This case report describes a 32-year-old male patient who presented with bleeding gums, painful gingival erosion, and desquamation. Examination found denuded, bleeding gingival zones with a positive Nikolsky's sign. Histopathology revealed suprabasal separation and Tzanck cells. The patient was diagnosed with pemphigus vulgaris based on oral manifestations and biopsy. Treatment included systemic corticosteroids, topical corticosteroids, and periodontal treatment. Persistent oral lesions can worsen the condition and quality of life by increasing dental biofilm; after treatment, the oral lesions showed good healing.
THE PRESENTATION INCLUDES VARIOUS ASPECTS IN PEDODONTIC AND PREVENTIVE DENTISTRY THAT PROVIDES both primary and comprehensive, preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
THE PRESENTATION INCLUDES VARIOUS ASPECTS IN PEDODONTIC AND PREVENTIVE DENTISTRY THAT PROVIDES both primary and comprehensive, preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
A concise presentation on the abscesses of periodontal tissues, its etiology, diagnosis, management, differential diagnosis and potential sequelae and complications.
about pathophysiology behind endo perio lesion and various methods for it. it also explains various complications related to it, dental anomalies associated.
The presentation three main topics :
- The clinical features of gingivitis.
- Extension of inflammation from the gingiva in the supporting perodontal tissue.
- Chronic periodontitis
Children have oral mucosal conditions and other head and neck medical problems which have both similarities and differences to those found in adults .
A wide variety of oral lesions and soft tissue anomalies are detected in children, but the low frequency at which many of these entities occur makes them challenging to clinically diagnose.
In this presentation, it describes about the periapical diseases, for dental students.
very useful for endodontic purpose.
remember it does not include the pulpal diseases.
A concise presentation on the abscesses of periodontal tissues, its etiology, diagnosis, management, differential diagnosis and potential sequelae and complications.
about pathophysiology behind endo perio lesion and various methods for it. it also explains various complications related to it, dental anomalies associated.
The presentation three main topics :
- The clinical features of gingivitis.
- Extension of inflammation from the gingiva in the supporting perodontal tissue.
- Chronic periodontitis
Children have oral mucosal conditions and other head and neck medical problems which have both similarities and differences to those found in adults .
A wide variety of oral lesions and soft tissue anomalies are detected in children, but the low frequency at which many of these entities occur makes them challenging to clinically diagnose.
In this presentation, it describes about the periapical diseases, for dental students.
very useful for endodontic purpose.
remember it does not include the pulpal diseases.
Ethnobotany and Ethnopharmacology:
Ethnobotany in herbal drug evaluation,
Impact of Ethnobotany in traditional medicine,
New development in herbals,
Bio-prospecting tools for drug discovery,
Role of Ethnopharmacology in drug evaluation,
Reverse Pharmacology.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
How to Split Bills in the Odoo 17 POS ModuleCeline George
Bills have a main role in point of sale procedure. It will help to track sales, handling payments and giving receipts to customers. Bill splitting also has an important role in POS. For example, If some friends come together for dinner and if they want to divide the bill then it is possible by POS bill splitting. This slide will show how to split bills in odoo 17 POS.
Students, digital devices and success - Andreas Schleicher - 27 May 2024..pptxEduSkills OECD
Andreas Schleicher presents at the OECD webinar ‘Digital devices in schools: detrimental distraction or secret to success?’ on 27 May 2024. The presentation was based on findings from PISA 2022 results and the webinar helped launch the PISA in Focus ‘Managing screen time: How to protect and equip students against distraction’ https://www.oecd-ilibrary.org/education/managing-screen-time_7c225af4-en and the OECD Education Policy Perspective ‘Students, digital devices and success’ can be found here - https://oe.cd/il/5yV
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
2. INTRODUCTION
• Pemphigus vulgaris (PV) is an autoimmune mucocutaneous disease
characterized by epithelial blistering affecting the mucosal/cutaneous
surfaces. This case report demonstrates the oral manifestations of PV
in the uncommon locations such as the attached, marginal, interdental
gingiva and palate with no involvement of oral mucosa, tongue, or
buccal mucosa.
• It not only affects the oral mucosa and the skin but also affects the
mucosa of the conjunctivae, nose, pharynx, larynx, genitals, and
esophagus.
• It affects both sexes equally and is more common in middle-aged and
elderly patients
3. • The oral mucous membrane is frequently affected in PV patients; most
of patients present with oral lesions as the first sign of PV.
• Lesions may occur anywhere on the oral mucosa, but the buccal
mucosa is the most commonly affected site, followed by involvement
of the palatal, lingual, and labial mucosa; the gingiva is the least
commonly affected site and erosive or desquamative gingivitis is a
common manifestation of the disease
4. CASE PRESENTATION
• A 32-year-old male engineer reported to the department of
periodontology with a chief complaint of bleeding from gums while
brushing and eating, and painful gingival erosion and desquamation
for the past 8 months. The patient was not able to eat or drink
adequately.
• Patient has history of smoking 8-10 cigrettes/day before 10years back.
5. INTRAORAL EXAMINATION
• On intraoral examination, there were denuded, spontaneously bleeding
gingival zones. Nikolsky's sign showed a positive reaction, and the
epithelium could be peeled away easily by slightly scratching the surface of
the gingiva. There was presence of white patches and ulcerative and
erythematous area on the on the gingival surface. Periodontal examination
revealed calculus and plaque formation. There was loss of attachment and
bone loss present.
• Gingiva was reddish blue, soft, and edematous and showed bleeding on
probing.
• The site most severely affected was her gingival surface (attached marginal
and interdental gingival) with involvement of oral mucosa and palate.
6.
7.
8. • On extraoral examination, no skin lesions were present. A
dermatologist confirmed the absence of any cutaneous lesions.
• An incisional biopsy was drawn from perilesional site of the involved
gingival surface. Histopathological examination revealed suprabasal
separation with the formation of tombstone appearance. Tzanck
(acantholytic) cells with a high nuclear–cytoplasmic ratio with
hyperchromatic nuclei and a very smooth nuclear outline.
13. • Differential diagnosis of PV included aphthous stomatitis,
gingivostomatitis, erythema multiforme, erosive lichen planus, or oral
candidiasis
14. TREATMENT
• The mainstay of treatment is systemic corticosteroids though the oral
lesions may respond partially to topical corticosteroids.
• The initial dose of Tab omnacort 10mg /kg/day for 30days
• Kenacort gel is also given.
• The periodontal care consists of frequent professional oral
prophylaxis, 0.2% chlorhexidine mouth rinse, the powered tooth
brushes for home care, and removing local irritating factors .
• Being a serious disease, it becomes very important to diagnose PV at
an early stage when it is limited to oral cavity and a close follow-up is
essential.
15. • Persistent oral lesions of pemphigus vulgaris prevent
effective brushing, leading to an increase in the dental
biofilm and consequently worsening of the
dermatological disease.
• These oral manifestations cause local discomfort
directly affecting physical and psychic aspects and
quality of life of the patients
16. CONCLUSION
• After intraoral scaling and root planing and the administration of local
and systemic medications. patient counselling and with patient's
improved oral hygiene maintainance lesions like mucosal blisters and
desquamations of gingiva and gingival inflammation showed good
healing response.
