By Isaäc van der Waal
This atlas is designed to help all who're concerned with diagnosing and treating oral ailments. person chapters specialize in lesions and problems of the oral mucosa, delicate 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 common problems also are lined, a few of which were famous in basic terms in recent times. all through, the procedure is perform orientated, with concise textual content and an abundance of top of the range scientific, radiographic, and, the place acceptable, histopathologic photographs. The mixed education of the writer in oral surgical procedure and oral pathology signifies that he has unparalleled services in either the prognosis and the therapy of oral ailments. His distinctive wisdom and adventure are absolutely mirrored within the Atlas of Oral Diseases, with the intention to be very important for dental and doctors of their day-by-day practice.
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Additional info for Atlas of Oral Diseases: A Guide for Daily Practice
64 (a) Leukoplakic lesion possibly due to contact with a buccal amalgam restoration (“contact lesion”). (b) Same patient 2 months after replacement of the amalgam restoration Treatment Cessation of the application of the drug should result in healing of the lesion within a week or so; this should be monitored. 3 Contact Lesion Definition A benign whitish, sometimes erythematous or mixed white and red lesion of the oral mucosa due to chronic, direct contact with a dental restoration, usually an amalgam restoration.
Etiology It is often discussed as whether a contact lesion is caused by mechanical irritation (“frictional lesion”) or by a delayed type IV allergy to mercury; some recommend to do allergy testing for mercury and amalgam. Another suggested, but difficult to proof, etiologic factor is galvanism due to the use of various metals of dental restorations. Clinical Aspects The buccal mucosa and the borders of the tongue are the sites of preference. Contact lesions may have a leukoplakia-like or lichenoid appearance, sometimes producing symptoms (Fig.
B) Same patient; other side Fig. 76 Lichen planus of the tongue, reticular type Fig. 78 Lichen planus, partly erosive/ulcerative and partly plaque type Fig. 77 Erosive lichen planus of the gingiva of predilection. Occurrence in the floor of the mouth and the palate is rare. Particularly the erythematous type may cause symptoms, such as pain and, in case of gingival involvement, severe bleeding during toothbrushing. Patients affected by oral lichen planus usually do not tolerate spicy food. When the gums are involved, patients may complain about the esthetic aspect of their gums.
Atlas of Oral Diseases: A Guide for Daily Practice by Isaäc van der Waal