Oral and Maxillofacial Medicine
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7 38 207 e 1. Oral and maxillofacial diagnostics n i István Sonkodi 2. Developmental and genetic disorders c 3. Bacterial diseases i 4. Protozoan diseases d 5. Viral diseases e 6. Fungal diseases Oral and maxillofacial 7. Diseases of the lips l m 8. Tongue diseases (glossopathies) a medicine 9. Physical, chemical and iatrogenic harms i 10. Immune-based mucocutaneous diseases c 11. Granulomatous mucocutaneous diseases a f 12. Oral manifestation of systemic diseases o 13. Skin and mouth diseases in the orofacial region l l 14. Colour and pigmentation disorders of the skin and i mucous membrane x 15. Benign tumors a 16. Oral precancers and white lesions 17. Malignant oral tumors 18. Treatment of oral and maxillofacial diseases d m (manufacturer's products) 19. Differential diagnosis of oral and maxillofacial diseases n l a a r O ISBN 978 9879 48 5 Semmelweis Publisher 9 789639 879485 István Sonkodi Oral and maxillofacial medicine Diagnosis and treatment István Sonkodi Oral and maxillofacial medicine Diagnosis and treatment 5 Table of contents 1. ORAL AND MAXILLOFACIAL Peutz-Jeghers syndrome (plurioroficialis lentiginosis) 37 DIAGNOSTICS Sebaceus nevus (Jadassohn’s nevus) 38 Congenital epulis 38 Case history 15 Idiopathic gingival fibromatosis (Elephantiasis gingivae) 39 Preventive examinations 15 Fibrous developmental malformation and palatal torus 39 Detailed clinical examination 16 Primary lymphoedema (Nonne-Milroy’s disease) 40 Further examinations 19 Neurofibromatosis (Recklinghausen’s disease) 40 Epidermolysis bullosa 41 Basal cell nevus syndrome (Gorlin-Goltz syndrome) 42 2. DEVELOPMENTAL AND GENETIC Diffuse palmoplantar keratosis (Unna-Thost’s syndrome) 44 ã Dr. István Sonkodi, 2009 DISORDERS Cowden’s syndrome 45 Tuberous sclerosis (Pringle-Bourneville’s disease) 45 Congenital lip pits (Sacci et fistulae connatales Cherubism 46 labiorum) 23 Bonnevie-Ulrich’s syndrome (Pterygium syndrome) 47 Fox-Fordyce’s granules 23 Pseudoxanthoma elasticum 48 Congenital leukokeratosis (White sponge nevus) 24 Ehlers-Danlos syndrome 48 Ankyloglossia 25 Marfan’s syndrome 48 ISBN 978 963 9879 48 5 ã Dr. István Sonkodi, 2009 Upper labial frenulum hypertrophy 25 Down’s syndrome (mongolism) 50 Paramedial frenulum hypertrophy 26 Pachyonychia congenita 51 Dyskeratosis follicular (Darier’s disease) 26 Fallot tetralogy 51 Lingual thyroid (Lingual goiter) 27 Short’s syndrome 52 e-ISBN 978-963-331-498-2 Dyskeratosis congenita 27 Papillon-Lefévre’s syndrome 52 Cleft lip (unilateral) 28 Gardner’s syndrome 54 Cleft lip (bilateral) 28 ISBNAll rights 978 reserved. 963 9879 No part 48 of 5 this work covered by the copyrights hereon may be reproduced or copied in any form or by any means – graphic, electronic or mechanical, including photocopying, recording, taping on information storage and retrieval Total cleft palate (cheilo-gnatho-palatoschisis) 28 systems – without written permission of the author and the publisher. Incomplete cleft palate (palatoschisis) 28 3. BACTERIAL DISEASES Gothic palate 29 All rights reserved. No part of this work covered by the copyrights hereon may be reproduced or Double lips (labium