Extraoral Examination Research Articles

The Prevalence and Correlation of Bruxism with Stress and Aggression

Aim and Objectives: This study aims to investigate the relationship between bruxism, stress, and aggression in forensic settings and its psychosocial impact on people’s psychological health. It also seeks to examine the potential benefits of raising awareness about bruxism for a more thorough forensic evaluation and its relationship with gender, age, occupational stress, and high-performance sports. Background: Bruxism is a dental condition that often goes unnoticed. It can cause tooth fractures, joint issues, and tooth sensitivity. Bruxism is linked to personality traits like aggression, emotional suppression, and stress. Stress sensitivity can lead to forceful muscle contractions, affecting one’s quality of life and ability to keep up with responsibilities. Materials and Method: A study was conducted in three phases at Parul University. First, 150 individuals were screened based on psychological status and bruxism history. Second, 60 out of 150 participants underwent an extraoral examination, and finally, an intraoral examination was conducted. The study used a Google form for screening, a modified Likert scale questionnaire to measure stress, and a staging chart by Li and Ji to analyze molars. Result and Conclusion: This study collected quantitative data and analyzed it using descriptive statistical methods and Spearman correlation. The aim was to investigate the relationship between attrition levels and stress-related factors such as aggression, bruxism, age, and gender. The results showed a complex interplay among stress, aggression, and bruxism, but no strong correlation. Age was found to be significantly correlated with attrition, while gender had no significant relationship with high-performance sports.

Radiographic imagery of aggressive plexiform-type ameloblastoma in the mandible: a case report

Objectives: This case report aims to describe the radiographic characteristics of plexiform ameloblastoma and its impact on surrounding tissues in a middle-aged female patient using panoramic radiography and CBCT, along with case management. Case Report: A 43-year-old female patient presented to the Dental Radiology Unit of RSGMP UNHAS with a panoramic referral letter, diagnosed clinically with anterior mandibular ameloblastoma. Extraoral examination revealed an asymmetrical facial appearance with anterior mandibular enlargement. Intraoral examination showed mucus membrane enlargement in the anterior mandible region (teeth 37-45), soft consistency, absence of crepitus, no palpation tenderness, and mobility in several anterior mandibular teeth. The first panoramic radiograph (March 16, 2022) exhibited a unilocular radiolucent lesion, well-defined, with scalloped margins in the anteroposterior mandibular region. The second panoramic examination (May 23, 2022) indicated a more aggressive lesion expansion, with evidence of root resorption and destruction of the inferior mandibular cortex approaching the mandibular angle. CBCT findings demonstrated a hypodense/radiolucent lesion extending anteroposteriorly, superiorly, and inferiorly, leading to displacement, root resorption, and destruction of the inferior mandibular cortex in the inferior direction. Conclusion: Based on the characteristics and structure of the lesion observed through various radiographic examinations, a unilocular ameloblastoma was suspected. Histopathological examination confirmed the plexiform-type ameloblastoma.

Diagnosing an Acute Leukemia From a Necrotizing Ulcerative Gingivitis in The Oral Cavity: a Case Report

Background: Necrotizing ulcerative gingivitis (NUG) is an acute onset of gingival disease, that presents as an acute, painful, and destructive ulceration and inflammation of gingival tissue. This condition is one of the oral manifestations of leukemia in addition to gingival enlargement and spontaneous bleeding, oral ulceration, petechiae, hematoma, and pale mucosa. Case Report: We reported A 50-year-old woman presented with gum swelling, pain, and easy bleeding in the lower jaw gums. The patient often experiences fatigue, spontaneous bruising, dry skin, and hair loss. Extraoral examination revealed bruises on the hand. Intraoral examination revealed swelling, erythematous and ulcerative lesion, tartar, bleeding on probing in the lingual gingiva of lower central incisor teeth, mucosa pallor, and minor petechiae were observed at the buccal mucosa region 47-48. The provisional diagnosis was NUG with suspicion of systemic disorder. Result: A complete blood count was performed which showed anemia, leukopenia, neutropenia, lymphocytosis, and thrombocytopenia. We diagnosed NUG in acute leukemia patients. Conclusion: This case demonstrates the detection of leukemia and its oral manifestations in acute leukemia patient. The patient was referred to the hematologist oncology.

