1/10. Case challenge: persistent oral tenderness.An 81-year old male presents with a chief complaint of oral soreness, primarily involving the tongue and denture-bearing mucosa. Symptoms have been present for approximately two months and have not been relieved by denture adjustments.- - - - - - - - - - ranking = 1keywords = mucosa (Clic here for more details about this article) |
2/10. Case report: differential pressure impressions for complete dentures.A method of producing a differential pressure, secondary impression of a lower arch with a sharp bony ridge is described. The use of this technique allows the clinician to dictate where the load is to be borne by the mucosa.- - - - - - - - - - ranking = 1keywords = mucosa (Clic here for more details about this article) |
3/10. Cutaneous facial sinus tract of denture-related aetiology? A case report.A case is reported of a chronic facial sinus on the mandible. It is postulated that this was due to chronic mucosal trauma associated with a poorly adapted denture in a patient rendered immunosuppressed by poorly controlled type II diabetes. Previous treatment with antibiotics alone was unsuccessful. Healing was only achieved when antibiotics were combined with removal of the denture and improved diabetic control.- - - - - - - - - - ranking = 1keywords = mucosa (Clic here for more details about this article) |
4/10. Effect of low-level laser therapy on candida albicans growth in patients with denture stomatitis.OBJECTIVE: The purpose of our report is to present the effect of low-level laser therapy on candida albicans growth and palatal inflammation in two patients with denture stomatitis. BACKGROUND DATA: The most common oral mucosal disorder in denture wearers is denture stomatitis, a condition that is usually associated with the presence of the yeast candida albicans. Different treatment methods have been suggested to treat this symptom, none of which is proven to be absolutely effective. methods: Two denture-wearing patients, both with palatal inflammation diagnosed as Newton type II denture stomatitis were treated with low-power semiconductor diode laser (BTL-2000, Prague, czech republic) at different wavelengths (685 and 830 nm) for 5 d consecutively. In both patients, palatal mucosa and acrylic denture base were irradiated in noncontact mode (probe distance of 0.5 cm from irradiated area) with different exposure times-5 min (830 nm, 3.0 J/cm2, 60 mW) and 10 min (685 nm, 3.0 J/cm2, 30 mW). The effect of laser light on fungal growth in vivo was evaluated after the final treatment using the swab method and semiquantitative estimation of candida albicans colonies growth on agar plates. The severity of inflammation was evaluated using clinical criteria. RESULTS: After lowlevel laser treatment, the reduction of yeast colonies on the agar plates was observed and palatal inflammation was diminished. CONCLUSION: LLLT is effective in the treatment of denture stomatitis. Further placebo controlled studies are in progress.- - - - - - - - - - ranking = 2keywords = mucosa (Clic here for more details about this article) |
5/10. Denture hyperplasia with areas simulating oral inverted ductal papilloma.Denture hyperplasia is a reactive lesion of the oral mucosa, usually associated to an ill-fitting denture. This lesion is easily diagnosed and in some cases distinct microscopic variations such as osseous, oncocytic and squamous metaplasia may be found. These metaplastic alterations probably are associated with the lymphocytic infiltrate usually present in denture hyperplasia. We present a case of denture hyperplasia containing salivary gland tissue with ductal alterations mimicking an oral inverted ductal papilloma.- - - - - - - - - - ranking = 1keywords = mucosa (Clic here for more details about this article) |
6/10. Clinical aspects of Candida infection in denture wearers.Candida-induced denture stomatitis usually does not reflect any deep-seated, systemic abnormality, the dentures being the primary predisposing condition. However, infection with C albicans should be recognized as an extremely common complication to the wearing of dentures. Most cases are treated relatively easily, but recurrences are frequent and the infection often spreads to other parts of the oral mucosa. Therefore, preventive measures should be taken against colonization by Candida of the palatal mucosa and the dentures. In healthy persons, Candida-induced denture stomatitis is not serious; however, it should be considered a possible spearhead of systemic yeast infections in seriously ill patients, especially in those subjected to prolonged treatment with antibiotics, corticosteroids, or immunosuppressive drugs.- - - - - - - - - - ranking = 2keywords = mucosa (Clic here for more details about this article) |
7/10. Diphenylhydantoinate-induced hyperplasia of the masticatory mucosa in an edentulous epileptic patient.gingival hyperplasia caused by phenytoin sodium is rarely encountered in edentulous persons. A case of generalized palatal hyperplasia is reported in which retained roots and teeth were suspected of having perpetuated a preextraction lesion, whereas a subsequently placed complete denture initiated a midpalatal hyperplasia. The lesion remained in spite of nonuse of the denture for several years.- - - - - - - - - - ranking = 4keywords = mucosa (Clic here for more details about this article) |
8/10. Allergic contact stomatitis from a gold alloy--fixed partial denture.Allergic contact stomatitis to gold is rare. To our knowledge, seven cases caused by dental restorations have been previously reported. Each of the patients was female. This report documents an allergic reaction to gold in a fixed prosthesis. A female patient, previously sensitized to gold earrings, experienced an itching and burning pain sensation and ulceration of the oral tissues adjacent to the gold restoration. patch tests confirmed the allergy to gold. The dentist needs to be aware of the symptoms that are characteristic of the allergic manifestations of gold. Inquiries about allergies to metals and jewelry should be a part of the medical history. Any patient experiencing pain, itching, burning, and ulceration of the mucosa adjacent to a cast gold restoration should be suspected of an allergic contact stomatitis.- - - - - - - - - - ranking = 1keywords = mucosa (Clic here for more details about this article) |
9/10. Oral candidiasis: clinical manifestations, diagnosis, and treatment.Oral candidiasis (candidosis) is an infection with multiple manifestations. To prevent prolongation of undiagnosed cases, it is essential that the dental clinicians have an understanding of the etiology, pathogenesis, and treatment of this disease. The learning objective of this article is the identification of the various clinical features of candidiasis. The underlying causes of oral candidiasis include antibiotic therapy, poor denture hygiene, xerostomia, immune deficiencies, diabetes, and some less common conditions. Candidal infection may be superimposed on other mucosal diseases and may disguise the underlying disease. The diagnosis is established using clinical appearance and patient history, and it may require diagnostic tests. A significant segment of the population carries intraoral Candida, without any symptoms of infection, complicating the use of diagnostic tests.- - - - - - - - - - ranking = 1keywords = mucosa (Clic here for more details about this article) |
10/10. Inflammatory papillary hyperplasia: supraperiosteal excision by the blade-loop technique.Inflammatory papillary hyperplasia (IPH) is a benign, irreversible, persistent, and usually painless lesion of the oral mucosa that is the result of epithelial proliferation. Many surgical methods of treatment have proven to be not totally satisfactory in case of surgery, completeness of tissue removal, healing time, or patient comfort in the postoperative period. A relatively simple and effective procedure is proposed for the supraperiosteal excision of this lesion from the palate, using a razor blade cutting element and handle, called the blade-loop knife, or the Paquette knife handle. The blade-loop technique minimizes trauma and results in a short and comfortable postoperative period.- - - - - - - - - - ranking = 1keywords = mucosa (Clic here for more details about this article) |
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