duplex) 29 Folliculitis 55 copied in any form or by any means – graphic, electronic or mechanical, including photocopying, re- Cleft lip (cheiloschisis) 30 Contagious impetigo 55 cording, taping on information storage and retrieval systems – without written permission of the author Microstomia 30 Furuncle 57 Alland rights the publisher. reserved. No part of this work covered by the copyrights hereon may be reproduced or copied in any form or by any Lateral lingual tonsils (hypertrophy of the foliate papillae) 30 Carbuncle 57 means – graphic, electronic or mechanical, including photocopying, recording, taping on information storage and retrieval Incomplete bifid tongue (glossoschisis) 31 Necrotizing fasciitis 58 systems – without written permission of the author and the publisher. Incomplete bifid tongue and congenital macroglossia 31 Acute necrotizing ulcerative gingivostomatitis 58 Incomplete triple bifid tongue 31 Plaut-Vincent angina 59 Fissured tongue (scrotal tongue, lingua plicata) 31 Ulcerative stomatitis, ulceronecrotic stomatitis – Responsible editor: László Táncos Tongue hemihypertrophy 32 gangrene (Cancrum oris, noma) 59 Cover design: László Táncos Facial hemihypertrophy 32 Erysipelas 61 Make-up editor: János Békésy Uvular aplasia and hypoplasia 33 Scarlatina (Scarlet fever) 61 Chancriform pyoderma 62 SKD: 206 Bifid uvula 33 Follicular pyoderma 63 Printed and bound by: Avaloni Kft. Masseteric hypertrophy 33 Nevus flammeus (“port-wine stain”) 34 Acute lymphadenitis 63 Medial nevus flammeus (Unna Nevus) 35 Streptococcal gingivostomatitis 64 Responsible editor: László Táncos Encephalotrigeminal angiomatosis (Sturge-Weber’s Oral soft tissues abscess 64 Cover design: László Táncos syndrome) 35 Acute bacterial (suppurative) parotitis 65 Make-up editor: János Békésy SKD: 206 Printed and bound by: Avaloni Kft. 5 Table of contents 1. ORAL AND MAXILLOFACIAL Peutz-Jeghers syndrome (plurioroficialis lentiginosis) 37 DIAGNOSTICS Sebaceus nevus (Jadassohn’s nevus) 38 Congenital epulis 38 Case history 15 Idiopathic gingival fibromatosis (Elephantiasis gingivae) 39 Preventive examinations 15 Fibrous developmental malformation and palatal torus 39 Detailed clinical examination 16 Primary lymphoedema (Nonne-Milroy’s disease) 40 Further examinations 19 Neurofibromatosis (Recklinghausen’s disease) 40 Epidermolysis bullosa 41 Basal cell nevus syndrome (Gorlin-Goltz syndrome) 42 2. DEVELOPMENTAL AND GENETIC Diffuse palmoplantar keratosis (Unna-Thost’s syndrome) 44 DISORDERS Cowden’s syndrome 45 Tuberous sclerosis (Pringle-Bourneville’s disease) 45 Congenital lip pits (Sacci et fistulae connatales Cherubism 46 labiorum) 23 Bonnevie-Ulrich’s syndrome (Pterygium syndrome) 47 Fox-Fordyce’s granules 23 Pseudoxanthoma elasticum 48 Congenital leukokeratosis (White sponge nevus) 24 Ehlers-Danlos syndrome 48 Ankyloglossia 25 Marfan’s syndrome 48 Upper labial frenulum hypertrophy 25 Down’s syndrome (mongolism) 50 Paramedial frenulum hypertrophy 26 Pachyonychia congenita 51 Dyskeratosis follicular (Darier’s disease) 26 Fallot tetralogy 51 Lingual thyroid (Lingual goiter) 27 Short’s syndrome 52 Dyskeratosis congenita 27 Papillon-Lefévre’s syndrome 52 Cleft lip (unilateral) 28 Gardner’s syndrome 