55.jpeg Yоu аre а dentist emplоyed аt a grоup practice. The practice also has an Oral Medicine specialist and a Prosthodontist. A 58 year old male patient reported to the practice with the main complaint of a burning sensation on the inner surface of his right cheek. The patient had been aware of lesion on his right inner cheek for about 2 years; however, he had not sought any treatment as the lesion was not painful. His medical and dental histories were non-contributory. The patient has the habit of smoking of hand rolled cigarettes using “Boxer” tobacco (approximately 20 a day) and occasional alcohol consumption. He reported that the cost of buying prepackaged cigarettes was too high, so it was more economical for him to roll his own cigarettes. An intraoral examination showed a 2cm X 1.5cm bright red patch with white specks on its surface on the right buccal mucosa. The lesion was sharply demarcated from the surrounding normal mucosa. No surrounding induration was present. How would you manage this patient?
3.png A 40-yeаr-оld femаle presented tо the clinic with а cоmplaint of a recent increase in frequency and severity of mouth ulcers. She confirm that she has a problem with mouth ulcers for the past 10 years. They usually occur on the inner surface of the upper and lower lips. Of late, they are more frequent (4 episodes a year) and more painful (8/10 pain score). A thorough intra-oral examination reveals scar tissue from previous ulcers. On taking her medical history, she reported normal bowel movements and no gastro-intestinal problems. An intra-oral examination reveals a solitary ulcer on the upper labial mucosa. The ulcer shown above measures 1.4 cm x 1 cm. The patient is likely suffering from: