how patients, depending on their gender, perceive, feel, and know about orthodontic therapy.There was a cross-sectional survey among 100 patients to evaluate their knowledge and attitude toward orthodontic treatment. The questionnaire was prepared and circulated among patients using online google forms. The online responses were collected and tabulation of the data was done in excel sheets. Data was analysed using statistical software. Chi square test to compare the association of gender and patients knowledge regarding orthodontic treatment. In the current study 53% of the study population had visited an orthodontist. 79.6% of the patients are conscious that their teeth can be aligned properly by an orthodontist. 73.5% think that teeth should be properly positioned for a better facial appearance. According to the findings in the present study, it is evident that there is awareness and understanding regarding the orthodontic treatment among patients.

Knowledge and awareness of celiac disease among the dental students

Consumption of gluten triggers an autoimmune disease known as celiac disease (CD). This is also referred to as nontropical sprue, celiac sprue, or gluten-sensitive enteropathy. Gluten is a protein present in wheat, barley, rye, and other grains. It is due to gluten that the dough becomes elastic and provides bread its chewy texture. The aim of this study is to assess the awareness and knowledge of CD among dental students. This survey is totally based on CD and its awareness among dental students. A survey was conducted among 100 students who are volunteers underneath. This survey contained questionnaires of CD causes, symptoms, treatment, etc., and the accrued was analyzed using SPSS statistics. The result shows that CD affects mainly the small intestine being chosen by 38.61% of students. The symptoms of CD as chronic diarrhea are chosen by 63.37%. The main cause of the disease is due to gluten chosen by 9.90%. Some of the gluten-free foods are chosen by 22.77% of students. In the Chi-square test, the association between the awareness of CD and students shows that postgraduate (PG) students are more aware than undergraduate (UG) students. However, this is not statistically significant since P > 0.05 (P = 0.088). The correlation graph says that the PGs are more aware than the undergraduates, and UGs have poor knowledge about this disease.

Prevalence of usage of various removable appliances among undergraduate dental students in a private dental college

The aim of the present study was to assess the prevalence of usage of various removable appliances among undergraduate dental students in private dental colleges. Ethical approval for the study was obtained from the Institutional Review Board of Saveetha Institute of Medical and Technical Sciences, Chennai, India. A dental record of patients was investigated. Data evaluation was completed and entered into Microsoft Excel. Gender distribution among the cohorts was assessed. The most commonly used appliance is Hawley's appliance (61), followed by Essix retainer (25), Begg's wrap-around retainer (23), Hawley's appliance with tongue crib (16), cantilever spring (7), splint (7), and T spring (1), respectively. The majority of the females (36) took Hawley's appliance. The difference was not statistically significant between both the arches and between the male and female population. Hawley's appliance is the most commonly used removable appliance among dental graduates.

Estimation of wettability of topical fluoride gel on anterior and posterior teeth: An in vitro study

The surface area determination has a vital role in measuring the properties of liquid and solid substances. Fluoride is a potent remineralizing agent of the teeth. The surface area is measured using a goniometer. The main aim of this study is to estimate the wettability of topical fluoride gel on the anterior and posterior teeth surfaces. Topical acidulated phosphate fluoride (APF) gel was taken in small quantities. Anterior and posterior teeth were collected, and their superficial unaltered enamel sections were used as the surface where the contact angle (CA) is determined. The surface wettability is determined using Ossila goniometer to measure CA. Each stage was mounted on a mechanical stage of the goniometer. A calibrated microsyringe was used to dispense drops of the APF gel over the surface of the specimen Group A (anterior tooth cut section) and Group B (posterior tooth cut section). This procedure is repeated for all specimen samples. The mean of CAs of the anterior teeth (88.41°) was greater when compared with the mean of posterior teeth (80.36°) CA. P value found using the paired t-test of SPSS software is found to be 0.271 (>0.05), hence statistically not significant. The greater the CA, the lower is the degree of wettability on the teeth surfaces. The mean CA of the topical fluoride APF gel on the anterior tooth surface is greater when compared to the posterior tooth surface. This signifies that greater wettability is seen on posterior tooth surfaces.

