Radiology Question of The Month
- What is this maxillary sclerotic lesion depicted by the red arrows?
- What is the differential diagnosis
Literature Article of The Month
A recent (2022) systemic review and meta-analysis evaluating implant failure in diabetic vs. nondiabetic patients concluded diabetic patients have a __________ higher risk than non-diabetic patients?
Al Ansari, Yasmin, Halime Shahwan, and Bruno Ramos Chrcanovic. “Diabetes mellitus and dental implants: a systematic review and meta-analysis.” Materials 15.9 (2022): 3227.
Pharmacology Update of The Month
As stated in the September 2022 newsletter, an alternative to a penicillin derivative antibiotic in a penicillin allergy patient (non-Type 1 hypersensitivity) is the use of a cephalosporin with a different R1 chain. For many years, Cefuroxime (Ceftin), which is a 2nd generationcephalosporin has been recommended. Another alternative, with even less cross-reactivity possibility, is Cefdinir (Omnicef). This 3rd generation cephalosporin is an extended-spectrum antibiotic with excellent sinus uptake and resistant to bacterial beta-lactamase production. Ceftonir (300 mg) is prescribed as 300mg bid or 600mg once/day. According to GOOD RX, Ceftonir is less expensive than Cefuroxime and Augmentin.
Answer – Radiology Question of The Month
- Craniofacial fibrous dysplasia involving the upper left maxilla, with the characteristic ground glass appearance.
- Differential diagnosis: Paget’s disease (FD is most commonly unilateral while Paget’s is usually bilateral, multiple skeletal bones will be affected) Ossifying fibroma (OF is characterized as ball-like expansion, and is usually surrounded by a radiolucent rim) Osteosarcoma (Osteosarcoma will be associated with other malignant symptoms and a periosteal reaction)