IDENTIFICATION AND TREATMENT OF ERYTHEMA MULTIFORME INDUCED BY ALLOPURINOL

Introduction: Allopurinol is a xanthine oxidase inhibitor and has become established as the drug of choice for preventing and treating chronic gout. Erythema multiforme (EM) is an immune-mediated reaction that involves the skin and sometimes the mucosa. Many cases of EM are caused by drugs, one of which is allopurinol. The purpose of the case study is to explain the identification of allopurinol as a predisposing factor for EM and how it is treated. Case. A 56-year-old woman came with complaints of scabs on her lips for 1 week ago, and had been treated with corticosteroid ointment for 3 days. Extraoral examination showed hemorrhagic crusts on the upper and lower lips with erosive surrounded by erythematous margins. On the extremity found a target lesion on the right hand. Based on the examination, the patient was diagnosed with Erythema Multiforme with a differential diagnosis of herpes labialis and herpes associated erythema multiforme. Case Management. The therapy in this case was giving antihistamines for 1 week, NaCl 0.9% compresses on the lips for 30 minutes 3 times a day, after 2 weeks of treatment added with the application of 1% hydrocortisone cream as an anti-inflammatory and petroleum jelly on the lips as a moisturizer. Conclusion. Identification of the etiology of this EM case was carried out through anamnesis and history of drugs consumed as well as administration of topical corticosteroids as anti-inflammatories and oral antihistamines to reduce allergic reactions.

MINIMAL INVASIVE FOR MAXIMAL RECOVERY IN DENTAL TRAUMA : A CASE REPORT

Introduction: Dentoalveolar fractures can be treated in a simple non-surgical procedure by repositioning the fractured fragments and immobilizing them. One of the factors affecting the success of dentoalveolar fracture treatment is the choice of material and immobilization technique. Case: A 16-year-old girl came to the Emergency Department with complaints of bleeding from the mouth due to a traffic accident 5 hours ago. Her lip hit the handlebar of a motorcycle. There was no history of fainting, vomiting, and bleeding from the ears and nose. Extraoral examination revealed an asymmetrical face. Edema and laceration on the upper lip. Intraoral examination revealed gingival laceration of teeth 12-22 and avulsion of teeth 12,22. Panoramic x-ray revealed supra position of teeth 11, 21 and avulsion of teeth 12, 22. Case Management: Wound debridement, indirect root canal treatment of teeth 12, 22, repositioning of teeth 12-22, fixation with wire and composite splinting, selective grinding, antibiotics, and analgesics were performed. Post-operative instructions included maintaining oral hygiene, a soft diet, and a return for splinting control. Discussion: The goal of dentoalveolar trauma treatment is to restore the normal function and shape of the masticatory organs. The treatment in this case uses flexible splinting because it has ability to resemble the physiological mobility condition of the teeth which can help the healing of the periodontal ligament. The treatment results showed soft and hard tissue healing after one month of treatment. Conclusion: Successful treatment of dentoalveolar fractures will be achieved if performed promptly and if accurate immobilization and accurate tools are used. Simple tools and techniques make flexible splinting a good treatment for simple dentoalveolar fractures.

Traumatic Ulcer Associated with Iatrogenic Trauma After Basal Cell Adenoma Surgery

Traumatic ulcer is an oral cavity lesion characterized by loss of epithelial lining, reaching the lamina propria. This condition presents a single lesion with irregular borders, surrounded by diffuse erythema, and covered with pseudo-membrane. In specific case, the traumatic ulcer was caused by iatrogenic trauma after basal cell adenoma surgery. This case report aimed to discuss the causes of traumatic ulcer. A 39-year-old female was referred to the Oral Medicine Clinic from the Ear, Nose, and Throat Department, complaining of pain in the oral mucosa after basal cell adenoma surgery. On extraoral examination, the facial symmetry was intact along with dry and exfoliative lips. A solitary, oval, yellowish-white intraoral ulcer covered with pseudomembrane, irregular borders surrounded by diffuse erythema on the palate, left buccal mucosa and upper labial mucosa was present. The patient was diagnosed with traumatic ulcer due to iatrogenic trauma after surgery for basal cell adenoma located within the parotid gland that extended to the left palate. The treatment administered comprised instructions to clean the oral cavity using gauze and a cotton stick soaked in 0.2% chlorhexidine gluconate. Additionally, compressing the affected areas with gauze soaked in 0.9% NaCl and applying a thin coating of Vaseline album on the lips were part of the therapeutic measures. Given the iatrogenic nature of traumatic cancer, comprehensive therapy was considered essential to prevent secondary infection and address issues related to speech, appearance, and masticatory functions.