Awareness on three-dimensional printing of orthodontic appliances among dental students

The aim of the study was to evaluate the knowledge and awareness regarding the use of three-dimensional (3D)-printed appliances used in orthodontics among students pursuing dentistry. The distribution of the questionnaire was done using an online Google Forms link to about 100 dental students. The questionnaire compromised questions that were designed for assessing the various findings and knowledge of update, and finally, questions related to facts on various 3D-printing appliances. Among the total population, 58% of the population are aware of 3D printing used for various dental applications, whereas 42% of the population are not aware of the same. Among the total population, 58% of the population are aware of 3D printing used in dentistry, whereas 42% of the population are not aware of 3D printing used in dentistry. Inside the limits of the review, it very well may be inferred that 3D-printed machines have a rising use in the majority of the dental fields and understudies chasing after dentistry know about it. The knowledge about the basic and fundamental working and the usage of such appliances is developing among undergraduate students. Further continuing education programs can be provided to improve the same.

Surface roughness changes of two composite resin restorative materials after thermocycling

Composite is usually a mixture of two phases. The composites used in dentistry have high durability. The individual properties of each phase are important to increase the mechanical property of the composite. This study aimed to determine the surface roughness changes of two composite resin restorative materials after thermocycling. Two of the commercially available composites were chosen (RestoFill and SwissTEC). The composite disks of dimension 10 mm diameter and 3 mm height were prepared using silicone molds, and every increment was light cured for 30 s. A stylus profilometer was used to assess the surface roughness prethermocycling, and then, the disks were subjected to an integrated thermocycler (T.S-4.4) for 1000 cycles. The postsurface roughness was obtained after the thermocycling process using the same stylus profilometer. The surface parameter values before and after thermocycling of the SwissTEC sample is less than that of RestoFill. There was a significant difference between the Rz and Rq values of the two different commercially available composite materials. Thus, the present study concludes that thermocycling influenced the surface roughness of composite resin and increased the surface roughness of both the RestoFill and SwissTEC composites.

Knowledge and awareness of chronic bronchitis and its oral manifestation among dental students and practitioners

Chronic bronchitis (CB) is an inflammatory disease and is characterized by bronchial tube irritation. The bronchial tube irritation can result in the accumulation of mucus. CB is a part of chronic obstructive pulmonary disease, causing blockage of airflow and thereby problems in breathing. Cigarette smoking is of utmost importance in causing CB. Besides pollution of air and the working environment can also play a key role. The study aimed to assess and create the awareness about CB among dental students and practitioners. A cross-sectional questionnaire survey was conducted among dental students utilizing an online review entry called "Google forms." A total of 100 people were assessed using a structured questionnaire comprising 15 questions. The analysis of the result was done using the SPSS software of version 23. It has been shown that 78% of them are aware of CB. 75% of them responded that passive smokers were mostly affected by CB. Within the study limits, it was found that males who participated had increased awareness when compared to the females. The survey results showed that most of the participants were aware about CB but not its clinical features, oral manifestations, diagnosis, and treatment.

Awareness on hematological malignancies among college students

Cancers of blood arise when the abnormal blood cells undergo uncontrolled growth which outpaces the natural production of normal blood cells, interfering with the cells' normal functions. Leukemia, lymphoma, and myeloma are the three types of blood cancers. The aim of our study is to assess and create awareness of hematological malignancies among college students. A questionnaire was prepared using Google Forms based on the awareness of the Hematological malignancies disinfection methods among dental students in Chennai. It was then circulated among a certain set of participants using an online Google Form link. The participants were asked about their knowledge level regarding hematological malignancies and a majority (68.97%) were aware of the same, whereas 27.59% were not aware and the rest (3.45%) were not sure. When asked about how dental care detects various hematological malignancies, 10.34% of the participants replied as "patient speaks about any abnormality," 75.86% replied as "oral manifestations," and 13.79% replied as "dentists cannot detect hematological malignancies." From the above results and discussion, we can come to the conclusion that most of the dental students who participated in the survey are aware of hematological malignancies and its various types.

