ABSTRACT
Many systemic diseases exert their influence on oral health. Among these, gastroesophageal reflux disease (GERD) is the most common. In this study, 100 patients who were previously diagnosed with GERD were examined following a 12-hour fast and evaluated in terms of the severity (grade) of the disease as well as any oral, dental, and/or salivary pH changes. Results found 11 patients with tooth erosion. These patients were older, and their average mean duration of GERD was longer in comparison to those without erosion. There was an inverse relationship between salivary pH and the GERD duration and grade of severity. As the GERD grade increased, the severity of tooth erosion increased. Patients with erosion also exhibited oral mucosal changes. Thus severe, long-term GERD was found to be potentially detrimental to oral soft tissues, dental structures, and salivary pH, whereas milder forms of the disease did not necessarily cause dental side effects.
Subject(s)
Gastroesophageal Reflux/complications , Mouth Diseases/etiology , Adult , Female , Gastroesophageal Reflux/pathology , Humans , Hydrogen-Ion Concentration , Male , Middle Aged , Mouth/pathology , Mouth Diseases/pathology , Mouth Mucosa/pathology , Saliva/chemistry , Tooth Erosion/etiology , Tooth Erosion/pathologyABSTRACT
Erythema multiforme and related disorders comprise a group of mucocutaneous disorders that often compromise the quality of life. The clinical classification of these disorders is variable, thus making definitive diagnosis difficult. Early recognition and prompt management will benefit the patients. This article highlights two such cases of erythema multiforme with detailed literature review on etiopathogenesis, clinical features, and treatment.
ABSTRACT
Odontomas are hamartomatous lesions composed of mature enamel, dentin, and pulp, and may be compound or complex depending on the extent of morphodifferentiation or on their resemblance to normal teeth. They are the most common benign odontogenic tumours, constituting 22% of all odontogenic tumours of the jaw. They are often non-aggressive and slow growing in nature, and are usually diagnosed on routine radiological examinations in the second decade of life. We report the case of an unusually large, painless, complex odontoma, which is a rare entity. It was located in the left posterior mandible and was associated with missing 1(st) and 2(nd) left mandibular molars. The diagnosis was confirmed following surgical excision and histopathological analysis of the lesion.
