Prevalence of Oral Lichen Planus: A Hospital based Study

Introduction: The purpose of this study was to find outthe prevalence of oral lichen planus in those diabeticpatients who visited dental department of communityhealth centre (Gousia hospital, khanyar) Srinagar, Kashmir,India from January 2016 to Sept 2017. Diabetic patientswith a homogenous range of age, gender and race wereexamined for presence of clinical oral lichen planus.Patient medication histories were additionally obtained.Material and methods: 1000 diabetes patients were enrolledfor the study. The subjects were examined for the presence/absence of oral lichen planus and the data was recorded andanalysed.Results: Out of 1000 diabetic patients 12 (1.2%) werehaving oral lichen planus and 11 patients belonged to type IIdiabetes mellitus. Among the subjects suffering from Type IDiabetes, only one patient was diagnosed of having oral lichenplanus. Out of 12 (1.2%) patients having oral lichen planusfour patients were having high blood pressure suggestingGrinspan’s syndrome (33.3%).Conclusion: The prevalence of oral lichen planus amongdiabetic patients was found to be 1.2%; additionally somepatients had high blood pressure, that suggests the existenceof Grinspan’s syndrome. Many studies conducted previously,suggest that psychosomatic factors such as stress and anxietyare attributed to lichen planus and therefore the diabeticpatients may get exposed to such factors thereby developingoral lichen planus.

Ameloblastic Carcinoma of Mandible: A Case Report.

Ameloblastic carcinoma is an uncommon malignant odontogenic tumor of jaws and is a highly aggressive tumor with rapid growth and also a high potential for distant metastasis. Th e most common site of occurrence is posterior mandible. Clinically, it is aggressive and has potential for local destruction. Th e majority of the cases arise de novo, while few cases arise from a pre-existing ameloblastoma. Th e radiological feature of the ameloblastic carcinoma is usually similar to that of ameloblastoma except for the presence of focal radiopacity, which apparently refl ects dystrophic calcifi cation. Herein, we report a case of ameloblastic carcinoma in the left mandible of a 60-year-old female patient.

Keratocystic Odontogenic Tumor of Maxilla Mimicking Radicular Cyst.

Odontogenic keratocyst was the first illustrated by Phillipsen in 1956 and is unique as it is aggressive locally, and rate of recurrence is high along with histological appearance which is very characteristic. It is a benign neoplasm of jaw with the diverse origin and its occurrence in maxilla is uncommon. We present a case of 30-year-old male with aggressive keratocystic odontogenic tumor (KCOT) in the right maxillary molar region. On radiological examination, radiolucent area, mimicking radicular cyst, was found in relation with maxillary first molar. A final diagnosis of KCOT was confirmed after histopathological findings. The clinical, radiological, and histopathological features of this tumor along with surgical management have been discussed.