Australian dental journal最新文献

{"title":"Odontogenic Orbital Abscess in Paediatric Patients: Diagnosis and Surgical Management of Three Cases","authors":"Naseem Maalouf,&nbsp;Imad Abu El-Naaj,&nbsp;Shareef Araidy","doi":"10.1111/adj.70037","DOIUrl":"10.1111/adj.70037","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Paediatric orbital abscesses represent true emergencies requiring immediate recognition and multidisciplinary management to prevent permanent vision loss and life-threatening complications.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We present three paediatric cases of orbital abscess (ages two, six, and eight years) presenting to emergency departments. Cases were analysed for emergency presentation patterns, imaging findings, and treatment outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>All patients presented with periorbital swelling and fever, and all three cases originated from odontogenic infections. Emergency CT imaging was crucial for diagnosis. Multidisciplinary management involving emergency medicine, ENT, and maxillofacial surgery achieved excellent outcomes with no visual or neurological complications.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Emergency physicians must maintain high clinical suspicion for orbital abscess in children with periorbital swelling and fever. Immediate CT imaging, broad-spectrum antibiotics, and emergency surgical interventions can prevent catastrophic complications.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"71 2","pages":"201-205"},"PeriodicalIF":2.4,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145861948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trauma-Informed Care Practice for Dental Practitioners: A Scoping Review","authors":"Kristy S. Choi,&nbsp;Woosung Sohn,&nbsp;Delyse Leadbeatter","doi":"10.1111/adj.70043","DOIUrl":"10.1111/adj.70043","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Trauma-informed care (TIC) is a patient care framework that recognises the widespread impact of trauma. While the likelihood of dental practitioners encountering patients with trauma is significant, there is limited guidance on TIC in dental care, highlighting the need for a clearer understanding. This scoping review was conducted to synthesise the literature to date concerning TIC practice for dental practitioners.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A search across six electronic databases and a manual search were conducted to find literatures from January 1992 to September 2025 that met inclusion criteria following the Systematic reviews and Meta-Analyses extension for Scoping Reviews guidelines. Of 176 identified papers, 27 papers informed this review.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Identified TIC practices were categorised and synthesised according to ‘the four R's’ of TIC, such as safety and trust and other additional recurring TIC themes. This scoping review synthesised key concepts of TIC with the aim of informing clinical practice for dental practitioners.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The review highlights core TIC themes in the literature and identifies priorities for future research. As trauma is pervasive and often undisclosed, TIC practice by dental practitioners is recommended as a universal precaution approach in all patient care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"71 2","pages":"144-159"},"PeriodicalIF":2.4,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146163778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chronic Traumatic Dental Occlusion: Its Impact on Temporomandibular Joint and Systemic Health, and Clinical Management Strategies","authors":"Furkan Akkılıç,&nbsp;Hacer Balkaya","doi":"10.1111/adj.70041","DOIUrl":"10.1111/adj.70041","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Traumatic dental occlusion (TDO) is a multifactorial and dynamic clinical condition that extends beyond localised tooth wear and has been reported to be associated with alterations in temporomandibular joint biomechanics, neuromuscular function and overall masticatory system performance. While acute dental trauma often receives greater clinical attention, chronic occlusal trauma may remain underrecognised in routine practice, despite its potential to influence mandibular movement patterns, modify joint loading and contribute to patient-reported functional complaints.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Basic Procedures</h3>\u0000 \u0000 <p>This narrative review synthesises current concepts from the literature regarding the proposed etiologic factors, functional implications and long-term clinical consequences of traumatic dental occlusion. Particular emphasis is placed on the adaptive nature of the masticatory system and the variability of individual responses to occlusal disturbances. Contemporary digital diagnostic tools, occlusal analysis technologies and CAD/CAM-assisted restorative workflows are discussed as adjunctive modalities that may support clinical assessment and treatment planning rather than as definitive solutions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Findings</h3>\u0000 \u0000 <p>The review outlines commonly applied clinical approaches used in the management of TDO-related structural and occlusal changes, including tooth wear and variations in occlusal vertical dimension, with reference to provisional strategies, indirect restorations and minimally invasive interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Principal Conclusions</h3>\u0000 \u0000 <p>By providing an expert narrative synthesis and acknowledging ongoing controversies within occlusion and temporomandibular disorder research, this review aims to enhance clinician awareness, support cautious and patient-centred decision-making and encourage further research to clarify the clinical relevance of traumatic dental occlusion within contemporary dental practice.