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Dentistry on Stamps
D I A G N O S I N G
O R AL
DISEASE
0.3%. T he use of panoram ic radiography may have increased the number of lingual cortical m andibular defects detected as the lesion may be situated in such a way that it would not be observed on routine intraoral radiographs; however, as Langlais and others2 poin t out, unless the lesion falls w ithin the limited focal trough of the p an o ram ic radiograph, it may n o t be evident. No treatment is required for the lingual cortical m andibular defect as it is now generally believed to be developmental in n ature. A biopsy is seldom indicated because of the characteristic radiographic p resentatio n , but sialography may be helpful in establishing a diagnosis. A rare com plication of this lesion is a salivary glan d n eo p lasm 6,9 in the area of the m andibular lingual cortical defect, and again, sialography may be useful before biopsy. Seemingly the greatest question about this lesion is a specific name. A multitude of terms have been proposed such as Stafne bone cyst, cavity, or defect among those m entioned. But like Correll and asso ciates,7 the authors prefer the descriptive term of lingual cortical m andibular defect.
Summary
T he lingual cortical m andibular defect is easily diagnosed radiographically. The key features include; a well-defined radiolucent area, location below the mandibular canal, and placement anterior to the angle of the m andible. R outine surgical ex ploration is not indicated, but sialography or radiographic follow-up may be useful.
--------------------J /O A ------------------T h e p u b lic a tio n of this series is c oordinated by the W estern D en tal E ducation C enter, West Los Angeles VA M edical C enter, Los A ngeles, R alp h W. C orrell, DDS, director, a n d is su pported by the V eterans A d m in is tra tio n an d the A m erican D ental A ssociation. T h e o p in io n s an d assertions herein are those of the a u th o rs a n d are n o t to be construed as official or necessarily rep resenting the views of the V eterans A d m in istratio n .
Dr. C raig is chief, dental service, A udie L. M urphy M em orial V eterans’ H o sp ital, San A ntonio, T X , and c lin ic a l a sso c iate professor, d e p a rtm e n t of d e n ta l d ia g n o stic science, U niversity of T exas D ental School a t San A n to n io . Dr. R hyne is staff dentist, A udie L. M u rphy M em orial V eterans’ H osp ital an d clinical
in stru c to r, d e p artm e n t of dental d iagnostic science, I U niversity of T exas D ental School a t San A ntonio. \ A ddress requests for re p rin ts to Dr. C raig, D ental Service (160), A udie L. M urphy M em orial V eterans’ H H o sp ital, 7400 M erton M inter Blvd, San A ntonio, 78284.
1. Stafne, E.C. Bone cavities situated near the angle of the m andible. JADA 29(11): 1969-1972, 1942. 2. L an g lais, R .P .; C ottone, J.; an d Kasle, M .J. A n te r io r a n d p o s te r io r lin g u a l d e p re s s io n s o f th e m andible. J O ral S u rg 34(6):502-509, 1976. 3. Boerger, W .G.; W aite, D.E.; an d C arroll, G.W . Id io p a th ic bone cavities of the m andible: a review of the lite ra tu re a n d re p o rt of case. J O ral S urg 30(7):506-509, 1972. ^ 4. H arvey, W., a n d Noble, H .W . Defects o n the lin g u a l surface of the m andible near the angle. Br J O ral S urg 6(11):75-83, 1968. 5. M ack, L.M ., a n d W oodw ard, H .W . Static bony defect o f the m andible. J O ral Surg 27(4):262-265,1969. 6. Shafer, W .G .; H ine, M.K.; a n d Levy, B. A textbook of oral pathology. P h ilad elp h ia, W. B. Saunders Co, 1983, p p 35-37. M 7. C orrell, R.W .; Jensen, J.L .; and R hyne, R.R. L in g u a l c o rtic a l m a n d ib u la r defects. O ral S u rg 50(3):287-291, 1980. 8 . O i k a r i n e n , V . J . , a n d J u l k u , M. A n o r t h o p a n t o m o g r a p h i c s t u d y o f d e v e lo p m e n ta l m a n d ib u la r bone defects (S tafne’s id io p a th ic bone cavities). In t J O ral S urg 3:71-76, 1974. 9. S im p s o n , W . A S ta fn e ’s m a n d ib u la r d efect ^ c o n ta in in g a p le m o rp h ic adenom a: rep o rt of case. J O ra l S urg 23(9):553-556, 1965.