54 Cleft lip (bilateral) 28 Total cleft palate (cheilo-gnatho-palatoschisis) 28 Incomplete cleft palate (palatoschisis) 28 3. BACTERIAL DISEASES Gothic palate 29 Double lips (labium duplex) 29 Folliculitis 55 Cleft lip (cheiloschisis) 30 Contagious impetigo 55 Microstomia 30 Furuncle 57 Lateral lingual tonsils (hypertrophy of the foliate papillae) 30 Carbuncle 57 Incomplete bifid tongue (glossoschisis) 31 Necrotizing fasciitis 58 Incomplete bifid tongue and congenital macroglossia 31 Acute necrotizing ulcerative gingivostomatitis 58 Incomplete triple bifid tongue 31 Plaut-Vincent angina 59 Fissured tongue (scrotal tongue, lingua plicata) 31 Ulcerative stomatitis, ulceronecrotic stomatitis – Tongue hemihypertrophy 32 gangrene (Cancrum oris, noma) 59 Facial hemihypertrophy 32 Erysipelas 61 Uvular aplasia and hypoplasia 33 Scarlatina (Scarlet fever) 61 Bifid uvula 33 Chancriform pyoderma 62 Masseteric hypertrophy 33 Follicular pyoderma 63 Nevus flammeus (“port-wine stain”) 34 Acute lymphadenitis 63 Medial nevus flammeus (Unna Nevus) 35 Streptococcal gingivostomatitis 64 Encephalotrigeminal angiomatosis (Sturge-Weber’s Oral soft tissues abscess 64 syndrome) 35 Acute bacterial (suppurative) parotitis 65 6 7 Osteomyelitis 66 Chronic mucocutaneous candidiasis 108 Cerebriform (plicated) tongue 142 Alcoholic menthol solution 173 Buccal cellulitis 67 Candida endocrinopathy syndrome 109 Lateral plicated tongue 142 Phenol 173 Phlegmon (cervicofacial cellulitis) 67 Mycosis barbae (superficial and profound) 110 Bilateral tongue hypertrophy 143 IONIZING RADIATION 174 Tuberculosis (TB) 68 Trichophytia (Trichophyton rubrum) 110 Tongue lesion in Melkersson-Rosenthal syndrome 143 Radiogenic mucositis (dermatitis) 174 Tuberculosis cutis colliquativa (scrophuloderma) 69 Tinea corporis (superficial) 110 Leukemic glossitis 143 Osteoradionecrosis 176 Tuberculosis cutis luposa (lupus vulgaris) 70 SYSTEMIC MYCOSES 111 Glossitis in acute atrophic candidiasis 144 Other irradiation-related injuries 177 Primary syphilis (lues) 71 Sporotrichosis 111 Psoriatic glossitis 144 Secondary syphilis II. 72 Uremic glossitis 144 ORAL REACTIONS DUE TO DRUGS 178 Mucormycosis 111 Gingival hyperplasia due to Phenytoin (Diphedan) 178 Tertiary syphilis III. 72 Aspergillosis 112 Tongue lesion in amyloidosis 145 Lyme disease 74 Tongue hemihypertrophy 145 Other drug-induced gingival hyperplasia 178 Blastomycosis 113 Cytostatic drugs 179 Gonococcal stomatitis 74 Histoplasmosis 113 Glossodynia (glossopyrosis) 145 Actinomycosis 74 Crenated tongue 146 Immunosuppressive drugs 179 Rhinosporidiosis 114 Penicillamine (Byanodine, Metalcaptase) 179 Diphtheria 75 Paracoccidioidomycosis (South American blastomycosis) 114 Plasmacellular glossitis 146 Odontogenic abscess 76 Beta-blockers 180 Extraoral odontogenic fistula 76 Vaccination 180 9. PHYSICAL, CHEMICAL Anemia and necrosis after anesthesia 180 Inflamed atheroma 77 7. DISEASES OF THE LIPS Staphylococcal ulceration 77 AND IATROGENIC HARMS Drug-induced avascular bone necrosis 181 Lichenoid reaction 181 TROPICAL DISEASE 78 Exfoliative cheilitis 117 PHYSICAL INJURIES (MECHANICAL AND Corsodyl 182 Angular cheilitis (angular stomatitis, commissural Leprosy 78 TRAUMATIC ETIOLOGY) 147