The New York state dental journal
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Review Case Reports
Systemic sclerosis. Case report and review of literature.
Systemic sclerosis (SSc) is a heterogeneous rheumatic disease within the scleroderma spectrum of disorders. The systemic forms of scleroderma are most appropriately designated systemic sclerosis. ⋯ The aim of this article is to describe, through presentation of a case report, oral manifestations of SSc and their consequences on mouth aperture and salivary function, and, consequently, on dental health care. Classification, pathogenesis, clinical manifestations and treatment options are discussed, and the relevant literature is reviewed.
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Migraine headache is a common, disabling clinical problem afflicting millions of Americans. Many dental problems are related to headaches and many conditions can cause orofacial pain and headaches, which complicates a definitive diagnosis. ⋯ A toothache of nonodontogenic origin may require a team of dentists and physicians to diagnosis and manage. It is important for the dentist to recognize and understand the management of common headaches, such as migraine, and be able to differentiate between a nonodontogenic headache and a "real" toothache.
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Hidden occlusal caries was defined 20 years ago as a dentinal caries lesion near the occlusal surface of the tooth, visible on a radiograph, where in visual examination the occlusal enamel is seen intact or minimally perforated. Hidden caries present the dentist with challenges in prevention, diagnosis, treatment planning, patient education and research. This article describes these challenges and offers solutions. ⋯ In cases of inconclusive radiographic examinations and a stained fissure, an operative diagnosis approach should be employed. In treating hidden caries, the dentist should consider, according to clinical and radiographic examinations, an observation-only approach or a preventive resin restoration. The dentist should become familiar with this type of carious lesion and learn how to prevent, diagnose and treat it.
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Peripheral ossifying fibroma (POF) and pyogenic granuloma (PG) belong to the group of "focal reactive overgrowths," having different histomorphologic representations. The pathogenesis of POF remains controversial. It has been observed that POF in some cases may initially develop as a PG that undergoes subsequent fibrous maturation and calcification. ⋯ The primary lesion was diagnosed as POF and the recurrent lesion as PG. The POF might have developed initially as PG and subsequent maturation led to the ossification of the lesion. These two lesions represent the progressive stages of the same spectrum of pathosis.