Dentistry on Stamps O f the People By the People For the People
18851985
*
100 “ Anilftrsarjr
O n Ju n e 14,1777, the Continental Congress adopted the Stats and Stripes as theflagof the future United States, and on June 14, 1916, President Woodrow Wilson issued a proclam ation calling for an annual nationwide observance of Flag Day. This proclam ation was the result of 30 years of cam paigning by Dr. Bernard J. Cigrand of Aurora, IL. Dr. Cigrand was born in Waubeka, WI, on Oct 1,1866. He was the youngest of six children of Nicolas and Susan Cigrand. His father was a blacksmith and wagonmaker who had come to the United States from Luxembourg. Dr. Cigrand was educated in Valparaiso, IN, and became a schoolteacher at Stony H ill, WI. It was in the little schoolhouse at Stony H ill that the future Dr. Cigrand held the first official observance of Flag Day on June 14,1885. A year later, however, Cigrand resigned his post to enroll at Northwestern University to study dentistry. He graduated in 1888 and served on the faculties of the dental schools of Northwestern University and the University of Illinois. At Northwestern University he became professor of dental theory and practice, and at the University of Illinois was dean from 1903 to 1906. D uring these years he also served as the president of the Chicago Public Library. He served as dental surgeon in the Spanish-American War in 1898 and as a lieutenant in the US Navy during World War I. For 30 years he campaigned for a Flag Day. He published several articles on American history, and the history of dentistry and medicine. Dr. Cigrand died in 1932. Flag Day is celebrated each year with the issuance of special commemorative cancellations to call attention to this im portant event in US history. Hannelore T. Loevy, CD, PhD Aletha Kowitz, MA
826 ■ JADA, Vol. 114, June 1987
>>
O R AL
DISEASE
0.3%. T he use of panoram ic radiography may have increased the number of lingual cortical m andibular defects detected as the lesion may be situated in such a way that it would not be observed on routine intraoral radiographs; however, as Langlais and others2 poin t out, unless the lesion falls w ithin the limited focal trough of the p an o ram ic radiograph, it may n o t be evident. No treatment is required for the lingual cortical m andibular defect as it is now generally believed to be developmental in n ature. A biopsy is seldom indicated because of the characteristic radiographic p resentatio n , but sialography may be helpful in establishing a diagnosis. A rare com plication of this lesion is a salivary glan d n eo p lasm 6,9 in the area of the m andibular lingual cortical defect, and again, sialography may be useful before biopsy. Seemingly the greatest question about this lesion is a specific name. A multitude of terms have been proposed such as Stafne bone cyst, cavity, or defect among those m entioned. But like Correll and asso ciates,7 the authors prefer the descriptive term of lingual cortical m andibular defect.
Summary
T he lingual cortical m andibular defect is easily diagnosed radiographically. The key features include; a well-defined radiolucent area, location below the mandibular canal, and placement anterior to the angle of the m andible. R outine surgical ex ploration is not indicated, but sialography or radiographic follow-up may be useful.
--------------------J /O A ------------------T h e p u b lic a tio n of this series is c oordinated by the W estern D en tal E ducation C enter, West Los Angeles VA M edical C enter, Los A ngeles, R alp h W. C orrell, DDS, director, a n d is su pported by the V eterans A d m in is tra tio n an d the A m erican D ental A ssociation. T h e o p in io n s an d assertions herein are those of the a u th o rs a n d are n o t to be construed as official or necessarily rep resenting the views of the V eterans A d m in istratio n .
