No abstract

In this report, we present the case of a 68‐year‐old male patient with a complaint of mastication and speech limitations one year after the prescription of a fixed bridge and the construction of “connected” crowns by a “street dentist.” A thorough oral examination revealed a multilobulated swelling in the right buccal mucosa that extended to the buccal sulcus. The lesion, which was first noticed as a small, asymptomatic swelling by the patient one year prior, seemed to have undergone enlargement since the prostheses were prescribed. The lesion was completely removed via surgical excision under general anesthesia. Histopathological examination of the excisional mass revealed mature adipocytes and features consistent with conventional or classic lipoma. This case highlights the importance of receiving dental treatment from a qualified professional, whose responsibilities include performing a thorough examination of the oral cavity during treatment planning and delivery, review appointments, and regular dental visits. Such investigation is important to allow for early disease detection and control, especially for patients with complex treatment needs as well as those who may present with asymptomatic and slow‐growing lesions such as lipomas.

The study aimed to evaluate the erosive activity of six probiotic drinks (PD) on tooth enamel. Methods: Forty-eight extracted human teeth premolar free of hypocalcification and carious were used in this study. The erosive activity was evaluated by measuring the pH, titratable acidity (TA), tooth weight loss, and the rate of calcium release after 5-min exposure daily over 7 days. Results: The pH of the PD was found to be in acidic range (3.08-4.10) with different TA values depending on the bacterial strain presence. The highest pH value showed minimum TA. The erosion was determined by the rate of calcium release and weight loss from the enamel surface on exposure to PD. Most of the samples showed consistent calcium reabsorption to the tooth enamel after 5 min of exposure daily over 7 days. However, all the samples showed persistent weight loss over 7 days' exposure. Conclusion: Although PD was found to be acidic, it exhibited low erosive activity, most probably due to the presence of high calcium content and certain bacterial strains in the drink. The number and type of bacterial strain in the drink did not significantly contribute to the erosion of the enamel, as no calcium loss was found except for certain drinks of repeated exposure in days 3 and 5. However, consistent weight loss was measured over a period of 7 days. In conclusion, PD does not cause any calcium loss on tooth enamel. Other than beneficial to the gut, it also promotes calcium reabsorption to the tooth enamel.