Knowledge and awareness about fibrodysplasia ossificans progressiva among dental students

Fibrodysplasia ossificans progressiva (FOP) is a rare genetic disorder which is autosomal dominant distinguished by congenital malformations of large toes and flare ups, etc. It is a disorder of connective tissue, with heterotopic ossifications seen with skeletal muscles, tendons, and cartilages and also called as Stone man disease, myositis ossificans, and Munchmeyer disease. The main objective of the study is to assess and create the awareness about FOP among dental students. An online-based survey was conducted among 103 dental students, undergraduates and postgraduates. About 20 questionnaires were prepared and circulated among the students through the "Google forms" across Chennai. A survey questionnaire asked about the knowledge of fibrodysplasia, its causes, treatment, and diagnosis was enquired. Thus, the data obtained were analyzed statistically using the SPSS software. In our study, about 64% were undergraduates and 35% of them were postgraduates. About 66% of the participants were aware of fibrodysplasia and 32% of them were not aware. Most of the undergraduate students were more aware of fibrodysplasia (40%) when compared to postgraduates (29%). However, this is statistically not significant. Fibrodysplasia ossificans reported to have a high incidence in 1 in 2 million people worldwide. Hence, an early diagnosis of this disorder can prevent further complications. Although the survey has provided significant knowledge about fibrodysplasia, awareness still has to be created among dental students.

Knowledge, attitude, and awareness of biocompatibility of orthodontic materials among dental students

The aim of this study is to find the knowledge, attitude and awareness of biocompatibility of orthodontic materials among dental students.A survey of 13 questions was created using Google Forms. The questions on the survey cover a wide range of topics including the awareness of cytotoxicity of orthodontic materials, their corrosive potential, ways of preventing corrosion and release of subsequent substances, and various means by which these physiological actions occur. This survey was circulated among dental undergraduate students and the responses recorded were then transferred to SPSS software. Here we conducted descriptive analysis to produce a pie chart and Chi square test to determine the association and statistical significance.The results were noted and examined in the form of bar graphs. The p value for this study was found to be 0.01, which makes this study statistically significant. The awareness about the biocompatibility of orthodontic materials among dental students was found to be low. Continuing dental education programs can be conducted to constantly improve the knowledge regarding the judicious and ecofriendly use of all newly available dental materials.

Knowledge, attitude, and awareness on the protocols and trends in orthodontic retention among dental students

This survey aimed at evaluating the knowledge and awareness regarding the various retention protocols used in orthodontic practice. A survey has been conducted among the dental students by circulating 15 close-ended questions online to analyze the data collected on the protocols and trends in orthodontic retention. The male and female distribution among the study population was evaluated, and the retention protocols used were computed; statistical analysis was performed using SPSS software. Ninety-four percent accepted that Hawley retainers are predominantly used compared to fixed retainers. Eighty-seven percent agreed that they aim at a more stable dentition by the completion of orthodontic treatment. The Chi-square test on the knowledge of respondents on the permanent retention to be followed after orthodontic treatment to close generalized spacing is statistically not significant, P = 0.056. Within the considered limitations, it is clear that there is awareness among the dentists regarding the use of a retention appliance to ensure stability at the finish of orthodontic treatment. But the protocol for the same remains variable. Further studies can be performed to identify the effectiveness of each of the different retention protocols and their indications in various cases.

Awareness and practice pertaining to the use of digital imaging for orthodontic purposes among undergraduate dental students

The current study aimed at evaluation of the awareness of undergraduate dental students regarding the use of digital imaging that are used for orthodontic diagnosis and treatment. An online survey using google forms was conducted among the undergraduate dental students as a part of this study setting. The sample size of participants was 109. The survey was composed of a set of 14 questions including demographics. Ethical clearance was obtained from the Institutionalized ethical committee. SPSS software was used for data analysis and descriptive statistics. Among the entire population, 46.2% participants said that they would be using digital dental imaging during their practices and in their career and the remaining 53.8% participants said that they would not be using digital imaging due to various reasons. This study found out that undergraduate dental students have an average level of awareness regarding the use of digital dental imaging that are used for orthodontic diagnosis and treatment.

