The radiographic recognition of any disease requires a thorough knowledge of the radiographic appearance of normal structure. Intelligent diagnosis mandates an appreciation of the wide range of variation in the appearance of normal anatomical structures. The mental foramen is usually the anterior limit of the inferior dental canal that is apparent on radiographs. It opens on the facial aspect of the mandible in the region of the premolars. It can pose diagnostic dilemma radiographically because of its anatomical variation which can mimic as a periapical pathosis. Hereby we are reporting a rare case of superimposed mental foramen over the apex of right mandibular second premolar mimicking as periapical pathology.
Evaginated odontome or talon cusp is an uncommon dental anomaly with accessory cusp-like projection arising from the cingulum area of the maxillary or mandibular anterior teeth. This anomalous cusp resembles an eagle's talon and hence the name. It occurs in both the primary and the permanent dentition. The presence of talon cusp on the lingual surfaces of primary permanent teeth is considered to be pathognomic, but the case reported here is an unusual case which is present in the facial aspect in a female patient. As per the existing literature only seven case reports of facial talon in permanent maxillary teeth have been reported.
As an oral diagnostician, many of our patients we come across are mostly the potentially malignant disorder cases. Either it might be leukoplakia, nicotina stomatitis, oral submucous fibrosis, tobacco pouch keratosis. In each of this cases where habits are the prime factor for occurrence of the lesions intraorally, the first line of treatment is cessation of the habits. But practically speaking, we don't spend much time about the cessation of the habits. As an oral diagnostician, it is our duty to motivate and educate the patient about the evil effects of the deleterious habits and need to follow up the patient and guide him to quit the habits. This article intends to highlight about one of the methods to stop the deleterious habit of smoking that is nicotine replacement therapy and therewith preventing the transformation of potentially malignant disorders into oral cancer.
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