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Oral Disease & Pathology

Oral Information

Oral Disease & Pathology

Most practitioners have had extensive training in recognising the common and pathological diseases that may occur in the mouth caused by varies conditions that affect oral tissues in adverse ways, sometimes existing on a temporary basis and most importantly in some cases on a more permanent and perpetually destructive scenario. It is for this reason that all practitioners are fully learnered in this highly important subject.
 
However, it may not be the case that we as practitioners come across most of the disease photographed in this section although it is an necessity to be continuously educated to recognise the diseases in order to, in some case to help patients at early stages immediately when particular conditions are visible.   
 
I would believe that most of my colleagues have got visual guide to help them assist in determining and recognising some of these conditions.
 
In my practice, I have a fantastic guide that I refer to immediately when I notice an oral condition which, may not be something that I might find familiar or common and this reserve reference has in many cases since 1992 when it first become available to us saved my patients from further trauma and undoubtedly in one occasion a condition from exacerbating to any further major condition which may have metastasized to a point where it may have lead to a fatal result.
 
If you are a practitioner on the website at this moment, I would recommend that a perfect manual to have at your finger tips in your nearest draw would be:

 

THE COLOUR ATLAS OF COMMON ORAL DISEASE

 

All the written descriptions below are in very brief form due to the prevention of self diagnosis of patients and improper or inexperienced diagnosis by practitioners not fully informed in these pathological diseases. It must be assured that it is prudent for the referral to a specialist in oral pathology.  

 

 Alterations in Tooth Structure | Acquired defects of Teeth | Conditions Peculiar to the Lip | Conditions Peculiar to the Tongue |

Generalized Gingival Enlargements | Gingivitis | Hepatocellular Disease | HIV Infection and Aids | Localized Gingival Lesions |

Nodules | Nodules on the Lip | Palatal Swellings | Pigmented Lesions | Red Lesions | Red and Red/White Lesions |

Sexually related & Infectious Conditions | Spontaneous Gingival Bleeding | Swelling of the Floor of the Mouth |

Swelling of the Lips | Tobacco associated white Lesions | Ulcerative Lesions | Visiculobullous Lesions

 

Alterations in Tooth Structure

 

Discoloured Teeth of dentingenesis imperfecta shields Type 1

 

 

Distinct Grooves of enamel hypoplasia.
  Opalescent hue of teeth with dentin
dysplasia type II
 

Back to top

 Acquired Defects of Teeth

Toothbrush abrasion along cervival
margins of teeth

 

Lingual erosion of bulimia
Signs of attrition. Smooth yellowish dentin exposed on masticatory surfaces 

Conditions Peculiar to the Lip

Keratotic foci and thickened lower lip
associated with actinic cheilitis

 

Monilial cheilitis with characteristic whitish scale and red inflammatory borders

 

Desquamation and fissuring of the lips caused by Candida infection; monilial chelitis 

 

Flabby perioral folds and angular chelitis 

 

 Erythematous areas extending from the corners of the mouth indicative of angular chelitis

 

Hermorrhagic crusts of a severe case of exfoliative cheilitis 

Conditions Peculiar to the Tongue

Fissured tongue and subtle manifestations of geographic tongue

 

Multiple purple lingual varicosities; ventral tongue

 

Scalloped tongue caused by abnormal tongue pressure against the teeth

 

Macroglossia due to a hemangioma

 

White hairy tongue

 

Extensive white corrugations of hairy leukoplakia in a patient with AIDS

 

Pink-red denudations of filiform papillae typical of mild geographic tongue

 

Symptomatic geographic tongue with a prominent
red-white inflammatory border

 

Smooth, bald, burning tongue; Iron deficiency anemia

 

Xerostomia-induced by, fissured atrophic tongue

Generalized Gingival Enlargements

Dilantin induced gingival hyperplasia

 

Fibrotic gingival hyperplasia indicative of prolonged dilantin therapy

 

Early gingival inflammation associated with mouth breathing

Gingivitis

Plague-induced marginal
gingivitis

 

Chronic gingivitis extending onto the attached gingiva

 

Cratered papillae; acute necrotizing ulcerative gingivitis

 

Gingivitis in a 19-year-old women with uncontrolled diabetes mellitus

 

Inflamed, papulonodular hyperplasia of the gingiva in a diabetic patient

Hepatocellular Disease

Hepatocellular Disease

HIV Infection and Aids

Persistent recurrent herpes
labialis in an HIV-positive patient

 

Recurrent herpes simplex in a patient with Aids

 

Unilateral palatal ulcerations of herpes zoster in an HIV-positive patient

 

Papilloma-virus-induced condyloma acuminata in a HIV-positive patient.

