Objectives: Dermatitis herpetiformis is a chronic autoimmune condition characterized by a gluten-sensitive enteropathy that accompanies papulovesicular, itchy skin eruptions. The aim of this study was to evaluate the oral mucosa state by defining the occurrence of oral lesions and Candida carriage in DH patients.
Results: The most common complaints included gum bleeding and pain (10 patients, 33.3%), pain due to oral ulceration (8 patients, 26.6%), a burning sensation and taste disturbances (5 patients, 16.6%), and xerostomia (4 patients, 13.3% each). The most common findings on the oral mucosa included white-coated tongue (16 persons; 53.3%) and buccal mucosa edema (15 patients; 23.3%). Linea alba was observed in 11 persons (30%). Tongue depapillation and atrophic-erythematous tongue lesions were revealed in 5 (16.6%) and 4 persons (13.3%), respectively. Candidiasis was found in 12 DH patients (40%). Systemic conditions that most commonly accompanied DH included anemia- 14 patients (46.6%), hypertension- 7 patients (23.3%), allergies- 6 patients (20%), and other gastrointestinal diseases unrelated to DH- 5 patients (16.6%).
Conclusions: DH may promote the occurrence of a white-coated tongue, mucosal edema, linea alba, and atrophic glossitis, and may increase the risk of oral candidiasis.
{"title":"Oral mucosa in dermatitis herpetiformis (Duhring's disease): a clinical and mycologic evaluation.","authors":"Agnieszka Mania-Końsko, Zuzanna Ślebioda, Marzena Liliana Wyganowska","doi":"10.1016/j.oooo.2025.12.004","DOIUrl":"https://doi.org/10.1016/j.oooo.2025.12.004","url":null,"abstract":"<p><strong>Objectives: </strong>Dermatitis herpetiformis is a chronic autoimmune condition characterized by a gluten-sensitive enteropathy that accompanies papulovesicular, itchy skin eruptions. The aim of this study was to evaluate the oral mucosa state by defining the occurrence of oral lesions and Candida carriage in DH patients.</p><p><strong>Design: </strong>Thirty DH patients underwent oral mucosa examination and mycologic evaluation.</p><p><strong>Results: </strong>The most common complaints included gum bleeding and pain (10 patients, 33.3%), pain due to oral ulceration (8 patients, 26.6%), a burning sensation and taste disturbances (5 patients, 16.6%), and xerostomia (4 patients, 13.3% each). The most common findings on the oral mucosa included white-coated tongue (16 persons; 53.3%) and buccal mucosa edema (15 patients; 23.3%). Linea alba was observed in 11 persons (30%). Tongue depapillation and atrophic-erythematous tongue lesions were revealed in 5 (16.6%) and 4 persons (13.3%), respectively. Candidiasis was found in 12 DH patients (40%). Systemic conditions that most commonly accompanied DH included anemia- 14 patients (46.6%), hypertension- 7 patients (23.3%), allergies- 6 patients (20%), and other gastrointestinal diseases unrelated to DH- 5 patients (16.6%).</p><p><strong>Conclusions: </strong>DH may promote the occurrence of a white-coated tongue, mucosal edema, linea alba, and atrophic glossitis, and may increase the risk of oral candidiasis.</p>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-24DOI: 10.1016/j.oooo.2025.11.021
Vaibhav Sahni
{"title":"Letter to the editor: Explicit dynamics.","authors":"Vaibhav Sahni","doi":"10.1016/j.oooo.2025.11.021","DOIUrl":"https://doi.org/10.1016/j.oooo.2025.11.021","url":null,"abstract":"","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146040914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-24DOI: 10.1016/j.oooo.2025.12.006
Caroline Augusta Belo Faria, Weslay Rodrigues da Silva, Jonathan França da Silva Cavalcanti, Sebastião Silvério de Sousa, Diego Antonio Costa Arantes, Débora Frota Colares, Maria Carolina Magalhães de Carvalho, Lucas Guimarães Abreu, Luísa Silva Camey, Caio César da Silva Barros, Elismauro Mendonça, Lélia Batista de Souza, Ricardo Alves Mesquita, Marcia Maria da Silveira, Ana Paula Veras Sobral
Objective: To evaluate the agreement between clinical and histopathological diagnoses at 4 Brazilian universities' oral-maxillofacial pathology services.
Study design: This is a multicenter retrospective study that evaluated the agreement between clinical and histopathological diagnoses in 20,005 oral and maxillofacial pathology cases from Brazilian universities over 11 years. The analysis also included information on cases where radiographic examinations were requested as complementary diagnostic procedures.
Results: The overall agreement rate was 67.8% (Kappa = 0.23). Most cases occurred in 2018 and 2019, decreasing significantly in 2020. Agreement was excellent for potentially malignant, epithelial, dermatological-immunological, and salivary gland lesions (Kappa > 0.85) and weak for bone lesions, developmental defects, and odontogenic tumors (Kappa < 0.15). Radiographic examinations were requested in 25.9% of all cases, with cystic lesions representing 78.6% of these requests. The odontogenic tumor group accounted for a small proportion of cases, and among these few cases, radiographic examinations were seldom requested (19.7%), which may have contributed to the lower agreement between clinical and histopathologic diagnoses.
Conclusions: Clinical-histopathological agreement varied between diagnostic groups. Greater training and complementary exams are needed to improve diagnostic accuracy, especially in lesions with low agreement.
