Low socioeconomic status, strenuous working hours, inadequate diet and nutrition intake, stress, and use of tobacco and alcohol act as contributing factors for ill health and oral diseases. It is a challenging population to the clinician to identify and treat them.
From the time of its introduction in the 1040s, glucocorticoids have provided a panacea for many diseases. The therapeutic benefit of corticosteroids lies in their anti-inflammatory and immunosuppressive properties which makes them highly effective in the management of oral mucosal lesions. This article aims to present to the clinician, the plethora of options available as steroid therapy and enables one to choose based on the underlying disease and the properties of the drug.
Aim:To evaluate the awareness of diagnosis and management of temporomandibular disorders (TMDs) among general dental practitioners and to understand their attitude toward the relevance of these disorders. Materials and Methods: A questionnaire containing 17 questions regarding etiology, signs and symptoms, investigations and management of temporomandibular joint disorders and about the relevance of managing the same in routine clinical practice was answered by 100 general dental practitioners in Southern India. The results obtained were tabulated and were analyzed using non-parametric Spearman's rank correlation and Pearson (parametric) correlations. Results: Our study found that while clinicians were well versed with the etiologic factors responsible for TMD and their diagnosis, the domain of management of TMD was an area that needed improvement. Conclusion: General dental practitioners could benefit from education programs aimed at highlighting the management aspect of TMD.
Oral lichen planus is a chronic mucocutaneous disease of enigmatic etiology. It is a commonly encountered mucosal condition with a varied clinical presentation, where eruptions of oral lichen planus usually have characteristic clinical morphology and distribution but may also present a confusing array of forms which may pose a diagnostic diffi culty. Lesions may clinically simulate other disorders and pose a diagnostic challenge. As such a potentially malignant condition certain variants of oral lichen planus may be associated with a higher rate of malignant transformation and management protocol varies from form to form. We present a series of three case reports in an attempt to illustrate the array of clinical presentations of oral lichen planus and discuss the management options available for the same.
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