scholarly journals Perception and Attitude of Dental Students and Interns Regarding the Diagnosis and Management of Oral Mucosal Lesions and Salivary Glands Hypofunction

2021 ◽  
Vol 15 (1) ◽  
pp. 680-688
Author(s):  
Arwa M. Farag ◽  
Meshal Alharbi ◽  
Mazen Alamoudi ◽  
Ghassan Alturki

Background: The perception and attitude of dental students/graduates regarding diagnosing/managing oral medicine cases are scarcely investigated. Objective: The aim of this investigation was to evaluate the level of confidence in diagnosing/managing cases of oral mucosal lesions and salivary glands hypofunction. Methods: A 29-items questionnaire descriptive survey was distributed among dental interns and sixth-year students in the city of Jeddah during March-April of 2020. Results: A total of 136 (81 interns and 55 sixth-year students) completed the questionnaire, of which 69.9% were from a government school, and 30.1% were from private schools. For oral mucosal lesions [i.e., aphthous/herpes simplex virus ulceration], the majority of government and private schools’ participants reported being confident in their ability to diagnose (88.4% and 87.8%, respectively) and provide treatment (63.2% and 56.1%, respectively). For oral candidiasis, the majority were confident in their ability to diagnose (government: 95.8%; private: 59.1%) and treat (government: 77.9%; private: 65.9%). The confidence in diagnosing lesions suspicious for dysplasia/premalignancy was high in 77.9% of government and 80.5% of private schools. Similar reporting was found regarding salivary hypofunctions (government: 93.7%; private: 90.2%). For the likeness to refer, the majority of participants were likely to refer to oral medicine, as the 1st choice, followed by oral surgery. Conclusion: Dental interns/sixth-year students seemed to have high levels of confidence in diagnosing/managing oral mucosal lesions and salivary hypofunctions. However, the partial participation and the subjectivity of reporting may have hindered capturing the full/precise picture.

2019 ◽  
Vol 10 (4) ◽  
pp. 324-329 ◽  
Author(s):  
Alexander Maninagat Luke ◽  
Simy Mathew ◽  
Maram Majed Altawash ◽  
Bayan Mohammed Madan

Lasers in dentistry began to gain popularity in the 1990s. Lasers in dentistry are used as a treatment tool or as an adjunct tool. By using the laser in the field of dentistry, the main goal is to overcome the disadvantages, which are currently being experienced in conventional dental treatment procedures. Many specialties in dentistry including oral surgery, implants, oral medicine, periodontics, pediatrics, and operative use the current new laser technology. The ability of lasers to provide minimally invasive procedures with less discomfort to the patient has been useful in the patient delivery system in dental practice. This article describes in brief on the uses of lasers in oral mucosal lesions.


2015 ◽  
Vol 79 (2) ◽  
pp. 140-145 ◽  
Author(s):  
Mohammad A. Ali ◽  
Bobby K. Joseph ◽  
Devipriya B. Sundaram

Author(s):  
Robert Ireland

This dictionary covers thousands of important terms and concepts used in dentistry today. Entries are written in clear and concise English without the use of unnecessary dental or medical jargon, and many entries are supplemented by detailed line drawings or colour photographs. The dictionary defines terms in a broad range of dental specialist areas. In this edition expanded coverage has been given in particular to topics that include oral surgery, oral medicine, special care dentistry, anaesthesia, restorative dentistry, paediatric dentistry, anatomy, and orthodontics. An essential guide for dental practitioners and dental students, it is also an invaluable reference source for all members of the dental team, medical practitioners, lawyers involved with members of the dental profession, and the general reader.


Oral Diseases ◽  
2019 ◽  
Vol 25 (S1) ◽  
pp. 193-203
Author(s):  
Catherine H. L. Hong ◽  
David R. Dean ◽  
Katrusha Hull ◽  
Shi Jia Hu ◽  
Yu Fan Sim ◽  
...  

2019 ◽  
Vol 48 ◽  
Author(s):  
Rafaela LASTA ◽  
Angélica DEVILLA ◽  
Vanessa SIMONI ◽  
Jéssica Caroline FORALOSSO ◽  
Michele Gassen KELLERMANN ◽  
...  

Abstract Introduction Cohabitation and social interaction programs have been shown to enhance several aspects of the quality of life of the elderly. Objective This observational study assessed the oral health and oral health perception of participants of an elderly cohabitation program in the state of Santa Catarina, Brazil. Material and method Calibrated dental students examined/interviewed 235 participants of the program. The oral examination considered Decayed, Missing, and Filled Teeth (DMFT) index, Community Periodontal Index (CPI), Periodontal Attachment Loss (PAL), use and need of prostheses, and presence of oral mucosal lesions. Oral health perception was verified with the Geriatric Oral Health Assessment Index (GOHAI) questionnaire. Data were analyzed with descriptive statistics and chi-square test (α=0.05). Result The mean DMFT index was 24.3 teeth, with emphasis on the ‘Missing’ category. Upper and lower prosthetic needs were 53.6 and 71.1%, respectively. Fifty-five per cent of participants presented oral mucosal lesions. Moderate oral health perception prevailed (43%), with mean GOHAI score of 29.9. The negative perception on physical and pain/discomfort dimensions was statistically associated with lower prosthetic need (p<0.05). Conclusion The participants of the cohabitation program presented poor oral health and prevalence of moderate oral health perception. Lower prosthetic need was associated with negative perception.


