By Isaäc van der Waal
This atlas is designed to help all who're desirous about diagnosing and treating oral illnesses. person chapters concentrate on lesions and problems of the oral mucosa, tender tissues (including the minor salivary glands), lips, tongue, gingiva, palate, and jaw bones (odontogenic and non-odontogenic lesions). as well as the extra universal illnesses, much less widespread problems also are coated, a few of which were famous in simple terms lately. all through, the technique is perform orientated, with concise textual content and an abundance of top quality medical, radiographic, and, the place applicable, histopathologic photos. The mixed education of the writer in oral surgical procedure and oral pathology implies that he has unheard of services in either the prognosis and the therapy of oral ailments. His particular wisdom and adventure are totally mirrored within the Atlas of Oral Diseases, in an effort to be very worthwhile for dental and doctors of their day-by-day practice.
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Extra resources for Atlas of Oral Diseases: A Guide for Daily Practice
The differential diagnosis mainly includes pachyonychia congenita and morsicatio. Histopathology There may be hyperkeratosis and acanthosis with distinct vacuolization of the epithelium (Fig. 91). These features are not pathognomonic of the disease. Treatment No treatment or follow-up is required. Fig. 89 Low-power view of a biopsy from morsicatio; notice the rather characteristic layer of microorganisms on the surface Epidemiology Rare disorder; becomes manifest already during childhood. Clinical aspects White, thickened mucosa, usually bilateral, of the buccal mucosa and the borders of the tongue (Fig.
107 Smokers’ melanosis of the lower lip Fig. 106 Melanosis, asymptomatic. Excision recommended for histopathologic verification Fig. 108 Pigmentation of the palatal mucosa due to the use of hydroxychloroquine In case of idiopathic melanin pigment deposition, one may be dealing with a prestage of melanoma (Fig. 106). Another cause of melanin pigmentation consists of excessive smoking habits (smokers’ melanosis), particularly in the anterior part of the mouth but also on the buccal mucosa. After cessation of the smoking habits, the pigmentation will disappear in some months (Fig.
Epidemiology Rather rare event; usually at middle age but may occur in children as well. Clinical Aspects Sialoliths mainly occur in the submandibular glands or their excretory ducts and are usually associated with symptoms of a painful, recurrent submandibular swelling, particularly during meals. Occasionally presents as a swelling in the floor of the mouth (Fig. 38a). The diagnosis is confirmed by the findings on an occlusal radiograph (Fig. 38b) or a (cone beam) CT (Fig. 38c, d). Occurrence of a sialolith in a minor salivary gland is quite rare; the usual presentation is a small nodule in the upper lip.
Atlas of Oral Diseases: A Guide for Daily Practice by Isaäc van der Waal