Dentistry Commons^™

Traumatic Ulcerative Granuloma Mimicking Squamous Cell Carcinoma In Oral Lichen Planus, David I. Tindle Dds, Ms, Dabom

The Journal of the Michigan Dental Association

Background: Oral lichen planus is an immune mediated mucosal disorder affecting up to 2% of the population. Dysplasia has been known to develop in 0.1% to 1% of patients with lichen planus. This necessitates close surveillance for the development of atypical lesions.

Case: Described is the case of a 68-year-old female patient with oral lichen planus who developed a non-healing ulceration on her right lateral tongue. Out of concern for neoplasia, a biopsy was performed. Histopathologic report indicated features consistent with traumatic ulcerative granuloma. The lesion did not return.

Conclusions: Oral lichen planus is a common mucosal disease. Although uncommon, …

J Mich Dent Assoc December 2022

The Journal of the Michigan Dental Association

Monthly, The Journal of the Michigan Dental Association brings news, information, and feature articles to our state's oral health community and the MDA's 6,200+ members. No publication reaches more Michigan dentists!

In this issue, the reader will find the following original content:

• A cover story on Ensuring an Inclusive Environment for Deaf and Hard of Hearing Patients.
• A clinical feature: Traumatic Ulcerative Granuloma Mimicking Squamous Cell Carcinoma in Lichen Planus.
• Feature information on the University of Michigan’s BioArtography Project.
• A recap on MDA volunteer leadership activity at the 2022 ADA House of Delegates.
• News you need, Editorial and regular department …

Medications Associated With Oral Lichenoid Lesions: A Single-Site Retrospective Cohort Study, Debra K. Fischoff Dmd, Ms, Sara Sternbach Dds, Juliana Gomez Dds, Sonal S. Shah Dds

The New York State Dental Journal

BACKGROUND: The investigators aim to determine the frequency of systemic medications in patients with oral lichen planus or oral lichenoid lesions. METHODS: A retrospective study of lichenoid diagnoses in the New York University College of Dentistry Oral Medicine Clinic. Data obtained included patient demographics, prescription medications and pathologic diagnosis. Comparative analysis was performed. RESULTS: A total of 162 oral lichenoid lesion/oral lichen planus patients were identified: The most frequently found medications were anti-hypertensives, anti-hyperlipidemics followed by metformin, proton pump inhibitors and levothyroxine. CONCLUSION: The findings emphasize the importance of clinicians’ awareness of potential oral adverse reactions from certain medications.

N Y State Dent J November 2022

The New York State Dental Journal

In the November 2022 issue, the reader will find the following feature articles:

• Medications Associated with Oral Lichenoid Lesions: A Single-Site Retrospective Cohort Study
• Evaluating the Impact of Providing Free Dental Treatment to Vulnerable Populations
• Amelogenesis Imperfecta: Case Series and Review of the Literature

This issue includes regular columns with regional news impacting the New York membership including: editorial and perspectives columns, legal, association activities, component news, continuing education opportunities, and classifieds.

Amelogenesis Imperfecta: Case Series And Review Of The Literature, Andrew T. Moshman Dmd, Gwen Cohen-Brown Dds, Faaomp

The New York State Dental Journal

Amelogenesis imperfecta (AI) describes a group of genetic conditions affecting the thickness, microstructure, and degree of mineralization of the enamel. Correct diagnosis may be important for managing other serious medical conditions. AI patients are highly susceptible to caries, pain, tooth wear, and loss of the vertical dimension of occlusion, often requiring significant dental treatment throughout their life. Early diagnosis and timely preventative and restorative treatments are crucial to circumvent AI’s psychological, social, and functional sequalae. This case series highlights AI in a 19-year-old patient, with suggestions for further testing and monitoring of the condition.

10-Minute Ebd: Should Chipped Or Worn Dental Sealants Be Observed, Touched Up, Or Restored?, Elliot Abt Dds, Ms, Msc

The Journal of the Michigan Dental Association

This column discusses the management of chipped or worn dental sealants in a 22-year-old patient seeking a second opinion. The author explores the need for occlusal restorations, sealant repair, or no treatment for such cases. A literature search, guided by a PICO question, reveals strong evidence supporting sealant effectiveness in preventing caries. The Cochrane review found an 88% reduction in caries odds with sealants. Clinical guidelines and systematic reviews from organizations like the American Dental Association (ADA) further endorse sealant use. The column emphasizes the importance of universal sealant application and highlights challenges in their adoption, such as concerns over …

Antihypertensive Drug-Induced Orofacial Angioedema: Case Reports, Daria Vasilyeva Dds, Ashley Houle Dds, Md, Louis Mandel Dds

The New York State Dental Journal

The antihypertensive medications, angiotensin-converting enzyme inhibitors and angiotensin receptor blockers can cause orofacial angioedema (AE). Because the AE can result in serious complications, the dental practitioner must be prepared to make a prompt diagnosis.

N Y State Dent J August-September 2022

The New York State Dental Journal

In the August-September 2022 issue, the reader will find the following feature articles:

• Maxillary Sinus Foreign Body From an Unusual Source: Provisional Prosthesis Material
• Antihypertensive Drug-induced Orofacial Angioedema: Case Reports
• An Overview of Maxillofacial Rehabilitation for the General Dentist

This issue includes regular columns with regional news impacting the New York membership including: editorial and perspectives columns, legal, association activities, component news, continuing education opportunities, and classifieds.

