Arthur S. Kuperstein

Update on Oral Herpes Virus Infections

Oral herpes virus infections (OHVIs) are among the most common mucosal disorders encountered by oral health care providers. These infections can affect individuals at any age, from infants to the elderly, and may cause significant pain and dysfunction. Immunosuppressed patients may be at increased risk for serious and potential life-threatening complications caused by OHVIs. Clinicians may have difficulty in diagnosing these infections because they can mimic other conditions of the oral mucosa. This article provides oral health care providers with clinically relevant information regarding etiopathogenesis, diagnosis, and management of OHVIs.

Normal Variations of Oral Anatomy and Common Oral Soft Tissue Lesions: Evaluation and Management

Examination of the oral cavity can provide significant diagnostic information regarding the general health of the patient. The oral cavity is affected by a multitude of pathologic conditions of variable cause and significance; however, there are numerous normal variations of oral soft tissue structures that may resemble a pathologic state. Understanding these variations assists practitioners to discriminate between normal versus abnormal findings and determine the appropriate course of management, if necessary.

Parapharyngeal space tumors: another consideration for otalgia and temporomandibular disorders.

Parapharyngeal space (PPS) tumors are rare, accounting for 0.5% of all head and neck neoplasms. PPS tumors are difficult to diagnose due to limited presenting signs and symptoms and because of their location deep within the neck.

Temporomandibular disorder in a patient with pseudoxanthoma elasticum: a case report and review.

Pseudoxanthoma elasticum (PXE) is a disorder characterized by progressive degeneration of elastic fibers and ectopic mineralization. Cutaneous manifestations are a hallmark of this disease and organs that may be affected by the disease process include cardiovascular, central nervous system, ocular and gastrointestinal systems. Oral manifestations of PXE have been previously reported as intramucosal nodules observed on various intraoral surfaces. We present a case of a 46-year-old female with PXE diagnosed with temporomandibular disorder (TMD). To our knowledge, this is the first report of a patient with TMD coexisting with PXE in the scientific literature.

Glossitis secondary to vitamin B12 deficiency anemia

A 61-year-old woman presented with a 6-month history of a persistent burning sensation on her tongue ([Figure 1A][1]). The patient was not taking any medications and had not been exposed to any new foods or oral hygiene products at the time her symptoms began. Our clinical diagnosis was glossitis. A

Defective Plastic Infection-Control Barriers and Faulty Technique may Cause PSP Plate Contamination Used in Digital Intraoral Radiography

Article Title and Bibliographic Information Infection control in digital intraoral radiography: evaluation of microbiological contamination of photostimulable phosphor plates in barrier envelopes. MacDonald DS, Waterfield JD. J Can Dent Assoc 2011;77:b93. Reviewer Arthur S. Kuperstein, DDS Purpose/Question To determine the infection-control effectiveness of a plastic barrier envelope system for PSP plates. Source of Funding Information not available Type of Study/Design Cohort study Level of Evidence Level 2: Limited-quality, patient-oriented evidence Strength of Recommendation Grade Not applicable

Systemic Diseases and Conditions Affecting Jaws

This article discusses the radiographic manifestation of jaw lesions whose etiology may be traced to underlying systemic disease. Some changes may be related to hematologic or metabolic disorders. A group of bone changes may be associated with disorders of the endocrine system. It is imperative for the clinician to compare the constantly changing and dynamic maxillofacial skeleton to the observed radiographic pathology as revealed on intraoral and extraoral imagery.

Gingivite gravidique et épulis de grossesse

J Obstet Gynaecol Can 2012;34(6):510 U Afro-americaine de 25 ans presentant des tissus gingivaux hemorragiques tumefies a fait appel a nos services a des fins d’evaluation. Elle en etait a la 32e semaine de sa grossesse et ne signalait aucun antecedent quant a cette pathologie. L’examen clinique a revele la presence d’une enflure gingivale maxillaire et mandibulaire generalisee s’accompagnant de zones d’œdeme, d’erytheme et d’hemorragie (Figure 1). De plus, une lesion sessile erythemateuse a ete constatee sur la gencive mandibulaire (Figure 2, fleche). Le tableau clinique concordait avec la presence d’une gingivite gravidique et d’un epulis de grossesse.

Pregnancy Gingivitis and Pregnancy Tumour

J Obstet Gynaecol Can 2012;34(6):509 A 25-year-old African American woman presented for evaluation of enlarged, hemorrhagic gingival tissues. She was at 32 weeks’ gestation and reported no prior history of this condition. Clinical examination revealed generalized maxillary and mandibular gingival swelling with areas of edema, erythema, and hemorrhage (Figure 1). In addition, an erythematous sessile lesion was observed on the mandibular gingiva (Figure 2, arrow). The clinical presentation was consistent with pregnancy gingivitis and pregnancy tumour.