The Clinical Practice of Oral Medicine in Specialty Dental Centres of Kuwait

This article aims to define the current state of clinical practice pertaining to the specialty of oral medicine in Kuwait, and to provide recommendations for future modeling of the clinical practice of oral medicine. An overview of the dental specialties organisational framework will be illustrated with view of current administrative and clinical protocols. Future directions are explained for promoting specialty recognition to improve quality of care while avoiding the many impediments relevant to the clinical practice of oral medicine in Kuwait

The Gingival Oral Lichen Planus: A Periodontal-Oral Medicine Approach

We present a case of a 77-year-old female who suffered from oral lichen planus (OLP) involving her gingiva and bilateral buccal mucosa for over 6 months. We showed that oral hygiene measures and conventional periodontal treatment and strict maintenance were sufficient to control the gingival involvement of OLP. The mechanism of OLP is complex and not yet fully understood. The focus of discussion in our case was that knowledge and understanding of gingival pathology are fundamental for a determined management approach. Our case was managed according to the suggested protocols in previous case studies. A multidisciplinary approach allowed for accurate diagnosis and treatment tailored to the presented case

Synchronous occurrence of odontogenic keratocyst and ameloblastoma: A case report and review of the literature

Odontogenic keratocyst (OKC) and ameloblastomas are distinct histopathologically diagnosed odontogenic lesions of the oral cavity. Both are primarily located in the posterior regions of the mandible, however, they can involve the maxilla as well. The occurrence of both an OKC and ameloblastoma in a patient is very uncommon. This case demonstrated such a lesion in the mandible of a 57 years old female. The diagnostic work-up and features of both lesions are illustrated with special focus on histopathological variances distinguishing OKC from ameloblastoma with the support of immunohistochemistry. This case highlights the importance of identifying accurate diagnoses for such lesions which may prompt clinical implications. Clinico-pathologic understanding of both lesions signifies the need for careful management plan and prevention of recurrence. Previously reported simultaneous occurrences of odontogenic cysts and/or tumors in the oral cavity are also reviewed