EFFICACY OF CHLORINE DIOXIDE ON ORAL LESIONS IN ACUTE MYELOBLASTIC LEUKEMIA PATIENTS UNDERGOING CHEMOTHERAPY

Objective: The aim of this study was to describe the pharmacological management of oral lesions, particularly using chlorine dioxide agents in an acute myeloblastic leukemia (AML) patient undergoing chemotherapy.
 Methods: A 9 y old girl was referred from the Department of Paediatrics at Hasan Sadikin Hospital to the Department of Oral Medicine with complaints of swelling on the lips, difficulty while eating, swallowing, and even opening the mouth. Extra oral examination showed angioedema on the lips with a prominent serosanguinolent crust. Intraoral examination revealed white plaques that could not be scrapped off in all parts of the mouth. The patient was diagnosed with AML and had received chemotherapy until the second cycle.
 Results: Gauze soaked in chlorine dioxide oral rinse was applied to compress the patient's lips. Following this, 0.2% hyaluronic acid gel was also administered. In terms of intraoral treatment, chlorine dioxide was also applied by spraying it throughout the entire mouth. After one month, the lesion had completely healed, allowing the patient to open their mouth without any issues.
 Conclusion: Chlorine dioxide significantly improves the oral mucosal lesions in an AML patient undergoing chemotherapy.

ANTIOXIDANT EFFECT OF MOUTHWASH CONTAINING ZINC, ALOE VERA, AND STABILIZED CHLORINE DIOXIDE FOR ORAL MANIFESTATION OF ACUTE MYELOBLASTIC LEUKEMIA (AML)

Objective: This paper aims to report a study regarding the successful treatment using zinc, Aloe vera, and stabilized chlorine dioxide as an antioxidant mouthwash in a patient with AML.
 Methods: A series of clinical examinations, including subjective and objective examinations, were done to establish the diagnosis.
 Results: A 9 y old boy, who was already diagnosed with AML, referred to the oral medicine division because of the hemorrhagic crust of his lips. The extra-oral examination showed severe hemorrhagic crust and erosions on the upper and lower lips. The intra-oral examination could not be evaluated in detail, but the active bleeding was seen. A hematology investigation showed pancytopenia. Patients received packed red cell (PRC) and thrombocyte concentrate (TC) blood transfusions, as well as an antioxidant mouthwash containing zinc, Aloe vera, and stabilized chlorine dioxide, for compressing the lips every 1-2 h with a duration of 30 min. Significant improvement in lip lesions was gained in a short time after blood transfusions and regular use of the mouthwash compresses.
 Conclusion: In this study, the mouthwash containing zinc, Aloe vera, and stabilized chlorine dioxide that can accelerate the healing process in our AML patient was estimated due to its antioxidant effects.

THE USE OF TRANEXAMIC ACID MOUTHWASH IN THE GINGIVAL BLEEDING MANAGEMENT IN APLASTIC ANEMIA PATIENT

Objective: The aim of this study was to describe the role of tranexamic acid mouthwash in the management of gingival bleeding in aplastic anemia patients.
 Methods: Complete subjective, objective, and supporting examinations were carried out to confirm the diagnosis. Treatments were given in collaboration between the departments of internal and oral medicine. Anamnesis and history taking were done, and it was revealed that a 21-year-old male patient came with the chief complaint of active anterior mandible gum bleeding, starting two weeks ago and accompanied by fever. Extra-oral examination revealed a hematoma on the lip. Intra-oral examination found spontaneous bleeding from the anterior mandible gingiva and hematomas on the labial mucosa and lateral of the tongue. Laboratory examination results showed hemoglobin, hematocrit, erythrocytes, leukocytes, and platelets below the normal range, and the bone marrow morphology examination confirmed the diagnosis of aplastic anemia.
 Results: Treatment included a blood transfusion of 39 flasks for 14 d for the systemic condition. Tranexamic acid and chlorine dioxide mouthwash were given for intra-oral problems, and petroleum jelly to treat lip lesions. Gingival bleeding and hematomas resolved within 8 d.
 Conclusion: Tranexamic acid mouthwash, along with manual scaling of calculus, which is a predisposing factor for gingival bleeding, as well as blood transfusion, have an important role in the successful comprehensive management of gingival bleeding due to pancytopenia in patients with aplastic anemia.

Addressing Challenges in Diagnosis, Differential Diagnosis, and Treatment of Pemphigus: A Case Series.