Medication-Related Osteonecrosis Of The Jaw: Important Clinical Considerations, Bard J. Levey Dds, Franklin Garcia-Godoy Ds, Ms, Phd

The New York State Dental Journal

Medication-related osteonecrosis of the jaw (MRONJ) is a challenging condition for dental practitioners. Despite the plethora of published literature on this topic, widespread clinical awareness and recognition is still not common as clinicians still do not recognize the common, early presentations of this disease. This has been shown in different studies conducted in different parts of the world.1-4 The present paper highlights the important clinical considerations for practitioners to evaluate.

N Y State Dent J June-July 2022

The New York State Dental Journal

In the June-July 2022 issue, the reader will find the following feature articles:

• The Challenges are Many, but There’s Reason for Optimism
• Medication-Related Osteonecrosis of the Jaw: Important Clinical Considerations
• Retained Third Molars Protect Against Fractures of Mandibular Condylar Region
• Patient Recall in the Informed-Consent Process
• Clinical Report on Restoration of Patient with Immediate Loaded Maxillary Restoration Supported by Zygomatic/Endosseous Implants and Mandibular Prothesis Utilizing Three-implant Solution

This issue includes regular columns with regional news impacting the New York membership including: editorial and perspectives columns, legal, association activities, component news, continuing education opportunities, and classifieds.

White Sponge Nevus: Case Report, David M. Walton Bs, Daria Vaislyeva Dds, Louis Mandel Dds

The New York State Dental Journal

White sponge nevus (WSN) is a rare autosomal dominant asymptomatic keratotic disorder. A case report is presented of a 28-year-old male with a long-standing asymptomatic and widespread oral mucous membrane keratosis. A diagnosis of WSN was made based on his clinical history, the characteristic appearance of the lesion, and the histopathology.

N Y State Dent J April 2022

The New York State Dental Journal

In the April 2022 issue, the reader will find the following feature articles:

• Responding to Online Social Media Posts
• Diode Laser-Assisted Abscission and Low-Level Laser Therapy for Treatment of Mucocele Literature: Update and Case Report
• White Sponge Nevus
• Effects of New York State’s Medicaid Orthodontic Policy Changes on Approved Orthodontic Treatment Complexity

This issue includes regular columns with regional news impacting the New York membership including: editorial and perspectives columns, legal, association activities, component news, continuing education opportunities, and classifieds.

N Y State Dent J March 2022

The New York State Dental Journal

In the March 2022 issue, the reader will find the following feature articles:

• Orthognathic Surgery and Quality-of-Life Outcomes: Findings from a Hospital-Based Patient Satisfaction Survey
• Recommendations for Co-Prescription of Opioids and Naloxone in the Dental Office
• Papillon-LeFevre Syndrome: A Case Study of Two Siblings
• Treatment of Peri-implant Soft-tissue Deficiency around a Narrow Diameter Implant with Subepithelial Connective-tissue Graft: A Case Report
• Simple Lipoma Mimicking Oral Infiltrating Lipoma: Case Report

This issue includes regular columns with regional news impacting the New York membership including: editorial and perspectives columns, legal, association activities, component news, continuing education opportunities, and classifieds.

Simple Lipoma Mimicking Oral Infiltrating Lipoma: Case Report, Moacyr Tadeu V. Rodrigues Dds, Msc, Judson N. Brasil Dds, Gabriel A. Guillen Dds, Msc, Cláudio F. Nóia Dds, Phd

The New York State Dental Journal

Lipomas are common soft tissue neoplasms, usually present in the trunk and proximal portions of the extremities and less frequent in the mouth. We reported the case of a 51-year-old patient, affected by an intra/extra-oral swelling for 8 months. Aspiration, surgical excision and histopathological examination confirmed that it was a simple oral lipoma, although clinically and surgically, it mimicked an infiltrating lipoma. Conservative surgical treatment, preferably by an intra-oral approach provides less morbidity and less sequelae for patients.

N Y State Dent J January 2022

The New York State Dental Journal

In the January 2022 issue, the reader will find the following feature articles:

• A Call to Do Better: Addressing Diversity within the Dental Profession
• Moving on in the New Year
• Destination Dental School: A Remote Pipeline Program to Increase Student Diversity
• Alteration in Facial Contour Associated with Aging

This issue includes regular columns with regional news impacting the New York membership including: editorial and perspectives columns, legal, association activities, component news, continuing education opportunities, and classifieds.

Alteration In Facial Contour Associated With Aging: Case Report, Bohan Lin Ba, Dds, Louis Mandel Dds

The New York State Dental Journal

The authors examined a 73-year-old female because of a chief complaint of bilateral swellings of the parotid gland. After detailed questioning, the authors determined that the perceived facial swelling was caused by the inferior displacement of separate and identifiable facial fat compartments. Aging coupled with gravity results in both a compartmental and intracompartment inferior displacement of facial fat. Long-lasting fillers injected intra-or extra-compartmentally also partake in this inferior migration.