Cases reported "Lip Diseases"

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1/8. Anaesthesia of the right lower hemilip as a first manifestation of multiple myeloma. Presentation of a clinical case.

    multiple myeloma is a malignant proliferation of plasma cells. It may affect any of various bones, causing osteolytic lesions with a characteristic "punched out" radiographic appearance. The commonest symptom is bone pain. One of the most frequent locations is the mandible. Symptoms of multiple myeloma of the mandible include tumefaction, non-specific pain, tooth mobility and sometimes loss, and paraesthesia of the dental nerve. Here we report a case of multiple myeloma of the mandible which was unusual in that the presenting complaint was anaesthesia of the right lower hemilip.
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2/8. natal teeth in monozygotic twins with Van der Woude syndrome.

    The second monozygotic twin pair concordant for Van der Woude syndrome is reported. Clinical manifestations of this autosomal dominant clefting syndrome included bilateral lower lip pits, cleft lip, and cleft palate. Both sibs were found to have a natal tooth. No other cases of Van der Woude syndrome with this feature have been described previously. It is uncertain whether the presence of a natal tooth in this instance represents a low-frequency association of this disorder. However, it appears more likely that its occurrence was incidental, since natal teeth have been reported before in twin pairs as an isolated finding.
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3/8. Spontaneous eruption of an occult incisor fragment from the lip after eight months: report of a case.

    Large majorities of dental traumas are associated with soft-tissue injury and tooth fragments. They are often found embedded in the oral soft tissues, most commonly the lip. Early detection and complete removal of such fragments is critical in order to prevent infection and scarring. Adequate communication between medical and dental professionals involved is of considerable value in the management of such cases. This report presents a case of spontaneous extrusion of an occult incisor fragment from the lower lip, eight months after trauma.
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4/8. rhabdomyosarcoma of the mandible in a 6-year-old boy.

    INTRODUCTION: rhabdomyosarcoma is an aggressive malignant tumour composed of neoplastic mesenchymal cells that infiltrate surrounding tissue structures, making their precise site of origin unclear. Although rare, this is highly aggressive and the most common soft-tissue neoplasm of the head and neck in children. Regrettably by the time most cases are initially seen, the patients already have large tumours, due to rapid tumour growth and delayed medical consultation. CASE REPORT: This report describes a 6-year-old presenting with just such symptoms of facial swelling and pain but elicitation of further information and findings, including tooth mobility of 3 days duration, led to prompt referral and early treatment of an embryonal rhabdomyosarcoma. CONCLUSION: General dental practitioners are frequently presented with a child with a swollen face and pain. Experience would suggest a dental abscess to be the most likely cause with treatment as appropriate. However, all swellings in children, should be thoroughly investigated and reviewed as particularly in this age group, tumour growth is rapid while early diagnosis allows successful treatment with multimodality therapy.
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5/8. Bilateral lower lip mucoceles: cause of functional malocclusion in a three-year-old child.

    The case report of a three-year-old girl is presented, who had two nontender, bluish, fluctuant swellings diagnosed as superficial mucoceles present since the child was a few days old. The child had a unilateral crossbite with the mandibular midline shifted almost one tooth width to the left, a longstanding function adaptation producing malocclusion. The mucoceles were surgically removed, and the cross-bite disappeared.
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6/8. head and neck lesions commonly found in musicians.

    Common problems in playing musical instruments include soft tissue lesions, tooth mobility, malocclusion, TMD and endodontic pathoses. This article illustrates the basic playing positions of the instruments and their effects on head and neck structures to help dentists provide appropriate diagnosis and treatment.
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7/8. Hypochlorite injury to the lip following injection via a labial perforation. Case report.

    This report documents ulceration of the oral aspect of the lip, with facial swelling, following injection of Milton's solution into the lip through a labial perforation of tooth 13. After palliative therapy the ulceration healed within six weeks, and paraesthesia within three months.
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8/8. Lower lip paraesthesia following restoration of a second premolar tooth. Case report.

    A forty year old female patient developed paraesthesia of the right side of her lower lip following the placement of an extensive pin-retained amalgam restoration in her lower right second premolar tooth. Radiographs indicated that the mental foramen was close to the apex of this tooth and it was assumed that postoperative pulpitis and periapical inflammation had caused the paraesthesia through the effects of pressure on the mental nerve. The paraesthesia resolved following endodontic treatment of the lower second premolar tooth and the patient has had no further signs or symptoms.
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