MANAGEMENT OF LEUKOPLAKIA

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LEUKOPLAKIA

  1. Habit counselling: Removal of etiology
  2. Conservative therapy:
  • Vitamin therapy – Protective effect on epithelium (Vitamin A)
  • Vitamin A + Vitamin E: inhibit metabolic degradation
  • Retinyl palmitate is used as an antioxidant and a source of vitamin A added to low fat milk and other dairy products to replace the vitamin content lost through the removal of milk fat.
  • Isotretinoin, also known as 13-cis-retinoic acid with dosage of 1.5 – 2mg/kg body wt. for 3 months.
  • Vitamin A can be sourced from the food we eat, through beta carotene, for example, or in supplement form.
  • Antifungal medication Nystatin can be used for candidal Leukoplakia
  • Vitamin B complex for commissural leukoplakia
  • Vitamin A can be found in: Carrots, Citrus fruits, hard cheese, spinach, milk, eggs, fish

3) Surgical Approach

References: Ghoms, Textbook of Oral Medicine

Dr. Mehnaz Memon🖊

Author’s Note: Sanjana Agarwal

Anisha ValliLeave a comment

Good Day,

I am Sanjana Agrawal Final Year BDS student from VSPM Dental College, Maharashtra, India

I am a author and honoured to jot down so many  posts for the weblog. These days i’ve finished through 100 posts for blog. I’m additionally head of our you tube channel named Dentoawesome.

Speaking about myself to you, know me better.. 

I love to dance, to do shopping, cooking and read books and I have immense interest in doing research also. I have published my 3 articles in Indian Journals of Dentistry.  As research is of my keen interest which enhances my knowledge, creativity and my write as well. 

 Visiting different countries, states, cities meeting new people, learning about different cultures, languages makes be euphoric. Attempting  something new or out of the box brings the real me out. 

 As learning is that no one can take it away from you, so why not we share it with others. 

It fills me with immense pleasure to write for you all and share my knowledge and information with you and helping you through. 

The more you share the more you explore, the more you grow… So why not to share… 

You can even follow me on instagram @sanjanaa1710 and facebook at Sanjana Agrawal.

Thank you

Author’s Note: Dr Mehnaz Memon

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Hello Readers,
Reading is the key to learning and Dentowesome team will help you master dentistry in a much simplified manner. I, Dr. Mehnaz Memon is been writing for Dentowesome from a couple of months & it feels great to share my knowledge to help guide dental students. You will further discover my articles and notes on dental topics @dr.mehnaz presented in simplified and creative way to help you all through your exams.!

About Me:
I, Dr. Mehnaz Memon, resident of Kachchh, India run my private practice and I am also member of Dental Club of Bhuj. I completed doctorate degree of dental sciences(BDS) from M.A.R.D.C, Pune. I also did Master Diploma in Emergency Medical Services from IMH, Pune & currently take sessions on emergency first aid at one of the educational institutes of Kachchh. I also undertake oral health awareness campaigns to promote Rural health. You can further contact me on Facebook Page: Dr. Mehnaz Memon | Instagram: @info.junction

“All roads that lead to success have to pass through hardwork Boulevard.” I sincerely believe that we must use our own skills and endeavors to fulfill the awesome responsibility and be good travel companions for people through the journey we call ‘Life’

I would like to address my lovely audience to dream big & become successful at both Professional as well as humanitarian level!

Regards,
Dr. Mehnaz Memon

Author’s Note: Dr Natasha Unani

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‘ Excellence is a continuous process and not an accident’ – APJ Abdul Kalam .

Hey !
I am Dr Natasha Unani working as an associate dentist at a private clinic in Pune, Maharashtra. I passed my BDS in 2018 and then took up a post graduation course in emergency medical services from Symbiosis Institute of Health Sciences which I passed in March 2020.

When I started learning biology in school I was very fascinated by it and would read multiple articles and books about it beyond the examination level. I knew then I wanted to learn more about human biology. Since there are no dentist/doctors in my family , I didn’t know where to draw guidance from . I went to my local family doctor and gathered some information which pushed me out of my comfort zone. Within no time I took my admission in dental school and passed with good grades.

My main motto is keeping the notes in my blogs as simple as possible for eveyone to understand the content.

It gives me immense pleasure to write these blogs and sharing valuable information which helped me during my UG days ! They are written in an easy to read format which helps clear your theoretical doubts as well as to apply it in your clinical practice.

As a dentist it’s my belief that dentistry not only comprises of treatment aspects but also education, motivation and prevention of dental diseases.

When I am not working , I enjoy travel adventures, tasting different cuisines and reading .
I like to travel and explore places , I like airports and packing , the smell of a new city and hotel breakfasts and doing cute touristy stuff 🙂 That’s why I was very keen for looking into a travelling dentist job which sadly isn’t much of a practice in India . As it is said ‘ Don’t just like a place on Instagram. Go there ! ‘

I also enjoy clicking pictures mostly of raw nature , the things we see around in our day to day life but fail to appreciate. Also , one of the picture’s I clicked has been published in the Pune Mirror newspaper.

My ultimate life goal is to help people in need , who do not even have access to the basic necessities required to lead a healthy lifestyle.

I am glad to write these blogs and to contribute to medicine in my own small way! Thank you 🙂

MULTIPLE MYELOMA

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🔹Most common primary neoplasm of skeletal system.

  • A disease of bone marrow
  • A malignancy of plasma cells
  • Monoclonal malignancies

🔹Clinical Features:

  1. Age: 60 – 65 years
  2. Sex: M>F
  3. Site: Vertebra, Ribs, Skull, Pelvis, Femur bone.
  4. Symptom: Bone pain (due to compression fractures)
  5. Signs:
  • Lytic bone lesions
  • Anemia
  • Azotemia
  • Hypercalcaemia
  • Recurrent infection

🔹Oral Manifestations:

  1. Jaw: Mandible>Maxilla
  2. Site: Ramus & Angle of mandible at Molar area
  3. Signs:
  • Intraosseous –
  • Pain
  • Swelling
  • Numbness
  • Mobility of teeth
  • Extraosseous one’s resemble epulis/gingival enlargement.

🔹Radiographic features: Punched out areas

🔹 Lab. findings:

  1. Hyperglobulinemia
  2. Bence Jones protein in urine – Also seen in leukemia, polycythemia
  3. ⬆️ ESR
  4. ⬆️ Alkaline phosphatase
  5. Hyperuricemia

🔹Histological Features:

1. Cells are closely packed in large sheets..👇🏻

  • Round/Ovoid
  • Nuclei – eccentric placed
  • Chromatin clumping in a cart wheel/checkerboard pattern
  • Perinuclear halo (Golgi complexes)

2. Russell bodies: Russell bodies are multiple round cytoplasmic hyaline inclusions that are frequently seen in bone marrow aspirates in myeloma. They are composed of immunoglobulin molecules within vesicular structures derived from rough endoplasmic reticulum. Plasma cells containing them are sometimes referred to as Mott cells.

🔹Treatment:

  1. Bisphosphonate therapy
  2. Chemotherapy

References: Shafer’sTextbook Of Oral Pathology

Dr. Mehnaz Memon🖊