Oral Medicine

A review of proliferative verrucous leukoplakia

PVL represents a longitudinal clinical diagnosis, in other words, the mucosal abnormality has a history of progressing over time. It may begin with a simple keratosis presenting as a homogeneous white...

Pollen food syndrome: learning from a case series

In order to fully understand the pathogenesis of PFS, it must be considered in the wider general context of food hypersensitivities..

Amyloidosis of the oral cavity: a case report

A 63-year-old male presented with a 1-year history of generalized asymptomatic nodules involving the tongue. There was no restriction of tongue movement. The medical history was significant for...

Syphilis: a re-emerging disease. An update for the dental practitioner

A 34-year-old male attended with a 3-month history of persistent multiple painful ulcers involving the tongue. There were no systemic symptoms. The patient had a history of recurrent aphthous...

Dermatitis artefacta in the orofacial region: a case report with literature review

A literature review of DA affecting the head and neck region was undertaken using multiple search databases, including Ovid Medline, PubMed, EMBASE and Google. All cases/series looking at DA in the...

Recognizing giant cell arteritis in dental practice

GCA commonly affects the external carotid branches and the subclavian arteries. The inflammation of the arterial wall starts in the outermost layer, the tunica adventitia and works its way past the...

Three numb tongues, two MRIs and a gold weight in an eyelid: a case series of acoustic neuromas and their relevance to dental practice

Patient 1 initially presented to the oral medicine department in February 2017, following referral from his general dental practitioner with a 9-month history of numbness and tingling of his tongue....

Mental nerve paraesthesia secondary to nicorandil-induced oral ulceration: a case report

A 63-year-old female was referred to the department, via a 2-week suspected head and neck cancer pathway, with a non-healing ulcer in the buccal sulcus of the LL4, LL5 region. The ulcer had been...

Xerostomia: Part 2. investigations and management

When diagnosing xerostomia a thorough history should be obtained from the patient in order to establish the duration and severity of their symptoms, as well as the impact on the patient's quality of...

Xerostomia. Part 1: aetiology and oral manifestations

There are many causes of xerostomia including disorders of the salivary glands, association with systemic disease and as a medication-related side-effect. As life expectancy is increasing, there will...

Syphilis: The great imitator

Acquired syphilis is caused by the spirochete directly entering the body through a break in the skin or mucosa. This most commonly occurs due to direct sexual contact (usually vaginal, anal or oral)...

Manifestations of beta thalassaemia in the dental setting: a case report

A 55-year-old Iranian male patient was diagnosed with transfusion-dependent beta thalassaemia during his childhood in Iran. He was subsequently treated in the UK, where he was referred to the dental...

Peripheral facial nerve palsy after lip augmentation: an unusual case presentation

A 20–year–old woman presented to the Emergency Department (ED) with left-sided facial weakness after lip augmentation. She had both her upper and lower lips augmented with Revolax (Across, Korea)...

An overview of the diagnosis and management of non-neoplastic salivary gland pathologies

Obstructive salivary gland disease is the most common salivary gland pathology to present to general dental practitioners.1 Patients suffering from obstructive salivary disease may complain of...

3D Sequencing and Protocols in Head and Neck Reconstructive Surgery: Delivering Predictable Results

The advancements in high-definition head and neck imaging modalities have led to a sea change in the accuracy with which the extent of tumour invasion is determined..