ABSTRACT
The oral manifestations of glossitis, stomatitis and mucosal ulceration in vitamin B12 deficiency have long been recognised. These oral changes may occur in the absence of symptomatic anaemia or of macrocytosis. The aim of this paper is to describe a retrospective study of the wide range of oral signs and symptoms reported by 14 patients found to have a previously undiagnosed vitamin B12 deficiency. None of the patients described in this study had generalised symptoms sufficiently advanced to arouse suspicions of vitamin B12 deficiency. The essential criteria for the diagnosis of pernicious anaemia are also discussed.
Subject(s)
Mouth Diseases/etiology , Vitamin B 12 Deficiency/complications , Anemia/diagnosis , Anemia, Macrocytic/diagnosis , Anemia, Pernicious/diagnosis , Burning Mouth Syndrome/etiology , Cheilitis/etiology , Female , Glossalgia/etiology , Glossitis/etiology , Humans , Male , Mouth Mucosa/pathology , Retrospective Studies , Stomatitis/etiology , Stomatitis, Denture/etiology , Ulcer/etiology , Vitamin B 12/blood , Vitamin B 12 Deficiency/diagnosisABSTRACT
Anticoagulants have been used to reduce the risk of embolic and thrombotic complications in patients at risk since the discovery of the coumarin drug warfarin sodium in 1941. Since then, both the spectrum of disease for which anticoagulation is recommended and the range of anticoagulants has widened. In addition to treatment with conventional anticoagulant drugs, many patients nowadays have an additional bleeding defect due to the therapeutic use of daily low-dose aspirin therapy, either alone or in combination with other drugs. The aim of this report is to highlight some of the important aspects of anticoagulant therapy and its relevance to dental treatment.
Subject(s)
Anticoagulants/adverse effects , Dental Care for Disabled , Oral Hemorrhage/etiology , Hemostasis , Humans , Oral Hemorrhage/prevention & controlABSTRACT
A case of NSM presenting as bilateral ulceration of the palate developing in the seventh month of pregnancy is reported. The lesions caused initial problems of differential diagnosis because they were more extensive than is often the case in NSM. However, healing followed simple palliative treatment for the ulcers. The etiology of NSM is discussed in relation to the vascular and hormonal changes of pregnancy.
Subject(s)
Pregnancy Complications/pathology , Salivary Gland Diseases/pathology , Sialometaplasia, Necrotizing/pathology , Adult , Biopsy , Diagnosis, Differential , Female , Humans , Palate/pathology , PregnancyABSTRACT
A survey was conducted over a 3 month period in 1983 to examine the influence of clinical factors on the incidence of dry socket (DS) after extractions of permanent teeth under local analgesia. The findings were compared with those of a similar 3 month survey in the same hospital in 1971. Age, sex and extraction site each significantly influenced the incidence of DS. The major difference from the 1971 survey was an increase in the DS incidence from 3.0% to 4.0% of extractions. This occurred mainly following multiple extractions and may indicate that patients, particularly in this group, are nowadays less tolerant of any post-extraction discomfort and hence more readily return for attention. This is particularly relevant in the present study since the broad definition of DS used in both surveys embraced even the mildest presentations of disturbed socket healing.
