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Detection and Removal of Tooth-Colored Composite Resin Using the Fluorescence-Aided Identification Technique

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Floating teeth appearance: A radiographic dilemma.

Nurhayu A Rahman¹, Masitah H Harun¹, Shaifulizan A Rahman²

¹Oral Medicine and Oral Pathology Unit, School of Dental Sciences, Universiti Sains Malaysia, Kubang Kerian Kelantan, Malaysia.

Journal of Taibah University Medical Sciences

|May 6, 2020

Summary

Gorham disease (GD), a rare bone disorder, caused massive osteolysis in a 61-year-old woman's mandible. Surgical removal and prosthodontic rehabilitation led to successful healing without recurrence.

Keywords:

Floating teeth Gorham disease Histopathology Mandible Osteolysis

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Area of Science:

Oral and Maxillofacial Surgery
Pathology
Radiology

Background:

Gorham disease (GD) is an exceptionally rare condition characterized by massive osteolysis.
The etiology and prognosis of GD remain largely unknown, with no established standard treatment.
This case focuses on GD affecting the anterior mandible.

Observation:

A 61-year-old woman presented with mandibular pain and tooth mobility.
Radiographic examination revealed "floating teeth," widened periodontal ligament space, and bone destruction.
Histopathology showed proliferation of dilated endothelial channels and fibrous connective tissue replacement of bone.

Findings:

The patient was diagnosed with Gorham disease of the anterior mandible.
A benign fibroosseous lesion appearance was noted on histopathology.
Management involved surgical excision of the affected segment followed by prosthodontic rehabilitation.

Implications:

This case highlights a successful conservative management approach for mandibular Gorham disease.
Simple surgical removal and prosthodontic rehabilitation can yield favorable outcomes.
The report contributes to understanding GD management in the maxillofacial region.