Green span syndrome

Oral lichen planus may be associated with
several other diseases. A rare association
between the most severe form of oral lichen planus – the erosive form – diabetes mellitus. arterial hypertension is Grinspan’s syndrome. Other reported associations are
with chronic liver disease and, more recently documented, with dyslipidemia

Pulp nerve fiber

1. A delta fibers - myelinated fast conducting, larger diameter, associated with Sharp pain

2. C fibers - unmyelinated slow condiction, smaller diameter, assiciated with Dull, Diffusepain.

-As approach coronal portion of pulp, myelinated nerved lose myelin sheaths. 

-Some go up dentinal tubules and play a role in sensitivity

-No synapses with nerves and o-blast process

tongue

tongue nerve supply 

Kiesselbach’s area.

Branching from the maxillary artery, thesphenopalatine artery enters the nasal cavity via the sphenopalatine foramen and supplies the septal wall of the cavity. Entering through the orbit, the septal branches of the anterior and posterior ethmoidal arteries (branches of the ophthalmic artery) gives supply to the roof as well as the septal wall of the cavity as it travels to Little’s area. 

The facial artery gives off the superior labial artery; the septal branch of which enters the nasal cavity through the nares and joins the anastomoses in Little’s area. The greater palatine artery, a terminal branch of the maxillary artery, passes through the greater palatine foramen and travels along the hard palate to enter the nasal cavity by way of the incisive canal, thus joining the anastomosis in Kiesselbach’s area.

facts

 Patient Hygiene Performance (PHP) Index 

The Patient Hygiene Performance (PHP) Index  was first used as an oral hygiene assessment method when working with patients. Oral debris for the PHP Index is defined as soft foreign matter consisting of bacteria, mucin, and food loosely attached to tooth surfaces. Teeth are disclosed and a mouth mirror examination is made of specific teeth. The examiner mentally divides each tooth into five subsections and determines the presence or absence of oral debris on each of the subdivisions. Summing the values for each of the five subdivisions provides the oral debris score for the tooth. An overall patient hygiene performance score is tabulated by dividing the sum of the tooth scores by the number of surfaces charted. 

Basement membrane (type IV) collagen

The collagen IV molecule is 400 nm long and consists of two alpha 1 (IV) and one alpha 2 (IV) chains. Their genes COL4A1 and COL4A2 form a transcription unit in which they are arranged head-to-head and connected by a short common promoter region.

cotton wool appearance

 pagets disease

Adenoid cystic carcinoma

Adenoid cystic carcinoma; cribriform or “Swiss cheese” pattern that is unmistakable but not always present. The cells show scanty cytoplasm and round to ovoid basophilic nuclei of regular form. The circular areas containing weakly eosinophilic amorphous basement membrane material accounting for the synonym “cylindroma.” Mucous and serous glands and the ducts of normal submandibular salivary gland are seen on the left. The gland was not invaded.

Allodynia

   

                     
Allodynia (pain due to a stimulus that does not usually provoke pain) and hyperalgesia (increased pain from a stimulus that usually provokes pain) are prominent symptoms in patients with neuropathic pain. Both are seen in various peripheral neuropathies and central pain disorders, and affect 15–50% of patients with neuropathic pain. Allodynia and hyperalgesia are classified according to the sensory modality (touch, pressure, pinprick, cold, and heat) that is used to elicit the sensation. Peripheral sensitisation and maladaptive central changes contribute to the generation and maintenance of these reactions, with separate mechanisms in different subtypes of allodynia and hyperalgesia. Pain intensity and relief are important measures in clinical pain studies, but might be insufficient to capture the complexity of the pain experience. Better understanding of afllodynia and hyperalgesia might provide clues to the underlying pathophysiology of neuropathic pain and, as such, they represent new or additional endpoints in pain trials.