Localized Juvenile Spongiotic Gingival Hyperplasia : a Case Series

Dental Update ◽  
2020 ◽  
Vol 47 (2) ◽  
pp. 162-164
Author(s):  
Thomas Saunsbury ◽  
Tim Hodgson ◽  
Barbara Carey
Keyword(s):  
Clinical Relevance ◽  
Patient Management ◽  
Case Series ◽  
Histopathological Diagnosis ◽  
Gingival Hyperplasia ◽  
Oral Medicine ◽  
Medicine Clinic ◽  
Dental Hospital

Localized juvenile spongiotic gingival hyperplasia is a relatively new histopathological diagnosis, presenting as a localized erythematous lesion of the anterior attached gingivae. Presenting in a peri-pubertal age, this condition is often misdiagnosed as ‘puberty gingivitis’. Here, two cases presenting to the Joint Paediatric-Oral Medicine clinic at the Eastman Dental Hospital are discussed. CPD/Clinical Relevance: Localized juvenile spongiotic gingival hyperplasia is a novel diagnosis, and one that is currently under-reported. Increased awareness of this condition is required for appropriate patient management.

A Case Series of Tooth Autotransplantation in Three Children with Different Presenting Complaints

2020 ◽  
Vol 13 (4) ◽  
pp. 180-186
Author(s):  
Maria Taheny ◽  
Nora O'Murchu ◽  
Paul McLaughlin ◽  
David Cross
Keyword(s):  
Treatment Option ◽  
Clinical Relevance ◽  
Case Series ◽  
Paediatric Patients ◽  
Clinical Presentations ◽  
Dental Hospital ◽  
Excellent Method ◽  
Viable Treatment

This case series presents three successful cases of autotransplantation in paediatric patients at Glasgow Dental Hospital with differing clinical presentations. It successfully demonstrates the versatility of the technique. CPD/Clinical Relevance: Autotransplantation of teeth is a viable treatment option for the replacement of teeth in children and can be an excellent method of maintaining space and bone for restoration with an implant in adulthood.

Orthodontic management of impacted mandibular second molars: A case series

2021 ◽  
Vol 14 (2) ◽  
pp. 98-104
Author(s):  
Andrea Cunningham ◽  
Dipali Patel ◽  
Zahra Sheriteh
Keyword(s):  
Early Diagnosis ◽  
Clinical Relevance ◽  
Case Series ◽  
Diagnosis And Treatment ◽  
Treatment Modalities ◽  
Individual Basis ◽  
Diagnosis And Management

This case series describes a number of different treatment modalities used in the management of impacted mandibular second molars (MM2s). A variety of cases is used to illustrate a number of ways in which these teeth can be managed, and to demonstrate that each case should be managed on an individual basis, taking into account the overall malocclusion. The importance of early diagnosis and management is highlighted throughout. CPD/Clinical Relevance: This case series highlights the difficulties and challenges in managing patients who present with impacted lower second molars (MM2s), and the importance of early diagnosis and treatment.

Clinical–pathologic Agreement for Oral Lesions in an Oral Medicine Setting

2016 ◽  
Vol 2 (1) ◽  
pp. 1-10 ◽  
Author(s):  
Alessandro Villa ◽  
Francesco Nordio ◽  
Laura Strohmenger ◽  
Silvio Abati
Keyword(s):  
Lichen Planus ◽  
Oral Lichen Planus ◽  
Weighted Kappa ◽  
Mucous Membrane Pemphigoid ◽  
Histopathological Diagnosis ◽  
Severe Dysplasia ◽  
Oral Lesions ◽  
Oral Medicine ◽  
Squamous Papilloma ◽  
Oral Lichen

Background: Histopathological examination remains the gold standard for the diagnosis of oral mucosal lesions. To date little is known on the clinical–pathologic agreement for oral lesions diagnosed by oral medicine experts.  Objective: This retrospective study attempts to quantify the clinical–pathologic agreement for oral lesions diagnosed by oral medicine experts. Methods: Data were collected retrospectively from the medical records of all new oral medicine consultations. The clinical diagnosis provided by an oral medicine expert was compared to the histopathological diagnosis. Clinical–pathologic agreement was estimated as the percentage agreement and was measured using weighted Kappa. Results: The most common oral lesions were oral lichen planus (34.7%), traumatic fibroma (23.4%), squamous cell carcinoma (SCC) or severe dysplasia (6.7%), mucous membrane pemphigoid (MMP) (5.7%), leukoplakia (5.6%) and squamous papilloma (4.3%). The overall clinical–pathologic agreement for all lesions had a weighted kappa of 0.81 [95%CI 0.78% to 0.85%]. The concordance for the most common oral lesions in the study population was 90.2%, with a weighted kappa of 0.88 [95%CI 0.85% to 0.92%]. The clinical–pathologic agreement for SCC/severe dysplasia was 78.7%, for traumatic fibroma 91.4%, for leukoplakia 97.4%, for oral lichen planus 93.8%, for squamous papilloma 96.7% and for MMP 65%. Conclusions: The overall concordance between clinical and histopathological diagnosis for oral lesions was excellent. Dentists have the unique opportunity to refer patients to oral medicine experts for diagnosis and management of oral diseases. Given their expertise patients may require fewer visits for diagnostic purposes.

