Oral Medicine

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...

Sore or swollen lips part 2: systemic causes

Lips are the site of primary or secondary manifestations of various systemic infections; neoplasms and immune-related disorders. A plethora of bacteria, fungi and viruses can affect the lips causing...

Vascular lesions of the head and oral cavity – diagnosis and management

Vascular tumours are true neoplasms that exhibit pathologic vascular endothelial cell proliferation. Most of these are either infantile haemangiomas or congenital haemangiomas which differ in their...

Sore or swollen lips part 1: causes and diagnosis

There is a wide range of causes of lip soreness/swelling, as seen in Table 1..

Mouth cancer for clinicians part 14: cancer prevention

The goal of primary prevention is to protect healthy people from developing cancer. Primary prevention is by far the most ideal approach; strategies include education of the public, high-risk...

Amyloidosis presenting as macroglossia and restricted tongue movement

A 63-year-old female was referred to the Oral Medicine Clinic at the University Dental Hospital of Manchester by her general dental practitioner (GDP)..

Mouth cancer for clinicians part 13: life after mouth cancer treatment

Survival rates for mouth and oropharyngeal cancers have risen slightly over the last 20 years. The best outcome for overall 5-year survival rates for treated oral cancers is over 90% for lip cancer....