1/17. erythema multiforme secondary to herpes simplex infection: a case report.BACKGROUND: erythema multiforme (EM) is a complex disease that may have cutaneous and/or mucosal involvement. The severity may range from mild to severe and potentially life threatening. The literature cites many factors including viruses, infections, and medications as causes. This report documents a patient who developed EM secondary to a herpes simplex viral (HSV) infection. methods: Two weeks following an eruption of herpes labialis, a 20-year-old white female patient developed acutely painful oral and labial ulcers accompanied by target skin lesions. A diagnosis of erythema multiforme (EM) was made. The patient was treated with antivirals, analgesics, and symptomatic therapy. RESULTS: Nine days after the onset of symptoms, the oral and cutaneous lesions had started to heal and the patient no longer required pain medication. CONCLUSIONS: Although the etiology of EM is still often unknown, infections with herpes simplex virus have been implicated as a possible precipitating factor. This case illustrates the association of the occurrence of EM with an HSV infection.- - - - - - - - - - ranking = 1keywords = labial (Clic here for more details about this article) |
2/17. Pyogenic granuloma subsequent to apical fenestration of a primary tooth.BACKGROUND: The authors present two case reports of patients exhibiting pyogenic granulomas in the maxillary labial mucosa, which were related to an apical fenestration of a primary incisor. CASE DESCRIPTIONS: Several researchers have reported that the gingival wound and surrounding inflammatory tissue typically heal spontaneously after extraction of a fenestrated primary tooth. However, in the cases presented here, the gingival lesion did not heal after the fenestrated teeth were extracted. CLINICAL IMPLICATIONS: After extracting fenestrated teeth, clinicians need to examine the labial area at a follow-up appointment to ensure that the gingival hyperplasia heals properly. The authors suggest performing curettage of the surrounding abnormal tissue at the time of the tooth extraction.- - - - - - - - - - ranking = 1keywords = labial (Clic here for more details about this article) |
3/17. Gingival cysts in the adult.BACKGROUND: Gingival cysts in the adult are unusual cysts of odontogenic origin with less than 100 reported, including this series. Even rarer are cases of multiple gingival cysts. This paper reports the second largest retrospective study of biopsy cases of adult gingival cysts with a spectrum of their features and another case of multiple gingival cysts. methods: The files of a biopsy service were reviewed for the most recent 10-year period. Data collected included location, age, gender, clinical features, clinical diagnosis, and histologic features. These were compared to previous reports. There was also a case report of multiple cysts. RESULTS: Twenty-two adult gingival cysts were retrieved, 2 of which were multiple. They are uncommon cysts of odontogenic origin, noted primarily in the fifth and sixth decades with only a slight predilection for females. They occur more in the mandible on the labial attached gingiva of the anterior teeth. histology shows a very thin, uninflamed wall lined by a very thin squamoid or cuboidal epithelium. Multiple cysts are very rare. CONCLUSIONS: Gingival cysts in the adult are uncommon cysts that are diagnosed at the clinical level about 50% of the time, with others being confused with a mucocele. They may be bluish due to the fluid and may cause pressure resorption of the labial bone, yielding a radiolucency sometimes confused with a lateral periodontal cyst. Treatment consists of an excisional biopsy.- - - - - - - - - - ranking = 1keywords = labial (Clic here for more details about this article) |
4/17. Laser irradiation inhibition of open gingival embrasure space after orthodontic treatment.The purpose of this study was to investigate the inhibitory effect of low-energy laser irradiation on an incidence of open gingival embrasure space after orthodontic treatment. The patient was a 20-year, 7-month-old Japanese female with an Angle Class I malocclusion and crowding in the mandible. Treatment consisted of extraction of maxillary and mandibular first premolars and use of the Edgewise technique. A Ga-Al-As diode laser was used to irradiate an area of 0.5 cm2 at the labial and lingual gingival papilla between the canines. The time of exposure was 6 minutes for 3 days, carried out between the relevelling and en masse stages of movement. The total energy corresponding to 6 minutes of exposure varied from 1.90 J/cm2. There was no further evidence of open gingival embrasure space, except at the mandibular central incisor. Further: an improvement in the gingival inflammation caused by a periodontal disease was observed, and periodontal pocket depth was maintained. These results suggest that low-energy laser irradiation may inhibit the incidence of open gingival embrasure space after orthodontic treatment.- - - - - - - - - - ranking = 0.5keywords = labial (Clic here for more details about this article) |
