Crispian Scully
Bristol Dental Hospital, Lower Maudlin Street, Bristol BS1 2LY, UK
2. A sweaty face
Crispian Scully(b) Frey syndrome: this is characterized by unilateral sweating and flushing of facial skin in the area of the parotid gland during mastication.
1. Sore gums
Crispian Scullyd) Vesiculobullous disease: this can involve the gingivae in middle-age, causing chronic erythema and desquamation. The absence of skin or other mucosal lesions here suggests pemphigoid rather than...
Oral medicine: 17. radiolucencies and radio-opacities. d. antral disease
David H FelixParanasal sinuses are air-filled cavities in the dense portions of the bones of the skull lined with a ciliated mucosa, the mucus from which drains via openings (ostia) into the nose. The main sinuses...
Oral medicine:16. radiolucencies and radio-opacities. c. odontogenic tumours
David H FelixOdontogenic tumours are rare, are often asymptomatic, and discovered incidentally on imaging (Table 1). They are generally slow-growing and may reach a large size before becoming symptomatic, eg:.
Oral medicine: 15. radiolucencies and radio-opacities. b. odontogenic diseases and cysts
David H FelixCaries, periodontitis or pericoronitis are the common oral pyogenic infections. Depending on the bacterial load and host immunity, dental pulpal infection may lead to apical periodontitis, abscess and...
Oral medicine: 14. radiolucencies and radio-opacities. a. bone diseases
David H FelixRadiographic features to be assessed include the lesional size, site, shape, margins, radio-density and effects on adjacent structures (displacement of the inferior alveolar nerve or tooth...
Oral medicine: 13. lumps and swellings: jaws
David H FelixMany diseases of, or in, the jaws present asymptomatically, as radiolucencies, radio-opacities or with mixed appearances on radiographs. Other presentations are as swellings, pain or sometimes...
Oral medicine: 12. lumps and swellings: salivary
David H FelixSalivary glands usually swell because of inflammation (sialadenitis) (Figure 1), which is often viral but may have other causes (Table 1). Obstruction of salivary flow is another common cause...
Oral medicine: 11. lumps and swellings: mouth
David H FelixLumps and swellings in the mouth are common, but of diverse aetiologies (Table 1) and some develop into ulcers, as in various bullous lesions (Article 2) and in malignant neoplasms (Article 3)..
Oral medicine: 10. lumps and swellings: neck
David H FelixThe lymphoid system is the essential basis of immune defences and comprises predominantly bone marrow, spleen, thymus and lymph nodes. Tissue fluid drains into lymph nodes which act as ‘filters’ of...
Oral medicine 9: orofacial pain
David H FelixPain in the teeth, mouth, face or head usually has a local cause – often the sequelae of dental caries (odontogenic pain) – but psychogenic, neurological, vascular and conditions where pain is...
Oral medicine: 8. orofacial sensation and movement
David H FelixSensory innervation of the mouth, face and most of the scalp depends on the fifth cranial (trigeminal) nerve, so that disease affecting this nerve can cause sensory loss or orofacial pain, or indeed...
Oral medicine: 7. red and pigmented lesions
David H FelixRed oral lesions are commonplace and usually associated with inflammation in, for example, mucosal infections. However, red lesions can also be sinister by signifying severe dysplasia in...
Oral medicine: 6. white lesions
David H Felix
‘…a whitish patch or plaque that cannot be characterized clinically or pathologically as any other disease and which is not associated with any physical or chemical causative agent except the use of...
Oral medicine: 4. dry mouth and disorders of salivation
David H FelixDry mouth (xerostomia) is a complaint that is the most common salivary problem and is the subjective sense of dryness which may be due to:.