Pemphigus is a rare autoimmune disease characterized by skin blisters and erosions, with or without mucosal involvement. The clinical presentation of pemphigus can resemble other bullous diseases, leading to challenges in diagnosis. This report aims to address the challenges in diagnosing and treating oral pemphigus. Three patients, ranging in age from 26 to 55 years, complained of a sore throat and mouth canker sores. Extra-oral examination revealed dry lips in case 1, while serosanguinolenta crust on the lip that bled easily was found in case 2. Intra-oral examinations in all cases showed multiple painful, sloughing-covered, erosive lesions on the entire oral mucosa. The histopathological examination of case 1 revealed pemphigus foliaceous, whereas cases 2 and 3 showed pemphigus vulgaris. Secondary syphilis-like pemphigus was given as a differential diagnosis in case 2 due to the histopathological changes not being specific. The patients were instructed to maintain oral hygiene and treated with corticosteroid, analgesic, antifungal, and anti-inflammation mouthwash, as well as vitamins and minerals. All cases showed improvement in oral lesions within 14 days to a month. In conclusion, pemphigus may mimic other bullous diseases, making diagnosis challenging. A comprehensive clinical and laboratory assessment is necessary to provide accurate diagnosis and treatment.

Analisis Laju Dosis Paparan Pada Penggunaan Mobile Shielding di Ruang Panoramik RSUD Koja

Panoramic is an extra oral examination that can produce an image of the entire mouth in a single exposure to speed up the examination. However, a panoramic examination takes several seconds until the collimator finishes surrounding the object. Therefore, knowing how to properly use self-protective devices and monitor radiation exposure is necessary to optimize radiation safety control. This study aims to analyze the feasibility of using mobile shielding as self-protection during exposure to a panoramic examination. This study was conducted at Koja Hospital in February - June 2023 using an analytical, quantitative method to measure the exposure dose rate in the panoramic room of Koja Hospital. Measurements are made using a calibrated survey meter measuring instrument. The result of measuring the initial exposure at a distance of 100 m is 84.19 µSv. Data analysis shows that the exposure received by radiation workers is far from the established dose limit value, so mobile shielding used as a self-protective device in the panoramic room of Koja Hospital is still worth using with high-efficiency values of 99.16% and wood+Pb at 99.14%. Although the rate of exposure dose received is still far from the dose limit value, workers should be careful when using radiation to minimize health risks. Keywords: radiation shielding, mobile shielding dose rate, effectiveness

Descriptive Study of Oral Health in an Indigenous Child Population of Baka Pygmies in Cameroon.

Indigenous populations around the world experience a disproportionate burden of oral diseases and health conditions. These inequalities are likely due to a complex web of socioeconomic, cultural, and health determinants. The Baka pygmies of southern Cameroon find themselves in this context of an indigenous population with health inequities. The purpose of this study was to describe the oral health status, diet, hygiene habits, and access to health services of the Baka pygmy children, from which different care needs will emerge in order to develop health strategies. A descriptive cross-sectional study was conducted in 22 Baka pygmy camps randomly selected. The study population consisted of children aged 5-6 years and 11-12 years chosen by a consecutive sampling technique. The examination was performed using a data sheet based on World Health Organization (WHO) criteria and recommendations which consisted of an oral health questionnaire for children and an oral health assessment form for children. A total of 120 children participated in the study. Extraoral examination of the study population revealed the presence of noma (1%) in the age range of 5-6 years. A total of 2713 teeth were examined, and the DMFT/dft index of the sample was 0.71 with a predominant caries component. The periodontal status showed 87% bleeding on probing. Seven percent of the sample presented a need for immediate urgent treatment due to pain and/or infection. Eighty-seven percent of the sample reported never having been examined by a dentist. The examination and oral care they received was only from nongovernmental organizations (NGOs). The conclusion of this descriptive study is that the precarious oral health situation of pygmy children combined with the absence of care services in general for the Baka pygmies generate a situation of great vulnerability.

Oral Manifestation of Viral-Induced Erythema Multiforme Major: A Rare Presentation.

Erythema multiforme is an acute inflammatory mucocutaneous disease manifested as macules, vesicles, bullae, erosion, and papular lesions. In the present case, a 55-year-old female patient reported painful growth in the oral cavity and difficulty in mastication. The patient gave a history of prodromal symptoms before the onset of lesions On intra-oral examination, elevated plaque-like lesions were present bilaterally on lateral borders of the tongue and buccal mucosa near the retromolar region. Extraoral examination revealed concentric erythematous target (or) bull's eye lesions in palms, forearm, and foot. Based on history, clinical examination, and laboratory investigations, recurrent herpes-associated erythema multiforme was diagnosed. We report a rare clinical presentation of recurrent herpes-associated erythema multiforme manifesting as an extensive plaque-like lesion intra-orally.

