Differential Diagnosis of Dental Diseases Differential Diagnosis of Dental Diseases Priya Verma Gupta MDS (Pedodontics and Preventive Dentistry) MA Rangoonwala College of Dental Sciences, Azam Campus Camp, Pune Maharashtra (India) ® JAYPEE BROTHERS MEDICAL PUBLISHERS (P) LTD New Delhi • Ahmedabad • Bengaluru • Chennai • Hyderabad Kochi • Kolkata • Lucknow • Mumbai • Nagpur Published by Jitendar P Vij Jaypee Brothers Medical Publishers (P) Ltd Corporate Office 4838/24 Ansari Road, Daryaganj, New Delhi - 110002, India, +91-11-43574357 Registered Office B-3 EMCA House, 23/23B Ansari Road, Daryaganj, New Delhi 110 002, India Phones: +91-11-23272143, +91-11-23272703, +91-11-23282021, +91-11-23245672, Rel: +91-11-32558559 Fax: +91-11-23276490, +91-11-23245683 e-mail: [email protected], Visit our website: www.jaypeebrothers.com Branches  2/B, Akruti Society, Jodhpur Gam Road Satellite Ahmedabad 380 015 Phones: +91-79-26926233, Rel: +91-79-32988717 Fax: +91-79-26927094 e-mail: [email protected]  202 Batavia Chambers, 8 Kumara Krupa Road, Kumara Park East Bengaluru 560 001 Phones: +91-80-22285971, +91-80-22382956, +91-80-22372664, Rel: +91-80-32714073 Fax: +91-80-22281761 e-mail: [email protected]  282 IIIrd Floor, Khaleel Shirazi Estate, Fountain Plaza, Pantheon Road Chennai 600 008 Phones: +91-44-28193265, +91-44-28194897, Rel: +91-44-32972089 Fax: +91-44-28193231 e-mail: [email protected]  4-2-1067/1-3, 1st Floor, Balaji Building, Ramkote Cross Road Hyderabad 500 095 Phones: +91-40-66610020, +91-40-24758498, Rel:+91-40-32940929 Fax:+91-40-24758499, e-mail: [email protected]  No. 41/3098, B & B1, Kuruvi Building, St. Vincent Road Kochi 682 018, Kerala Phones: +91-484-4036109, +91-484-2395739, +91-484-2395740 e-mail: [email protected]  1-A Indian Mirror Street, Wellington Square Kolkata 700 013 Phones: +91-33-22651926, +91-33-22276404, +91-33-22276415, Rel: +91-33-32901926 Fax: +91-33-22656075, e-mail: [email protected]  Lekhraj Market III, B-2, Sector-4, Faizabad Road, Indira Nagar Lucknow 226 016 Phones: +91-522-3040553, +91-522-3040554 e-mail: [email protected]  106 Amit Industrial Estate, 61 Dr SS Rao Road, Near MGM Hospital, Parel Mumbai 400012 Phones: +91-22-24124863, +91-22-24104532, Rel: +91-22-32926896 Fax: +91-22-24160828, e-mail: [email protected]  “KAMALPUSHPA” 38, Reshimbag, Opp. Mohota Science College, Umred Road Nagpur 440 009 (MS) Phone: Rel: +91-712-3245220, Fax: +91-712-2704275 e-mail: [email protected] Differential Diagnosis of Dental Diseases © 2008, Jaypee Brothers Medical Publishers All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the author and the publisher. This book has been published in good faith that the material provided by author is original. Every effort is made to ensure accuracy of material, but the publisher, printer and author will not be held responsible for any inadvertent error(s). In case of any dispute, all legal matters are to be settled under Delhi jurisdiction only. First Edition: 2008 ISBN 978-81-8448-372-7 Typeset at JPBMP typesetting unit Printed at Ajanta Press Contributors Pooja Verma Ahmad Binti Jhuraney BDS London (United Kingdom) Research Officer AIIMS, New Delhi Wequar Ahmad MBBS MS FRCS Sujata Sarabahi United Kingdom MS (Gen. Surg.) MCh (Plastic Surg.) DNB MNAMS Manish Bhatia Safdarjung Hospital and MS MCh (Oncosurgery) VMM College, New Delhi Inlaks and Budhrani Hospital, Pune Shrirang Sevekar MDS Pedodontics and Vivek Hegde MDS Preventive Dentistry Endodontics and MA Rangoonwala College Operative Dentistry of Dental Sciences, Pune MA Rangoonwala College of Dental Sciences, Pune Sumanth S MDS Periodontics Subhadra HN MDS MA Rangoonwala College Pedodontics and of Dental Sciences, Pune Preventive Dentistry DY Patil Dental College, Anjula Vij MBBS Mumbai USA Preface Two decades back dental surgery was a growing branch but now it has grown up well. Previously dental surgeons used to prefer extraction of tooth but now they are being paid to save the tooth. In order to achieve they should be able to assess, diagnose the disease and treat accordingly. To differentiate two similar dental diseases one should know the pros and cons of the specific disease which will help the students and clinicians. I would like to thank my mentors Drs (Profs) N Sridhar Shetty and Amita Hegde for the knowledge given to me by them. There is always some scope to improve upon and for that healthier suggestions are always welcome. I am thankful to Shri Jitendar P Vij, Chairman and Managing Director, Jaypee Brothers Medical Publishers, for giving me the opportunity to write this book. Priya Verma Gupta Contents SECTION 1: DENTAL DISEASES 1. Morphology of Primary Dentition..........................3 2. Developmental Disturbances of Teeth .................43 3. Pain ............................................................................59 4. Pulp............................................................................79 5. Dental Caries..........................................................118 6. Dental Stains and Discolorations ........................161 7. Gingival Enlargement and its Management......180 8. Halitosis...................................................................201 9. Oral Ulcers..............................................................216 10. Radiolucencies of Jaw ...........................................227 11. Diseases of Jaw.......................................................246 12. Diseases of Salivary Glands .................................251 13. Disorders of Taste..................................................268 14. Diseases of Tongue................................................271 15. Diseases of Paranasal Sinuses..............................282 16. Endocrine Disorders affecting Oral Cavity........289 17. White and Red Lesions.........................................300 18. Benign Neoplasm of Oral Cavity ........................316 19. Malignant Neoplasm of Epithelial Tissue..........322 20. Sequel of Radiation on Oral Tissues ...................343 21. Chronic Orofacial Nerve Pain..............................346 22. Fever ........................................................................349 23. Cheilitis....................................................................357 24. Vitamins and Oral Lesions...................................360 25. Oral Manifestations of Bleeding Disorders........375