Dr. C raig is chief, dental service, A udie L. M urphy M em orial V eterans’ H o sp ital, San A ntonio, T X , and c lin ic a l a sso c iate professor, d e p a rtm e n t of d e n ta l d ia g n o stic science, U niversity of T exas D ental School a t San A n to n io . Dr. R hyne is staff dentist, A udie L. M u rphy M em orial V eterans’ H osp ital an d clinical
in stru c to r, d e p artm e n t of dental d iagnostic science, I U niversity of T exas D ental School a t San A ntonio. \ A ddress requests for re p rin ts to Dr. C raig, D ental Service (160), A udie L. M urphy M em orial V eterans’ H H o sp ital, 7400 M erton M inter Blvd, San A ntonio, 78284.
1. Stafne, E.C. Bone cavities situated near the angle of the m andible. JADA 29(11): 1969-1972, 1942. 2. L an g lais, R .P .; C ottone, J.; an d Kasle, M .J. A n te r io r a n d p o s te r io r lin g u a l d e p re s s io n s o f th e m andible. J O ral S u rg 34(6):502-509, 1976. 3. Boerger, W .G.; W aite, D.E.; an d C arroll, G.W . Id io p a th ic bone cavities of the m andible: a review of the lite ra tu re a n d re p o rt of case. J O ral S urg 30(7):506-509, 1972. ^ 4. H arvey, W., a n d Noble, H .W . Defects o n the lin g u a l surface of the m andible near the angle. Br J O ral S urg 6(11):75-83, 1968. 5. M ack, L.M ., a n d W oodw ard, H .W . Static bony defect o f the m andible. J O ral Surg 27(4):262-265,1969. 6. Shafer, W .G .; H ine, M.K.; a n d Levy, B. A textbook of oral pathology. P h ilad elp h ia, W. B. Saunders Co, 1983, p p 35-37. M 7. C orrell, R.W .; Jensen, J.L .; and R hyne, R.R. L in g u a l c o rtic a l m a n d ib u la r defects. O ral S u rg 50(3):287-291, 1980. 8 . O i k a r i n e n , V . J . , a n d J u l k u , M. A n o r t h o p a n t o m o g r a p h i c s t u d y o f d e v e lo p m e n ta l m a n d ib u la r bone defects (S tafne’s id io p a th ic bone cavities). In t J O ral S urg 3:71-76, 1974. 9. S im p s o n , W . A S ta fn e ’s m a n d ib u la r d efect ^ c o n ta in in g a p le m o rp h ic adenom a: rep o rt of case. J O ra l S urg 23(9):553-556, 1965.
Dentistry on Stamps O f the People By the People For the People
18851985
*
100 “ Anilftrsarjr
O n Ju n e 14,1777, the Continental Congress adopted the Stats and Stripes as theflagof the future United States, and on June 14, 1916, President Woodrow Wilson issued a proclam ation calling for an annual nationwide observance of Flag Day. This proclam ation was the result of 30 years of cam paigning by Dr. Bernard J. Cigrand of Aurora, IL. Dr. Cigrand was born in Waubeka, WI, on Oct 1,1866. He was the youngest of six children of Nicolas and Susan Cigrand. His father was a blacksmith and wagonmaker who had come to the United States from Luxembourg. Dr. Cigrand was educated in Valparaiso, IN, and became a schoolteacher at Stony H ill, WI. It was in the little schoolhouse at Stony H ill that the future Dr. Cigrand held the first official observance of Flag Day on June 14,1885. A year later, however, Cigrand resigned his post to enroll at Northwestern University to study dentistry. He graduated in 1888 and served on the faculties of the dental schools of Northwestern University and the University of Illinois. At Northwestern University he became professor of dental theory and practice, and at the University of Illinois was dean from 1903 to 1906. D uring these years he also served as the president of the Chicago Public Library. He served as dental surgeon in the Spanish-American War in 1898 and as a lieutenant in the US Navy during World War I. For 30 years he campaigned for a Flag Day. He published several articles on American history, and the history of dentistry and medicine. Dr. Cigrand died in 1932. Flag Day is celebrated each year with the issuance of special commemorative cancellations to call attention to this im portant event in US history. Hannelore T. Loevy, CD, PhD Aletha Kowitz, MA
826 ■ JADA, Vol. 114, June 1987
>>