An unusual radiological manifestation of a mandibular central giant cell granuloma

Central giant cell granuloma (CGCG) is an uncommon benign osseous lesion of the jaw. We present the case of an aggressive CGCG in a 16-year-old boy with a 5-month history of facial swelling and nasal obstruction. He was referred for a radiology consult for multiple expanding swellings on the right hemi-face. The swellings were reported to have an insidious onset, slow progression and no association with paresthesia, nasal discharge, or systemic symptoms. Extra oral examination revealed a diffuse swelling on the right side of the face which obliterated the nasolabial fold causing facial asymmetry. A face and neck computed tomography (CT) showed expansile multi loculated lytic lesions of the right mandibular ramus which involved the condyle and hard palate. Similar lesions were also found in the skull base. Scans showed fine internal septations and internal ground glass haze. It also revealed involvement of several teeth roots and surrounding soft tissues. A pre-operative intra-oral biopsy of the lesion revealed multinucleated giant cells, comprising of both spindle-shaped and round cells. Differential diagnosis helped determine the lesions as CGCG. This case helps to demonstrate the wide variation in the clinical, radiological, and histopathological features of CGCG and the importance of thorough investigation for timely diagnosis.

Management of impacted mandibular second premolars

An impacted tooth is a tooth that fails to erupt completely and is embedded in the alveolar bone due to a physical barrier in the form of bone and adjacent teeth. Mandibular second premolars rank third in frequency of tooth impaction. This article describes the management of impaction treatment of mandibular second premolars by surgical procedures. An 18-year-old male came to RSGMP Unhas with complaints of incomplete eruption of the right back tooth RB. History of pain about 5 months before and no complaints of swelling. There was no history of drug/food allergy and history of systemic disease was denied. Extra oral exa-mination, there was no abnormality with normal mouth opening. Intra oral examination, found partial eruption of tooth 45, palpation pain (-), hyperemia (-), calculus (+) and moderate OH. The treatment performed was odontectomy of tooth 45 under local anaesthesia. It was concluded that odontectomy was performed by creating a flap and reducing some of the bone surround-ing the tooth. The position of the impacted second premolar adjacent to the foramen mentale and the roots of neighbouring teeth is one of the factors that must be considered in performing surgery.

Management of herpes zoster on orofacial in elderly patient

Herpes zoster is a disorder caused by the varicella zoster virus with the characteristics of multiple, painful and unilateral lesi-ons. This case report aims to describe the management of herpes zoster in preventing postherpetic complications in the elderly. A 64-year-old man complained of blisters on his left face and canker sores on the palate and inner cheek for 1 week ago. Two days earlier accompanied by fever 390C. Extraoral examination revealed a hemorrhagic serous crust on the left face, intraoral examination showed multiple ulcers with erosive lesions on the palate, left buccal mucosa and gingiva. The extraoral and in-traoral lesions are unilateral. The working diagnosis of this case was herpes zoster et left orofacial region. The therapy was gi-ven valacyclovir tablets 800mg 5 times/day, NaCl 0.9% compress on the face, and vitamin B complex with zinc. Improve-ment occurred after 1 week of treatment. Appropriate management of herpes zoster in elderly patient can prevent complica-tions of post herpetic neuralgia that most often occur in the elderly.

Diagnosis of Epidermoid Carcinoma of the Tongue after Treatment of Epidermoid Carcinoma of the Esophagus

Abstract In the present case report, a patient with esophageal squamous cell carcinoma (SCC) developed a second primary tumor in the tongue at the same time. Stage III middle esophageal SCC was discovered in a 60-year-old Caucasian male patient who was institutionalized, a smoker, and had previously struggled with alcoholism. Following treatment, the patient was admitted to the hospital for 15 days due to dysphagia and malnutrition. According to him, he had mouth pain while in the hospital. An intraoral examination revealed tooth mobility, bacterial plaque, dental calculus, and a 1.3-cm ulcerated lesion on the right lateral edge of the tongue. During the extraoral examination, no palpable lymph nodes were found in the submandibular or cervical regions. The tongue lesion was excisionally biopsied, and the histological evaluation agreed. The patient was advised to seek treatment for tongue SCC. Given that patients with esophageal SCC have a 9.3%–11.4% risk of developing head-and-neck SCC, multiprofessional follow-up of patients with esophageal SCC is critical for early detection of this cancer.