Comparison of human and animal hair - A microscopical analysis

For nearly a century, hairs of animals and humans were employed in forensic research. It is found to be stable in certain environments, and thus, they are frequently retrieved at scenes of crime, and it is important to verify whether they are either human or animal. The present research was done at comparing the morphological differences among human hair and animal hair using a stereomicroscope. Samples of hair forming the outer coat of some autochthonous domestic and human remnants were evaluated in this study. Long strands of guard hair shaft were investigated by stereomicroscope accordingly. Microphotographs were taken in an iPad camera. The microscopic characteristics of cat hair samples showed the presence of small spikes on the surface, whereas the human hair sample showed a smooth appearance with no irregularities. The microscopic analyses of the human hair sample and cat hair sample under stereomicroscope suggest hair samples can be used as forensic evidence in crime scene investigation. The comparison of both the hair samples was done, and the differences were significantly evident.

Evaluation of tensile strength of surgical absorbable and nonabsorbable suture materials after immersion in different fruit juices: An in vitro study

Surgical sutures are the most well-known surgical biomaterial device for ligating blood vessels. The primary goal of wound closure is to align wound margins to provide a closed and stable environment. Sutures with lesser tensile strength are susceptible to break throughout the healing process due to edema. To evaluate the tensile strength of absorbable and nonabsorbable suture materials after immersion in fruit juices. In this in vitro study, eight samples of commercially available sutures such as black silk and vicryl were divided into two groups: sample -1 were immersed in grape juice and sample -2 were immersed in lemon juice for 1 week. Universal testing machine INSTRON E300 UTM was used to test the tensile strength of various suture materials. The data are statistically analyzed using an independent t-test. The P < 0.05 was considered to be statistically significant. The mean of vicryl suture after immersion in grape and lemon juice was found to be 34.445 and 43.39; the mean value of black silk after immersion in grape and lemon juice was found to be 36.95 and 33.1. The tensile strength of black silk was slightly lower than the vicryl. Independent sample t-test showed that P = 0.561 (>0.05) which is statistically insignificant. Vicryl suture tested to have the highest tensile strength along with excellent knot holding capacity than black silk suture after immersion in fruit juices.

Effect of carbonated beverages on flexural strength of composite restorative material

Carbonated beverages have side effects on oral health and general health. Flexural strength is a prime mechanical property of restorative material. The aim of this study is to know the effect of carbonated beverages on the flexural strength of composite restorative material. Two types of composites (Ivoclar and Restofill) were used as samples for comparative evaluation of flexural strength. The sample size is 10 where 5 of each type of composites are included. The obtained samples were immersed in carbonated beverages. One sample of each type was used as a control. After 24 h, the flexural strength of all the 10 samples was evaluated using the formula (3FL/2bd²), and the values were tabulated. Average values and graphs were done using SPSS software. The results showed the changes in flexural strength of both Ivoclar and Restofill materials when immersed in carbonated beverages. The mean value of all the samples was taken, and the standard deviation was calculated. After immersion in carbonated liquids, the mean value of Ivoclar and Restofill samples is 58.9 and 35.01, respectively. P = 0.718 (>0.05), which was not statistically significant. After immersion in Coke, the Restofill group exhibits more flexural strength than the Ivoclar group composite; however, the strength reduces when immersed in Sprite as compared to the Ivoclar group composite.

Awareness and knowledge of oral manifestations in cardiovascular diseases among the general public

Cardiovascular diseases (CVDs) are disorders affecting the heart and blood vessels. Periodontal problems, bleeding gums, dry mouth, and gingival hyperplasia are common oral manifestations seen in cardiovascular-related problems. To assess the extent of awareness and knowledge, the general public has toward the oral manifestation related to that of CVDs. A questionnaire was distributed among the general public in relation to that of the extent of awareness and knowledge of oral manifestations with regard to CVD. A total of 161 responses were collected from the survey. The collected data were compiled and analyzed by the SPSS software; the Pearson Chi-square test was done where P < 0.05 was considered statistically significant. The study showed that 65.22% of the population is aware of the types of CVD. About 59.63% of the population do not know that periodontal problems lead to cardiovascular problems. About 39.75% have vague knowledge about the maintenance of poor oral health causing cardiovascular problems. The study concluded that the general public is not much aware of the oral manifestations related to that of CVDs.

