By Richard C.K. Jordan, Michael A.O. Lewis
A entire advisor to analysis and therapy of oral problems;superb color illustrations built-in all through - combining some great benefits of an atlas with a brief text/reference;symptoms-based approach;one in keeping with web page or web page spread.
content material: PREFACE; ACKNOWLEDGEMENTS; ABBREVIATIONS; 1 advent; 2 ULCERATION; three BLISTERS; four WHITE PATCHES; five ERYTHEMA; 6 SWELLING; 7 PIGMENTATION (INCLUDING BLEEDING); eight OROFACIAL ache (INCLUDING SENSORY AND MOTOR DISTURBANCE); nine DRY MOUTH, extra SALIVATION, lined TONGUE, HALITOSIS, and adjusted flavor; INDEX.
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Extra info for A Colour Handbook of Oral Medicine
29 30 ULCERATION Necrotizing sialometaplasia ETIOLOGY AND PATHOGENESIS This is a benign salivary condition that occurs almost exclusively in the hard palate, although other sites where minor salivary glands are located may be affected. The condition is caused by local ischemia secondary to altered local blood supply, which in turn causes infarction of the salivary glands. Local trauma through injury or surgical manipulation is believed to be the most important etiologic factor. CLINICAL FEATURES Necrotizing sialometaplasia is characterized by the development of a painless swelling with dusky erythema in the hard palate, which ulcerates (53).
59 59 Notch deformity of the incisors due to congenital syphilis (Hutchinson’s incisors). 60 60 Hypoplastic deformity of the first molar due to congenital syphilis (Moon’s molar, mulberry molar). 33 34 ULCERATION Acute necrotizing ulcerative gingivitis ETIOLOGY AND PATHOGENESIS The etiology of acute necrotizing ulcerative gingivitis (ANUG) is not fully understood but strictly anerobic bacteria, in particular spirochetes and Fusobacterium species, are likely to be involved since high numbers of these microorganisms can be demonstrated in lesions.
In contrast to the oral lesions which may be present for many years, skin involvement usually resolves within 18 months. DIAGNOSIS Clinical diagnosis of oral lichen planus is aided by the presence of cutaneous lesions. A mucosal biopsy will show a hyperkeratinized epithelium, basal cell destruction, and a dense band-like infiltrate of T-lymphocytes in the superficial connective tissue. MANAGEMENT The patient should be reassured of the benign nature of lichen planus. However, pre-existing lichen planus has occasionally been associated with the development of oral cancer, particularly if known risk factors are present.
A Colour Handbook of Oral Medicine by Richard C.K. Jordan, Michael A.O. Lewis