Semi-quantitative clinical description of oral submucous fibrosis.
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Biomedical subjects
Publications and source records attributed to S Warnakulasuriya.
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A case is presented where the enlargement of the tongue due to acromegaly failed to respond to bromocriptine therapy, resulting in marked dysarthria. A partial glossectomy technique for tongue reduction is described, and the surgical and anaesthetic problems associated with acromegaly are discussed.
Two brothers affected by primary hyperparathyroidism, both with unusual jaw lesions, are described here. The atypical growth patterns of these lesions led to their surgical exploration, which revealed that they were histologically similar benign fibro-osseous lesions. The possible influence of long-standing metabolic alterations in hyperparathyroidism in the genesis of fibro-osseous lesions is discussed.
The demand for dental care was assessed among 3000 dental patients visiting an out-patient clinic in Sri Lanka. 46% of the patients sought treatment for complaints related to advanced stages of dental caries whilst 18% requested treatment for early stages of decay. 20% had complaints related to periodontal disease of which two-thirds had advanced symptoms of mobility. The majority of the demands reflect a need for emergency care such as exodontia and dressings for cavities, which is currently being carried out by dentists but could easily be done by auxiliaries at low cost.