Elena Funieru is DMD and pursuing PhD at University Politehnica of Bucharest and Carol Davila University of Medicine and Pharmacy in Romania. She studies the effect of dental alloys and other dental materials on oral mucosa and the link between them and oral lichen planus. She has published 9 papers in reputed journals
Burning mouth syndrome (BMS) is an oral pathological condition when patients complain about pain at least 4-6 months a year in the absence of any lesions. The pain may be accompanied by a burning sensation on the oral mucosa. The main scope of this study is to find if there any connections between BMS and some dental materials (e.g. alloys, acrylate, etc.) from dental restorations, dental crowns, dental implants and other dental prostheses. The sample consisted of 85 patients with BMS who also had at least one crown, restoration or prosthesis. Another 19 patients were part of a control group. All the patients were tested for allergic reactions using dental screening kit (chemo-technique diagnostics, Sweden) recommended by international contact dermatitis research group (ICDRG). The 31 haptens contained in the kit were applied using special patches (chemo-technique diagnostics IQ Ultra chambers) attached to the same region of the posterior thorax skin. The results show that almost 52% patients from the main sample exposed positive results for the allergens included in the kit compared with only 15% from the control group. Women involved in the study exposed more allergic reactions (39%) than men (13%). As conclusion, it seems like there is a link between BMS and dental restoration, crowns or prostheses, which depends on the allergic response to the material from which they are made from.
Lely Nurjanti Graduated as Dermatoveneorologist from Airlangga University-dr Soetomo General Hospital Surabaya East Java Indonesia in September, 2005. She Had been being working as Dermatoveneorologist at Dermatoveneorologist Department of Abdul Wahab Syahranie General Hospital Samarinda East Kalimantan since 2006. She is also the Coordinator of Dermatoveneorologist Medical Faculty Education Programme at Dermatoveneorologist Department of Abdul wahab Syahranie General Hospital-Mulawarman University Samarinda East Kalimantan Indonesia in 2007. She is the Secretary of Dermatoveneorologist Continuing Education Organization for East kalimanatan Indonesia in 2008.
Introduction: Acne vulgaris was very common self-limiting disease, affected approximately 85% of adolescence that was defined as a chronic inflammation of pilosebaceous units. It was characterized (diagnosed) by the formation of comedones (as primarily acne lesion), erythematous papules and pustules, less frequently nodules and pseudocyst and was accompanied by scarring in some cases that caused psychosocial problems. Cunliffe classified the severity of acne vulgaris into 4-types based on the kind and number of acne lesions: Mild, moderate, severe and very severe. Four major factors were involved in the etiopathogenesis: Follicular hyperkeratinization, increased sebum production, abnormality of microbial flora and inflammation process. The goal of therapy was removed plugging of the pillar drainage; reduced sebum production; treated bacterial colonization; prevented from scaring. The complications were acne scar, persistent hyperpigmentation, pyogenic granuloma formation, persistent swelling, Gram-negative bacteria folliculitis, bacterial and fungal folliculitis as secondary infection, resistances to antibiotics. The purpose of this case report was to share experience in treating very severe comedonal acne vulgaris because of the chronicity course of acne vulgaris was difficult to be eradicated and there were many resistances problems to antibiotics in some literatures and journals. Case Presentation: It was a very severe (4th grade) closed comedonal acne vulgaris that was complicated by Staphylococcus epidermidis and Pityrosporum ovale folliculitis in 16 years old atopic history girl based on anamnesis, clinical finding and laboratory examination. And this case was treated by 4x TCA 10% chemical peeling at 2-weeks intervals, 2-weeks antibiotic and 10 days Ketokonazole after the result of culture and laboratory examination were positive. Result: The result was good. There was significant improvement in clinical stage (4th grade to 1st grade acne vulgaris), decreased the count of comedones, diminished papules-pustules and inflammation, no scar and post-inflammatory hyperpigmentation were occurred. Discussion: TCA 10% was superficial chemical peeling, considered as adjunctive therapy to the first line acne therapy. Retinoids and antibiotic and TCA was the first line therapy for acne scar and skin rejuvenation. TCA was cheap and safe because of no systemic absorption, had keratolytic effect (comedolytic action) and anti-inflammatory effect (bactericidal action). It could be combined to antibiotics and antifungal therapy and solved resistance problems to antibiotic and antifungal in acne therapy.