Article: Volume 11 Number 2 Page 74 - April 2018

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  Orth Update 2018; 11: 74-75

Orthodontics:  A Concealed Central Giant Cell Granuloma and Its Combined Orthodontic and Surgical Management

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Abstract: Central giant cell granulomas (CGCGs) can be aggressive lesions that lead to bony expansion, tooth displacement and root resorption. Often noticed by a patient when small to moderate in size, we present a case of large CGCG that was undetected in a 13-year-old due to ongoing fixed orthodontic treatment. Subsequently, her fixed appliance was vital in maintaining the rigid fixation of her teeth during surgical management and postoperative healing.

Clinical relevance: An orthodontist is in an ideal position to identify oral medical conditions, especially rapidly growing ones, due to their more regular contact with patients.

Author notes: Andrea N Beech, BDS(Hons), MJDF, Specialty Doctor (previous); Locum Consultant Oral Surgeon (present), Department of Oral and Maxillofacial Surgery and Orthodontics and Jeremy N Farrier, MB BCh, BDS, Consultant Oral and Maxillofacial Surgeon, Department of Oral and Maxillofacial Surgery and Orthodontics, Gloucestershire Royal Hospital, Gloucestershire Hospitals NHS Foundation Trust, Great Western Road, Gloucester, Gloucestershire GL1 3NN, UK.

Objective: To understand the importance of soft tissue examination at every orthodontic appointment. Also, to be aware of the main clinical features, most common anatomical position and the peak presentation of central giant cell granulomas (CGCGs) of the jaws and their management options. Enhanced CPD DO C

Kavo Kerr