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Clinical Photos

Illustrations / Diagrams

Oral Health and Disease in Women

Oral Health Conditions Experienced by Women Patients - Oral Health Conditions Experienced by Women Patients

Oral Health Conditions Experienced by Women Patients - Oral Health Conditions Experienced by Women Patients Contributed by Linda C. Niessen, DMD, MPH on 5/9/2012

Oral Health Conditions Experienced by Women Patients<br/> Figure 1. <span style='font-size: 16px; font-weight: normal'> Herpes labialis is one condition that can manifest as a result of hormonal changes.</span>

Figure 1 - Herpes labialis is one condition that can manifest as a result of hormonal changes.

Oral Health Conditions Experienced by Women Patients<br/> Figure 2. <span style='font-size: 16px; font-weight: normal'> Recurrent aphthous ulcers can be associated with menstruation.</span>

Figure 2 - Recurrent aphthous ulcers can be associated with menstruation.

Oral Health Conditions Experienced by Women Patients<br/> Figure 3. <span style='font-size: 16px; font-weight: normal'> Pregnancy gingivitis is the most common oral change seen in pregnancy; it occurs in 50% to 75% of women.</span>

Figure 3 - Pregnancy gingivitis is the most common oral change seen in pregnancy; it occurs in 50% to 75% of women.

Oral Health Conditions Experienced by Women Patients<br/> Figure 4. <span style='font-size: 16px; font-weight: normal'> Buccal mucosa of a patient with pemphigus vulgaris, an autoimmune disease, occurring more frequently in women than men.</span>

Figure 4 - Buccal mucosa of a patient with pemphigus vulgaris, an autoimmune disease, occurring more frequently in women than men.

Oral Manifestations of Drug/Nutrient Interactions

Lichenoid and Xerostomia Reactions - Lichenoid and Xerostomia Reactions

Lichenoid and Xerostomia Reactions - Lichenoid and Xerostomia Reactions Contributed by Taline Dadian, MS, RDH on 5/9/2012

Lichenoid and Xerostomia Reactions<br/> Figure 1. <span style='font-size: 16px; font-weight: normal'> A lichenoid reaction resulting from a nutrient/drug interaction</span>

Figure 1 - A lichenoid reaction resulting from a nutrient/drug interaction

Lichenoid and Xerostomia Reactions<br/> Figure 2. <span style='font-size: 16px; font-weight: normal'> Xerostomia is a frequent result of nutrient/drug interaction.</span>

Figure 2 - Xerostomia is a frequent result of nutrient/drug interaction.

Lichenoid and Xerostomia Reactions<br/> Figure 3. <span style='font-size: 16px; font-weight: normal'> This patient was affected by a nutrient/drug interaction. Note the acute atrophic candidiasis, chelitis, and clossitis accompanied by xerostomia.</span>

Figure 3 - This patient was affected by a nutrient/drug interaction. Note the acute atrophic candidiasis, chelitis, and clossitis accom...

Figure 3 - This patient was affected by a nutrient/drug interaction. Note the acute atrophic candidiasis, chelitis, and clossitis accompanied by xerostomia.

Air Polishing the Teeth

Proper Clinical Technique for Air Polishing - Proper Clinical Technique for Air Polishing

Proper Clinical Technique for Air Polishing - Proper Clinical Technique for Air Polishing Contributed by Cynthia Fong, RDH, MS on 5/9/2012

Proper Clinical Technique for Air Polishing<br/> Figure 4. <span style='font-size: 16px; font-weight: normal'> Photograph depicts the proper adaptation of an aerosol reduction device on the buccal surface.</span>

Figure 4 - Photograph depicts the proper adaptation of an aerosol reduction device on the buccal surface.

Oral Candidiasis in the Dental Patient

Diagnosis and Treatment of Oral Candidiasis - Diagnosis and Treatment of Oral Candidiasis

Diagnosis and Treatment of Oral Candidiasis - Diagnosis and Treatment of Oral Candidiasis Contributed by Susan L. Zunt, DDS, MS on 5/15/2012

Diagnosis and Treatment of Oral Candidiasis<br/> Figure 1. <span style='font-size: 16px; font-weight: normal'> A painful mouth with white plaques on the buccal mucosa (pseudomembranous candidiasis)</span>

Figure 1 - A painful mouth with white plaques on the buccal mucosa (pseudomembranous candidiasis)

Diagnosis and Treatment of Oral Candidiasis<br/> Figure 2. <span style='font-size: 16px; font-weight: normal'> White plaques are easily removed with a cement spatula or moistened tongue depressor revealing an erythematous mucosa.</span>

Figure 2 - White plaques are easily removed with a cement spatula or moistened tongue depressor revealing an erythematous mucosa.