 

Nodular non-Hodgkin's lymphoma
in a patient with AIDS

Localized Gingival Lesions

Pyogenic granuloma arising from the interdental papilla

 

Pregnancy tumor; three days post-parturition

 

Smooth-surfaced peripheral giant-cell granuloma arising from marginal gingiva

 

A rapid enlarging peripheral giant-cell granuloma

 

Peripheral fibroma with calcification arising from the interdental papillae

 

 

 Gingival carcinoma concurrent with poor hygiene and advanced age

 

 

Draining of purulent material from the periodontal abscess 

 

 

 Hyperplastic folds of an epulis fissuratum caused by irritation from a denture flange

 

 

 Epulis fissuratum where the partial denture flange rests

 

 

 Reddish, granular surface sqamous
cell carinoma of the gingiva

Nodules

Extensive mandibular tori

 

Multinodular mandibular tori

 

Exostoses apparent at the mucogingival junction of the maxilla and mandible

 

Palatal exostosis

 

Diffuse lipoma of the lateral margin of the tongue

 

Neurofibroma of the lateral margin of the tongue

 

Yellow lymphoepithelial cyst on the margin of the tongue
 
Nodules on the Lip
 
Pleomorphic adenoma; a firm buish nodule
 
Palatal Swellings
 

 

 Lobular torus palatinus with a denture situated
round the torus

 

Fluctuant incisive canal cyst involving the anterior third of the palate 

 

 Benign lymphoid hyperplasia arising at the junction of hard and soft palate

 

 Rapidly growing swelling of lateral hard palate; necrotizing sialometaplasia

 

Whitish mucous exuding from a muceopidermoid carcinoma 

 

Rapidly growing nodule with surface ulceration; adenoid cystic carcinoma 

 

One week later, Necrotizing Sialometaplasia appeared as a large depressing ulcer 

Pigmented Lesions

Melanoplakia distributed along the attached
gingiva

 

The most common site of the melanotic macule, lower lip

 

Dark pigmented blue nevus on the lateral palatal vault

 

Black pigmentation, pinpoint satellite lesions, and peripheral erythema characteristic pf malignant melanoma

 

Vegetative, amelanotic malignant melanoma; palate and alveolar ridge

 

Focal argyrosis from failed silver
point endodontic therapy

Red Lesions

Ecchymosis following lip trauma
in a heparinizes patient

 

Purplish-blue hematoma resulting from a
blow to the face

 

Red intraoral hematoma

 

Multinodular hemangioma of the buccal mucosa

 

Port-wine stain; Sturge-Weber syndrome

 

Unilateral hemangioma of the palate; Sturge-Weber syndrome

Red and Red/White Lesions

Papillary hyperplasia; the third stage of denture
stomatitis

 

Chronic atrophic candidiasis limited to partial dentures bearing area

Sexually Related and Infectious Conditions

Syphilitic chancre of primary syphilis; labial commissure

 

Snail track mucous patch of secondary syphilis

 

Traumatic ulcer of the lingual
frenum

 

Condyloma acuminatum of the lingual frenum

Spontaneous Gingival Bleeding

 

Swollen, shiny, bleeding gingiva of a
patient with acute myelogenous leukemia

 

Spontaneous gingival bleeding of same patient with cirrhosis

Swelling of the Floor of the Mouth

Large ranula elevating the tongue

Swelling of the Lips

Fissured tongue; same patient with
Melkerson-Rosenthal syndrome

 

Enlarged, everted lower lip with discrete red spots of cheilitis glandularis

 

Symmetric enlargement of the upper lip

Tobacco associated white Lesions

Fungating verrucous carcinoma of the labial
mucosa after many years of tobacco chewing

 

Extensive pink nodular verrucous carcinoma; alveolar ridge and palate

Ulcerative Lesions

Denture-flange-induced traumatic
ulcer

 

Traumatic ulcer

 

Squamous cell carcinoma of the lip

 

Squamous cell carcinoma

Visiculobullous Lesions

Virus-laden vesicles of recurrent herpes
labialis

 

Painful intraoral lesions of patient with herpes zoster

 

Painful clusters of vesicles of hand-foot-and-mouth disease

 

An erythematous reaction to benzocaine; contact stomatitis

All images courtesy of:(Langlais R, Miller S,.Colour Atlas of Common Oral Diseases,.1992. Lea & Febiger, Philadelphia/London)

Colour Atlas of Common Oral Diseases
 
Photographs only a dentist would like, but nearly 500 of them illustrating features important for diagnosing such conditions as tooth-related disorders, gingivitis, periodontitis, caries and caries progression, odontogenic infections, and facial swellings.
 
