This case is presented by:  Dr. Eric T. Stoopler, D.M.D., FDS RCSEd, FDS RCSEng Dr. Juan M. Bugueno, D.D.S. Dr. Kevin Sweeney, D.D.S. Dr. David C. Stanton, D.M.D., M.D., F.A.C.S  Click here to view the BRONJ Case Diagnosis and Treatment Case Presentation A 64-year-old Caucasian female presented for evaluation of symptomatic exposed bone of a two-year duration post extraction of maxillary teeth with immediate placement of four dental implants. Medical history: Is at stage IV breast adenocarcinoma treated with surgery and trastuzumab. Received intravenous zoledronic acid (ZA) 4 mg monthly for approximately two years for metastatic bone disease. Underwent dental surgery ...

This case was submitted by a team of dental faculty members in the Oral Medicine and Pathology departments of the University of Pennsylvania School of Dental Medicine.  Alicia M. Houston, D.D.S. (Resident – Department of Oral Medicine) Faizan Alawi, D.D.S. (Associate Professor of Pathology – Department of Pathology) Eric T. Stoopler, D.M.D., FDS, RCSEd, FDS RCSEng  (Associate Professor of Oral Medicine) Case was edited by Dr. Suham Alexander, Oasis Clinical Editor  Case Presentation Findings Extraoral – NSF Intraoral – 2x2cm ulceration at R posterior lateral border of the tongue with indurated borders No herpes simplex virus found in direct fluorescent ...

This summary is based on the article published in Gerodontology: Epidemiology of oral health conditions in older people (February 2014) William Murray Thomson Context The main conditions of interest when considering the epidemiology of oral diseases among older people are tooth loss, dental caries, periodontitis, dry mouth and oral pre-cancer/cancer, along with oralhealth-related quality of life (OHRQoL). Purpose of the Article This article presents an overview of what is known about the epidemiology of each of the main conditions of interest among older populations. Key Points Although complete tooth loss is declining, incremental tooth loss continues and is an important determinant of poor OHRQoL. Dental ...

This summary is based on the article published in the Journal of Dental Research: TMJ Disc Displacement without Reduction Management: A Systematic Review (2014)

This summary is based on the Cochrane systematic review: Systemic interventions for recurrent aphthous stomatitis (mouth ulcers)

By Dr. Emad Girgis A female patient in her 50, with no medical conditions and is not taking any medications, had CTG done 8 months ago. Now she complains of burning sensation from the donor site in the palate, the tissues look normal, but she says she experiences a burning sensation when her tongue touches the area. She says she sometimes has to take Advil. Any advice????  

This question was submitted by a general dentist: how can I treat halitosis?  Dr. Eric Stoopler, University of Pennsylvania, in collaboration with Dr. Suham Alexander, Oasis Clinical Editor, provided this quick initial response Halitosis is fairly common in the general population with an estimated prevalence of ~25%. It affects men and women in similar proportions; although, women are more likely to seek treatment for it more quickly as the condition can cause social embarrassment. There is a lack of scientific evidence in the area of halitosis given there is a subjective nature to the condition. Differences exist in cultural as ...

This question was submitted by a general dentist: In the last month, I have had 3 patients complain of a salty taste in their mouths, what could be the cause?  Dr. Gary Klasser in collaboration with Dr. Suham Alexander, Oasis Discussions Editor, provided this quick initial response When introduced in the oral cavity, food interacts chemically with salivary components which, in turn, stimulate taste receptors. These receptors are most commonly found on the superior surface of the tongue as well as the palate and epiglottis, but also occur in tissues like chemosensory cells of the alimentary tract, brain, pancreas and ...