This is the second of two articles that look at the oral manifestations of mental health disorders. Part 1 focused on eating disorders, covering anorexia nervosa, bulimia nervosa and binge eating disorder. It explained each condition, common associated habits and explored the possible oral signs and symptoms that may present. Part 2 concentrates on depression and its significant effect on the oral cavity. These articles aim to increase awareness of mental health disorders and highlight the importance of dental practitioners being able to recognize oral signs and symptoms of eating disorders so that appropriate referrals can be made. CPD/Clinical Relevance: Depression is an increasingly common affliction and therefore it is important for dental professionals to recognize the associated oral manifestations. An improved awareness of the condition and possible symptoms can aid diagnosis and appropriate management.
Mental health disorders are becoming increasingly prevalent and it is important that dental professionals have adequate knowledge of these conditions, the impact that they may have on oral health and how they should be managed. This is the first of two articles that discuss mental health disorders that may present in general practice, their oral manifestations and the strategies used in their management. Part 1 focuses on the eating disorders: anorexia nervosa, bulimia nervosa and binge eating disorder. Part 2 will discuss depression and explores the physiological and behavioural changes that can affect oral health. CPD/Clinical Relevance: Eating disorders have many oral manifestations that can be identified in general practice. Improved awareness of the possible signs and symptoms can allow for early diagnosis and management.
Lymphomas in the head and neck region (HNR) can be a diagnostic challenge owing to their indistinctive oral manifestations that frequently mimic other pathologies. This case report highlights a young male who experienced spontaneous paraesthesia of his lower lip with an accompanied localized dull ache. Initial clinical examination and investigations were inconclusive. A definitive diagnosis of extranodal low-grade B-cell non-Hodgkin lymphoma (NHL) was only confirmed after the second incisional biopsy, which was 15 months after onset of symptoms. This report offers insight of NHL in the HNR and its clinical presentation. It aims to improve awareness amongst dental practitioners to aid early diagnosis. CPD/Clinical Relevance: The reader should consider lymphomas as a differential diagnosis for unexplained symptoms, including paraesthesia, mucosal ulceration and soft tissue swelling.
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