Oral mucosal leison

Pt age:50years/M Chief complaint:pt complain of pain and sensitivity in tooth in left lower back tooth region. Hopi: aprooxx 1year back when pt first time noted that sensitivity and pain in back tooth and aproxx 5year back when pt noted fist time left back tooth mucosal leison O/E: burning sensation All dentist please help me in this case give ur valuable advice and suggestions I told the pt that next time bring the biopsy and opg radiotheraph report..

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@Dr. Prashant Kapil clinically Recession is present ok n lower anteriors - Due to local factors... Adv: Scaling + Chlorhex mouthwash (2 times half n hour after tooth brushing) + Application of UbicQ gel massage(3-4 times). Instruct Modified Stillman method of tooth brushing... Left posterior: As pt gave history of the lesion fr 5 years...means CHRONIC... Clinical Appearance: Exophytic overgrowth P/D: Verrucous carcinoma on left Retromolar Trigone Region Adv Basic Investigations+ HiV + Hepatitis B and C and BIOPSY....

Thanks mam for ur valuable advice and gud explained.
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Hello doctor, pt. Has poor oral hygiene and sensitivity is due to inflamed gingival fibres only..I m a firm believer that pt. has history of smoking or tobacco use. P.d- generalised gingivitis with localised periodontitis 31,32,33,41,42,43 with irritational fibroma at left post. Buccal mucosa Advise opg Excisional biopsy Rx Oral prophylaxis Chx- metrogyl mouthwash bid Warm saline gargle- qid Vit. c tds. *10 days

Thank u sir...
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D/d-scc, verrucous carcinoma. Adv- biopsy, cbc ,OPG. Rx-oral prophylaxis , habbit counselling , Chx mouth wash, further treatment protocol relys on biopsy reports .

Thank u mam
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OPG is most helpful in anterior case After getting OPG go for scaling and root planning under LA and also do excisional biopsy of lesion in third quadrant followed by antibiotics and topical application of metrogyl gel in anterior region. Pt must be having habit of tobacco chewing and this habit should be stop immediately.

Thank you doctor
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SUGGESTIVE OF SUB MUCOSAL FIBROSIS... WITH PERIPHERAL. EXOPHYTIC. MASS........ MAYBE... .... MALIGNANCY ....... IRRITATIONAL. FIBROMA ..........GRANULOMATOUS. LESION ADVISABLE BIOPSY ALL. ROUTINE. INVESTIGATION X. RAY

Thank you doctor
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Opg required ...Poor oral hygiene..Mouth opening is limited..Lesion can occur due took regular cheek bite.surgical exicison of the lesion send it for biopsy

Thank you doctor
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OSMF Biopsy

Thank you doctor
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