Erythroplastic lesion on the mandibular marginal gingiva
Article Abstract:
A case report is provided of a patient who had an erythematous (red) gum area surrounding one of the lower incisors, believed to be the result of periodontal disease (disease of the gums and structures surrounding the teeth). Tooth extraction was planned and, because the condition did not improve after two weeks of better oral hygiene, a gum biopsy was performed. The diagnosis was squamous cell carcinoma (cancer), apparently located in the gingival sulcus, the space between the gum and tooth. The affected region was removed and there were no signs of bone involvement. Approximately 30,000 people will develop oral squamous cell carcinoma in 1989, according to one estimate, and it is critical to distinguish these lesions from more common ones. Lesions that persist after the source of irritation has been removed should be biopsied. Some important signs are changes in color of the mucosa and the appearance of red or white lesions (erythroplakia or leukoplakia), or both, to give a 'speckled' appearance. One study found that 20 percent of 384 patients with carcinoma had undergone dental extractions before their condition was diagnosed. Most of these carcinoma patients smoked at least one pack of cigarettes per day, and approximately half consumed alcohol daily. Squamous cell carcinoma involves the lower jaw more often than the upper. Gingival cancer has a poor prognosis, especially if metastasis to the lymph nodes has occurred. (Consumer Summary produced by Reliance Medical Information, Inc.)
Publication Name: Journal of the American Dental Association
Subject: Health
ISSN: 0002-8177
Year: 1989
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Chronic lesions of the gingiva and mucosa
Article Abstract:
Accurate and timely diagnosis of p yostomatitis vegetans is crucial, because this relatively rare oral cavity disorder can lead to gastrointestinal disease. C areful differential diagnosis and evaluation is needed since significant similarities exist in the clinical presentation of oral lesions. The differential diagnosis of chronic multiple lesions of the oral cavity is discussed.
Publication Name: Journal of the American Dental Association
Subject: Health
ISSN: 0002-8177
Year: 2007
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Mucosal lesions in older adults
Article Abstract:
Common oral diseases or conditions among the elderly include oral cancers, premalignant lesions and candidiasis, and dentists should properly diagnose these and treat accordingly. Diagnosis of benign and malignant mucosal lesions will expedite the correct treatment and prevent other diseases. Mucosal lesions in older patients is discussed.
Publication Name: Journal of the American Dental Association
Subject: Health
ISSN: 0002-8177
Year: 2007
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