Analysis & Diagnosis of Case Studies Case One An

Radiograph a 40 year old asymptomatic man showed a demarcated radiolucency between the left maxillary lateral incisor and cuspid teeth with labial swelling. Differential diagnostic possibilities to consider include globulomaxillary cyst, lateral periodontal cyst, and odontogenic keratocyst.

Location of the demarcated radiolucency leads to the possibility of globulomaxillary cyst, currently described as

being of odontogenic origin. It is theorized that these lesions may be from inflammation of the reduced enamel epithelium during eruption of the teeth. This cyst is usually found between the maxillary lateral incisor and cuspid teeth. Radiographs demonstrate a demarcated radiolucency. Some may show histologic features of an odontogenic keratocyst or developmental lateral periodontal cyst. Treatment consists of surgical enucleation; endodontic therapy may be recommended. Prognosis is dependent on the type of cyst; recurrence potential is usually low.

Patient age and gender and radiolucency location lead to further histologic examination for the possibility of a lateral periodontal cyst, a rare developmental odontogenic cyst. Histogenesis is uncertain, however the lesion is thought to result from a proliferation of rests of the dental lamina. It is also believed that the cyst may be from "the proliferation of the reduced enamel epithelium along the latera

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blisters rupture and leave large, superficial, ulcerated areas that are painful and last for weeks or months. Complications include ocular involvement. Diagnosis is established by light microscopy and direct immunofluorescence; the patient is then referred to an ophthalmologist. Topical corticosteroids may be applied for ulcer control; they may flare up after use is discontinued. Systemic corticosteroids plus immunosuppressive agents or the use of dapsone, may be used if no medical conditions prohibit it. Patients benefit from good oral hygiene. Case Four Analysis A 30 year old male presents fever, weight loss, cervical lymphadenopathy, and multiple white to yellow curd-like patches involving the soft palate, gingiva, tongue, and mouth floor (wiping off leaves a reddish base). Three diagnostic possibilities include candidiasis, lymphoid hyperplasia, and verruciform xanthoma. Lymphadenopathy with fever and weight loss (immune dysfunction) and curd-like patches described, lead to the consideration of candidiasis or candidosis (also called moniliasis), an infection with a yeast-like fungal organism. The yeast form of C. albicans is thought to be innocuous and the hyphal form is associated with invasion of host tissue.
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Some common words found in the essay are:
Pemphigoid Patient, Cyst Patient, Gingivitis Painless, Ewing's Sarcoma, Planus Burning, Odotongenic Keratocyst, Bone Patient, Hyperplasia Maxillary, Metaplasia Maxillary, Deficiency Painless, odontogenic cyst, lichen planus, patient age, lupus erythematosus, lateral periodontal cyst, oral hygiene, painless swelling, verruciform xanthoma, bone loss, lateral periodontal, vitamin deficiency, squamous cell carcinoma, denture discomfort lack, partial denture discomfort, osseous chondromatous metaplasia,
Approximate Word count = 3517
Approximate Pages = 14 (250 words per page)

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