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B A Balciunas

Publications and source records attributed to B A Balciunas.

17 recordsLinked to original sources

A clinical approach to the diagnosis of facial pain.

Following completion of the patient history, physical evaluation, and cranial nerve assessment, the next step should be a thorough dental evaluation with appropriate radiographs to evaluate caries, periodontal disease, and any other hard- or soft-tissue pathology. If indicated, a thorough evaluation of the craniomandibular complex also should be performed. At this point, the clinician should have a general idea as to the cause of the patient's facial pain and the appropriate course of treatment can then be instituted. If the problem is not solely dental in etiology, the diagnosis and management must be coordinated between the dentist and the appropriate medical specialties.

Facial Pain

Medication can induce severe ulcerations.

Nonsteroidal antiinflammatory drugs can cause oral ulcers. In this case, discontinuing piroxicam, a nonsteroidal anti-inflammatory drug, and starting a palliative treatment plan helped resolve a patient's ulcers.

Adult

Clinical management of common oral lesions.

Soft tissue lesions are among the most commonly occurring pathologic conditions in the oral cavity. The causes of these lesions can vary from immunologic and viral reactions to underlying systemic disease, dermatologic lesions, or neoplasms. The diagnosis of these conditions is usually based on the history, clinical appearance, and results of diagnostic procedures such as smears, culture, or examination of biopsy specimens when indicated. This paper will discuss the diagnosis and management of some of the most commonly occurring oral lesions, such as recurrent aphthous ulcers, herpetic ulcers, and candidiasis.

Candidiasis, Oral

Diagnosis and management of commonly occurring oral vesiculoerosive disorders.

Vesiculoerosive disorders are often difficult to diagnose and manage. The oral cavity is often overlooked as a source of diagnostic signs of dermatologic disease. In some disorders, oral manifestations precede cutaneous signs by as much as one year. The authors describe the oral presentation and management of lichen planus, allergic stomatitis, pemphigus vulgaris, and cicatricial pemphigoid, to enable the physician to recognize, diagnose, and treat commonly encountered oral manifestations of dermatologic disease.

Adult

Oral manifestations of human immunodeficiency virus infection.

Oral candidiasis, herpetic lesions, oral mucosal warts, human immunodeficiency virus-associated gingivitis and periodontitis, Kaposi's sarcoma, hairy leukoplakia, and non-Hodgkin's lymphoma are oral manifestations of infection by the human immunodeficiency virus. This paper will explain how to identify these lesions, their significance, and recommended treatments.

Candidiasis, Oral

Quantitative electromyographic response to therapy for myo-oral facial pain: a pilot study.

In this pilot report, four of the five patients in the myofascial pain dysfunction group reported subjective improvement after 6 weeks of therapy, concomitant with a statistically significant decrease in integrated EMG Hz values in the clenched jaw position. Our results agree with those of other investigators who demonstrated a positive contribution by masticatory EMG data to confirm and quantify objectively the subjective symptoms.

Adolescent

Geographic stomatitis: review of the literature and report of five cases.

Five new cases of geographic stomatitis have been presented along with data from 24 previously reported patients. For the first time, basic parameters of this disorder have been tabulated from this population. Although the earliest documented case appeared in the literature in 1955, the majority of articles has been published during the last 15 years. This increased frequency of reporting indicates a growing awareness of this rather innocuous lesion. Thus, the general practitioner is advised to become familiar with the salient features of geographic stomatitis. Prompt recognition and diagnosis of this lesion, based on the clinical findings and history, will usually mitigate the need for biopsy.

Adolescent

Carotidynia.

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Adult