REACTIVE & INFLAMMATORY WHITE LESIONS
LINEA ALBA (WHITE LINE)
Horizontal streak on the buccal mucosa at the level of the occlusal plane extending from the commissure to the posterior teeth
Common finding
Most likely associated with pressure, frictional irritation, or sucking trauma from the facial surfaces of the teeth
Present in about 13% of the population in one study.
Why White???
White colour is imparted due to any condition that increases the thickness of the epithelium thereby increasing the distance to the vascular bed.
It is a multisystemic disease characterized by a predisposition to neoplasms and other developmental abnormalities as will be listed down later. It was 1st described by Robert James Gorlin and Robert William Goltz in 1960.
– Gorlin Syndrome
-Naevoid basal cell carcinoma syndrome (NBCCS)
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What is a frenectomy?
Frenectomy is a surgical procedure which involves the removal of frenum, a thin band of fibrous tissue covered with mucosa. Labial frenum can be found when you lift your upper lips and it connects the center of your upper lip to the gum tissues between your two front teeth. Lingual frenum is found extending from the floor of the mouth to the midline of your tongue. Continue reading
Chemotherapy is the use of drugs to treat cancer. These drugs kill cancer cells, but they may also harm normal cells, including cells in the mouth. Side effects include problems with your teeth and gums; the soft, moist lining of your mouth; and the glands that make saliva (spit). Continue reading
TUBERCULOSIS
TB is a systemic, chronic granulomatous infectious disease with variable clinical presentation.
Etiology : Mycobacterium Tuberculosis, Acid-fast bacilli.
Myco.TB is aerobic, non-motile, rod shaped, non-sporing bacilli which is stained by Zeihl-Neelsen stain.
Most common infection, most are transient with few untoward sequelae.
Some are life threatening (e.g., Meningoccus, Diphtheria)
Severe, recurrent, disseminated or persistent lesions occur in Immunocompromised, organ transplant or AIDS.
Bacterial infections are diagnosed on Clinical grounds, supported by smears, culture, testing for immune responses (Serology) & examining for nucleic acids.
Antibacterial drugs can be effective therapy but, resistance can be a problem (e.g.. MRSA)
Crown lengthening is a dental procedure which involves the removal of gum tissue, bone or both to expose a greater height of your tooth structure. It is normally done by a periodontist to increase a restoration’s retention or to improve the esthetics of your gums. Crown lengthening can be done on one tooth, or to several teeth and the total surgery time will depend upon how many teeth are involved. Continue reading
If the occlusal surfaces of the teeth or the supporting structures have been altered due to inappropriate dental treatment, periodontal disease, or trauma, the proper occlusion may need to be restored. Patients with bridges, crowns, or onlays should be checked for bite discrepancies. These discrepancies, if present, may cause a person to make contact with posterior teeth during sideways chewing motions. These inappropriate contacts are called interferences, and if present, they can cause a patient to subconsciously avoid those motions, as they will provoke a painful response. The result can be excessive strain or even spasms of the chewing muscles. Treatment could include adjusting the restorations or replacing them. (Christensen 1997, A Consumer’s Guide to Dentistry). Continue reading
Temporomandibular joint disorder (TMJD or TMD), or TMJ syndrome, is an umbrella term covering acute or chronic inflammation of the temporomandibular joint, which connects the mandible to the skull. The disorder and resultant dysfunction can result in significant pain and impairment. Because the disorder transcends the boundaries between several health-care disciplines—in particular, dentistry and neurology—there are a variety of treatment approaches. Continue reading