Diagnosing Oral Granulomatous Lesions: A Case Report.

The diagnosis of oral granulomatous lesions raises many challenges for the clinician. This article, which includes a case report, describes a process to formulate differential diagnoses by identifying distinguishing characteristics of an entity and applying that information to attain understanding of the ongoing pathophysiological process. Relevant clinical, radiographic, and histologic findings of common disease entities that can mimic clinical and radiographic presentation of this case are discussed to aid dental clinicians in identifying and diagnosing similar lesions in their practice.

Mandibular midline supernumerary tooth associated with agenesis of permanent central incisors: a diagnostic conundrum.

Concomitant hypo-hyperdontia is a rare mixed numeric anomalous condition. The presence of this condition in the same area of dental arch and specifically in the mandibular anterior region is reported very infrequently. This case report presents a case of 20 years old male with congenitally missing permanent mandibular central incisors in conjunction with a mandibular midline supernumerary tooth. Only 3 cases have been documented in English literature till date. The article focuses on the review of mandibular mesiodens and the clarity regarding the usage of the terminology "mesiodens".

Mucosal fixed drug eruption in a patient treated with ornidazole.

BACKGROUND: Therapeutic drugs have been observed to cause a wide spectrum of adverse oral effects such as dry mouth, gingival enlargement, taste disturbance, oral mucosal ulceration, halitosis, etc. OBSERVATIONS: A rare case of intra-oral fixed drug eruption (FDE) induced by ornidazole presenting on the hard palate, an extremely rare site for FDE, in a 40-year-old male is reported. CONCLUSIONS: Ornidazole is a relatively newer 5-nitroimidazole derivative commonly prescribed for Amoebic dysentery in developing countries. FDE is a rare adverse drug effect characterized by onset of round/oval, erythematous macules on the skin or mucosa that can be associated with itching and burning sensation. The exact mechanism causing FDE is unknown.

Acute cervicofacial necrotizing fasciitis: three clinical cases and a review of the current literature.

Cervicofacial necrotizing fasciitis (NF) is a rare condition that can quickly become life-threatening if appropriate treatment is delayed. This condition is observed as a rapidly progressive infection that causes extensive necrosis of the superficial fascia. This report presents a case of cervicofacial NF with microbiological isolation of methicillin-resistant Staphylococcus aureus in a patient with a history of uncontrolled diabetes mellitus following a minor scalp trauma. The article also presents two cases of NF secondary to odontogenic infection. The radiographic finding of the presence of gas locules in the facial planes on the CT scan helped to confirm the diagnosis. Patients were treated with broad-spectrum antibiotic therapy, extensive surgical drainage, debridement, and supportive care. Awareness in the dental community of the signs of NF will facilitate optimal patient management.