Atlas of Oral Diseases: A Guide for Daily Practice by Isaäc van der Waal

By Isaäc van der Waal

This atlas is designed to help all who're concerned about diagnosing and treating oral illnesses. person chapters specialize in lesions and issues of the oral mucosa, smooth tissues (including the minor salivary glands), lips, tongue, gingiva, palate, and jaw bones (odontogenic and non-odontogenic lesions). as well as the extra universal illnesses, much less common problems also are coated, a few of which were famous in basic terms in recent times. all through, the procedure is perform orientated, with concise textual content and an abundance of high quality scientific, radiographic, and, the place applicable, histopathologic pictures. The mixed education of the writer in oral surgical procedure and oral pathology implies that he has unparalleled services in either the prognosis and the therapy of oral illnesses. His exact wisdom and event are absolutely mirrored within the Atlas of Oral Diseases, on the way to be very invaluable for dental and doctors of their day-by-day practice.

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36 Salivary gland tumor; the biopsy showed a mucoepidermoid carcinoma Clinical Aspects Usually a slowly growing, firm-elastic fibromalike swelling, sometimes of cystic consistency, of the oral mucosa, being asymptomatic otherwise. Sites of preference are the palate, particularly at the junction of the hard and soft palate (see also Chap. 6), the upper lip and, rarely, the buccal mucosa and the floor of the mouth (see also Chap. 3) (Fig. 36). The percentage of occurrence in all salivary glands is as follows: Parotid gl.

76 Lichen planus of the tongue, reticular type Fig. 78 Lichen planus, partly erosive/ulcerative and partly plaque type Fig. 77 Erosive lichen planus of the gingiva of predilection. Occurrence in the floor of the mouth and the palate is rare. Particularly the erythematous type may cause symptoms, such as pain and, in case of gingival involvement, severe bleeding during toothbrushing. Patients affected by oral lichen planus usually do not tolerate spicy food. When the gums are involved, patients may complain about the esthetic aspect of their gums.

Another cause of melanin pigmentation consists of excessive smoking habits (smokers’ melanosis), particularly in the anterior part of the mouth but also on the buccal mucosa. After cessation of the smoking habits, the pigmentation will disappear in some months (Fig. 107). , hydroxychloroquine, particularly on the palate (Fig. 108); it is a harmless phenomenon, and there is no need to change the medication. Adrenal insufficiency, as is the case in Addison disease, may result in generalized brownish discoloration of the skin and mucosas; when treating the underlying disease, the discoloration will disappear in a matter of a few months (Fig.

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