Diagnosis and Treatment of Oral Candidiasis<br/> Figure 3. <span style='font-size: 16px; font-weight: normal'> Fungal pseudohyphane present in material removed from the white plaques (Periodic acid/Schiff/Papanicolaou stain).</span>

Figure 3 - Fungal pseudohyphane present in material removed from the white plaques (Periodic acid/Schiff/Papanicolaou stain).

Diagnosis and Treatment of Oral Candidiasis<br/> Figure 4. <span style='font-size: 16px; font-weight: normal'> Erythematous mucosa beneath a partial denture (atrophic candidiasis)</span>

Figure 4 - Erythematous mucosa beneath a partial denture (atrophic candidiasis)

Diagnosis and Treatment of Oral Candidiasis<br/> Figure 5. <span style='font-size: 16px; font-weight: normal'> Resolution of erythema after two weeks of fluconazole and daily treatment of the denture in a disinfectant solution.</span>

Figure 5 - Resolution of erythema after two weeks of fluconazole and daily treatment of the denture in a disinfectant solution.

Diagnosis and Treatment of Oral Candidiasis<br/> Figure 6. <span style='font-size: 16px; font-weight: normal'> Painful mouth of several months duration. Patient also had severe xerostomia and mild systemic lupus erythematosus.</span>

Figure 6 - Painful mouth of several months duration. Patient also had severe xerostomia and mild systemic lupus erythematosus.

Diagnosis and Treatment of Oral Candidiasis<br/> Figure 7. <span style='font-size: 16px; font-weight: normal'> Complete resolution with 2 weeks of fluconazole therapy. After several recurrences in the next few months, all of which responded to fluconazole therapy, patient was tested and found to be positive for antibodies SS-A and SS-B, consistent with a diagnosis of Sjogrens syndrome.</span>

Figure 7 - Complete resolution with 2 weeks of fluconazole therapy. After several recurrences in the next few months, all of which resp...

Figure 7 - Complete resolution with 2 weeks of fluconazole therapy. After several recurrences in the next few months, all of which responded to fluconazole therapy, patient was tested and found to be positive for antibodies SS-A and SS-B, consistent with a diagnosis of Sjogren's syndrome.

Diabetes Mellitus as a Risk Factor for Periodontal Disease

Impact of Diabetes on the Oral Environment - Impact of Diabetes on the Oral Environment

Impact of Diabetes on the Oral Environment - Impact of Diabetes on the Oral Environment Contributed by Deborah M. Lyle, RDH, MS on 5/29/2012

Impact of Diabetes on the Oral Environment<br/> Figure 1. <span style='font-size: 16px; font-weight: normal'> Oral candidiasis is associated with an increase in salivary glucose, along with decreased saliva and impaired immune system.</span>

Figure 1 - Oral candidiasis is associated with an increase in salivary glucose, along with decreased saliva and impaired immune system....

Figure 1 - Oral candidiasis is associated with an increase in salivary glucose, along with decreased saliva and impaired immune system.

Impact of Diabetes on the Oral Environment<br/> Figure 2. <span style='font-size: 16px; font-weight: normal'> Patients with diabetes may also have xerostomia, which can result in an increased incidence of caries and soft tissue ulceration.</span>

Figure 2 - Patients with diabetes may also have xerostomia, which can result in an increased incidence of caries and soft tissue ulcera...

Figure 2 - Patients with diabetes may also have xerostomia, which can result in an increased incidence of caries and soft tissue ulceration.

Impact of Diabetes on the Oral Environment<br/> Figure 3. <span style='font-size: 16px; font-weight: normal'> A patient who has diabetes mellitus and moderate to severe periodontal disease.</span>

Figure 3 - A patient who has diabetes mellitus and moderate to severe periodontal disease.

Clinical Depictions of Dental Caries

Case 1 - Rampant Caries - Rampant Caries

Case 1 - Rampant Caries - Rampant Caries Contributed by Kellie R. Murphree, RDH, MS on 5/30/2012

Case 1 - Rampant Caries<br/> Figure 1. <span style='font-size: 16px; font-weight: normal'> The patient presented with rampant caries as demonstrated in this retracted facial view.</span>

Figure 1 - The patient presented with rampant caries as demonstrated in this retracted facial view.

Case 1 - Rampant Caries<br/> Figure 2. <span style='font-size: 16px; font-weight: normal'> Panoramic radiograph demonstrates the presence of rampant caries.</span>

Figure 2 - Panoramic radiograph demonstrates the presence of rampant caries.

Case 1 - Rampant Caries<br/> Figure 3. <span style='font-size: 16px; font-weight: normal'> Note the black areas around teeth #8 and #9 in this lingual view of the maxilla, indicating severe decay.</span>

Figure 3 - Note the black areas around teeth #8 and #9 in this lingual view of the maxilla, indicating severe decay.

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