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Articles tagged "oral pathology"

Painless, Rapidly Increasing Maxillary Swelling and Erythematous Mucosa: Differential Diagnosis and Therapy

Painless, Rapidly Increasing Maxillary Swelling and Erythematous Mucosa: Differential Diagnosis and Therapy

This case emphasizes the importance of thorough investigation to identify unusual pathology in the oral cavity to allow early diagnosis and prompt treatment. Read more

Posted in: Diagnostic Challenge May 07, 2012

Brain Abscess Secondary to a Dental Infection in an 11-Year-Old Child: Case Report

Brain Abscess Secondary to a Dental Infection in an 11-Year-Old Child: Case Report

The case report of a brain abscess in an 11-year-old previously healthy boy that is likely attributable to a primary molar abscess highlights the importance of considering a dental source of infection in the differential diagnosis of the cause of brain abscesses. Read more

Posted in: Clinical Reports April 23, 2012

Metastatic Carcinoma Presenting as Neuralgia Involving the Trigeminal Nerve

Metastatic Carcinoma Presenting as Neuralgia Involving the Trigeminal Nerve

A swelling in the mandible was determined to be a metastatic lesion from previously undiagnosed breast cancer. The swelling had been preceded by neuralgia involving the trigeminal nerve, related to another metastatic lesion. Read more

Posted in: Diagnostic Challenge March 30, 2012

Preventive Strategies and Clinical Implications for Bisphosphonate-Related Osteonecrosis of the Jaw: A Review of 282 Patients

Preventive Strategies and Clinical Implications for Bisphosphonate-Related Osteonecrosis of the Jaw: A Review of 282 Patients

Length of exposure to bisphosphonate therapy seems to be an important risk factor for bisphosphonate-related osteonecrosis of the jaw. Dental clinicians should encourage patients with cancer to use oral and dental prevention strategies to reduce the risk of osteonecrosis during bisphosphonate therapy. Read more

Posted in: Applied Research November 18, 2011

Multiple Oral Ulcerations Associated with Cutaneous Lesions

Multiple Oral Ulcerations Associated with Cutaneous Lesions

In this case, a 53-year-old man presents with generalized painful oral ulcerations in conjunction with cutaneous lesions. Dentists must be familiar with a number of mucocutaneous diseases with similar clinical features to establish a correct diagnosis and facilitate patient referral and treatment. Read more

Posted in: Diagnostic Challenge November 08, 2011

Oral Lesion on Dorsum of Tongue

Oral Lesion on Dorsum of Tongue

An 8-year-old patient presented with a whitish, nondeformable, asymptomatic lesion on the tongue dorsum. The diagnosis relied on histologic examination and immunohistochemical staining. Read more

Posted in: Diagnostic Challenge September 01, 2011

Treatment of Severe Inflammatory Root Resorption in a Young Permanent Incisor with Mineral Trioxide Aggregate

Treatment of Severe Inflammatory Root Resorption in a Young Permanent Incisor with Mineral Trioxide Aggregate

The authors describe the successful use of mineral trioxide aggregate to halt inflammatory root resorption in an 11 year old, highlighting the characteristics that make it a good choice in such cases. Read more

Posted in: Clinical Reports August 05, 2011

Chronic Osteomyelitis Following an Uncomplicated Dental Extraction

Chronic Osteomyelitis Following an Uncomplicated Dental Extraction

Osteomyelitis is a relatively rare complication of dental extractions that can mimic multiple benign and malignant processes, making it difficult to recognize in otherwise healthy young patients. This case describes treatment options and ultimate resection of the affected portion of the patient’s mandible. Read more

Posted in: Clinical Reports July 27, 2011

Treatment of a Large Maxillary Cyst with Marsupialization, Decompression, Surgical Endodontic Therapy and Enucleation

Treatment of a Large Maxillary Cyst with Marsupialization, Decompression, Surgical Endodontic Therapy and Enucleation

This case report describes conservative treatment of a large maxillary cyst. The treatment involved marsupialization and decompression, followed by surgical endodontic therapy of the affected teeth and cystectomy. Read more

Posted in: Clinical Reports June 23, 2011

Osseous (Cemento-osseous) Dysplasia of the Jaws: Clinical and Radiographic Analysis

Osseous (Cemento-osseous) Dysplasia of the Jaws: Clinical and Radiographic Analysis

