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184:Cultural Practice Causing Mysterious Oral Findings[AAOM2020}
Poster Title: 184:Cultural Practice Causing Mysterious Oral Findings[AAOM2020}
Submitted on 29 Mar 2021
Author(s): Kawkab Al-turck 1, Sara Aldosary 1, Reem Alrabiah 1, Riham Albusayes 2, Sarah Alnamlah 2
Affiliations: 1.Department of Oral Medicine and Dental Diagnostic Sciences, College of Dentistry , King Saud University, Saudi Arabia. 2. College of Dentistry , King Saud University, Saudi Arabi
This poster was presented at 2021 American Academy of Oral Medicine Virtual Conference
Poster Views: 229
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Poster Information
Abstract: Background

All health problems, oral and dental diseases are a product of social, cultural, economic, behavioral and environmental factors (Vivek et al., 2012). A basic definition of culture is beliefs and behaviors that are learned and shared by members of a group (Galanti 1991). The interpretation and definition of health and disease are based on cultural concepts (Galanti 1991, Johnston 1993). It is important for the dentists to understand different cultures that might have an impact on oral health ideas such as oral hygiene habits, reaction to pain and using dental services in order to organize a multicultural oral health care (Selikowitz 1994). Some practices that are commonly done affected by the culture are destructive to the oral and dental tissue. Talisman (charm needles or charm pins) is an example of this, which is common in Southeast Asia. It is about inserting those needles under the skin in various parts of the body including the orofacial region which are made of silver or gold to make the wearer charming to the opposite sex (Loh and Yeo 1989). Another practice in Sudan known as Haifat in which the swollen alveolar process over the unerupted canine is cut by a sharp heated instrument to cure problems thought to be caused by teething (Rasmussen 1992).

Case summary

Case 1. A 37-year-old African lady attended oral diagnosis clinic at the College of Dentistry, King Saud University in Riyadh seeking dental treatment for caries. Upon oral examination, the dentist observed missing uvula (Fig.A) and abnormal dark diffuse maxillary gingiva (Fig.B).

Case 2. A 65-year-old African lady attended oral diagnosis clinic requesting a prosthesis for missing teeth. On oral examination, the patient showed missing uvula (Fig.C) and scattered multiple dark bluish colour on the maxillary gingiva (Fig.D). Dentist’s clinical diagnosis was congenital missing uvula and diffused melanoma.


An explanation of these mysterious soft tissue findings will be presented.
Summary: An explanation of mysterious soft tissue findings will be presented.

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References: 1.ItikyalaS,PattanaikD,RazaS.Systemiclupuserythematosus(SLE)andantineutrophilcytoplasmicantibody-associatedvasculitis(AAV)overlapsyndrome:casereportandreviewoftheliterature.Casereportsinrheumatology.2019Jan6;2019.
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