Application of a fan type screw to improve the aesthetics of the dentition in the anterior maxilla – a case report

Narrowing of the upper dental arch is one of the most common problems encountered by orthodontists in their practice. This abnormality often affects only the anterior part of the maxilla, while the lateral regions maintain the proper width. The reduced width of the dental arch results in insufficient space for the correct alignment of all teeth, leading to crowding and rotation, which significantly deteriorates the aesthetics of the smile. This paper presents a case of a patient who was found to have hypertonicity of the mental muscle during the extraoral examination, and intraoral examination revealed narrowing of the upper dental arch in the anterior segment and crowding of the upper incisors with a deficit of space for the canines. After the orthodontic diagnostic process was performed, a fan‑type expander was used as the initial treatment. With one daily activation, the desired effect of increasing the anterior maxilla width was achieved after 18 days, and a satisfactory correction of the smile was achieved after 18 months.

The Role of Supraerupted and Distoverted Maxillary Third Molars in the Treatment of Temporomandibular Disorder: A Randomised Controlled Trial.

Objective Temporomandibular disorder (TMD) is a multifactorial disease that is classified into muscular and joint disorders. The etiology of TMD is unknown but it is related to various factors such as bruxism, uncorrected high dental restorations, and occlusal prematurities. This study aims to provide treatment modalities for TMD patients with supraerupted and/or distoverted maxillary third molars that have premature contact with the opposing arch. Methods A total of 430 subjects diagnosed with TMD were included in the study and randomized into study and control groups based on their treatment needs. A detailed case history was taken, and findings of intra and extra oral examination were recorded along with other investigations such as study model analysis, orthopantomogram (OPG), cone-beam computed tomography (CBCT), and MRI. The multiphase treatment included counseling in phase I, extraction in phase II (only for the study group), and oral appliance in the third phase. The final phase involved the restoration of edentulous areas or reduced vertical dimension. Results Extraction of supraerupted and/or distoverted maxillary third molars in the study group during phase II showed a 96% reduction in TMD when compared to the control group who did not undergo extraction. Conclusion TMD is a repetitive motion disorder, and the success of treatment relies on the elimination of causative factors, the type of appliance used, and the establishment of ideal occlusion. This study suggests that the extraction of supraerupted and/or distoverted maxillary third molars is a prerequisite for treating TMD patients.

DIAGNOSIS OF GORLIN-GOLTZ SYNDROME: CLINCIAL CASE REPORT

The diagnosis of Gorlin-Goltz syndrome involves clinical, radiographic, and histopathological aspects. Computed tomography contributes to the evaluation of the characteristics, to the extension of cystic lesions, and to the diagnosis of signs, such as calcifications in the falx cerebri. A 22-year-old male presented a complaint of halitosis. Upon extraoral examination, a slight increase in volume in the lower third of the right face, suggestive of a cystic lesion in the soft tissue, and a scar on the skin of the nasolabial region, were noted. Tomographic imaging revealed hypodense lesions involving impacted teeth, two in the maxilla (with extension to the maxillary sinuses) and two in the mandible. The intraosseous lesions underwent biopsy, and the histopathological findings were consistent with keratocysts. Intracranial calcifications were also detected. Additionally, an anatomical alteration of the incisive foramen and nasal cavity was identified. Basal cell carcinomas were not observed. The patient is undergoing follow-up. The diagnosis of Gorlin-Goltz syndrome involves clinical, radiographic, and histopathological aspects. Computed tomography contributes to the evaluation of the characteristics, to the extension of cystic lesions, and to the diagnosis of signs, such as calcifications in the falx cerebri. A 22-year-old male presented a complaint of halitosis. Upon extraoral examination, a slight increase in volume in the lower third of the right face, suggestive of a cystic lesion in the soft tissue, and a scar on the skin of the nasolabial region, were noted. Tomographic imaging revealed hypodense lesions involving impacted teeth, two in the maxilla (with extension to the maxillary sinuses) and two in the mandible. The intraosseous lesions underwent biopsy, and the histopathological findings were consistent with keratocysts. Intracranial calcifications were also detected. Additionally, an anatomical alteration of the incisive foramen and nasal cavity was identified. Basal cell carcinomas were not observed. The patient is undergoing follow-up.