Among 118 patients with osseous (cemento-osseous) dysplasia of the jaw, the condition was usually asymptomatic. Most cases presented as solitary lesions or in association with simple bone cysts or osteomyelitis. Read more

Posted in: Applied Research June 15, 2011

Metastases to the Mouth and Jaws: A Contemporary Canadian Experience

Metastases to the Mouth and Jaws: A Contemporary Canadian Experience

The relative frequency of types of cancer that metastasize to the mouth and jaws reflects the relative incidence of cancers in the population. Currently in Ontario, prostate, lung and breast cancer are the cancers that most commonly metastasize to the oral cavity. Read more

Posted in: Professional Issues June 10, 2011

Oral Manifestations of a Systemic Disease

Oral Manifestations of a Systemic Disease

The oral cavity is an important entry point for microorganisms, which can be lethal to immunocompromised patients. This case demonstrates the importance of recognizing mucocutaneous manifestations of systemic diseases and eliminating oral sources of infection. Read more

Posted in: Diagnostic Challenge June 07, 2011

A Large Expansion in the Mandible: Clinical Features and Differential Diagnosis

A Large Expansion in the Mandible: Clinical Features and Differential Diagnosis

A 20-year-old man with a 12-year history of disfiguring swelling in his mandible is diagnosed and treated successfully. Read more

Posted in: Diagnostic Challenge May 20, 2011

Identification of an Odontogenic Keratocyst and Treatment with Guided Tissue Regeneration: Case Report

Identification of an Odontogenic Keratocyst and Treatment with Guided Tissue Regeneration: Case Report

A rare osseous inter-radicular cyst in the mandibular premolar area was identified histologically as an odontogenic keratocyst. Guided tissue regeneration using a bone allograft, after total surgical removal with debridement and decortication, resulted in a successful outcome. Read more

Posted in: Clinical Reports February 22, 2011

An Unusual Case of Gingival Swelling in a 43-Year-Old Man

An Unusual Case of Gingival Swelling in a 43-Year-Old Man

Dentists should be alert to unusual pathology in the oral cavity and refer such cases for early diagnosis and treatment. Read more

Posted in: Diagnostic Challenge December 21, 2010

Oral Erosive Mucositis Associated with Improper Administration of a Drug

Oral Erosive Mucositis Associated with Improper Administration of a Drug

Prolonged contact between alendronate (a bisphosphonate medication) and the oral mucosa may lead to oral erosive mucositis. The correct diagnosis depends on a complete medication history, including details about mode of administration. Read more

Posted in: Diagnostic Challenge November 30, 2010

Apical Actinomycosis: Case Report

Apical Actinomycosis: Case Report

Actinomycosis caused a persistent periapical lesion in a 24-year-old woman who had undergone root canal therapy. Clinical and histologic features of the condition are discussed in this case report. Read more

Posted in: Clinical Reports October 28, 2010

Bilateral Neurogenic Masses: A Diagnostic Challenge

Bilateral Neurogenic Masses: A Diagnostic Challenge

Recurrent mild pain in the premolar region of the mandible was traced to bilateral swellings near the mental foramina. Radiographic and laboratory investigations, accompanied by follow-up observation, were used in making the diagnosis. Read more

Posted in: Diagnostic Challenge September 23, 2010

How do I evaluate a patient with a swollen lip?

How do I evaluate a patient with a swollen lip?

A swollen lip is common in clinical practice, but the differential diagnosis and management of the condition may be challenging. Lip swelling may be related to a local or systemic condition, and it can be the earliest manifestation of a systemic disease. Read more

Posted in: Point of Care July 29, 2010

Epigenetics: New Explanations for Old Problems?

Epigenetics: New Explanations for Old Problems?

The International Centre for Oral–Systemic Health, based at the University of Manitoba’s faculty of dentistry, was launched in January 2008. The centre is proud to partner with JCDA to provide summaries of contemporary literature and news in oral–systemic health that may affect modern dental practice Read more

Posted in: Clinical News June 17, 2010

A Diagnostic Puzzle in a Case Featuring Gross Gingival Enlargement

A Diagnostic Puzzle in a Case Featuring Gross Gingival Enlargement

Swollen gums may be caused by something as simple as poor oral hygiene. However, they may signal serious disease that dentists may be instrumental in diagnosing at an early stage. Read more

Posted in: Diagnostic Challenge May 17, 2010