ABSTRACT
This case report describes a localized interproximal soft-tissue lesion in the anterior maxillary area that may have been caused by a composite curing light. Following clinical examination and histological analysis, the diagnosis of acute osteomyelitis was made. Palliative treatment and debridement resulted in complete resolution.
Subject(s)
Dental Restoration, Permanent/adverse effects , Hot Temperature/adverse effects , Maxillary Diseases/etiology , Osteomyelitis/etiology , Acute Disease , Female , Humans , Maxillary Diseases/pathology , Middle Aged , Osteomyelitis/pathology , Palliative CareABSTRACT
This article describes a case of peripheral ossifying fibroma. The lesion is presented with respect to its clinical, radiographic, and histologic characteristics. Recommendations for proper diagnosis and treatment are suggested.
Subject(s)
Fibroma, Ossifying/pathology , Palatal Neoplasms/pathology , Adult , Female , Humans , Palate/pathologyABSTRACT
A surgical technique for treating nifedipine-induced gingival hyperplasia is described. A brief overview of nifedipine (trade name Procardia) is given, along with its use in the treatment of hypertension and its side effects, particularly as they relate to the induction of gingival hyperplasia. A detailed description and rationale for the surgical excision of the hyperplastic gingival tissue with a flap approach is given. A case is presented to illustrate the technique and post treatment results.
Subject(s)
Calcium Channel Blockers/adverse effects , Gingival Hyperplasia/surgery , Gingivoplasty/methods , Nifedipine/adverse effects , Angina Pectoris/drug therapy , Antihypertensive Agents/adverse effects , Antihypertensive Agents/therapeutic use , Calcium Channel Blockers/therapeutic use , Dental Scaling , Female , Gingival Hyperplasia/chemically induced , Humans , Middle Aged , Nifedipine/therapeutic use , Root Planing , Surgical Flaps/methodsABSTRACT
The following case report illustrates the potential for the formation of a mucogingival problem in the form of a frenum at the donor site for a laterally positioned flap. Corrective surgery and suggestions to prevent complications at the donor site are discussed.
Subject(s)
Gingival Recession/surgery , Labial Frenum/surgery , Surgical Flaps/adverse effects , Humans , Male , Mandible , Middle Aged , Postoperative Complications/surgery , Suture TechniquesABSTRACT
Although cleft lip and palate patients are usually treated by a multidisciplinary team involving physicians and dentists, their periodontal condition may be over-looked. Crowded or malpositioned teeth, hypertrophic gingiva, orthodontic appliances, and prosthetic replacements can impede proper plaque removal and thus perpetuate periodontal disease. It is important to incorporate periodontal treatment into the comprehensive treatment as early as possible. This case report discusses the periodontal surgical procedures involved in eliminating a residual ridge defect and the fitting of the final prosthetic reconstruction. Also, the importance of the identification and management of periodontal conditions characteristic of cleft lip and palate patients before and after surgical, orthodontic, and prosthetic rehabilitation will be emphasized.
Subject(s)
Cleft Lip/rehabilitation , Cleft Palate/rehabilitation , Denture, Partial , Periodontal Diseases/therapy , Adult , Alveolar Process/pathology , Alveoloplasty , Dental Plaque/therapy , Gingival Hemorrhage/therapy , Gingival Hyperplasia/therapy , Humans , Male , Surgical FlapsABSTRACT
Pemphigus is an autoimmune disease in which intraepithelial vesicles and bullae of the skin and oral mucosa are produced by the action of autoantibodies against specific desmosomal proteins of squamous epithelium. Usually, oral lesions will appear before skin lesions, and in a majority of the cases only oral lesions are present. The dentist may then be the first to make and early diagnosis. The importance of this case report is to alert the dentist that subtle gingival lesions can be recognized and treated early in such a life-threatening disease. Diagnosis is based on the clinical presentation and confirmed by histologic study and direct immunofluorescence. This case describes the clinical signs, symptoms, histology, and immunofluorescence of pemphigus vulgaris of the gingiva.
Subject(s)
Autoimmune Diseases/pathology , Gingival Diseases/pathology , Pemphigus/pathology , Autoantibodies/immunology , Autoimmune Diseases/immunology , Epithelium/immunology , Epithelium/pathology , Female , Fluorescent Antibody Technique, Direct , Gingival Diseases/immunology , Humans , Immunoglobulin G/immunology , Middle Aged , Pemphigus/immunology , Ulcer/immunology , Ulcer/pathologyABSTRACT
A modified technique aimed at the conservation of maxillary anterior esthetics is proposed for the surgical treatment of periodontal disease when surgery is indicated in addition to nonsurgical debridement. This technique allows access to periodontally diseased root surfaces and suggests a flap design and a method for suturing which minimize postsurgical soft tissue recessions.