Oral Medicine

See a Pin and pick it up … radiographically!

On presentation, the patient did not have any complaints relating to the objects present in the head and neck region as they were entirely asymptomatic. The patient reported being unaware of their...

Trigeminal Neuralgia

Trigeminal neuralgia is considered to be a rare disease and the estimated prevalence from an old study in the USA put it at 4.1/10,000.2 More recent studies in the UK3 and Holland,4 using data from...

A Palatal Myoepithelioma

A 27 year-old male presented to the University Hospital of South Manchester maxillofacial department with a five year history of a large lump in the left palate. The patient reported that there was no...

Lichen Planus − the role of the general dental practitioner

The pathogenesis is a T cell-mediated autoimmune reaction. Once activated, these cells migrate to the oral epithelium aided by specific signalling pathways (CXR3 and CCR5). This is compounded by...

Oral Manifestations of Secondary Hyperparathyroidism: A Case Report and Literature Review

A 52-year-old male reported to the University of British Columbia Nobel Biocare Oral Health Center (Vancouver, BC, Canada) for general dental care and maintenance. Medical history indicated that, at...

Oral lymphoma: a case series

From 2012 to 2016, five patients with oral lymphoma presented to the Oral Medicine Department at Charles Clifford Dental Hospital. The patients were of an elderly age group, in their seventh and...

Malignant oral melanoma: how to spot it and how it is managed

Cases of primary malignant oral melanoma account for 0.2–8% of all melanomas.5 Most POMs arise in previously clinically normal mucosa, while approximately 30–50% of cases have had pre-existing oral...

Stafne's bone cavity – unusual presentation in the anterior mandible

A 55-year-old male was referred to the Oral and Maxillofacial Surgery (OMFS) Department at St George's Hospital by his general dental practitioner for further investigations of an incidental finding...

A case of extensive oral kaposi's sarcoma in a patient with undiagnosed HIV infection

A 25-year-old male presented to the Emergency Department of Royal Gwent Hospital with a 6 day history of dyspnoea, severe headaches and a self-terminating episode of supraventricular tachycardia...

The risks of delayed oral cancer detection in primary care

We discuss the case of a 46-year-old male who presented to the Oral and Maxillofacial Surgery Department at Bedford General Hospital. He had previously attended the local dental access centre with a...

Oral Mucosal Ulceration Induced by Alendronic Acid: A Case Series

The above cases demonstrate the rare side-effect of oropharyngeal ulceration which can occur when alendronic acid tablets are chewed or allowed to dissolve in the mouth.6 The directions for...

Let's talk about mouth cancer – the story and the facts


‘The number of people being diagnosed with mouth cancer (oral cancer) is increasing, with notable rises in incidence in younger people and in females.’
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Desquamative gingivitis – aetiology, diagnosis and management

Desquamative gingivitis can be caused by numerous conditions. These include dermatoses such as oral lichen planus (OLP), mucous membrane pemphigoid (MMP), pemphigus vulgaris (PV), epidermolysis...

Sore or swollen lips part 3: diagnosis and treatment

The diagnosis of sore/swollen lips is based mainly on:.

An interesting case of oral inverted ductal papilloma

A 72-year-old woman was referred to the Department of Oral and Maxillofacial Surgery at Hillingdon Hospital by her GDP regarding a ‘lump’ in the right buccal mucosa of the lower premolar area of 3...