{"title":"Agreement between clinical and histopathological diagnoses of oral-maxillofacial lesions: a multicenter study.","authors":"Caroline Augusta Belo Faria, Weslay Rodrigues da Silva, Jonathan França da Silva Cavalcanti, Sebastião Silvério de Sousa, Diego Antonio Costa Arantes, Débora Frota Colares, Maria Carolina Magalhães de Carvalho, Lucas Guimarães Abreu, Luísa Silva Camey, Caio César da Silva Barros, Elismauro Mendonça, Lélia Batista de Souza, Ricardo Alves Mesquita, Marcia Maria da Silveira, Ana Paula Veras Sobral","doi":"10.1016/j.oooo.2025.12.006","DOIUrl":"https://doi.org/10.1016/j.oooo.2025.12.006","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the agreement between clinical and histopathological diagnoses at 4 Brazilian universities' oral-maxillofacial pathology services.</p><p><strong>Study design: </strong>This is a multicenter retrospective study that evaluated the agreement between clinical and histopathological diagnoses in 20,005 oral and maxillofacial pathology cases from Brazilian universities over 11 years. The analysis also included information on cases where radiographic examinations were requested as complementary diagnostic procedures.</p><p><strong>Results: </strong>The overall agreement rate was 67.8% (Kappa = 0.23). Most cases occurred in 2018 and 2019, decreasing significantly in 2020. Agreement was excellent for potentially malignant, epithelial, dermatological-immunological, and salivary gland lesions (Kappa > 0.85) and weak for bone lesions, developmental defects, and odontogenic tumors (Kappa < 0.15). Radiographic examinations were requested in 25.9% of all cases, with cystic lesions representing 78.6% of these requests. The odontogenic tumor group accounted for a small proportion of cases, and among these few cases, radiographic examinations were seldom requested (19.7%), which may have contributed to the lower agreement between clinical and histopathologic diagnoses.</p><p><strong>Conclusions: </strong>Clinical-histopathological agreement varied between diagnostic groups. Greater training and complementary exams are needed to improve diagnostic accuracy, especially in lesions with low agreement.</p>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146138050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Nodular mass on the gingiva.","authors":"Vindhya Savithri, Rakesh Suresh, Mahija Janardhanan, Ravi Veeraraghavan, Renju Jose, Thara Aravind","doi":"10.1016/j.oooo.2025.12.007","DOIUrl":"https://doi.org/10.1016/j.oooo.2025.12.007","url":null,"abstract":"","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145890516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-15DOI: 10.1016/j.oooo.2025.09.013
Saulo L. Sousa Melo DDS, MSD, PhD , Mohamed I. Fayad DDS, MS, PhD , Anita Gohel BDS, PhD , Bradford R. Johnson DDS, MHPE , Sajitha Kalathingal BDS, DDS, MS , Mina Mahdian DDS, MDSc , Madhu Nair BDS, DMD, MS, PhD , Frank C. Setzer DDS, DMD, MS, PhD , Scott R. Makins DDS, MS
The following statement was prepared by the Special Committee to Revise the Joint Position Statement on Cone-Beam Computed Tomography of the American Association of Endodontists (AAE) and the American Academy of Oral and Maxillofacial Radiology (AAOMR), and was approved by the AAE Board of Directors and the AAOMR Executive Council in the spring of 2025.
{"title":"AAE and AAOMR Joint Position Statement: Use of Cone-Beam Computed Tomography in Endodontics 2025 Update","authors":"Saulo L. Sousa Melo DDS, MSD, PhD , Mohamed I. Fayad DDS, MS, PhD , Anita Gohel BDS, PhD , Bradford R. Johnson DDS, MHPE , Sajitha Kalathingal BDS, DDS, MS , Mina Mahdian DDS, MDSc , Madhu Nair BDS, DMD, MS, PhD , Frank C. Setzer DDS, DMD, MS, PhD , Scott R. Makins DDS, MS","doi":"10.1016/j.oooo.2025.09.013","DOIUrl":"10.1016/j.oooo.2025.09.013","url":null,"abstract":"<div><div>The following statement was prepared by the Special Committee to Revise the Joint Position Statement on Cone-Beam Computed Tomography of the American Association of Endodontists (AAE) and the American Academy of Oral and Maxillofacial Radiology (AAOMR), and was approved by the AAE Board of Directors and the AAOMR Executive Council in the spring of 2025.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"141 1","pages":"Pages 126-135"},"PeriodicalIF":1.9,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145754151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-15DOI: 10.1016/S2212-4403(25)01306-9
{"title":"Information for Readers","authors":"","doi":"10.1016/S2212-4403(25)01306-9","DOIUrl":"10.1016/S2212-4403(25)01306-9","url":null,"abstract":"","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"141 1","pages":"Page A6"},"PeriodicalIF":1.9,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145754071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-11DOI: 10.1016/j.oooo.2025.11.001
{"title":"In Memory: Donald M. Cohen, DMD MS MBA (1947 – 2025)","authors":"","doi":"10.1016/j.oooo.2025.11.001","DOIUrl":"10.1016/j.oooo.2025.11.001","url":null,"abstract":"","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"141 3","pages":"Pages 425-426"},"PeriodicalIF":1.9,"publicationDate":"2025-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146039677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-11DOI: 10.1016/j.oooo.2025.10.027
Vittorio Fusco, Alberto Bedogni, Rodolfo Mauceri, Giorgia Bo, Giuseppina Campisi
{"title":"Palbociclib and risk of medication related osteonecrosis of the jaw (MRONJ): another word of cautiousness.","authors":"Vittorio Fusco, Alberto Bedogni, Rodolfo Mauceri, Giorgia Bo, Giuseppina Campisi","doi":"10.1016/j.oooo.2025.10.027","DOIUrl":"https://doi.org/10.1016/j.oooo.2025.10.027","url":null,"abstract":"","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}