Effect of carbonated beverages on flexural strength property of restorative glass ionomer cement

Glass ionomer cement (GIC) releases fluorides and has good biocompatibility, carbonated drinks, sometimes known as fizzy drinks, are carbonated liquids that contain dissolved carbon dioxide, sweeteners, and natural or artificial flavoring. The aim of our study is to determine the flexural strength of GIC after immersing in carbonated beverages. Twelve samples of GIC filling material were used among which six samples prepared were from the Dtech brand and six were prepared from the Shofu brand for the in vitro study. Bar-shaped specimens were prepared from each group with the dimension of 2 mm × 2 mm × 25 mm. They were immersed in Sprite, fizz drinks, and in distilled water as a control group. The immersion period was 7 days. Then, the determination of maximum force and displacement was done using INSTRON E3000 (ElectroPuls) universal testing machine, then the collected data were used to determine flexural strength. The mean flexural strength of Dtech GIC was 24.84 ± 6.523 Mpa. The mean flexural strength of Dtech GIC was 18.57 ± 11.60 Mpa. The independent sample t-test showed that P = 0.247 (>0.05) which was statistically not significant. The flexural strength of GIC material decreased after being immersed in Sprite and fizz drinks.

Average time in between appointments for multivisit pulpectomy in patients reported to a university dental hospital

Complete removal of the infected coronal and radicular pulp tissue along with obturation of the canal space with suitable medication is defined as pulpectomy. The most common indication for pulpectomy is a tooth with irreversible pulpitis which shows symptoms of nocturnal pain and abscess. To determine the average time in appointments for multivisit pulpectomy in patients reported to a university dental hospital. It is planned as a retrospective analysis of the case records of patients who were treated as two visit pulpectomy procedures in a university dental hospital, India. The study concluded that in the majority of the situations the average time in between appointments for multivisit pulpectomy was found to be within 1 week.

Effect of thermocycling on the flexural strength of two different composite filling materials: An in vitro study

Flexural strength is the bend strength or stress which causes failure in bending of the material. Composite is the widely used restorative material in the era of esthetic dentistry as it provides better esthetic and mechanical support for both posterior and anterior teeth. The term "thermocycling" refers to the process of changing temperatures in the mouth. Thus, the aim of the study was to determine the effect of thermocycling on flexural strength in two different composite filling materials. Twelve samples of packable type composite filling material, among which four samples prepared were from Restofill l (Group 1) and four were prepared from Ivoclar Vivadent (Group 2) for the study. Bar-shaped composite resin specimens were prepared with dimensions of 2 mm × 2 mm × 25 mm. Then, the eight samples were subjected to a thermocycling process and four left as control. This was followed by the determination of maximum force by a universal testing machine, and then, the collected data were used to determine flexural strength using the formula. The determining flexural strength was analyzed using SPSS version 23.0 by Independent sample t-test. The mean flexural strength of thermocycled Restofill composite filling material is 6.73, whereas the nonthermocycled Restofill sample showed 5.58 and the mean flexural strength of thermocycled Ivoclar Vivadent composite filling material was 5.08. The difference was not statistically significant with P = 0.978 >0.05. The current study concludes that the flexural strength of the Restofill composite (Group 1) was higher than the Ivoclar composite (Group 2). Hence, thermocycling affects the flexural strength of composite resin.

Evaluation of flexural strength of glass ionomer cement after immersion in fruit juices

Glass ionomer cement (GIC) is a material used for restoration in dentistry. The stress in a material right before it yields in a flexure test is referred to as flexural strength. The aim of this study was to evaluate the flexural strength of two different glass ionomers after immersion in fruit juices. Five samples of D-Tech and Shofu GIC were prepared from each for the in vitro study. The eight samples were subjected to a flexural strength process and two were left as control which was followed by the determination of maximum force and displacement, then the collected data were used to determine flexural strength and analyzed using SPSS software (IBM SPSS Statistics for Windows, Version 22.0. Armonk, NY: IBM Corp). The mean value of flexural strength of the D-Tech GIC immersed in fruit juices is 4.4375 and the mean value of Shofu GIC immersed in fruit juices was 8.4975. Paired t-test was done between the two groups and the P value was 0.00, which is considered highly statistically significant. From this study, it is evident that the GIC brand Shofu has higher flexural strength compared to D-Tech. Flexural strength was decreased for both the GIC groups when immersed in grape juice.