5/17. Case report: Oral pemphigus vulgaris with multiple oral polyps in a young patient.A rare case of oral pemphigus vulgaris is presented, which developed initially in a 9-year old Jordanian male. The disease was not well controlled with immunosuppressive therapy and was complicated by the development of multiple oral polyps approximately one year after the onset of symptoms. These lesions were smooth, painless and located particularly on the upper labial gingiva, the labial and buccal mucosae and the tongue. disease activity continued for approximately nine years until the patient was referred to an oral medicine specialist. Histological examination of the polyps revealed exuberant granulation tissue. Adjustment of the steroid dosage lead to resolution of the oral symptoms and the polyps reduced in number and in size. This case highlights the occurrence of pemphigus vulgaris in young patients, illustrates a rare complication of persistent ulcero-inflammatory disease and emphasises the importance of specialist referral in the management of oral disease.- - - - - - - - - - ranking = 1keywords = labial (Clic here for more details about this article) |
6/17. Gingival fibrous nodule--anomaly or pathology?Three cases of a relatively common but rarely reported intraoral condition are described. Clinically, this condition appears as an asymptomatic, tumor-like nodule or nodules along the labial anterior mucogingival line and are characterized histologically by an accumulation of dense collagenous tissue. This entity represents a developmental condition and should be distinguished from reactive and neoplastic lesions. No treatment is necessary.- - - - - - - - - - ranking = 0.5keywords = labial (Clic here for more details about this article) |
7/17. Congenital defect of maxillary primary central incisor associated with exposed pulp and gingival [fibrosis]: case report.This report describes a rare case of hypoplastic primary incisor in which the pulp was exposed at the crown portion and covered by the gingiva in a 1-year-11-month-old boy. The patient was referred to us due to swelling of his labial cervical gingiva of the maxillary right primary central incisor, and on examination, extended to the hypoplastic labial surface. Radiographically, there was a round radiolucent area on the crown including the edge. Surgical removal of the swollen gingiva revealed a large defect of the labial aspect of the incisor, showing pulpal tissue inside. The tooth was treated by vital pulpotomy. Histopathologically, the removed gingival tissue contained many pieces of dysplastic tooth elements in the lamina propria portion which should have been connected to the exposed pulp. The findings suggested that pulp exposure resulted from focal dental hypoplasia not from resorption of the tooth.- - - - - - - - - - ranking = 1.5keywords = labial (Clic here for more details about this article) |
8/17. Gingival and cutaneous xanthomatosis associated with primary biliary cirrhosis. Report of a case.The first comprehensive case report of intraoral xanthomatosis associated with primary biliary cirrhosis is detailed. The lesions were present along the free gingival margin and labial vestibule. Crevicular fluid was noted to be tinged yellow. Generalized cutaneous eruptions were also seen. The xanthomas were attributed to the underlying hyperlipoproteinemia. Advanced progression of the hepatic disease necessitated a liver transplant. Disappearance of both oral and skin lesions were subsequently observed.- - - - - - - - - - ranking = 0.5keywords = labial (Clic here for more details about this article) |
9/17. An unusual epithelial neoplasm of gingiva resembling the keratoacanthoma.An unusual, tumour-like mass protruding from labial and palatal gingivae and surrounding the unerupted canine in a 12-year-old child is described. Clinically, the lesion was felt to be aggressive but histologically, the most likely diagnosis was keratoacanthoma, probably of the nodulovegetating type. Following excision of the mass, healing has been uneventful. Whether or not the histological diagnosis of keratoacanthoma is accepted, rather than an unusual odontogenic neoplasm, this case illustrates the existence of an entity comprising well-differentiated islands and cysts of squamous epithelium with a rapid growth pattern.- - - - - - - - - - ranking = 0.5keywords = labial (Clic here for more details about this article) |
10/17. Repair of anterior gingival deformity with durapatite. A case report.After the extraction of a maxillary anterior tooth, a gingival deformity may occur due to the loss of the labial plate of bone. This often creates an esthetic problem in the construction of a fixed partial denture. In the past, various surgical techniques have been devised to eliminate this gingival defect. A technique using durapatite is discussed.- - - - - - - - - - ranking = 0.5keywords = labial (Clic here for more details about this article) |
| | Next -> |