1/26. Recalcitrant oral ulcers caused by calcium channel blockers: diagnosis and treatment considerations.BACKGROUND: Oral ulcers often pose a dilemma in diagnosis and treatment. patients seen routinely in dental practices are frequently receiving multiple medications. The authors discuss the pathogenesis, clinical appearance and treatment of drug-induced oral ulcers. CASE DESCRIPTIONS: Two patients with recalcitrant painful oral ulcers caused by calcium channel blockers are described. These ulcers failed to heal despite repeated interventions, including surgery, laser ablation, and topical and systemic steroid therapy. Results of the histopathologic examinations were nonspecific. The patients were in a great deal of pain because of the initial failure to recognize the cause of these ulcers. CLINICAL IMPLICATIONS: A careful medical history, including a detailed list of medications received, is critical in identifying drug-induced oral ulcerations, especially when the ulcer is resistant to treatment and of indeterminate cause. To date, calcium channel blockers have not been reported to cause oral ulcerations.- - - - - - - - - - ranking = 1keywords = dental (Clic here for more details about this article) |
2/26. Oral mucosal non-Hodgkin's lymphoma--a dangerous mimic.Reports of T-cell lymphomas in the oral cavity are rare. Most have presented as a persisting ulcerated swelling. This paper reports two men, one of whom presented with a short history of increasing facial swelling and pain apparently related to a lower premolar tooth, and the other who had recurrent oral ulceration in several sites over a period of years. These types of cases are likely to present initially to general dental practitioners.- - - - - - - - - - ranking = 1keywords = dental (Clic here for more details about this article) |
3/26. Oral mucosal lichenoid reaction to sulfamethoxazole.A clinical case of oral mucosal lichenoid reaction to sulfamethoxazole in a dental patient with complicating medical conditions is described. Although the relationship between oral mucosal lichenoid reaction and sulfa drugs has not been documented previously, the patient's lichenoid reaction corresponded with sulfamethoxazole use, and improved when the drug was discontinued. Reactions of this type should be monitored so that treatment and preventive measures may be instituted.- - - - - - - - - - ranking = 1keywords = dental (Clic here for more details about this article) |
4/26. Complications of an unrecognized cheek biting habit following a dental visit.cheek biting is a chronic, usually innocuous, self-inflicted injury that is occasionally seen in children. This case report describes the characteristic features of this entity in an 8 year-old girl, including an unfortunate complication following an inferior alveolar mandibular block for restorative dental care.- - - - - - - - - - ranking = 5keywords = dental (Clic here for more details about this article) |
5/26. Riga-Fede disease: report of a case and review.Self-mutilation of tongue is a type of self-injurious behavior. Ulcers of the lingual frenum in neonates with natal lower incisors are referred to as Riga-Fede disease. In this paper a case of Riga-Fede disease in a ten-month infant male with lower central incisors is reported. The ulcer resolved after the sharp incisal edges were smoothened and topical triameinolone was applied. As this lesion may be confused or associated with other serious disorders, a review of medical and dental literature was included.- - - - - - - - - - ranking = 1keywords = dental (Clic here for more details about this article) |
6/26. Acute streptococcal infection of the gingiva, lower lip, and pharynx--a case report.BACKGROUND: Streptococcal gingivostomatitis is a rare phenomenon in a non-compromised host and not commonly reported in the dental literature. early diagnosis and distinction from viral infections, especially HSV infection, are of the utmost importance. The early use of penicillin is essential in preventing a cascade of events, resulting in severe fasciitis, destruction of tissues, and subsequent rheumatic fever and rheumatic heart disease. methods: A unique case of group A beta-hemolytic streptococcal infection affecting the pharynx, lower lip, and gingiva of a healthy 19-year-old male is presented. RESULTS: The streptococcal infection was responsive to penicillin treatment. CONCLUSIONS: In view of the increased use of antibiotics and the development of aggressive strains, the dental clinician has to consider streptococcal infection in the differential diagnosis of gingival and soft tissue infections.- - - - - - - - - - ranking = 2keywords = dental (Clic here for more details about this article) |
7/26. Quadhelix appliance therapy resulting in pyogenic granuloma of the tongue.This paper describes the examination, diagnosis and treatment of a rapidly enlarging tongue mass presenting in a healthy 12-year-old girl. This mass caused distress to both the patient and her parents and diagnostic uncertainty for her general medical and dental practitioners. The lesion was in fact caused by an orthodontic quadhelix appliance and responded to simple treatment.- - - - - - - - - - ranking = 1keywords = dental (Clic here for more details about this article) |
8/26. Gingival lesions in a patient with chronic oral graft-versus-host disease: a case report.BACKGROUND: The patient reported in this study was diagnosed with acute nonlymphocytic leukemia and underwent an allogenic bone marrow transplantation. She was referred for persisting oral ulceration and pain associated with the transplant procedure. AIM: To present an unusual involvement of gingival tissues during a case of oral chronic graft-versus-host-disease. CONCLUSION: This is one of the very few reports in the dental literature of a case of oral chronic graft-versus-host disease that includes the unusual manifestation of prominent gingival lesions.- - - - - - - - - - ranking = 1keywords = dental (Clic here for more details about this article) |
9/26. Acute leukaemia presenting as oral ulceration to a dental emergency service.Leukaemia is a neoplastic disease characterized by an excessive proliferation of immature white blood cells and their precursors. Oral lesions may be the presenting feature of acute leukaemias, which can be rapidly fatal if left untreated. This report describes the case of a 22-year-old female who presented to a dental emergency department with oral manifestations of acute leukaemia. It outlines the role of oral lesions in the diagnosis of acute leukaemias and emphasizes the importance of immediate referral by general dental practitioners.- - - - - - - - - - ranking = 6keywords = dental (Clic here for more details about this article) |
10/26. histoplasmosis in australia: a report of a case with a review of the literature.histoplasmosis is a rare but serious fungal infection commonly presenting as mucosal ulceration of the oral cavity. It is increasingly recognized in australia but the source of infection remains obscure and it is likely to be under-diagnosed. We report a case of chronic mucosal ulceration which failed to fully respond to periodontal therapy. histology and culture of a gingival biopsy was consistent with histoplasmosis, and the patient responded favourably to treatment with oral itraconazole. histoplasmosis may present to general dental practitioners as chronic mucosal ulceration and should be considered in the differential diagnosis of such lesions. Diagnosis is best made by culture and histology of biopsy specimens.- - - - - - - - - - ranking = 1keywords = dental (Clic here for more details about this article) |
| | Next -> |