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βπ Collection of Dental & Medical related Cases. Complete Dental Encyclopediaβ¨
β οΈ For Educational Purposes Only - This is Not a Substitute for Medical Advice
π Powered by π¬ @dent_tech_for_u π
π Paid Promotion & Ads: @dr_danger_007
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+1Oral Cancer
What are the risk factors for Oral Cancer?
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+2The patient attended a dental consultation for restorative treatment (Class V) with composite resin on teeth 31 and 41. The procedure was performed normally, but instead of using topical strawberry anesthesia, as usual, pineapple was used. The patient had multiple lesions and desquamation on the lower labial mucosa, with a burning sensation and mild pain. It disappeared within 48 hours, having been diagnosed as allergic contact stomatitis.
Contact stomatitis is an uncommon allergic reaction affecting the inside of the mouth caused by contact with an allergen, usually flavorings, metals, or other components in oral care products, foods, dental fillings, and medications.
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+1Male patient, 21 years old, without comorbidities or systemic alterations, presented with an increase in fluctuating volume in the lower lip. He mentions that he tried to use some home remedies to reduce the lesion, but that the opposite occurred and an increase in size was observed. An excisional biopsy was performed. What is your main hypothesis?
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+1In the first image, we can see the lichen planus appearing as a white plaque. While in the second image, the disease displays the characteristic reticular pattern of the disease, in addition to atrophic areas. In this case, the site where we observe the white/red interface of the second lesion is the best selection site for biopsy as it exhibits a broader spectrum of disease activity. How will You manage this?
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Human papillomaviruses (HPVs) are causative of a group of clinically papillary lesions. The HPV-related lesions of the oral cavity include squamous papilloma, condyloma acuminatum, verruca vulgaris, and multifocal epithelial hyperplasia. Benign entities, such as verruciform xanthoma or giant cell fibroma, as well as malignancies, such as papillary squamous cell carcinoma and verrucous carcinoma, may be considered in the clinical and/or histologic differential diagnoses of these lesions.
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+7Clinical image of squamous papilloma. Note the βfinger-likeβ fronds.
A 63-year-old male patient, smoker and alcoholic, attended the consultation with a pedunculated nodule, with a verrucous surface, normochromic, measuring approximately 15mm, located in the posterior third of the buccal mucosa on the right side. The first hypothesis was condyloma acuminata. After biopsy, the diagnosis was squamous cell carcinoma. Would you consider this possibility?
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Reactivation of the herpes simplex virus, usually HSV1, after sun exposure.
Several conditions, such as advanced age, ultraviolet light, physical or emotional stress, fatigue, heat, cold, pregnancy, allergy, trauma, dental treatment, respiratory diseases, fever, menstrual cycle, systemic diseases and malignant neoplasms, have been associated with the reactivation of the virus. Symptomatic relapses are common and affect the epithelium innervated by the sensory ganglion; however, asymptomatic reactivation with viral shedding far exceeds clinically evident recurrences.
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Morsicatio Buccarum is the scientific term for chronic cheek chewing. Clinical presentation is usually sufficient for a definitive diagnosis and biopsy is rarely performed. No treatment is necessary and in some cases Acrylic Buccal Shield may be indicated. Have you ever handled a case?
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+4Volume increase that started small, at the beginning of the pandemic in March/2020, and because the patient has other comorbidities, postponed care for fear of COVID-19. After clinical evaluation, a biopsy was performed with a histopathological diagnosis of lipoma. Have you seen any with these characteristics?
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+3Hand, Foot and Mouth Disease can be caused by Coxsackievirus A16 and Enterovirus. Anyone can get the disease, but children under 5 are more likely to get it. It tends to spread easily in summer and fall.
Early symptoms can include Fever, Sore Throat, Painful Blisters inside a Child's Mouth, usually on the back or Tongue, Malaise, loss of Appetite, Fatigue, and Irritability. A day or two later, a child may have a rash that turns into blisters, flat spots or sores on the knees, elbows or buttocks, and oral ulcers that can cause pain when swallowing.
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+2A 31-year-old male patient sought dental care due to the presence of an asymptomatic, sessile submucosal nodule of fibrous consistency, slightly purplish in color, pale on diasoscopy [Diascopy is a refinement in which a piece of clear glass or plastic is pressed against the skin while the observer looks directly at the lesion under pressure.] and associated with trauma located on the right lateral dorsum of the patient's tongue, measuring 0 .9 Γ 0.6 cm, with an evolution time of 3 months.
With clinical, morphological and immunohistochemical findings (diffuse positivity for CD34, focal positivity for Bcl-2 and CD99 and negativity for S100), the conclusive diagnosis was solitary fibrous tumor. What would be your other diagnostic hypotheses?
Ref: Souza et al. (2022), doi: 10.1111/ ors.12787
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Fissured tongue is a relatively common condition characterized by the presence of multiple fissures or grooves on the dorsal surface of the tongue. Its cause is uncertain, but heredity appears to play a significant role. In some cases, bad breath can be associated and is caused by food remains between these cavities. How will You manage this case?
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Female patient, 45 years old, denies smoking and harmful habits, without systemic alterations. On clinical examination, a normochromic, sessile, slightly keratotic nodule was noted on the surface, on the left buccal mucosa, firm, measuring approximately 1.2 cm in diameter. She reports that the lesion is asymptomatic, but it interferes with chewing, with an evolution time of approximately 2 years.
What would be your diagnostic hypotheses? What type of biopsy would you recommend?
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Squamous cell carcinoma in a 53-year-old female patient with a history of smoking since age 16.
Whenever you can, encourage smokers to seek dental care for routine consultations, in order to enable the detection of early lesions, especially ulcers and white or red spots. Together for early diagnosis! πͺ
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Soft tissue examination is essential in our daily work practice. Every diagnosis is guided by the history and clinical characteristics of the lesions. How would you describe this injury? π€
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Fordyce spots are small yellowish or whitish spots that can appear on the lips, inside the cheeks or on the genitals. These granules are actually enlarged sebaceous glands that do not cause pain, nor do they have any health consequences. What conduct would you have with a patient with this complaint?
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