The sections include normal anatomic landmarks; terminology; infants and children; abnormalities by anatomic location, colour changes, and surface change; and sexually related and transmissible conditions. Includes self-assessment questions with answers and a glossary without pronunciation. No bibliography. Enlarged from the 1992 edition with over 100 new illustrations and diagnostic concepts and new sections on the conditions listed above.
Author:
Robert P. Langlais, Craig Miller
Edition:
2
ISBN:
068330173X
Publisher:
Lippincott Williams & Wilkins
Binding:
Softbound
Year Published:
1997
No. of Pages:
224
Illustrations:
512
Back Cover:
COLOR ATLAS OF COMMON ORAL DISEASES

The new edition of the COLOR ATLAS OF COMMON ORAL DISEASES offers an organized visual approach to disease recognition with 491 high quality color photographs. These aid the reader in the precise recognition of oral lesions that may be very similar in appearance, but difficult to differentiate.

Features include:
* Full page color plates
* Coverage of reative soft tissue enlargements, benign mucosal conditions, and oral manifestations of infection
* diagnosis and management information for ready reference

Practical, current, and affordable...COLOR ATLAS OF COMMON ORAL DISEASES is a standard for oral diagnosis!
Contents:
Section 1: Anatomic Landmarks
Land Marks of the Oral Cavity
Landmarks of the Tongue and Variants of Normal
Landmarks of the Periodontium

Section 2: Diagnostic and Descriptive Terminology
Diagnostic and Descriptive Terminology

Section 3: Oral Conditions Affecting Infants and Children
Oral Conditions Affecting Infants and Children

Section 4: Abnormalities by Anatomic Location
Alterations in Tooth Morphology
Alterations in Tooth Numbers: Hypodontia
Alterations in Tooth Structure and Color
Alterations in Tooth Color
Acquired Defects of Teeth: Noncarious Loss of Tooth Structure
Acquired Defects of Teeth: Carious Loss of Tooth Structure
Periodontal Diseases: Plaque, Calculus and Regressive Changes
Gingivitis
Periodontitis
Localized Gingival Lesions
Generalized Gingival Enlargements
Spontaneous Gingival Bleeding
Conditions Peculiar to the Tongue
Conditions Peculiar to the Lip
Nodules of the Lip
Swellings of the Lip
Swellings of the Floor of the Mouth
Swellings of the Palate
Swellings of the Face
Conditions Peculiar to the Face

Section 5: Intraoral Findings By Color Changes
White Lesions
Tobacco-Associated White Lesions
Red Lesions
Red and Red-White Lesions
Pigmented Lesions

Section 6: Intraoral Findings By Surface Change
Nodules
Papulonodules
Vesiculobullous Lesions
Ulcerative Lesions

Section 7: Sexually Related and Sexually Transmissible Conditions
Sexually Related and Sexually Transmissible Conditions
HIV Infection and AIDS

Appendices
APPENDIX I: Rx Abbreviations
APPENDIX II: Therapeutic Protocols
APPENDIX III: Guide to Diagnosis and Management of Common Oral Lesions
APPENDIX IV: Self-Assessment Quiz
APPENDIX V: Glossary

Appendix
Review:
A reader from the USA:I purchased this book thinking that it would have ample picutres of all the oral diseases that I would encounter in a practice, but I was wrong. This atlas is very limited. A simple STD such as gonorrhea, and some forms of tumors are not included in this book. It's OK for an amateur to purchase, but professionals should not buy this book or at least not rely on this atlas. On the positive side the book does give explanations and descriptions of what the lesion is, such as location, colour etc. It also has a self-assessment quiz on appendix IV with 20 questions to test your knowledge. Don't waste your time buying this atlas unless you can't find something better.
Oral Disease & Pathology
Problems & Oral Care
Gum Recession
Saliva Productions
Bruxism
Tooth Loss
Speech Difficulties
Soreness
Extractions
Bad Breath
Plaque
Oral Thrush
Nausea
Feeling of Fullness in The Mouth
Bad Habits
Facial Expression
Infection Control
TMJ/Mascular
Chewing Ability
Emotional & Physical Distress
Gender Differences/Age
Life Style Considerations
Did you know?
Histology & Pathology
Under Construction
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