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Oral Findings (oral + finding)

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Medical Sciences	100%

Selected Abstracts

Oral findings in three different groups of immunocompromised patients

JOURNAL OF ORAL PATHOLOGY & MEDICINE, Issue 4 2000
Ulrich Meyer
Abstract: The objective of this study was to determine the frequency of oral, dental and periodontal findings in three different groups of immunocompromised patients and in a healthy control group, to evaluate whether there is a correlation between manifestations of disease and immunologic parameters. The survey included 46 patients with a diagnosis of systemic lupus erythematosus, 48 heart transplant recipients, and 53 adult patients suffering from acute leukemias. Fifty matched healthy subjects were used as a control group. Each patient had to answer questions on medical and dental health and underwent a thorough oral, dental and serological investigation. Oral mucosal lesions were found in nearly half of all immunocompromised patients (49.6%), but in only 26% of control patients. No significant associations were found between different types of oral lesions and the underlying cause of immunosuppression. Leukemia patients showed age-unrelated higher scores in periodontal indices (P<0.05). Laboratory parameters failed to be significant in the assessment of oral health. [source]

Herpes zoster in HIV infection with osteonecrosis of the jaw and tooth exfoliation

ORAL DISEASES, Issue 5 2006
P Siwamogstham
Background:, Herpes zoster (HZ) infection of the trigeminal nerve is associated with complications such as postherpetic neuralgia, facial scarring, loss of hearing ability and conjunctivitis. Until 2005, postherpetic alveolar necrosis and spontaneous tooth exfoliation have been described in 20 cases unrelated to HIV infection. Objective:, The aim of this study was to describe HIV infection in patients (two women, two men, average age 30 years) who suffered from HZ attacks to their trigeminal nerves. Main outcome measures:, None of the patients had received antiherpetic medications or antiretroviral therapy. HIV infection was only diagnosed after the development of HZ. Facial scarring with depigmentation and hyperesthesia (postherpetic neuralgia) was diagnosed in all four patients. Oral findings consisted of spontaneous loss of both maxillary or mandibular teeth. Osteonecrosis of varying extent was also found. Treatment consisted of extractions of teeth and administration of antibiotics and analgesics. Healing of alveolar wounds was unremarkable. Conclusion:, Complications affecting the alveolar bone and teeth seem to be rare in HIV-infected patients. [source]

Enamel hypoplasia of the primary dentition in a 4-year-old with intestinal lymphangiectasia

INTERNATIONAL JOURNAL OF PAEDIATRIC DENTISTRY, Issue 5 2005
P. ARROW
Summary. Intestinal lymphangiectasia (IL) is a rare disorder, and its incidence and prevalence is unknown for either Australia or world-wide. It is characterized by diarrhoea, mild steatorrhoea, oedema, enteric loss of protein (protein-losing enteropathy) and abnormal dilated lymphatic channels in the small intestine. Whilst oedema and diarrhoea are the predominant clinical features, other observed features include hypoalbuminemia, hypogammaglobulinemia, trace metal deficiency, hypocalcemia and chylous pleural effusions. While medical presentation of the condition has been reported widely, few descriptions of oral findings have been published. A search of Medline found two reports of dental findings in the permanent dentition in patients with IL. To date, there have been no reports on dental findings in the primary dentition. The primary dentition of a 4-year-old boy with IL had teeth with enamel defects which reflected the timing of enamel development and the period in which the disease was active. The present report highlights the need for early involvement of the dental team in the dental management of children with IL. [source]

Moebius syndrome with oral involvement

INTERNATIONAL JOURNAL OF PAEDIATRIC DENTISTRY, Issue 6 2002
M. V. X. De Serpa Pinto
Summary. The oral findings of 12 patients with Moebius syndrome are described. Facial weakness, hypoplastic upper lip, microstomia, mouth-angle drooping, hypoplasia of mandible, gothic palate, tongue weakness, fissured tongue, tongue atrophy and open bite were found. In addition to describing the oral findings, this report discusses some implications for dental treatment of patients with this syndrome. [source]

Gingival and other oral manifestations in measles virus infection

JOURNAL OF CLINICAL PERIODONTOLOGY, Issue 7 2003
Joseph Katz
Abstract Background: Measles is a highly contagious, viral infectious disease affecting mainly children and young adults. It is characterized by high fever, maculopapular rash, keratoconjunctivitis and pathognomonic oral Koplik's spots. Methods: During an outbreak of measles among soldiers in the Israeli military, patients were referred to one medical center where they were also examined for oral signs and symptoms of their illness. Results: We present a case of measles infection with distinct oral findings. These included Koplik's spots, various forms of ulcerations of the free mucosa, -like gingivitis and pericoronitis. All oral lesions resolved after cessation of systemic illness. Conclusions: The measles virus is associated with a transient inhibition of the host response. Immunosuppression may create the necessary condition for the proliferation of pathobacteria associated with the observed pericoronitis and the other gingival lesions. Zusammenfassung Hintergrund: Masern sind eine hochgradig ansteckende virale Infektion, die vorwiegend Kinder und junge Erwachsene befällt. Sie ist charakterisiert durch hohes Fieber, makulopapulären Ausschlag, Keratokonjunktivitis und pathognomonische orale Koplik-Flecken. Zielsetzung: Beschreibung der oralen und gingivalen Manifestationen des Masern-Virus bei jungen Erwachsenen. Methoden: Während einer Masernepidemie bei Soldaten der israelischen Streitkräfte wurden die Patienten an ein Medizinisches Zentrum überwiesen, wo sie auf orale Zeichen und Symptome ihrer Erkrankung untersucht wurden. Ergebnisse: Es wird ein Fall von Masern mit speziellen oralen Symptomen gezeigt: Koplik-Flecken, verschiedene Formen von Ulzerationen der Alveolarmukosa, der NUG ähnliche Gingivitis und Pericoronitis. Alle oralen Läsionen heilten nach Ende der systemischen Erkrankung aus. Schlussfolgerungen: Eine Infektion mit dem Masern-Virus geht mit einer vorübergehenden Schwächung der Wirtsabwehr einher. Diese Immunsuppression könnte die notwendigen Bedingungen für das Wachstum von pathogenen Keimen schaffen, die mit den beobachteten Perikoronitiden und gingivalen Läsionen assoziiert waren. Résumé La rougeole est une maladie infectieuse virale très contagieuse qui affecte essentiellement les enfants et les jeunes adultes. Elle est caractérisée par la haute température, une éruption maculo-papulaire, une kérato-conjonctivite et des spots de Koplik buccaux pathognomoniques. Durant une épidémie de rougeole parmi les soldats de l'armée israélienne, des patients ont été référés vers un centre médical où ils ont également été examinés pour les signes buccaux et les symptômes de leur maladie. Un cas d'infection de rougeole avec des découvertes buccales distinctes est présenté. Elles comprennent : les spots de Koplik, des formes variées d'ulcérations de la muqueuse libre, une gingivite genre gingivite nécrotique et une péricoronarite. Toutes les lésions buccales ont disparu après la fin de la maladie systémique. Le virus de la rougeole est associéà une inhibition transitoire de la réponse immunitaire. L'immunosuppression peut créer la condition nécessaire pour la prolifération de bactéries pathogènes associées avec la péricoronarite observée ainsi que les autres lésions gingivales. [source]