Evaluation of flexural strength of bulk-fill composite resin after immersion in fruit juices: An in vitro study

Resin-based composites are increasingly employed in dental restorations due to their esthetics. Flexural strength is the characteristic feature of a substance, and it can be described as the stress present in the material just before it renders in a flexure test. The purpose of this study was to determine the flexural strength of a bulk-fill composite following immersion in fruit juices. Ten samples of bulk-fill type composite filling material were created, with four samples from Restofill (Group 1) and four samples from Ivoclar Vivadent (Group 2). Out of which, four specimens of each brand were included for immersion in fruit juices; two specimens were kept as control. The eight samples were put through a flexural strength test, with four remaining as controls, before being measured for maximum force and displacement on the Instron E3000 universal testing equipment. SPSS version 23 (IBM SPSS Statistics for Windows, Version 23.0. Armonk, NY: IBM Corp.) was used to examine the calculated flexural strength. The composite Ivoclar has a mean flexural strength of 20.52, whereas the composite Restofill has a mean flexural strength of 20.55. The P value for the independent sample t-test between the two groups, Ivoclar and Restofill, was 0.089 (>0.05), which is statistically insignificant. It is clear from this research that the bulk-fill composite resin Ivoclar has a low flexural strength when compared to the sample Restofill after immersion in fruit juices.

Effect of carbonated beverages on the color stability of bulk and flowable composite resin

Tooth discoloration is considered as one of the most common dental problems among people, and in dentistry, the most common cases are claimed after the restoration. Therefore, in this research, we aim to evaluate the effect of carbonated beverages on the color stability of bulk and flowable composite resin. For the study, 12 composite disc samples were made using the standard dimensions of 10 mm diameter and 2 mm thick. To find the color stability, we used a VITA Easyshade spectrophotometer. We used two different composites of bulk fill and flowable composite resin; the composite brand we used was Tetric ecom plus; as an immersion medium, we used two different carbonated beverages, and the chosen beverages were Appy Fizz and 7Up. 24-h and 7-day postimmersion color stability was evaluated. In the results of postimmersion, we have found the Delta E value for 24 h immersion of flowable and bulk fill composite as 5.8115 and 7.4378, respectively; similarly, the Delta E value for 7 days immersion of flowable and bulk fill composite was 9.9559 and 10.1028, respectively. Using the independent "t"-test, we found that the significance is 0.633 and 0.328, which was statistically not significant. In the present study, when immersed in Appy Fizz juice and 7Up juice, bulk fill composite resins have shown greater discoloration when compared to flowable composite resin material. Thus, the flowable composite resin samples were more color stable.

Glandular Odontogenic Cyst Associated with Odontoma: A Rare Case Report

Background

Glandular odontogenic cyst (GOC) is an extremely rare developmental jawbone cyst, tending to recurrence owing to its aggressive behavior. There has been no reported case of presence of GOC simultaneous with odontoma. We presented a case of GOC associated with odontoma with special reference to the diagnostic imaging and the histopathological features.

Case Presentation

A 42-year-old Chinese man presented with swelling and pain in the anterior mandible for the past 3 months. Panoramic scan showed a large multiocular well-circumscribed radiolucency accompanied by toothlike morphological abnormality. Histological findings confirmed a GOC associated with odontoma.

Conclusion

This case demonstrates GOC with multiple clinical spectrum, and its association with odontoma might enhance the existing knowledge of this rare jawbone cyst.

Glandular Odontogenic Cyst with Metaplastic Cartilage: Report of an Unusual Case and Literature Review

Glandular odontogenic cysts are rare odontogenic cysts with a wide range of histopathological features. In this paper we describe the clinical and pathological features of an unusual case of a glandular odontogenic cyst with metaplastic cartilage. The previous literature of odontogenic cysts presenting with metaplastic cartilage is reviewed alongside a discussion of the differential diagnoses. To our knowledge this is the first reported case of a glandular odontogenic cyst with metaplastic cartilage.

Glandular odontogenic cyst-Report of a rare case

Glandular odontogenic cyst is a rare developmental odontogenic cyst that bears similarity to several other odontogenic lesions. Till 2017, only 169 such cases have been reported in the literature. Herein, we describe one more case of it occurring in a 35-year-old female patient.

