Balint Orban

Cysts of the gingiva

Abstract In summary it may be said that cysts in the gingiva are not as rare as indicated by a review of the literature. The etiologic possibilities for the gingival cyst are: (1) heterotopic glandular tissue; (2) remnants of the dental lamina, enamel organ, or epithelial islands of the periodontal membrane; (3) degenerative changes in a proliferation from an epithelial peg; (4) traumatic implantation.

Pulpitis resulting from incomplete tooth fracture

Summary o 1. Attention has been directed toward the existence of incomplete tooth fracture leading to pulpitis. 2. Diagnostic difficulties have been reported and suggestions for earlier recognition emphasized.

Oral manifestations of reticuloendotheliosis

Abstract Two cases of oral manifestations of reticuloendotheliosis were described: one a monocytic leukemia, the other an eosinophilic granuloma. The monocytic leukemia was manifested by increase of the monocytic elements in the blood and infiltration of the gingiva by histiocytic cells. The diagnosis of monocytic leukemia of the Schilling type was made. The eosinophilic granuloma was diagnosed from a gingival biopsy. The case was not diagnosed for several months, in spite of bone lesions in other parts of the skeleton and a severe lung lesion. Roentgen therapy led to complete recovery.

Fractured vital teeth

Abstract A case of fractured vital teeth has been reported. The teeth remained vital for forty years. The first tissue reaction to the injury was resorption of dentine in both fracture ends in certain areas. This was probably preceded by extensive hemorrhage. In other areas, only a longer resting period in dentine formation might have occurred and then dentine formation began again in a normal manner. If resorption occurred, it was repaired by the formation of a hard substance which is neither true dentine, bone, nor cementum. The ground substance is the same, but the cellular elements are not typical. In some areas, the pulp tissue is normal; in others it is more fibrous. Odontoblasts appear in some regions; in others, the cells are not typical. In circumscribed areas, odontoblasts are trapped into a seemingly rapidly formed hard substance. The fracture ends of the fragments facing each other show signs of previous resorption. The exposed dentine is covered in most areas by a bonelike, hard substance.

Treatment of acute ulcerative lesions of the oral cavity

Abstract Although the number of cases reported is small and ours are clinical observations only, we are of the opinion that 9-alpha-fluorohydrocortisone ointment has a definite value in treating acute inflammatory lesions of the oral cavity. Our patients experienced relief from pain in a very short time following treatment. In our opinion, the lesions healed more rapidly when treated with 9-alpha-fluorohydrocortisone than when treated by other methods or when given no treatment.

Treatment of ulcerative lesions of the oral cavity with gamma globulin.

Abstract The cause of aphthous stomatitis and erythema multiforme exudativum and the mechanics involved in the disease processes remain obscure. Traumatic, physiologic, or severe emotional stress is believed to play a role in the etiology of this condition, presumably by interference with local tissue immunity and production of an environment conducive to vesicular formation by release of an intercellular virus. Since gamma globulin is known to contain antibodies against many bacteria and viruses, an attempt was made to test and evaluate its therapeutic value in the treatment of various types of ulcerative stomatitis suspected of having a viral origin. The results achieved in this series of cases are sufficiently encouraging to warrant further clinical trial and observation.