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Dent. J. 2016, 4(4), 42; doi:10.3390/dj4040042

Custom Made Replacement of the Mandibular Condyle in a Case of Fibrous Dysplasia with Cystic Degeneration; A Case Report

Department of Oral and Maxillofacial Surgery & Special Dental Care, Leiden University Medical Centre, 2333 ZA Leiden, The Netherlands
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Academic Editor: Daniel M. Laskin
Received: 19 August 2016 / Revised: 7 November 2016 / Accepted: 9 November 2016 / Published: 15 November 2016
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Abstract

This paper describes a rare case of fibrous dysplasia with cystic degeneration in the mandibular condyle. Diagnostic and therapeutic considerations are discussed. A 40-year old woman presented with pain near the region of her right ear. Physical and radiographic examination showed no abnormalities besides the presence of a mixed radiopaque/radiolucent expansive lesion of the right condyle. Pathologic examination showed high bone-turnover with bone formation. Bone scintigraphy showed a monostotic active fibrous lesion in the right part of the mandible. Bisphosphonate treatment did not sufficiently treat the patient’s symptoms and physiotherapy to treat craniomandibular dysfunction as a factor in the pain was also unsuccessful. The patient later developed an acute external otitis due to a narrowed outer ear canal and had to be admitted to the hospital for treatment with intravenous antibiotics. Approximately two years after first presentation, resection of the affected bone (condylectomy) and reconstruction with a custom total joint prosthesis was indicated due to repeated functional deficits with considerable morbidity. Pathologic examination of the resected mandibular condyle showed increased bone formation including formation of neocortex and some cystic formation. This was diagnosed as fibrous dysplasia with cystic degeneration. Approximately two years after surgery, the patient functioned well. View Full-Text
Keywords: fibrous dysplasia; fibro-osseous; osseous; bone; TMJ; temporomandibular joint fibrous dysplasia; fibro-osseous; osseous; bone; TMJ; temporomandibular joint
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Oostenbroek-Bisschop, J.S.L.I.; Verweij, J.P.; van Merkesteyn, J.P.R. Custom Made Replacement of the Mandibular Condyle in a Case of Fibrous Dysplasia with Cystic Degeneration; A Case Report. Dent. J. 2016, 4, 42.

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Dent. J. EISSN 2304-6767 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
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