RESUMO
The loss of alveolar bone supporting the maxillary central incisors and the general periodontal conditions were evaluated after 14 years in the 12 patients remaining from an original group of 47 under treatment in Malaysia. Alveolar bone loss was minimal during this period even in the presence of periodontal inflammation. These data suggest that treatment protects patients with leprosy from alveolar bone loss and suggests that other skeletal deformities might respond similarly.
Assuntos
Perda do Osso Alveolar/etiologia , Hanseníase/complicações , Doenças Maxilares/etiologia , Adulto , Idoso , Perda do Osso Alveolar/patologia , Seguimentos , Humanos , Incisivo , Hanseníase/tratamento farmacológico , Hanseníase/patologia , Estudos Longitudinais , Doenças Maxilares/patologia , Pessoa de Meia-Idade , Periodonto/patologiaRESUMO
Granulomatous lesions of the cranio-facial area are frequent and various in their nature: lymphohistiocytic with or without eosinophils, tuberculoid-like with epithelioid and giant cells, or sometimes made essentially of giant cells. Their etiology can be known or easy to find: foreign body granuloma, sarcoidosis, leprosy, rhinoscleroma, fungal diseases especially zygomycosis and rhinosporidiosis, parasitic diseases. The lethal midline granuloma is a clinical entity characterized by its necrotic and relentlessly progressive destructive presentation. After elimination of a malignant process, especially lymphoid, and of a Wegener's granulomatosis the diagnosis will be "idiopathic midline non-healing granuloma". Some of them will stay located at the facial area; others will disseminate as a malignant disease. Central giant cell granuloma and histiocytosis X, especially eosinophilic granuloma, are two other varieties of granuloma, different of the former granulomatous infiltrates by their clinical presentation and their evolution.
Assuntos
Face , Granuloma/patologia , Crânio , Criança , Diagnóstico Diferencial , Granuloma Eosinófilo/patologia , Face/patologia , Corpos Estranhos/complicações , Granuloma/diagnóstico , Granuloma/etiologia , Granuloma de Células Gigantes/patologia , Granuloma Letal da Linha Média/patologia , Granulomatose com Poliangiite/patologia , Histiocitose de Células de Langerhans/patologia , Humanos , Infecções/complicações , Doenças Maxilares/patologia , Doenças Parasitárias/complicações , Rinoscleroma/patologia , Rinosporidiose/complicações , Rinosporidiose/patologia , Sarcoidose/patologia , Crânio/patologiaRESUMO
In this article a few of the more recently emphasized and pertinent conditions that may affect the hard and soft palate have been discussed. The purpose of the article is not to present in all-inclusive classification of lesions occurring the palate. Disease of the palate may be local in nature or may reflect a systemic condition. Dentists must be conscious of the palate as the site of many possible pathoses. The prosthodontist in particular must observe and carefully evaluate the palate and insure its good health before he can prescribe a prosthesis to cover it. Dentistry provides a health service which affects the entire human organism and not just the oral cavity. Therefore an understanding of the varied nature of pathosis as it relates to the oral cavity, and especially the palate, is essential. Continuous surveillance of the palatal regions insures that the dentist's obligation to detect oral abnormalities in patients is in large measure fulfilled.