i-manager's Journal of the Indian Dental Association Tamil Nadu (JIDAT)


Volume 13 Issue 2 January - March 2023

Clinical Update on Oral Lichen Planus

S. Jayachandran* **

Abstract

Lichen planus is a common, chronic, inflammatory, immunologically-mediated dermatomucocutaneous lesion. The name was coined by Erasmus Wilson in 1869, and the oral form is more common than the cutaneous lesion. Significantly, oral lesions can occur independently of skin lesions. While oral lesions are generally asymptomatic, the atrophic and erosive forms of lichen planus can cause a range of symptoms, from spontaneous soreness to severe pain that interferes with eating, speech, and swallowing. Managing oral lichen planus is challenging due to its chronic nature, which requires long-term anti-inflammatory and immunomodulatory therapy. The cell-mediated reaction resulting in oral lichen planus may be precipitated by a wide range of factors, including several infective agents such as viruses and Helicobacter pylori. Herpes, Epstein-Barr virus, cytomegalovirus, and herpes virus-6 have all been implicated as causative agents for lichen planus. A variety of medications can induce lesions similar to the idiopathic form of lichen planus, and this is called lichenoid mucositis or lichenoid dermatitis. Lichen planus may also be associated with hepatitis C infection, and genetic influences may play a role in its expression in certain populations. Stress or anxiety related to the lesion may also be noted.

Obturator - A Boon for Maxillofacial Defects - A Case Report

P. Manonmani* , R. Ramesh**

Abstract

This article presents a case report of a patient with a completely edentulous maxilla and a palatal defect who was successfully rehabilitated with a hollow bulb obturator. This obturator allowed for the control of the prosthesis's weight, resulting in improved comfort and function for the patient.

Oral Submucous Fibrosis - A New Concept in Surgical Management

A. Thangavelu * , P. Subramaniam **, Janardhanan***, Suraj John Thomas ****

Abstract

Various surgeries have been used to release fibrotic bands in oral submucous fibrosis, but all of them are associated with complications and morbidities. The aim of our study is to evaluate the effect of coronoidectomy with excision of fibrotic bands. A total of five histologically proven cases of advanced oral submucous fibrosis, with a mouth opening of less than 20 mm, were surgically treated. The procedure involved, bilateral release of fibrotic bands, bilateral coronoidectomy, and covering the buccal defects with a collagen membrane, if required. Regular follow-up was done, and results were assessed by comparing the preoperative and postoperative mean intraoperative interincisal distance. After band excision and coronoidectomy, the mean intraoperative interincisal distance increased up to 38.2 mm. The procedure of coronoidectomy after fibrotic bands release had excellent results, providing adequate mouth opening with no recurrence till the last follow-up.

Neutrophil Function Tests - A Review

Aravindhan T Ranganathan * , Saraswathy P. K. **

Abstract

Neutrophil function plays a crucial role in the defense mechanisms against periodontal diseases. The malfunctioning of neutrophils leads to various destructive periodontal diseases. Therefore, it is important to diagnose these diseases accurately for effective management and prevention of tissue destruction. Neutrophil function tests have become an important tool in diagnosing the periodontal diseases. This review aims to provide an overview of the various neutrophil function tests, including chemotaxis, phagocytosis, degranulation, and oxidative burst. These tests are evaluated in vitro and in vivo using different techniques. The review also highlights the advantages and limitations of these tests, emphasizing the importance of proper interpretation and standardization of results. Finally, the review discusses the potential of using neutrophil function tests in monitoring the effectiveness of periodontal treatments and predicting the risk of future periodontal disease progression.

Disease of Autoimmunity Leading to Disunity – A Case Report

Amudhan A.* , S. C. Selvamuthukumar**, T. Manigandan***

Abstract

Pemphigus vulgaris (PV) is a chronic autoimmune intraepithelial blistering disease. PV almost always affects the mouth, and it can be the initial site of presentation in about 40% to 50% of cases, before the skin and other mucosal sites (such as the esophagus, pharynx, larynx, nasal and genital areas) become involved. The blisters break to form large denuded areas of skin, which can prove fatal if extensive areas are involved. Early recognition of this lesion may prevent delayed diagnosis and inappropriate treatment of a potentially fatal chronic dermatological condition.