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​When a tooth is lost due to injury or disease, a person can experience complications such as rapid bone loss, defective speech, or changes to chewing patterns that result in discomfort. Replacing a lost tooth with a dental implant can significantly improve the patient’s quality of life and health.

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Orofacial Granulomatosis in a Child

A 9-year-old female presented with the chief complaint of gradually increasing swelling of her upper and lower lips which started 4 months prior. The lip swelling was reported to be very distressing to the child and her parents.

Complex Oral pathology conditions perceived and treated at Dr.Khazane Dental Clinic at Miyapur, Hyderabad

History

1. Prior to presentation at the otolaryngology clinic, the patient was seen by a pediatric dentist, periodontist, and allergist.
2. The patient had a history of excessive thumb sucking, wearing nail polish, and playing with homemade slime containing glue, saline, shaving cream, and glitter.
3. The patient had a history of mild eczematous skin lesions and vague rhinitis including nasal congestion, occasional postnasal drainage, varying complaints of headaches, and occasional conjunctival pruritus.
4. Seasonal symptoms were worse in spring time, with the pollens of trees, grasses, and weeds possibly playing a role.
5. There was no contributory family history, medication history, or history of allergy to food, drugs, or cosmetics. The patient did not have any contributory past medical or surgical history.

   Examination

   Physical examination revealed a symmetrically enlarged, erythematous upper lip with erythematous and edematous maxillary anterior gingiva, particularly on the right side. The allergist also noted mild fissures in the lip area, as well as evidence of cheilitis. The patient was prescribed mupirocin ointment for the perioral areas where the cheilitis was present in order to clear any superficial infection. This treatment likely resolved these issues prior to patient presentation at the otolaryngology clinic.

   
   
   

   Symtoms consistent with OFG following biopsy and other tests.