Scale made of tobacco quid deposited on teeth and gum junction causes Periodontitis and Carcinoma of lower gingivobuccal sulcus
Among the tobacco chewers, all of them used piper betel leaf smeared with slaked lime (called chunnamb colloquially in Kerala) and areca nut and dried tobacco as a quid for keeping on either gingivobuccal sulcus
After an incision was made on the right gingivobuccal sulcus
, the buccal mucoperiosteal flap was elevated.
Areas of fibrosis were scored 2 for each area--soft palate including uvula, right or left anterior faucial pillar including tonsil, right or left buccal mucosa including gingivobuccal sulcus
, right or left retromolar trigone, tongue or floor of mouth.
Patients were discharged within a few days with only minor analgesics since they experienced minimal discomfort owing to the absence of surgical incisions in the nasal septum, palate or gingivobuccal sulcus
If not infected it is painless swelling, typically appear as a swelling at canine fossa, gingivobuccal sulcus
elevating ala of nose.
The sites of involvement in the oral cavity were oral tongue in five patients, alveolus in two, gingivobuccal sulcus
in one, and hard palate in one.
The mass had caused a bulge in the soft palate and gingivobuccal sulcus
In the left gingivobuccal sulcus
there was a 7x4 cm sub mucosal proliferative lesion involving the retromolar trigone area and the adjacent buccal mucosa with scattered ulcerated areas which was indurated and mildly tender (Figure 1).
The same swelling was seen intraorally, and it had destroyed the hard palate and extended to the alveolus, where it had obliterated the gingivobuccal sulcus
On physical examination, we noted a fullness of the right gingivobuccal sulcus
that arose from the right maxillary sinus.
A fistula tract extended from the floor of the nose to the gingivobuccal sulcus
under the upper lip, and there was a separate midline ulcer of the hard palate (figure 2).