Leprosy is a chronic infectious disease affecting primarily the skin, peripheral nerves, respiratory system and the eyes. Leprosy induces various types of clinical presentation affecting the patient´s immune response. Cellmediated immunity is considered to be the crucial defence against the disease and the magnitude of this immunity defines the extent of the disease. The article presents two case reports of manifestations of leprosy in the oro-facial region, with a brief review of various other important oro-facial manifestations of leprosy. The first report deals with granulomatous nodules in the palate while the second report presents bilateral facial palsy in leprosy patients. Both the reports gain importance due to rare oral manifestation in a borderline leprosy patient in the first case, while the second case presents a rare bilateral Bell´s sign. The role of the dental profession and especially the Oral Medicine specialist is of great importance in early diagnosis of oral lesions.
Multilocular radiolucencies are produced by multiple, adjacent, frequently coalescing and overlapping pathologic compartments in bone. A number of lesions produce multilocular radiolucencies of the jaws. These are more common in the mandible as compared to the maxilla. To help the practitioner arrive at a working (clinical) diagnosis through the differential diagnosis process a systematic approach is needed. We present a case of acanthomatous ameloblastoma of the mandible and the possible lesions considered in the differential diagnosis to arrive at a clinical diagnosis. How to cite this article Gadda RB, Patil N, Salvi R. Multilocular Radiolucency in the Body of Mandible: A Systematic Diagnostic Approach. J Contemp Dent 2012;2(2):39-42.
SUMMARYNeurological disorders and conditions affecting the maxillofacial region result in disabilities that affect an individual's functioning. Sensory or motor disturbances of the nerves may be caused by trauma, infections, pressure effect or infiltration by tumours or other health conditions. Two rare cases of nerve afflictions are described here with their typical clinical features. The first case had an involvement of maxillary, mandibular and ophthalmic divisions of the trigeminal nerve (sensory) due to herpes zoster infection in a very young patient and the second case had a unilateral isolated hypoglossal nerve palsy (motor) secondary to infiltration of the nerve by carcinoma of pyriform fossa. BACKGROUND
Aim To determine the prevalence, radiographic appearance and characteristics of patients with zygomatic air cell defect (ZACD). Materials and Methods Routine panoramic radiographs of 400 patients who were visited the dental outpatient of our institute were examined retrospectively. Results Out of 400 study subjects, ZACD was found in 11, giving an overall prevalence of 2.75%. Out of 11 ZACD subjects, six were males and five were females. The mean age of subjects with ZACD was 33.9 (±15) years and a range of 18 to 65 years. The bilateral involvement of ZACD was seen in only one subject. Conclusion The overall prevalence of ZACD is relatively low in present study population. Knowledge of ZACD may be helpful in interpreting panoramic radiographs, in planning surgical treatment of the temporomandibular joint and in understanding the spread of pathological processes into the joint. How to cite this article Gadda R, Patil NA, Salvi R. Zygomatic Air Cell Defect: Prevalence and Characteristics in Dental Outpatient Population. J Contemp Dent 2012;2(3):69-72.
Oral submucous fibrosis (OSMF) is a crippling disorder which is confined almost exclusively to the Indian subcontinent. The available epediomological data showed clear cut geographical and ethnic predisposition, which suggested that certain customs/ habits prevalent among the population groups in the south-east asia might be etiological factors. Despite its association with a significantly increased risk of cancer, the etiology is still not clear. More research is needed to elucidate the problem.
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