Mantle cell lymphoma: a rare cause for a swollen palate

2020 ◽  
Vol 13 (10) ◽  
pp. e238332
Author(s):  
Ayah Mohamed ◽  
Rachel Cowie ◽  
Dáire Shanahan
Keyword(s):  
Mantle Cell Lymphoma ◽  
Hard Palate ◽  
Cell Lymphoma ◽  
Stage Iv ◽  
Accurate Diagnosis ◽  
The Body ◽  
Oral Medicine ◽  
Medicine Department ◽  
Mantle Cell ◽  
Dental Hospital

We describe the case of a 68-year-old woman who was referred to the Oral Medicine Department in the Bristol Dental Hospital in November 2018 regarding a mass in the hard palate. The patient was previously diagnosed with stage IV mantle cell lymphoma of the upper tarsal conjunctiva in December 2014. Further investigations revealed lymphomatous deposits in other sites throughout the body. This patient underwent six cycles of chemotherapy, followed by consolidation LACE autograph and maintenance rituximab. While mantle cell lymphoma very rarely presents on the hard palate, knowledge of its clinical features and differential diagnoses is imperative in its accurate diagnosis and appropriate management.

scholarly journals Risk of Tuberculosis Transmission in Dentistry

AAOHN Journal ◽  
1997 ◽  
Vol 45 (8) ◽  
pp. 377-385 ◽  
Author(s):  
Denise C. Murphy ◽  
Fariba S. Younai
Keyword(s):  
Retrospective Chart Review ◽  
Pilot Project ◽  
Active Tuberculosis ◽  
Chart Audit ◽  
Oral Medicine ◽  
Purified Protein Derivative ◽  
Tuberculosis Transmission ◽  
Medicine Clinic ◽  
Conversion Rates ◽  
Control And Prevention

This pilot project was conducted for the purpose of performing a retrospective chart review on selected clients and using the results for evaluating purified protein derivative (PPD) conversion rates among the student population. The occupational risk of exposure to active tuberculosis was assessed in a large dental educational setting. Charts of clients seen in the College's Oral Medicine Clinic, referred out for health care consultation for one of several reasons potentially associated with active tuberculosis disease over a 1 year period, were reviewed. Data sources included the medical consultation log and the tuberculosis log, which were maintained by faculty in the Oral Medicine Clinic. Ninety-six clients met the authors' criteria. However, compiling data was severely hampered for two reasons: missing charts (19 of 96, or 19.8%) and non-returning clients (55, or 57%). Four clients with potentially active cases of tuberculosis were identified. Follow up revealed, however, that none of these four clients was contagious when seen at the Dental Center. The protocol and definition recommended by the Centers for Disease Control and Prevention 1994 Guidelines, and the results of PPD screening and chart audit conducted by the authors, suggest that the employees and students of the College of Dentistry are at low risk for workplace exposure to active tuberculosis.

Recalcitrant Trichomonas vaginalis infection – a case series

2005 ◽  
Vol 16 (7) ◽  
pp. 505-509 ◽  
Author(s):  
L J Waters ◽  
S S Dave ◽  
J R Deayton ◽  
P D French
Keyword(s):  
Clinical Trials ◽  
Literature Review ◽  
Treatment Regimen ◽  
Retrospective Review ◽  
Trichomonas Vaginalis ◽  
Case Series ◽  
Therapeutic Agents ◽  
Successful Strategy ◽  
Medicine Clinic ◽  
Genitourinary Medicine

The objective of this study was (1) to estimate the prevalence of recalcitrant Trichomonas vaginalis (TV) infection in a UK genitourinary medicine clinic; (2) to use a case series and literature review to suggest an algorithm for management of recalcitrant TV (rTV). A retrospective review of laboratory records, case-notes and literature review was conducted. Fifteen patients were studied, representing 1.16% of the cases presenting during the study period. A wide variety of therapeutic agents was used, the treatment regimen differed for each patient. No treatment was universally effective in achieving cure, but the use of acetarsol pessaries vaginally appeared to be the most frequently successful strategy. Based on these results, an algorithm for treatment of rTV is presented, although clinical trials will be needed to elucidate the best clinical approaches to this problem.

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