After practicing dentistry for a few years we are bound to come across different populations of patients, some of whom present with rare genetic disorders that requires unique management and careful planning in order to achieve a treatment outcome tailored to their needs. Ectodermal Dysplasia (ED) is a rare hereditary condition affecting structures of ectodermal origin…
Patients being treated with anti-resorptive and anti-angiogenic medications have a risk of developing medication related osteonecrosis of the jaw (MRONJ). This condition can be more prevalent as a result of dental procedures which impact bone, such as simple extractions. Patients at Risk Anti-resorptive medication (such as IV bisphosphonates) are used to manage cancer related conditions associated with…
A very common finding in patients is the “spontaneous” enlargement of fungiform papillae, called transient lingual papulosis. These enlargements are erythematous and develop 1-4 hours following a source of trauma, such as heat, spicy foods, or mechanical trauma. These cases are usually very painful. The good news is that they almost always resolve by themselves 1-4 days after…
For today’s morninghuddle, we’ll back track to some information that you learned in dental school. Our hot topic: recurrent herpes labialis or more commonly known as cold sores. Caused by HSV-1 (herpes simplex virus type-1 and less frequently type 2), herpes labialis is characterized by it’s eight stages: Prodrome, erythema, papule, vesicle, ulcer/soft crust, hard crust,…
Recurrent aphthous stomatitis (RAS) is of the most common and debilitating oral pathologies. Some studies show up to 25% of the population being affected by RAS. The disease has three clinical variants: minor, major and herpetiform aphthous. The most common form however is minor RAS. RAS can be caused by a variety of factors: immune and hematological deficiencies,…
How do you answer your patient when they ask you why their TMJ clicks? The truth is that the answer is not very clear, and there hasn’t been any consistent research to tell us why. Temporomandibular disorders (TMDs) can present with pain, limited jaw mobility or clicking sounds. The most common thought is that malocclusion…
The market for e-cigarettes and vapes has boomed. First developed in China in 2003, e-cigarettes made their way to Europe and North America in 2006. They gained popularity by being branded as a safer alternative to regular cigarettes and even a way for smoking cessation. By introducing different designs and flavors, young people became the market’s…
Case Presentation A 65-year-old woman presents to the clinic for periodontal treatment and during the routine intraoral exam, a firm nodule is noticed in the right buccal mucosa. The nodule is well circumscribed in the posterior right buccal region, measuring 2.5 cm in diameter. The mucosa overlying the nodule appears normal. Patient is unaware of…
You will always remember the day you found hair growing in someone’s mouth. The oral cavity is derived from the stomodeum, and ectodermal derivatives like sebaceous glands are not unheard of. However, the presence of sebaceous glands and hair growth together is extremely rare. So rare that only 5 cases have been reported so far. The first case was…
Clinical Presentation 44-year-old woman presents to the clinic due to a lesion on the left lateral border of her tongue (17x10mm). The lesion shows a soft nodular swelling, circumscribed, with white irregular papillary projections. The lesion is non-indurated. The lesion has been present for 4 years and is asymptomatic. No significant findings in the patient’s…