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"ABSTRAK Mucoceles are considered to be the most common oral lesion, with an approximate prevalence of around 2.4 cases per 1,000 people. The exact prevalence in children is not reported, but they are thought to occur more frequently in younger individuals when compared to adults. The age old treatment for mucocele involves surgical excision, which is associated with mental trauma and discomfort to the patient. Other treatment options that can be considered include cryosurgery, CO2 laser ablation, micro marsupialization, intralesional corticosteroid injection, marsupialization and electrocautery. Cryosurgery is the procedure where there is deliberate destruction of tissue by freezing, using liquid nitrogen. This treatment is well received by patients, as minimal or no local anesthesia is used, relative lack of discomfort, no bleeding and minimal to no scarring after healing. This paper discuses two cases of oral mucocele treated via surgical excision and cryosurgery."

"Indonesian Journal of Dentistry 2006; Edisi Khusus KPPIKG XIV: 1-6Oral candidiasis, the most common opponunistic oral fungal infection in human is mainly caused by Candida albicans. Predisposing factors in this disease include immunosuppression, medications, malignancies, endocrine disorders, nutritional deficiencies, high-carbohydrate diet, salivary changes, dental prostheses, smoking and poor oral hygiene. We repod a case of oral candidiasis with severe iron deficiency anemia as an underlying factor in a 40 years old male patient, based on the history, clinical findings and fungal examinations. Case management included prescribing anti-fungal agent, identification and conection of predisposing factors and elimination of oral fungal reservoir. The oral lesions were reduced with improving systemic condition. We concluded that comprehensive management is required to achieve an optimal improvement in this case."

"Nasopharyngeal carcinoma (NPC) is still a significant health problem due to its relatively high incidence. Rarely, NPC could extend and involve the oral cavity, and may present as an ulceration or exophytic mass. Objectives: To discuss the rare clinical appearance of NPC involving the oral cavity and the significant role of dentists in its diagnosis and management. Case Report: We reported 3 cases of NPC with oral cavity involvement. In the first two cases, the patients presented with persistent oral ulceration with bone exposure and perforation to the above structure. The third patient presented with an ulcerated exophytic mass with temporomandibular disorder. The ulceration occurred due to bone destruction by the expansion of NPC mass, which indicated advance stage of the disease. All patients were managed with twice a day 0.2% chlorhexidine gluconate rinsing in combination with placing a chlorhexidine-moistened gauze to inhibit bacterial overgrowth and prevent secondary infection. The use of chlorhexidine was substituted by saline solution during patients’ radiotherapy and chemotherapy cycles. Conclusion: Dentist’s awareness to recognize the oral cavity involvement of NPC as well as recognizing the symptoms of NPC is very important, in order to make appropriate diagnosis and oral management. The oral management will eventually affect treatment outcome and quality of life."

"ABSTRAK Behcet disease (BD) is a multi system recurrent inflammatory disorder occurring in the form of vasculitis of an unknown etiology. It most frequently affects oral and genital mucosa, skin, eyes, joints, and blood vessels. The definitive diagnosis of BD is based on major symptoms such as recurrent oral and genital ulcers and recurrent skinand ocular lesions, accompanied by symptoms related to various systems. However, early BD manifestations are very similar to recurrent aphthous stomatitis (RAS). Several years from its first appearance are often required for a definitive diagnosis. Objective: To describe a dentist role in BD management in a patient with a history of highlyrecurrent RAS. Case Report: We evaluated a 38 year old man with a 10 year history of recurrent oral ulcers, accompanied by skin and eyes lesions. His intraoral examination revealed multi sized ulcers with a yellowishwhite base and regular edges, surrounded by an erythematous halo. Ulcers were located on the tongue, floor of themouth, and gingival mucosa. Although BD diagnosis was not histopathologically confirmed, the patient lesions met the International Criteria for Behcet disease with a score of 5. Oral ulcers were managed with chlorhexidine mouthwash 2 times/day and supportive measures. A multidisciplinary approach was used for this patient to providecomprehensive treatment. Conclusion: Dentists can be the first clinicians to detect the possible development of BD in patients with symptoms similar to RAS, but additionally having skin and eye lesions."