Global oral health initiative: World Health Organization strategic action plan.

Dentistry today is a profession which is facing several challenges: -Oral health is less good than thirty years ago, especially in thelow social-economic level countries and emerging countries. -A reduced or poorly distributed number of professionals, which necessarily implies unequal access to care. -Multiple social determinants which are more and more impacting oral health. To tackle these challenges, WHO launched the WHO Global Oral Health strategy which it goal is to guide Member States to: -develop ambitious national responses to promote oral health -reduce oral diseases, other oral conditions and oral health inequalities -strengthen efforts to address oral diseases and conditions as part of universal health coverage; and consider the development of targets and indicators, based on national and subnational contexts, building on the guidance to be provided by the WHO global action plan 2023-2030 on oral health.

Malignant Transformation of Oral Lichen Planus: A Case Report.

Oral lichen planus (OLP) is a chronic auto-immune disease associated with cell-mediated immunologic dysfunction whose etiology remains unknown. Malignant transformation into squamous cell carcinoma (SCC) is the most feared complication of OLP. It is actually recognized as a potentially malignant disorder with an unspecified risk of transformation, and it is suggested to closely monitor diagnosed patients. In this paper, we discuss the case of a 62-year-old female patient, a non-smoker, and non-drinker, who initially presented with painful erosive lesions on the edentulous mandibular ridge, the buccal mucosa, and the floor of the mouth. Clinical and histological findings led to the diagnosis of OLP with no signs of oral epithelial dysplasia. Malignant transformation into SCC was reported eight months after the first presentation.

Diode laser photocoagulation of intraoral (and perioral) venous malformations: Cases series.

Vascular anomalies are subdivided into vascular tumors (hemangiomas) and vascular malformations. They are frequently located in the head, neck, and oral cavity. They are common complaints reported in patients seeking treatment for aesthetic or functional issues. However, recent advances in the diagnosis and management of these lesions are improving treatment strategies. This review provides both basic and up-to-date knowledge on the most common vascular anomalies encountered by practitioners. Due to the wide variability of treatment options which often generates debate, this paper work aims to provide a comprehensive approach of these lesions based upon current concepts and practical clinical experience. Our article is about 4 patients who had consulted for one or several purplish, elevated, well limited and soft lesion. These lesions was not painful, but worrying for patients. Therapies for VAs continue to generate a dilemma for oral surgeons. Several treatment options were reported, including conventional surgery with or without adjunctive preoperative embolization, and drug therapies, such corticosteroids, intralesional injection of corticosteroids and intralesional injections of sclerosing agents. All of these therapeutic approaches carry a high risk of severe side effects such as scars, pain, and bleeding [7]. Nowadays, advances in the use of lasers have allowed doctors an effective treatment with minimal side effects [9]. All our cases described in this article were done by Pr Haitami, using the 980 nm Diode laser, and a complete healing was observed in about 8 months at the most. The laser is therefore a great help in the management of this type of lesion.

Oral health for healthy ageing.

Over the past 70 years, the global population and age structure have been changing rapidly. Analyses from the 2017 Global Burden of Diseases, Injuries, and Risk Factors Study forecasted a continuation of global ageing throughout the remainder of the 21st century, creating major challenges for health-care systems to ensure healthy longevity for ageing societies. Oral health is an intrinsic constituent of general health and wellbeing; however, oral health is largely overlooked on the global health agenda. Oral conditions are mostly preventable or treatable, yet older people often do not receive the necessary routine care to maintain a good standard of oral health. The neglect of oral health constitutes a failure of global health policy and a failure to deliver the basic human rights of older people. The aim of this Personal View is to encourage a refreshed vision of oral health, enabling policy makers to recognise the implications of poor oral health in older adults. We call for urgent action to manage the projected challenges throughout the coming decades, to ensure that additional years of life are spent in a state of good health and to help mark global ageing, not as a burden, but as a major anthropological achievement.

