[Pemphigus vulgaris of mucous membrane--two case reports].
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Biomedical subjects
Publications and source records attributed to T J Brouwer.
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Two cases of pemphigus vulgaris in which oral lesions were the first signs of the disease are reported. The clinical signs and symptoms, histologic characteristics, and immunohistochemistry are discussed. Early recognition of oral lesions associated with the disease is of the utmost prognostic value. Treatment, which can only be symptomatic, usually consists of a combination of a corticosteroid and immunosuppressive medication. Because side effects may be serious, these medications should be prescribed and monitored by an experienced dermatologist.
An attached and keratinized mucosa is often preferable or necessary around the abutments of dental implants. This can be created by means of a free mucosal graft from the hard palate. A simple method to achieve this situation is described.
In case of an unsuccessful endodontic treatment apicectomy often may cure the periapical inflammation. If for technical reasons periapical surgery is not possible, many of these teeth can be preserved by means of intentional replantation. The indications and contra-indications, the technical procedure and two case histories are described.
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