Research Articles (Oral Medicine and Periodontics)

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Browsing by Author "Negi, Marwa Milad"

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    Diabetic status of patients presenting for dental treatment
    (South African Dental Journal, 2018) Negi, Marwa Milad; Holmes, Haly; Stephen, LXG
    Introduction: Untreated Diabetes mellitus (OM) has severe long-term complications. In 2008, DM affected 4.6% of the South African population. Glycemic status is an indicator of the blood glucose levels. Aim and objectives: To assess the glycemic status and presence of intra-oral soft tissue lesions in a sample of patients presenting at UWC Maxiliofacial outpatient clinic. Design and Methods: A cross-sectional observational study was carr1ed out on 400 adult patients, 18 years or older. Pregnant patients were excluded. Random blood glucose levels (RBG) were measured in mmoVL on samples of peripheral blood (finger prick) using a glucometer. Results: Of the 400 patients, 51 (12.7%) were either known diabetic patients or newly diagnosed (prediabetic Md diabetic) and 15 (20.4%) of these 51 patients were unaware of their status (undiagnosed). Of the diabetic patients (n=40). 17 (42.5%) had soft tissue lesions. which occurred in 137 of the 340 patients having normal blood glucose levels (39.2%). Oral candidiasis was seen in 25% (n=10) of diabetic patients, compared with the prevalence of 18.3% amongst those with normal blood glucose levels (n=64 out of 349). Conclusion: The study supports the need for general screening of all patients to facilitate early diagnosis of this disease.
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    Oral medicine case book: epidermolysis bullosa acquisita
    (South African Dental Journal, 2018) Negi, Marwa Milad; Mulder-van Staden, Sune; Holmes, Haly; Jeftha, Anthea
    A 49-year-old female was referred from the Dermatology department to the Oral Medicine Department at the University of the Western Cape (UWC), Oral Health Center, Tygerberg campus. The patient complained of a sore mouth and difficulty In brushing her teeth. She had been diagnosed with epidermolysis bullosa acquisita (classical type) 12 years ago and was being managed by her Dermatologist with topical and systemic steroids (Dovate® ointment and 10mg prednisone daily). The extra oral examination revealed extensive sloughing of the skin of the hands, chest and back. The hands showed atrophic scarring, skin fragility and nail loss on numerous fingers, which also demonstrated restricted movement (Figures 1,2). The patient had malted mouth opening because of scarring related to repeated episodes of ulceration (Figure 3) and poor oral hygiene. Her gingiva was Inflamed (Figure 4). The middle to anterior dorsal surface of her tongue was atrophic, smooth and erythematous, while the posterior dorsal tongue had white yellowish plaques (Figure 5). The orthopantomogram demonstrated multiple carious teeth with generalised, severe horizontal boneless (Figure 6). An appointment was scheduled for a scaling as well as extraction of root remnants and teeth with a hopeless prognosis. The patient was booked for a follow-up at the Oral Medicine and Periodontology Department two weeks later, but failed to return for her appointment.