Lip carcinoma is a common cancer of the head and neck region and it more commonly affects the lower lip (>90%). Out of all the carcinomas affecting the lower lip, squamous cell carcinoma accounts for 95% of the patients. Reconstruction of lower lip is a challenging task, as it requires taking into consideration the restoration of function as well as aesthetics. In this study, a patient for whom successful reconstruction of lower lip defect was done using the Karapandzic flap was presented.

INTRODUCTION Oral candidiasis is common and under diagnosed among the elderly, particularly in those who wear dentures and in many cases is avoidable with a good mouth care regimen. It can also be a mark of systemic disease, such as diabetes mellitus and is a common problem among the immunocompromised. Oral candidiasis is caused by an overgrowth or infection of the oral cavity by a yeast-like fungus, candida (1-2). The important ones are C albicans, C tropicalis, C albicans, C glabrata, C glabrata and C tropicalis represent more than 80% of isolates from clinical infection (3). Oral candidiasis is the most common human fungal infection (4-5). Incidence of C albicans isolated from the oral cavity has been reported to be 45% in neonates, (6) 45%-65% of healthy children, (7) 30%-45% of healthy adults, (8-9) 50%-65% of people who wear removable dentures, (9) 65%-88% in those residing in acute and long term care facilities, (9-12) 90% of patients with acute leukaemia undergoing chemotherapy, (13) and 95% of patients with HIV (14). CASE REPORT Patient age 34 years old reported to department of Oral and maxillofacial surgery with chief complaint of pain and burning sensation on left and right side of buccal mucosa (Fig 1 & 2) since 30-35 days. Medical history revealed patient was on steroid therapy. No releavant habit history was given by the patient. On Intra-oral examination it was seen that the lesion extended from canine to second molar region bilaterally. Lesion appeared to be reddish white in color. On palpation lesion revealed well defined margin with everted buccal mucosa. Brush biopsy of the lesion was performed and sent for examination which revealed Candidiasis. Anti fungal therapy was started and successful results were obtained after 2 months. Knowledge regarding intra-oral lesions is very essential for dental surgeon to arrive at appropriate diagnosis which indeed helps to provide proper treatment to patient.

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Adenomatoid odontogenic tumor is the most common tumor between second and third decade of life. Its is always associated with impacted teeth. Also location is most common in maxillary anterior tooth (1).