Open Access Case Report

Tobacco Pouch Keratosis - A Common but of Ten Missed Oral Lesion

S. Annapoorani, A. Winnifred Christy, T. Jones Raja Devathambi

Asian Journal of Dental Sciences, Page 23-27

Aim: As a reference for cases related to smokeless tobacco use, its management and also states about the importance of proper and early diagnosis of tobacco pouch keratosis.

Presentation of Case: A 45 year old male complained of a rough surface with burning sensation occasionally in the mucosa of the lower front teeth region. The patient gave a positive history of using smokeless tobacco mixed with areca nuts, four times a day for the past seven years. A greyish white mucosal thickening was evident in the mandibular right and left buccal vestibule, labial vestibule with surface ulcerations from 35 to 45 region.  The lesions had ill-defined borders. It had a wrinkled, corrugated surface texture. On palpation the lesion had a rough and leathery consistency. 

Discussion: Smokeless tobacco usage is on an alarming rise in the Indian subcontinent. Some use it as an alternative for smoking and others use it along with smoking tobacco without realizing that smokeless tobacco also has equal potential to cause oral and systemic effects. One of the most common lesion which occurs due to use of smokeless tobacco is tobacco pouch keratosis. This paper presents a case report and a review about the prevalence, etiology, clinical features, pathogenesis, harmful effects, management and prevention of tobacco pouch keratosis.             

Conclusion: Based on the clinical examination the lesion was diagnosed as tobacco pouch keratosis. Non-invasive procedures like habit cessation, counselling, early diagnosis may prevent the prognosis of the lesion and also decrease financial burden of the patient.

Open Access Case Study

Guarding the Smile: A Case Report on Mouth-Guard Appliance

Aaheli Banerjee, Antik Bhattacharyya, Aindrila Ghosh, Shabnam Zahir

Asian Journal of Dental Sciences, Page 1-6

Orofacial injuries vary in complexities and affects people of all age group. Dental trauma in sports is the major linking channel between sports and dentistry. Sports dentistry is the prevention of oral/ facial athletic injuries and related oral diseases and manifestations. The preventive measures like usage of helmets, mouthguards and other protective gears have reduced the impact of these injuries in the athletes.

This report presents a case where a patient came for follow up appointment regarding a replanted avulsed tooth in the anterior region that was carried out 1 year back. Also, it was stated by the patient that he was involved in contact sports related activity.

The patient was motivated regarding the various protective mechanisms and the advantages of using them during sports activities and custom- made mouthguard was fabricated for this patient.

Open Access Case Study

Relining of Denture Bases with Temporary Soft Material in Denture Stomatitis Treatment: A Case Report

Carolina Yoshi Campos Sugio, Amanda Aparecida Maia Neves Garcia, Vinícius Carvalho Porto, Karin Hermana Neppelenbroek

Asian Journal of Dental Sciences, Page 28-32

The objective was to report a therapeutic method for denture stomatitis (DS) with the relining of the maxillary complete denture (CD). Patient JN, male, 70 years old, came to the clinic for rehabilitation treatment with new ones. On clinical examination, precarious condition of oral and prosthetic hygiene was observed, in addition to signs of DS in the supporting palatal mucosa. After oral hygiene guidelines, use and cleaning of the prostheses, the CD was relined with temporary soft material. After 14 days, clinical improvement of the signs of inflammation was observed and clinical procedures were started to obtain new prostheses. After installation, the patient was followed for 3 months, with the maintenance of the health of the palatal support tissues being observed. The suppression of contact between the contaminated acrylic base and the infected palatal mucosa after relining proved to be an alternative and efficient of the DS therapy for long-term.

Open Access Original Research Article

Adherence of Periodontal Patients to Supportive Therapy at the University Clinics of Kinshasa, Democratic Republic of the Congo

M. N. Patrick Sekele, I. Jacques Bolenge, Nzudjom Foche Adelin Baudouin, S. Willy Lusasi, Koto-Te-Nyiwa Ngbolua, I. B. Jean-Paul Sekele

Asian Journal of Dental Sciences, Page 7-14

Aim of the Study: To determine the level of adherence of periodontal patients at the University Clinics of Kinshasa (CUK).

Methodology: A cross-sectional study on adherence of periodontal patients to supportive therapy was conducted at CUK from 2016 to 2019. Patients who have suffered from periodontitis during the study period and benefited from a non-surgical periodontal treatment, aged at least 18 years, answered at least to the three appointments recommended for a period of 6 months for the Supportive periodontal therapy (SPT) and who were available to undergo an interview on the basis of free consent were included. The convenience sampling technique was used. Univariate analyses were performed on socio-demographic, clinical, therapeutic and post-therapeutic variables in order to obtain descriptive statistics.

Results: Of 97 periodontal patients, 58.8% were female versus 41.2% male. The most representative age group was 18 to 30 years old (40.2%), 80.4% were incomplete adherents versus 19.6%, almost all periodontal patients were partial third party payers (85.6%); the preponderant reason for visit was pain (55.7%); most periodontal patients had benefited from motivation to oral hygiene, scaling and root planing (60.8%) The most common reason for non-return given by incompletely adherent periodontal patients was the disappearance of the main complaint. The Kolmogorov-Smirnov test for normality of the quantitative variable at the 0.05 probability level revealed that the distribution was not normal.

Conclusion and Suggestions: Incomplete adherence of periodontal patients to SPT at CUK was high. Special attention to the development of a therapeutic follow-up protocol deserves to be implemented.

Open Access Original Research Article

Frequency of Oral and Dental Diseases Presenting to Medical Professionals in Bayda City-Libya. Across-sectional Study

Maraai I. Orafi, Mansora Abd Alhamid

Asian Journal of Dental Sciences, Page 15-22

Objective: To find out the frequency of patients with oral diseases presented to medical professionals, type of oral symptoms/conditions and where were these patients referred?

Materials and Methods: A convenient sample size of 100 participants was decided. The questionnaire of the study was developed based on a previously validated survey with minor modifications. In particular, questions were raised regarding benign and malignant diseases and dental or denture-related problems. Also, medical practitioners were requested to identify the specialist to which the patient would be referred if a second opinion was required.

Results: The majority of the study participants were female (65%) and their ages ranged from 27 to 67 years with a mean of 38.38 years. Eighty- nine (89%) participants had seen patients with dental and or oral diseases. Majority of medical professionals (MPs) would refer patients to general dental practitioners (61%), while 10% would refer to oral surgeons, only 5% to oral medicine specialists, 6% to Ear, nose and throat surgeon(ENT) and 2% of MPs refer patients with oral soft tissue lesions to dermatologists.

Conclusion: The present study has shown that medical professionals commonly see patients presenting with oral diseases especially oral mucosal lesions and commonly refer patient to general dental practitioners rather than another dental specialty.