Oral Medicine

Acromegaly and Dentistry: A Review


Headaches: these may be severe and disproportionate to the size of the tumour, affecting around 60% of patients.1.

Necrotizing sialometaplasia

A 45-year-old female attended the primary care service at Birmingham Dental Hospital for urgent care, with a complaint of acute pain in the palate for the previous 2 weeks. The patient initially...

The Numb Lip: Non-Small Cell Lung Cancer First Presenting in the Head and Neck

The patient presented with numbness and altered sensation to the left hand side of chin and lip. The patient had an unremarkable medical history, with no known allergies and was a non-smoker. After a...

Hereditary Angioedema Type I Triggered by Dental Treatment: A Case Report and Review of the Literature

A 29-year-old male was initially referred to the oral medicine department at Guy's Hospital, London for patch testing to exclude an allergy to dental materials. The patient described an episode of...

Dry mouth

The perceived sensation of dry mouth in the context of normal unstimulated and stimulated salivary flow rates is referred to as subjective xerostomia. Changes in the qualitative nature of saliva may...

Stressful Life Events as a Trigger for Autoimmune Disease? A Case Report on Mucous Membrane Pemphigoid

MMP is a rare auto-immune bullous disorder that most commonly manifests in the oral cavity as desquamative gingivitis (80%), and oral mucosal blisters and erosions.1 Other mucous membranes may be...

Calcifying Odontogenic Cyst: Reappraisal and Case Report

A 22-year-old female was referred to the oral and maxillofacial clinic, HCF Dental Centre, Sydney, Australia, complaining of recurrent pain and discomfort with her wisdom teeth. She was medically fit...

A review of non-plaque-related gingival conditions. Part Two: Reactive processes, potentially dysplastic and malignant neoplasms, and pigmented conditions

Amalgam tattoo represents unintentional implantation of particles of amalgam restorative material into the oral soft tissues during placement, modification or removal of an amalgam restoration. In...

Medically Unexplained Oral Symptoms

MUS are extremely common, with reportedly around 80% of people experiencing them in any given week,7 although most will not seek medical attention. A systematic review of 996 studies found the point...

A Review of Non-plaque-related Gingival Conditions. Part One: Genetic/Developmental Disorders, Specific Infections and Inflammatory and Immune Conditions

This article, the first part of a two-part review, has outlined genetic/developmental disorders, specific infections and inflammatory and immune conditions that can affect the gingival tissues....

Traumatic ulcers with a hidden cause: A case report

A 19-year-old male was referred in urgently by their general dental practitioner to the Oral Medicine department. The patient was initially seen in September 2018 and complained of a 2-month history...

Covid-19 vaccination: Logistical challenges in primary care

The active chemicals in all vaccines and other medications can change in molecular form when exposed to different temperatures, and the front-running Covid-19 vaccines from Pfizer and Moderna will be...

Mouth Cancer – Risk Factors and Potentially Malignant Disorders

The majority of cases of SSC in the mouth arise in what was previously clinically normal tissue. However, some cancers are known to develop within a pre-existing mucosal abnormality and a list of such...

Fear Factor: Anxiety - a Cause of Delayed Presentation of Oral Cancer

Numerous studies have explored the reasons for delayed presentation of oral cancer. There are two main causes for delays in cancer presentation (Figure 1):.

Localized Juvenile Spongiotic Gingival Hyperplasia : a Case Series

A 10-year-old boy was referred to the Joint Paediatric-Oral Medicine clinic with a five-month history of an erythematous ‘spongy’ lesion involving the gingiva of the upper left central incisor. The...