Odontogenic Cysts

Odontogenic cysts are epithelial-lined pathologic cavities and surrounded by fibrous connective tissue that originate from odontogenic tissues that occur in tooth-bearing regions of maxilla and mandible. Cystic conditions of the jaw cause bony destruction and may cause resorption or displacement of adjacent teeth. Odontogenic cysts have developmental or inflammatory origins. More cases have been published in the adult age group than the pediatric population. Periapical cyst and dentigerous cysts are frequently reported conditions in dental practice. Histopathologic examination remains the gold standard investigation. Odontogenic cysts are managed with enucleation or marsupialization procedures. Early recognition and referral to oral surgery minimize the extent of jaw bone destruction.

Glandular Odontogenic Cyst in Dentigerous Relationship: An Uncommon Case Report

Glandular odontogenic cyst (GOC) is an uncommon cyst of the jaw. Less than 200 cases are reported in the literature, and only 22 cases are associated with an unerupted tooth (dentigerous relationship). Although it is an asymptomatic lesion, it can be destructive and has high recurrence rates. The diagnosis can be especially challenging due to the lack of distinct diagnostic clinic-radiological criteria and nonspecific microscopic features, mimicking benign and malignant lesions. Conservative surgical treatment has been the choice for most surgeons, but marginal or partial jaw resection has been reported. This report describes a rare case of GOC in a dentigerous relationship, which was treated with enucleation and peripheral osteotomy.

Case report of a rare glandular odontogenic cyst in a child: A diagnostic dilemma

This paper reports a case of glandular odontogenic cyst (GOC) in a 12-year-old male patient. GOC is a rare entity occurring in the jaw bones. Known for its aggressive behavior and nonspecific clinical features, it may mimic other clinicopathological lesions such as botryoid odontogenic cyst and central mucoepidermoid tumor making the diagnosis challenging. It is more prevalent in the middle age adult population, and very few cases have been reported in children.

Glandular odontogenic cyst: Series of five cases

Introduction:

Glandular odontogenic cyst (GOC) is a clinically rare and histopathologically unusual type of developmental odontogenic cyst with unpredictable and potentially aggressive behaviour.

Materials and Methods:

Archival data of cases histopathologically identified as GOC were analyzed from the Department of Oral Pathology over the past six years. The clinical, radiographic, histopathological features and treatment were evaluated. Special stains such as periodic acid Schiff, mucicarmine along with immunohistochemical staining for cytokeratin 19 were employed to confirm the histopathological diagnosis.

Results:

The study indicated a strong female predilection with slightly more number of cases found in maxilla than mandible. Most cases showed a well defined multilocular radiolucency. The microscopic features which aid in its differentiation from its mimickers such as central mucoepidermoid carcinoma, lateral periodontal cyst, dentigerous cyst and botryoid odontogenic cyst which were observed included presence of variable thickness of the lining epithelium, epithelial plaques and whorls, hobnail cells, ciliated cells, clear cells and goblet cells.

Conclusion:

The present case series aims to throw light on the clinical, radiographic and microscopic features of GOC, which may aid in its definitive diagnosis in problematic cases.

Glandular Odontogenic Cyst: Case Series

Glandular odontogenic cyst (GOC) is an uncommon and aggressive jaw cyst with a high recurrence rate. It may grow into a large size. Diagnosis of the cyst is challenging since it may be confused with some other jaw cysts and malignancies. Treatment methods vary from conservative surgery to radical bone resection. In this case series, we briefly present five cases of GOC diagnosed and treated at our clinic. Thorough histopathological diagnosis and long-term follow-up are necessary in patients with GOC.

Glandular odontogenic cyst of the maxilla: a case report and literature review

Glandular Odontogenic Cyst is a relatively rare cyst of odontogenic origin, which shows glandular or salivary features that are thought to indicate the pluripotentiality of odontogenic epithelium. It is seen in middle-aged adults, and commonly involves the anterior region of the jaws, especially the mandible. It shows non-specific clinico-radiographic findings which may resemble other lesions, but has characteristic histopathologic features which help in its diagnosis. This paper reports an unusual presentation of a glandular odontogenic cyst which was diagnosed in a 64-year old female in the posterior maxilla, along with a literature review of this cyst, especially the cases reported in India in the past.

