September 19th, 2009 by admin
Actinomycosis
• Systemic therapy: penicillin or tetracycline in large doses for
3–6 mo
• Wide excision of infected tissue
Acute Herpetic Gingivostomatitis
• Systemic therapy
• Valacyclovir 500 mg #20; 1 tablet twice daily × 10 d
• Acyclovir 400 mg #50; 1 tablet 5 times daily × 10 d
• Fluids
• Analgesia
Acute Necrotizing Ulcerative Gingivitis
• Débridement of necrotic tissue
• Aggressive oral hygiene and plaque control Read the rest of this entry »
September 19th, 2009 by admin
Cleidocranial Dysplasia
Etiology
• Autosomal-dominant trait with high penetrance and variable
expressivity
• Mutations in SH3-binding protein on chromosome 4p16.3
• Widespread membranous and endochondral defects in craniofacial
complex Read the rest of this entry »
September 19th, 2009 by admin
Cherubism
Etiology
• Autosomal-dominant, fibroblast/giant cell–containing
condition
• May be secondary to somatic mutation, mapping
to chromosome 4p16.3
• No associated metabolic or biochemical alterations noted
• Possible linkage/association with Noonan’s syndrome
Clinical Presentation
• Early signs in childhood
• Bilateral, symmetric enlargement of mandible
• Maxillary involvement less common and less prominent Read the rest of this entry »
September 19th, 2009 by admin
Amyloidosis
Etiology
• May be primary (idiopathic), secondary to systemic disease, or
familial
• Formation of a fibrillar protein deposited in soft tissues and
visceral organs with associated levels of dysfunction
Clinical Presentation Read the rest of this entry »
September 18th, 2009 by admin
Metastatic Cancer
Etiology
• Spread of a primary malignancy to the oral cavity structures or
jaws (usually from lung, breast, prostate, colon, kidney)
• Accounts for < 1% of oral malignancies
Clinical Presentation Read the rest of this entry »
September 18th, 2009 by admin
Ewing’s Sarcoma
Etiology
• Unknown
• Chromosomal translocations t(11;22), t(7;22), t(7;21) noted
• Gene rearrangement often noted, that is, (22;q12) and expression
of the MIC2 gene Read the rest of this entry »
September 18th, 2009 by admin
Etiology
• Usually indicates prematurely erupted deciduous teeth
Clinical Presentation
• Erupted teeth at birth
• Almost always are incisors
• 85% appear in mandible
Treatment
• If mobile, extraction
• Possible retention for functional, esthetic reasons
September 18th, 2009 by admin
Etiology
• A compulsive-eating disorder characterized by repeated
episodes of binge eating followed by vomiting or another form
of purging, including laxative abuse
• Cause may be biologic (neurometabolic disturbance), psychological
(societal pressure for extreme thinness), or combined Read the rest of this entry »
September 18th, 2009 by admin
Sarcoidosis
Etiology
• Unknown; granulomatous disease process
• May represent a systemic response to a single provoking agent;
mycobacteria has been suggested but not proven
• Possible role of genetic factors coupled with disordered reactions
to foreign antigens
Clinical Presentation Read the rest of this entry »
September 18th, 2009 by admin
Periapical Granuloma
Etiology
• A mass of inflamed granulation tissue
• Forms secondary to pulp necrosis of the associated tooth
• May develop following periapical abscess formation or may
form as pulpal death eventuates without abscess precursor
Clinical Presentation
• Usually asymptomatic Read the rest of this entry »
