Oral manifestations play an important role in the diagnosis of many systemic conditions. Dyskeratosis congenita (DC) is a rare genodermatosis which exhibits oral leukoplakia, nail dystrophy, and reticular skin pigmentations as its primary features. DC has increased risk of developing constitutional anemias and malignancies and early diagnosis enables the patient to be monitored and proper interventional therapy to be instituted. Hence, dentists need to be aware of the various manifestations of this fatal syndrome. Only few cases have been reported on DC in the dental literature. Two cases of DC are reported here with a brief review of the literature.
Orofacial granulomatosis is a granulomatous disease of orofacial region, which can occur for a variety of reasons. The clinical features are highly variable and sometimes so insidious that signs and symptoms are not frequently severe to cause alarm. The lips are most commonly involved with persistent/recurrent swelling. The medical history is very important as Crohn's disease and sarcoidosis can present oral manifestation. Other causes like mycobacterial infection, foreign body reaction, fungal infection, and allergy were excluded with further investigation to establish diagnosis. Here and we report a case of orofacial granulomatosis with a review of the literature.
Rarely cases have been reported regarding depigmented lesions of the oral cavity. On reviewing the literature, only few cases of gingival vitiligo or similar lesions have been reported till date. These lesions pose a cosmetic challenge. We present here a case of vitiligo affecting gingiva. Vitiligo has been defined as an acquired, slowly progressive loss of cutaneous pigment which occurs as irregular, sharply defined patches which may or may not be surrounded by macroscopic hyperpigmentation. Differential diagnosis, detailed clinical history, histopathology, immunohistochemistry, and pathogenesis of this condition are discussed.
Gorham's disease is a rare condition characterized by progressive osteolysis of bone with ultimate total disappearance of bone. The aetiology is undetermined. It may affect any bone of the body, although there is predilection for the pelvis, humerus, axial skeleton, and mandible. Because of the rarity, the disorder goes unrecognized. Various treatment modalities are undertaken with very limited success. We report a case of Gorham's disease of mandible in a 62-year-old man and the literature is reviewed with emphasis on aetiology, diagnosis management.
Acrylic resin denture base material has been available to the dental profession for over 60 years, and although materials with superior properties have been on the market for some time, it still remains the most popular choice of clinicians. The requirement of the simple processing equipment and low cost of the fabrication process are the reasons for its continued popularity. However, debonding of acrylic teeth from denture base resins remains a problem for both patients and clinicians. The failure rate of acrylic dentures resulting from fracture has been reported to be unacceptably high, with the most prevalent type of failure documented being debonding or fractures of the teeth A series of studies have attempted to determine the quality of denture tooth bonding produced by commonly employed dental laboratory conditions. The present study was under taken to evaluate and compare the effects of chemical and mechanical treatment of the ridge lap surface of acrylic teeth on the bond strength of acrylic resin teeth to denture base resins.
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