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Oral Medicine

mIxed rl adnd ro lesions

Healing surgical site Chronic osteomyelitits Osteoradionecrosis Focal cementoosseous dysplasia Fibrous dysplasia Pagets disease- intermediate stage Cemento ossifying fibroma Osteogenic sarcoma Osteoblastic metastatic carcinoma Chondroma and chondrosarcoma Ossifying sub periotsteal hematoma Desmplastic ameloblastoma     Adenomatoid odontogenic tumor Ameloblatic fibrodentinoma Ameloblastic fibroodontoma Ameloblastoma (peripheral sclerosis) Calcifying epithelial odontogenic tumor Calcifying odontogenic …

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IOPA still a valuable diagnostic tool

30 year old male patient ,reported to Govt dental college ,Kozhikode Fluctuant ,painless  palatal swelling  16 region of  two months duration. H/o extraction of 15 ,several years back(>10y) No evidence of pus discharge, Brown coloured aspirate,with few cholesterol crystals   28 yr old male. Malpositioned teeth & hard,painless swelling 33,34 …

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inflammation

INTRODUCTION HISTORY CAUSES CARDINAL SIGNS TYPES OF INFLAMMATION ACUTE INFLAMMATION                 VASCULAR EVENTS                  CELLULAR EVENTS                                   CALOR      Due to increase in blood supply        Due to increase in metabolic activity in that area         Appreciation of heat is possible in superficial areas         with heat receptors… e.g : skin …

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iaomr final

Investigations Heamogram:Hb-9.2gm%, TLC-6400/mm3,E.S.R-     10mm/hr                      Platelet count-85,ooocells/mm3 Directimmunofluorescence:BMZ-IgG,IgM,C3 U.S. abdomen:hepatomegaly with fatty infiltrates Chest x Ray :hazy shadows of lower lobes Symptoms  -oral ulcers                                -growth and swellings                                 -bleeding gums                                 -irregular teeth                                 -missing teeth                                 -mobile teeth                                 -enlarged gums Clues from history    -recurrent lesions …

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girija

NHL arises primarily within the lymph nodes. Extra nodal locations – 24% Bone – 5% NHL of oral cavity is  rare (9.5%). Mandible accounts  for only 0.6% of isolated malignant NHL.   Medical history Physical examination Lab. Investigations:  (Haemogram, Urine analysis,                                       complete blood count, ESR & LDH) HPE with …

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generalized rarefaction of jaw bones

Bone is a complex organ consisting of dense outer cortex covered by periosteum. Inner medullary portion consists of-marrow spaces, red or yellow bone marrow. Inner surface of cortex is lined by endosteum Osteoblasts and osteoclasts are cells which regulate the bone Osseous, endocrine, GIT, nutritional, renal, haemopoietic  systems are normally …

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Generalised radiopacities

Florid cementoosseous dysplasia Pagets disease-mature stage Osteopetrosis Rarities Albrights syndrome Caffeys disease Camurati-engelmann disease Craniometaphyseal dysplasia Osteogenesis imperfecta Familial adenamatosis coli (gardners syndrome)   It is the most common cause of pathologic generalised radiopacity of the jaws . It is benign  condition usually involves  mutiple quadrants of the tooth bearing …

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emergency medicines in dentistry

Preparation Train office personals Emergency numbers Emergency kits and devices Vehicle Prevention Observe patient Thorough history Monitor vital signs Test doses Lab investigations Medical consultation Premedications   Children And Elderly –Respiratory Depression Asthma-Histamine Release Head Injury   ↑Intracranial Pressure     Respiratory Depression     Vomiting, altered Mentation Hypovolemia And …

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