Molecular Characterization of Clear Cell Lesions of Head and Neck

The salivary glands, oral mucosa and jaws constitute a group of lesions which are heterogeneous in nature and are odontogenic, salivary or metastatic in origin. This group of tumours is termed as Clear Cell Tumours. Fixation artifacts are one of the most important reasons for the cell to appear clear but clearing of cells may also result from cytoplasmic accumulation of water, presence of glycogen within the cell, intermediate filaments, immature zymogen granules, or a paucity of cellular organelles. Clear cell Odontogenic neoplasms predominantly include odontogenic carcinoma, ameloblastoma and calcifying epithelial odontogenic tumour. Clear cell tumours of salivary gland origin are almost invariably malignant in nature but they do include two benign lesions. Very frequently, surgical pathologist encounters clear cells in many malignant neoplasms, the nature and sources of which are undetermined on the basis of conventional histopathology. This review will selectively discuss the clinicopathological features of neoplasms which at times may pose a diagnostic challenge and dilemma due to clear cell changes.

Glandular Odontogenic Cyst of Mandible: A Rare Entity

Glandular odontogenic cyst (GOC) is a rare developmental odontogenic cyst. It is a slow growing and asymptomatic swelling, usually affecting middle aged men and has tendency to reoccur. Here, we report a case of GOC in the anterior portion of mandible diagnosed by histopathology.

Glandular odontogenic cyst: A diagnostic dilemma

Glandular odontogenic cyst (GOC) is a rare and uncommon jaw bone cyst of odontogenic origin described in 1987 by Gardener et al. as a distinct entity. It is a cyst having an unpredictable, potentially aggressive behavior, and has the propensity to grow in large size with relatively high recurrence rate. It poses a diagnostic challenge as it can be clinically and histopathologically confused with lateral periodontal cyst, botryoid odontogenic cyst, radicular and residual cysts with mucous metaplasia, and low-grade mucoepidermoid carcinoma. The present case report describes GOC in both male and female patients with intra-oral swelling following extraction of 36 and 46, respectively. Careful histopathological examination is needed to diagnose GOC, and a careful long-term follow-up is advocated.

Glandular odontogenic cyst: a rare entity revealed and a review of the literature

A glandular odontogenic cyst (GOC) is a developmental cyst that is a clinically rare and histopathologically unusual type of odontogenic cyst. GOCs are now relatively well-known entities; their importance relates to the fact that they exhibit a propensity for recurrence rates from 21% to 55%, similar to odontogenic keratocysts, and may be confused microscopically with central mucoepidermoid carcinoma. Furthermore, some microscopic features of GOCs may also be found in dentigerous, botryoid, radicular and surgical ciliated cysts. The present case report aims to describe a typical case of GOC, throwing light on its epidemiology and origin, as well as on its clinical, radiographic and microscopic features, which may be helpful for diagnosis in problematic cases, long-term follow-up and to determine the most appropriate treatment.

Glandular odontogenic cyst - Literature review and report of a paediatric case

Glandular odontogenic cyst (GOC) is an extremely rare lesion occurring in the jawbones. The present paper is a review of 181 cases of GOCs reported in English literature, since it was first reported by Padayache and Van Wyk in 1987. Mandible was involved in 130 cases and maxilla in 51 cases. Anterior mandible was the most common area of involvement. Radiographic appearance was that of a unilocular radiolucency in 98 of 176 reported cases. Rest presented as multilocular radiolucency. Cortical expansion was observed in 136 of the 180 reported cases while cortex breach or perforation was seen in 81 cases. The treatment of choice was that of minor procedures that included enucleation with or without curettage, peripheral ostectomy, cryotherapy, etc. in 157 of the total 177 reported cases. Marginal jaw resection, segmental mandibulectomy etc. was reported in 20 cases. Although minor surgical procedures were the treatment of choice in most studies, two major studies of Kaplan et al. and Fowler et al. involving 111 and 46 cases, recorded a recurrence rate of 35.9 and 19.6%, respectively. The age range was between 11 and 82 years. The respective mean age of patients in the above mentioned studies was 45.7 for Kaplan's and 51 years for Fowler's whereas in our study, the mean age was 45.9 years. Very rarely does GOC presents itself in a paediatric patient. The paper also reports a case of an 11-year-old child whose histopathogy came out to be a case of a GOC.