Benign Aggressive Lesions Diagnosis and Treatment, with Dr. Benjamin Hechler

Everyday Oral Surgery

Dr. Benjamin Hechler returns for another engaging episode of Everyday Oral Surgery, an accomplished OMS practitioner based in North Carolina. We're excited to welcome him back as we delve into today's topic, benign aggressive lesions. In our discussion today, Dr. Hechler speaks to what sets an aggressive lesion apart and the different categories of lesions, both official and unofficial. He proceeds to highlight crucial principles in managing aggressive lesions, such as the importance of obtaining a comprehensive patient history, essential imaging considerations, and the most important principle to remember when obtaining a biopsy. We also look at four key radiographic features to be aware and Dr. Hechlers takes us through an overview of Ameloblastoma; what it is, the treatment, and the management. Furthermore, he discusses vascular anomalies, how he differentiates treatment for venous malformations versus AVMs, and shares insights on different lesions including those seen in the TMJ and benign fibro-osseous lesions. Be sure not to miss out on this episode if you are interested in hearing more about how Dr. Hechler approaches the diagnosis, treatment, and management of benign aggressive lesions as an OMS.

Key Points From This Episode:

• An introduction to our guest and today’s topic of conversation: benign aggressive lesions.
• Dr. Hechler speaks to what sets an “aggressive” lesion apart.
• An instance, regarding a lesion, that should “prick your ears” according to Dr. Hechler.
• We discuss the different categories of lesions, both official and unofficial.
• His thoughts on the types of aggressive lesions OMS see more regularly.
• Principles of aggressive lesion management: a broad overview.
• Why taking a complete patient (or lesion) history is essential.
• The most important principle to remember when obtaining a biopsy.
• We discuss the process of biopsying vascular lesions: aspirate.
• A look at four key points of radiographic features to be aware of.
• Dr. Hechler talks about Ameloblastoma: what it is, the treatment, and the management.
• Ameloblastoma demographics and whether it's commonly associated with an impacted tooth.
• How he treats the venous malformation differently than the AVM.
• The various aggressive TMJ lesions seen in OMS.
• He highlights some of the benign fibro-osseous lesions we may see in practice.
• How he approaches (sometimes multiple) recurrences of lesions.
• He shares thoughts on the future of benign aggressive lesion treatments.

Links Mentioned in Today’s Episode:

Dr. Benjamin Hechler on LinkedIn — https://www.linkedin.com/in/ben-hechler/

Dr. Benjamin Heckler Email — [e-mail]

ISSVA classification of vascular malformations — https://www.issva.org/UserFiles/file/ISSVA-Classification-2018.pdf

AAOMS Annual Meeting — https://www.aaoms.org/meetings-exhibitions/annual-meeting/105th-annual-meeting

Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/

Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/

Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/

Dr. Grant Stucki Email — [e-mail]

Dr. Grant Stucki Phone — 720-441-6059