Odontome composé: à propos d'un cas clinique

Les odontomes sont des tumeurs bénignes des maxillaires composées de dérivés de l'épithélium odontogène et de l'ectomésenchyme. Ils sont divisés en deux groupes: odontome composé et odontome complexe. L'odontome composé est constitué de nombreuses dents rudimentaires, de très petite taille, groupées dans un sac dont la paroi conjonctive est identique à celle du follicule dentaire normal. Il s'agit d'une jeune patiente qui s'est présentée à la consultation pour une tuméfaction maxillaire antérieure évoluant depuis 4 ans. La patiente a rapporté qu'elle a subi un traumatisme à l'enfance. L'évolution de la tuméfaction était asymptomatique. L'examen exobuccal était sans spécificité. L'examen endobuccal a montré la présence au niveau de la muqueuse vestibulaire du maxillaire antérieur, d'une tuméfaction dure à la palpation et indolore. La muqueuse de recouvrement était d'aspect normal. La TDM a montré des images radiopaques entourées d'un halo radioclaire au niveau du secteur maxillaire antérieur droit autour de la racine de la 11, avec une rupture de la corticale externe et sans envahissement des fosses nasales. Les données cliniques et radiologiques ont orienté vers un odontome composé. Une exérèse chirurgicale des odontomes a été réalisée. L'odontome fait partie des tumeurs odontogéniques benignes épithélio-mésenchymateuses mixtes. L'étiologie de l'odontome est inconnue. Il peut apparaître suite à un ancien traumatisme. Les odontomes composés sont asymptomatiques et découverts au cours d'un examen radiographique de routine. Le traitement consiste à l'extraction chirurgicale de l'odontome seule ou suivi d'un traitement orthodontique en cas d'inclusion d'une dent

Odontomas are benign jaw tumors composed of derivatives of odontogenic epithelium and ectomesenchyme. They are divided into two groups: compound odontoma and complex odontoma. A compound odontoma is made up of many rudimentary teeth, very small, grouped in a sac whose connective wall is identical to that of the normal tooth follicle. A young patient presented for the consultation for an anterior maxillary swelling that has progressed for 4 years. The patient reported that she suffered trauma as a child. The progression of the swelling was asymptomatic. The extra oral examination was unspecific. Intraoral examination showed the presence in the vestibular mucosa of the anterior maxilla, a swelling that was hard on palpation and painless. The covering mucosa was normal in appearance. CT showed radiopaque images surrounded by a radiolucent halo in the right anterior maxillary sector around the root of 11, with a rupture of the external cortex and without invasion of the nasal cavity. Clinical and radiological data have pointed to a compound odontoma. Surgical removal of the odontomas was performed. Odontoma is one of the benign mixed epithelial-mesenchymal odontogenic tumors. The etiology of odontoma is unknown. It can appear following an old trauma. Compound odontomas are asymptomatic and discovered during routine radiographic examination. Treatment consists of surgical extraction of the odontoma alone or followed by orthodontic treatment in the event of inclusion of a tooth.

Dysplasie osseuse floride: difficulté de prise en charge à propos d'un cas clinique

La dysplasie osseuse floride est une lésion fibro-osseuse bénigne et rare des maxillaires. Elle est rencontrée surtout chez les femmes de races noires de 40 à 50 ans, Souvent de découverte fortuite, mais peut se compliquer par une dysmorphose faciale et une ostéite chronique. Il s'agissait d'une dame âgée de 53 ans dont le motif de consultation était une tuméfaction siégeant au niveau mandibulaire gauche évoluant depuis une année.L'examen clinique a révèlé la présence des tuméfactions mandibulaire droite et gauche. L'examen radiologique a montré des images mixtes symétriques mal limitées. Le traitement a consisté en l'exérèse des lésions qui se sont révélé à l'examen anatomopathologique des dysplasies osseuses.A travers ce cas clinique, une mise au point diagnostique et thérapeutique, seront discutée afin afin de prendre en charge correctement ce type de lésion

Detection of potentially malignant lesions and squamous cell carcinomas in consultation of surgical denstitry.

UNLABELLED: Squamous cell carcinoma can occur on a apparently healthy mucosa or be preceded by lesions Chronic called potentially malignant, often asymptomatic, rarely showing the reason for consultation of patients, particularly in our Moroccan background which is  characterized by a care difficulty of access and the absence of priority to oral health. OBJECTIVE: To assess the prevalence of diseases potentially and malignant squamous cell carcinomas, and the role of certain risk factors in the onset of these lesions. METHODS: In the consultant population center Dental Consultation and Treatment of Casablanca CHU, we conducted a descriptive survey with 306 patients seen for different patterns between May and July 2010. RESULTS: 64.7% of the population had a defective hygiene. In addition, for 40 patients having an oral lesion mucosa, only 16 viewed for these lesions; the others were diagnosed incidentally. Five of these lesions were carcinomas, 32 white lesions of leukoplakia and 256 lichen planus. 7.2% of the population was smoking which nearly half were alcolo-smoking. The most risk factor according to this study significant is the alcohol and tobacco intoxication. CONCLUSION: This study confirms the importance of early screening of  symptomatic chronic lesions potentially malignant as well as squamous cell carcinoma which allows to improve prognosis.