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Ebook Differential diagnosis of dental diseases: Part 2

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Nội dung chi tiết: Ebook Differential diagnosis of dental diseases: Part 2

Ebook Differential diagnosis of dental diseases: Part 2

ũí LU0. < X o14Diseases of TongueGeographic tongue/Migratory glossitis (Figs 14.1 A and B) refers to irregularly shaped, reddish areas of depapillatio

Ebook Differential diagnosis of dental diseases: Part 2on. There will be thinning of dorsal tongue epithelium. There is spontaneous development and regeneration of affected area. There may be associated fi

ssured tongue, although this may be a coincidental finding. Etiology of geographic tongue is not clear. An immunologic reaction is suggested. No inher Ebook Differential diagnosis of dental diseases: Part 2

itance pattern is noted. The disease is asymptomatic but some may complaint of burning, pain and stinging. Clinically irregularly shaped red patches w

Ebook Differential diagnosis of dental diseases: Part 2

ith white patterns look like a map. Red patches are smaller to start surrounded by a white rim. Red patches go on enlarging and regressing and pattern

ũí LU0. < X o14Diseases of TongueGeographic tongue/Migratory glossitis (Figs 14.1 A and B) refers to irregularly shaped, reddish areas of depapillatio

Ebook Differential diagnosis of dental diseases: Part 2 thin, yellowish white line or band. Desquamated areas are located in one area for a short while, heal and then reappear in another area thus giving t

he name migratory glossitis.Coated/hairy tongue is an unusual condition characterized by hypertrophy of fi inform papillae of tongue (Fig. 14.2). Norm Ebook Differential diagnosis of dental diseases: Part 2

ally keratinized surface layers of filliform papillae are continuously desquamated due to friction of food and272 Differential Diagnosis of Dental Dis

Ebook Differential diagnosis of dental diseases: Part 2

easesFigs 14.1A and B: Clinical and histological picture showing geographic tongueDiseases of Tongue 273Fig. 14.2: Hairy tongueanterior upper teeth. T

ũí LU0. < X o14Diseases of TongueGeographic tongue/Migratory glossitis (Figs 14.1 A and B) refers to irregularly shaped, reddish areas of depapillatio

Ebook Differential diagnosis of dental diseases: Part 2 coated. The color of papilla varies from yellowish white-brownish black depending upon the type of stains the tongue is exposed to. Longer papilla en

tangles food particles of different colors. Tobacco smoke colors it black. Mid dorsum is first to be affected. Dehydration and terminally ill patients Ebook Differential diagnosis of dental diseases: Part 2

also develop thick coatings. Nicotinamide deficiency has produce black hairy tongue in experimental animals. Excessive exposure of radiation to head

Ebook Differential diagnosis of dental diseases: Part 2

and neck area and systemic antibiotics may also produce hairy tongue, because the condition is benign, the treatment is also empirical, in such cases,

ũí LU0. < X o14Diseases of TongueGeographic tongue/Migratory glossitis (Figs 14.1 A and B) refers to irregularly shaped, reddish areas of depapillatio

Ebook Differential diagnosis of dental diseases: Part 2hThere is formation of pearly white pin head sized flecks scattered all over dorsal surface consisting of large number of yeasts pseudomyelia. Constan

t use of corticosteroids and cholinergic drugs may result in the development of thrush.White Sponge Nevus (Fig. 14.3)It is an inherited anomaly. Mucos Ebook Differential diagnosis of dental diseases: Part 2

a is involved by white spongy plaques without keratosis. It is an autosomal dominant condition. Numerous pedigrees of families may show this condition

Ebook Differential diagnosis of dental diseases: Part 2

.Fig. 14.3: White spongy nevusDiseases of Tongue 275Pachyonychia CongentiaThere is congenital gross thickening of finger and toe nails. Corneal dystro

ũí LU0. < X o14Diseases of TongueGeographic tongue/Migratory glossitis (Figs 14.1 A and B) refers to irregularly shaped, reddish areas of depapillatio

Ebook Differential diagnosis of dental diseases: Part 2olved on occasion. Frequent oral aphthous ulceration may be seen.Lichen PlanusThere are three basic types: keratosis, erosions and bulla formation. Ps

ychogenic problems play an etiological role. During deep emotional problems remissions and exacerbations are seen. It may be associated with diabetes. Ebook Differential diagnosis of dental diseases: Part 2

Lesions may transform into malignancy. Five different varieties of lichen planus are seen reticular, erosive, atrophic, papular and bullous.Leukoplak

Ebook Differential diagnosis of dental diseases: Part 2

iaIt is clinical diagnosis. There are two etiological factors:•Those caused by smoking•Those associated with chronic Candidiasis.Clinical Features (Fi

ũí LU0. < X o14Diseases of TongueGeographic tongue/Migratory glossitis (Figs 14.1 A and B) refers to irregularly shaped, reddish areas of depapillatio

Ebook Differential diagnosis of dental diseases: Part 2n.276 Differential Diagnosis of Dental DiseasesFig. 14.4: Leukoplakia on the lateral borders of tongue•Nodular leukoplakia - It refers to a mixed red

and white lesion in which small keratotic nodules are scattered over a patch of atrophic mucosa. Their transformations to malignancy are higher.•Verru Ebook Differential diagnosis of dental diseases: Part 2

cous leukoplakia - Oral white lesion with multiple papillary projections.

ũí LU0. < X o14Diseases of TongueGeographic tongue/Migratory glossitis (Figs 14.1 A and B) refers to irregularly shaped, reddish areas of depapillatio

ũí LU0. < X o14Diseases of TongueGeographic tongue/Migratory glossitis (Figs 14.1 A and B) refers to irregularly shaped, reddish areas of depapillatio

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