Oral Medicine

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..

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...