Concluded Case

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12yr old female patients that have asymptomatic blackish dark circles around lower lip since 2 yr.back.self cure and recurrence after 2-3months . Please suggest diagnosed and treatment.

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Orthodontic correction of malocclusion. Laser Asscisted depigmentation.

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R/O Lip licker's dermatitis, Allergy, Drugs, Eating raw fruits or vegetables

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LLD

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? LIP LICKERS DERMATITIS.. ? PERIORAL PIGMENTATION.. ? ALLERGIC..

Orthodontic correction of malocclusion. Laser Asscisted depigmentation.

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D/d: Facial frictional melanosis,Lip licker's dermatitis, Macular amyloidosis,Perioral acanthosis nigricans.

Hyperpigmentation..

Any systemic disease doc...

No doctor
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Occlussion of patient if it is class 2div 2 in that case pt teeth rest on patient lower lip n sorrounding region that can be cuse of inflammation followed by necrosis

Sir this problem due to class 2 malocclusion
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check diabetes lipid profile

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