2004 ◽  
Vol 12 (1) ◽  
pp. 51-54 ◽  
Author(s):  
Nada Vuckovic ◽  
Marija Bokor-Bratic ◽  
Dejan Vuckovic ◽  
Ivana Picuric

Recently, an interest in the study of oral candidiasis has markedly increased mainly because of its association with viral infections due to human immunodeficiency, but also because of its relation with potentially malignant lesions of oral mucosa. These lesions belong to the wide group of leukoplakia. Leukoplakia is a clinical term used to describe a range of nonspecific white lesions, whose appearance does not generally correlate well with histopathologic changes; therefore, biopsy should be performed in all cases to determine which are precancerous or potentially malignant ones. In order to study the association of Candida albicans and the types of mucosal lesions, we took 30 consecutive biopsies of oral mucosa and the smears for microbiologic examination from the changed surface of mucosa and from the rest of oral cavity. The study group consisted of 30 patients, 21 women and 9 men, with the average age of 50.23 years (range, 25-77 years). In 6 cases Candida was diagnosed in mucosal biopsy. In the smear from the lesion, it was present in 3 cases, and 2 cases were found in the smear from an unchanged oral mucosa. In 9/30 cases (30%) Candida was positive regardless of the smear area or mode of diagnosis. The most common lesion is leukoplakia, diagnosed in 12/30 cases (40%), in 6 female and 6 male patients. The average age of those patients was 52.42 years. The lesions were located as follows: cheek mucosa - 5 cases; gingival mucosa - 2; lower lip - 2; floor of the mouth - 2; soft palate - 1; Candida was present in 3/12 cases. The lesion with the second highest incidence is lichen planus (9 cases), with positive Candida infection in 4/9 (44.44%). Epithelial dysplasia, although diagnosed in a very small number of cases (1/30 or 3.3%) with leukoplakia, was associated with a Candida infection. Generally, Candida is present in potentially malignant oral mucosal lesions (in 3/12 or 25% of leukoplakia cases, in 4/9 or 44.44% of lichen planus cases, and 1/1 squamous papilloma), with an increasing incidence in lesions with serious dysplastic epithelial changes.


2021 ◽  
Vol 6 (4) ◽  
pp. 319-321
Author(s):  
P.S. Muthu Subramanian ◽  
P Jayaganesh

Lip lesions are the most common oral mucosal lesions. Mucocele is the second most common benign soft tissue masses of the lips only next to infectious etiology. Tumors of the minor salivary glands of the lip were a rare diagnosis made clinically. Excision and histopathological examination must be done for all the lip lumps as this remains the gold standard for the diagnosis. In this article, we discuss three lip lumps which were clinically suspected as mucocoele turned out to be an unexpected diagnosis which only became clear following excision and histological examination.


2020 ◽  
Vol 5 (2) ◽  
pp. 165
Author(s):  
Nuri Fitriasari ◽  
Eko Rotary Nurtito ◽  
Nanan Nur’aeny ◽  
Indah Suasani Wahyuni

ABSTRACTIntroduction: Stevens-Johnson Syndrome (SJS) is an acute hypersensitivity reaction that manifests on the skin, oral mucosa, ocular, gastrointestinal, genital and anal area. It is also potentially life-threatening in concern of dehydration and infection. Oral mucosal lesions due to SJS resulted in a significant decrease of patient’s quality of life. When the oral mucosa involved, the intake of nutrients and fluids is disrupted contributing to electrolyte imbalance that aggravates dehydration. Moreover, oral mucosal lesions have become an entry point for infection. Purpose: This case report describes the important role of oral medicine specialists in the management of oral mucosal lesions in SJS patient. Review: A 26-year-old female patient was referred from the Department of Dermatology and Venereology with a diagnosis of SJS et causa suspected paracetamol and/or amoxycillin. The complaints comprised of pain on the lips and oral cavity, difficulty in mouth opening, and pain when swallowing. The management for oral lesions included: history taking, external and intra oral examinations, dexamethasone mouthwash, nystatin oral suspension, and sodium chloride (NaCl) 0.9% solution. The patient showed improvement in oral mucosal lesions within 3 weeks of treatment that was provided by oral medicine specialist and medical team collaboration. Conclusion: Based on this case report, the role of oral medicine specialist is very important as part of the management team for SJS patient. Oral medicine specialist can reduce morbidity that results from oral mucosal involvement. Collaboration with oral medicine specialist since the beginning of treatment is the key to success in SJS management. Keywords: Oral medicine specialist, Oral mucosal lesion, Stevens-Johnson Syndrome.


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