Spontaneous drainage of lower lip abscess by insect sting in the prediabetic male: A case report

@#Most insects have a stinging apparatus at the tail end of their abdominal segment and can deliver venom. The venom can usually result in pain, erythema, abscess, or allergic reaction in human tissues such as the skin and even the lips. The presentation of lip abscess, especially in the vermilion, is rare and needs to be appropriately managed. A 39-year-old prediabetic male presented with a swollen right lower lip stung by an insect six days before the consult. The swelling started as a vesicle which became bigger, then burst, exuding a yellowish fluid and blood. The swollen area became more significant, and pain was felt. The clinical presentation was that of a lower lip abscess. Adequate antibiotics were prescribed along with a corticosteroid and a topical antiseptic. The treatment was essential to prevent the dissemination of infection and the likelihood of tissue necrosis. This case report is presented as a rare clinical case of a lower lip abscess due to an insect sting with spontaneous drainage after treatment in a prediabetic male. The dentist and clinician needed to identify this condition and to manage the case properly.

Prevalence of oral mucosal lesions in geriatric patients in Universitas Airlangga Dental Hospital

@#<p style="text-align: justify;"><strong>BACKGROUND:</strong> Population aged 60 years old and above are growing in number; a fact that will have an impact on general and oral health in the future. Oral health is often overlooked in the management of geriatric patients but it is vital to have a knowledged-based practice in order to increase the quality of life of elderly patients.</p><p style="text-align: justify;"><strong>OBJECTIVE:</strong> The purpose of this study is to determine the number and types of oral mucosal lesions in geriatric patients who come to the Universitas Airlangga Dental Hospital.</p><p style="text-align: justify;"><strong>METHODS:</strong> This is an observational descriptive study with cross-sectional design. Intraoral soft tissue examination was performed on geriatric patients coming to the hospital between March and December 2018.</p><p style="text-align: justify;"><strong>RESULTS:</strong> One hundred twenty-four (124) new geriatric patients came to the hospital. A total of 152 oral lesions from 63 geriatric patients (50.81%) were identified.  Overall, coated tongue (55.56%) was the most frequently detected lesion, followed by linea alba buccalis (31.74%) and lingual varicosities (26.98%).</p><p style="text-align: justify;"><strong>CONCLUSION:</strong> Coated tongue or white tongue is the most frequently detected oral mucosal lesion, often caused by poor oral hygiene. The dentist should be able to recognize and differentiate them from the worrisome lesions and decide on the appropriate treatment in geriatric patients.</p>

Non-smoker and non-drinker farmer with oral squamous cell carcinoma

@#Oral Squamous Cell Carcinoma (OSCC) is a malignancy commonly found in the oral cavity with incidence rate of 90%. We reported a 63-year-old male patient, non-smoker and non-drinker farmer, complaining of pain, itching, and stickiness in his tongue for the past 5 weeks. The lesion was treated with a topical anti-inflammatory medication and mouthwash, but did not heal. This case is an OSCC management and need to be alerted to the agricultural sector.

Angular Cheilitis in elderly patient with diabetes mellitus and decrease of vertical dimensions

@#Our patient is a 61-year-old, male, heavy smoker, and diagnosed with diabetes mellitus (DM) who sought medical intervention due to complaints of painful lesions on the left and right corners of the mouth. The patient lost a lot of teeth, only two remained intact and has never used dentures. We present a case of angular cheilitis in an elderly patient with DM and a decrease of vertical dimensions. Clinical management includes anamnesis, clinical examination, treatment and elimination of predisposing factors through integrated multidisciplinary treatment.