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Iamaroon, Anak
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Oral Hairy Leukoplakia: Clinical Indicator of an Immunosuppressive Condition and Challenges in Patient Management Agustina, Yohana Alfa; Wardhany, Indriasti Indah; Wimardhani, Yuniardini Septorini; Krisnuhoni, Ening; Iamaroon, Anak
Journal of Dentistry Indonesia Vol. 23, No. 2
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Oral hairy leukoplakia (OHL) is defined as an asymptomatic white patch with vertical corrugation pattern the lateral borders of the tongue, that is associated with Epstein-Barr Virus (EBV) infection. Generally, it is related to immunosuppressive condition found in HIV-positive patients and patients undergoing immunosuppressive therapy. Sometimes, its clinical appearances could mimic other white lesions. Although most OHL cases are found in HIV seropositive individuals, finding in the immunocompetent individuals has also been reported. Appropriate clinical evaluations and laboratory investigations are important for patient’s comprehensive management. Objective: To report a finding of oral hairy leukoplakia as a clinical indicator of an immunosuppressive condition in otherwise a clinically healthy-looking individual and to discuss the challenges on patient management. Case Report: A 40 yearold man presented with asymptomatic, bilateral homogenous white hyperkeratotic plaques with a hairy appearance located on the dorsal of the tongue, extended to the lateral tongue mucosa. The patient failed to remember the lesion’s first appearance, until three weeks before a visit. Working diagnosis of OHL was made with differential diagnoses including white sponge nevus, leukoplakia and oral lichen planus. Histopathological assessment was consistent with OHL. Challenges on patient management include identifying possible risk factors and assuring patient for HIV testing. Conclusion: This case reported findings of OHL as the first clinical indicator of immunosuppressive condition that might be related to HIV-infection.
Lymphagioma of the Tongue: A Case Report Puttanimon, Santipap; Ploypradit, Chamnarn; Chamusri, Nutchapon; Thosaporn, Wacharaporn; Iamaroon, Anak
Journal of Dentistry Indonesia Vol. 26, No. 1
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Lymphangioma is a benign growth caused by developmental malformation of lymphatic vessels that usually occurs within the first two decades of life. The clinical features present as painless, nodular, vesicle-like swellings of the soft tissue, most commonly found on the anterior two-third of the tongue. Histopathology demonstrates multiple dilated lymphatic vessels, containing proteinaceous fluid and occasionally leukocytes. We here reported a case of a seven-year-old Thai male presented with papillary and vesicle-like swelling on the left dorsal tongue for five years. The lesion of the patient was surgically excised under general anesthesia and followed up for six months without signs of recurrences.
Age Estimation Methods In Forensic Odontology Duangto, Phuwadon; Janhom, Apirum; Prasitwattanaseree, Sukon; Mahakkanukrauh, Pasuk; Iamaroon, Anak
Journal of Dentistry Indonesia Vol. 23, No. 3
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Age estimation, using forensic odontology, is a crucial step for biological identification. Currently there are many methods available to predict the age of deceased or living persons, each with varying accuracy, such as a physical examination, radiographs of the left hand, and dental assessments. Age estimation, using radiographic tooth development, has been found to be a more accurate method because it is mainly genetically influenced and as such is less likely to be affected by nutritional and environmental factors. The Demirjian et al. method for dental age estimation, using radiological techniques, has long been the most common protocol used in many populations. This method, which is based on tooth developmental changes, is a straightforward process as different stages of tooth development are clearly defined. This article aims to elaborate on the Demirjian et al. method of age estimation using tooth development as a guide.
Co-Authors Agustina, Yohana Alfa Chamusri, Nutchapon Duangto, Phuwadon Ening Krisnuhoni Indriasti Indah Wardhany Janhom, Apirum Mahakkanukrauh, Pasuk Ploypradit, Chamnarn Prasitwattanaseree, Sukon Puttanimon, Santipap Thosaporn, Wacharaporn Yuniardini Septorini Wimardhani