ABSTRACT
A clinical case of oral mucosal lichenoid reaction to sulfamethoxazole in a dental patient with complicating medical conditions is described. Although the relationship between oral mucosal lichenoid reaction and sulfa drugs has not been documented previously, the patient's lichenoid reaction corresponded with sulfamethoxazole use, and improved when the drug was discontinued. Reactions of this type should be monitored so that treatment and preventive measures may be instituted.
Subject(s)
Anti-Infective Agents/adverse effects , Drug Eruptions/etiology , Lichenoid Eruptions/chemically induced , Oral Ulcer/chemically induced , Sulfamethoxazole/adverse effects , Humans , Lichen Planus, Oral/chemically induced , Male , Middle AgedABSTRACT
An aneurysmal bone cyst associated with a dentigerous cyst filled the entire maxillary right sinus and corresponding eroding portions. The report discusses the unusual presence of a dentigerous cyst, documentation of an aneurysmal bone cyst associated with a primary lesion, and offers suggestions as to the common pathogenesis of the two lesions.
Subject(s)
Bone Cysts/pathology , Dentigerous Cyst/pathology , Maxillary Diseases/pathology , Maxillary Sinus/pathology , Adult , Humans , Male , Paranasal Sinus Diseases/pathologyABSTRACT
Two cases of sickle cell crisis precipitated by periodontal infection are presented. Sickle cell anemia, causal factors in sickle cell crisis, and dental treatment considerations for crisis and noncrisis patients with sickle cell disease are discussed.
Subject(s)
Anemia, Sickle Cell/physiopathology , Pericoronitis/complications , Periodontal Abscess/complications , Periodontitis/complications , Adolescent , Adult , Dental Care for Disabled , Humans , Male , Pericoronitis/therapy , Periodontal Abscess/therapyABSTRACT
The same basic principles of dental management of the immunocompromised patient apply to patients receiving cardiac transplants: preimmunosuppressive therapy examination and elimination of all existing and potential sources of infection; counseling regarding the importance of meticulous oral hygiene obviating further medical complications; and frequent oral health assessments for interception of emerging oral problems, maintenance, and reinforcement of good oral care. Dental practitioners familiar with the more numerous patients with renal transplants will find differing therapy complications secondary to immunosuppression and maintenance drug regimens. The dental approach to the candidate for a cardiac transplant will differ in degree of morbidity and complexity of delivering necessary oral care before transplantation.
