1/7. Oral lichen sclerosus et atrophicus. A case report.lichen sclerosus et atrophicus affecting only the oral mucosa is extremely rare. We report here a case of oral lichen sclerosus et atrophicus presenting as a white, flat lesion involving the right buccal and labial mucosa and vermillion border. The diagnosis was based on histopathologic features. Treatment with intralesional corticosteroid was successful in reducing the size of the lesion and the symptoms of the patient. A free gingival graft was also performed to restore the lost attached gingiva. No recurrence of the lesion was found after a 1-year follow-up period, and no skin or genital lesions developed during the 3 years of treatment.- - - - - - - - - - ranking = 1keywords = gingiva (Clic here for more details about this article) |
2/7. Oral lesions in patients with psoriasis: clinical presentation and management.psoriasis is a chronic inflammatory skin disease that rarely involves the oral cavity. In this report we describe 2 cases, initially diagnosed with cutaneous psoriasis, that present with oral lesions on the attached gingiva. The clinical appearance and differential diagnosis are presented and discussed. Case 1 describes the non-surgical management of intraoral psoriasiform lesions and the use of a free gingival graft to restore an area of gingival recession resulting from an oral lesion. The second case outlines the use of topical corticosteroid therapy as an adjunct to non-surgical periodontal therapy. Although patients with cutaneous psoriasis rarely present with oral involvement, the clinician should be aware that oral lesions may occur. Accurate diagnosis is dependent on a thorough clinical examination, a biopsy of the oral lesions, and a history of cutaneous psoriasis.- - - - - - - - - - ranking = 1.5keywords = gingiva (Clic here for more details about this article) |
3/7. Foreign body gingivitis associated with a new crown: EDX analysis and review of the literature.Gingival inflammation associated with foreign bodies in connective tissue is termed Foreign Body gingivitis (FBG). It is not commonly recognized by clinicians and has recently been described fully in the literature. It is more common in females, and the incidence by age follows a normal distribution, unlike bacterially-induced gingivitis. Most frequently, a red or red-and-white painful, chronic lesion, it has usually been present for less than one year and does not resolve with optimization of oral hygiene. It may be clinically confused with lichen planus. There is no gingival site predilection. Microscopically, foreign bodies are associated with the gingival inflammation, and elemental analysis suggests that they are usually derived from abrasives, and less commonly from restorative materials. Treatment of FBG is still unclear and its prevention is discussed. A case is presented in which a patient developed localized foreign body gingivitis after placement of a crown. Elemental analysis using energy dispersive X-ray microanalysis (EDX) of the foreign particles was most consistent with an abrasive material.- - - - - - - - - - ranking = 1keywords = gingiva (Clic here for more details about this article) |
4/7. Gingival erosive lichen planus: case report.A case of gingival erosive lichen planus is presented with special emphasis on its clinical and microscopic characteristics. The differential diagnosis and the controversy associated with the malignant potential of oral lichen planus is also discussed.- - - - - - - - - - ranking = 0.5keywords = gingiva (Clic here for more details about this article) |
5/7. An unusual oral chronic graft-versus-host disease-like syndrome following a liver transplant.BACKGROUND: Giving the immunosuppressive drug tacrolimus (FK506) to liver transplant patients has helped to considerably reduce oral side effects such as gingival hyperplasia. patients taking cyclosporin who suffer from gingival hyperplasia are often switched to tacrolimus. methods: We present here a pediatric liver transplantation case study. The patient has been followed for 5.5 years. She developed oral lesions that resulted in the immunosuppressive therapy being changed from tacrolimus to cyclosporin. In clinical terms, the atypical pathology consisted of hyperpigmented patches on the gingival margin, the internal surfaces of the cheeks, and the intraoral surfaces of the lips. When located on the lips, the hyperpigmented patches were associated with pruriginous and edematous lesions. RESULTS: Optical and electronic microscopic examinations of a gingival tissue sample revealed the presence of melanin incontinence and lichenoid lesions with degenerated keratinocytes and a mild infiltrate of lymphocytes. This points to a chronic graft-versus-host disease (cGvHD)-like syndrome linked to tacrolimus. This diagnosis was given further credence by improvement in the lesions following the switch to cyclosporin. CONCLUSION: To our knowledge, this is the first reported case of tacrolimus-associated chronic GvHD-like syndrome occurring in the oral mucosa.- - - - - - - - - - ranking = 2keywords = gingiva (Clic here for more details about this article) |
6/7. lichen planus and the vulvovaginal-gingival syndrome.lichen planus is a dermatologic disease that affects both skin and mucosa. Here we report five cases of lichen planus that presented as the oral component of the vulvovaginal-gingival syndrome. Four of the cases were associated with biopsy-proven oral lichen planus, and all five patients had oral lesions that clinically resembled lichen planus. Three patients were taking medications that are associated with lichenoid drug reactions; four patients were postmenopausal; and all five patients had desquamative vulvovaginitis. Clinicians may see these patients when they show persistent signs and symptoms of oral lichen planus. We report five case histories and review the 127 cases found in the literature to make the practicing clinician aware of this unusual clinical entity. The hepatitis c virus association and drug-induced lichenoid mucositis are topics that are addressed. In addition, clarification of the issues surrounding the premalignant potential of oral lichen planus is provided with evidence, rationale, and data from the literature to support the position that true oral lichen planus has no inherent predisposition to become malignant.- - - - - - - - - - ranking = 2.5keywords = gingiva (Clic here for more details about this article) |
7/7. Oral lichen planus and dental implants. Report of 3 cases.Oral lichen planus (OLP) is generally considered to be a contraindication for the placement of dental implants. This report describes 3 female patients in whom implants were installed, either before OLP developed or thereafter. OLP in all 3 patients was asymptomatic and mostly of the atrophic or mixed atrophic and reticular type. The implants were in place between 15 years and 3 months. bone resorption around the implants in all 3 patients was on average 3-4 mm. All implants were functioning well. patients with OLP of the asymptomatic type involving the gingiva may be treated with dental implants, however, strict follow-up is recommended.- - - - - - - - - - ranking = 0.5keywords = gingiva (Clic here for more details about this article) |