By Isaäc van der Waal
This atlas is designed to aid all who're interested in diagnosing and treating oral ailments. person chapters specialize in lesions and problems of the oral mucosa, delicate tissues (including the minor salivary glands), lips, tongue, gingiva, palate, and jaw bones (odontogenic and non-odontogenic lesions). as well as the extra universal illnesses, much less common problems also are lined, a few of which were famous simply in recent times. all through, the process is perform orientated, with concise textual content and an abundance of fine quality scientific, radiographic, and, the place applicable, histopathologic pictures. The mixed education of the writer in oral surgical procedure and oral pathology implies that he has remarkable services in either the prognosis and the therapy of oral illnesses. His certain wisdom and adventure are absolutely mirrored within the Atlas of Oral Diseases, in an effort to be very worthwhile for dental and doctors of their day-by-day practice.
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Additional resources for Atlas of Oral Diseases: A Guide for Daily Practice
Clinical Aspects Whitish, non-wipeable discoloration of the mucobuccal fold, the buccal mucosa, or the borders of the tongue (Figs. 63a, b). Only in case of doubt, the taking of a biopsy may be considered. Histopathology Hyperkeratosis without specific diagnostic aspects. Absence of epithelial dysplasia. Fig. 62 Leukoplakia-like aspirin burn 2 30 Diseases of the Oral Mucosa and Soft Tissues: General Aspects a b Fig. 63 (a) Extensive ulceration due to the prolonged use of aspirin in a heavy female smoker.
Clinical Differential Diagnosis The differential diagnosis includes lichen planus, erythematous candidiasis – particularly when located on the palate – and erythroplakia. Fig. 84 Butterfly appearance of the face in a boy affected by lupus erythematodes a Histopathology The histopathologic features resemble those of lichen planus, although the lymphocytic subepithelial infiltrate is not that well delineated as in lichen planus and is often located around blood vessels (Fig. 86). b Fig. 85 (a) Lupus erythematodes of the buccal mucosa.
The breast. Clinical Aspects Idiopathic melanin pigmentation may occur as a localized, small lesion (“melanotic macule”) but also as a large, poorly circumscribed lesion, usually flat and asymptomatic otherwise. Such lesion may occur everywhere in the oral cavity. Particularly in case of dark brown-black discoloration or in case of a thickened texture, one may be dealing with a pigmented nevus or a melanoma. 13 Pigmented Lesions a 49 b Fig. 109 (a) Melanin pigmentation in a patient affected by Addison disease.
Atlas of Oral Diseases: A Guide for Daily Practice by Isaäc van der Waal