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"71 2","pages":"136-143"},"PeriodicalIF":2.4,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/adj.70041","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145899241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Clinical Decision-Making in Static Computer-Assisted Guided Implant Placement: A Survey of Clinicians in Australia and New Zealand","authors":"Mathew Amen,&nbsp;Jake Ball,&nbsp;Jing Sun,&nbsp;Anthony Dawson","doi":"10.1111/adj.70042","DOIUrl":"10.1111/adj.70042","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Static computer-assisted guided implant placement (sCAIP) has been shown to enhance accuracy and predictability; however, little is known about the multifactorial decision-making processes impacting use among clinicians.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An exploratory cross-sectional electronic survey was distributed to implant practitioners across Australia and New Zealand, including general dentists and specialists (periodontists, prosthodontists, oral surgeons, and oral and maxillofacial surgeons) involved in implant placement. Items covered demographics, training profiles, clinical experience, utilisation patterns, and attitudes towards sCAIP, with free-text reflections. Quantitative data were analysed using descriptive statistics, factor analysis, and t-tests; qualitative data underwent thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty-three respondents completed the survey, with 90.9% reporting current use of sCAIP. Sixteen respondents (48.5%) were classified as analytical decision-makers and 17 (51.5%) as intuitive. Factor analysis identified seven components that explained 84.2% of the variance in decision-making, including surgical complexity and soft tissue conditions, case timing, aesthetic site sensitivity, cost, anatomical risk, training exposure, and clinical experience. Internal consistency across items was high (Cronbach's alpha, <i>α</i> = 0.95). Analytical decision-makers placed significantly more weight on anatomical risk and bone quality compared to intuitive decision-makers (<i>p</i> = 0.038, <i>d</i> = 0.93). Intuitive decision-makers reported higher levels of training exposure (<i>p</i> = 0.04, <i>d</i> = 0.80). Thematic analysis revealed three key influences on sCAIP use: clinician capability, surgical planning and risk mitigation, and restorative outcomes. In addition, several barriers were identified including financial cost, workflow integration, and attitudinal factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Clinicians with an analytical decision-making style placed greater emphasis on anatomical risk and were more likely to adopt sCAIP in complex or high-risk cases. Because intuitive clinicians reported higher training exposure, education alone did not explain these patterns, indicating that cognitive style and risk appraisal are central determinants of sCAIP adoption.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"71 2","pages":"184-191"},"PeriodicalIF":2.4,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/adj.70042","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148026283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Probiotic Supplementation on Cariogenic Streptococcus mutans Levels: A Systematic Review and Network Meta-Analysis","authors":"Alain Manuel Chaple Gil,&nbsp;Laura Pereda Vázquez,&nbsp;Meylin Santiesteban Velázquez,&nbsp;Jorge J. Menendez","doi":"10.1111/adj.70036","DOIUrl":"10.1111/adj.70036","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To systematically evaluate and quantitatively compare, through pairwise and network meta-analysis, the effectiveness of probiotic supplementation in reducing cariogenic <i>Streptococcus mutans</i> levels in human subjects.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A comprehensive search was conducted in PubMed, Scopus, Embase, Web of Science and Cochrane Library up to October 2025. Randomised controlled trials assessing probiotic or synbiotic formulations with quantitative <i>S. mutans</i> outcomes were included. Data expressed as mean ± standard deviation were synthesised under a random-effects model using a frequentist network meta-analysis (<i>netmeta</i>, R). Effect sizes were reported as mean differences (MD, 95% CI). To strengthen analytical validity, all outputs were cross-validated through triangulation using the MetaInsight platform, confirming consistency between independent computational environments. Risk of bias was assessed with RoB 2, and evidence certainty was appraised via CINeMA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty trials fulfilled inclusion criteria. Most interventions showed a short-term reduction in <i>S. mutans</i> counts, but differences versus placebo were small and not statistically significant across intervals. Forest-plot synthesis and triangulated results indicated that effects were transient and strain-dependent. SUCRA rankings suggested a high percentage of success, but those findings are only probabilistic, not conclusive superiority. Overall evidence certainty was low to moderate.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Probiotic supplementation exhibited a limited, time-dependent capacity to modulate <i>S. mutans</i> levels without a consistent advantage over placebo. Current findings support its role as a safe adjunctive rather than as a standalone preventive strategy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Significance</h3>\u0000 \u0000 <p>Within the available evidence, probiotics should be regarded as experimental adjuncts rather than as replacements for conventional caries-prevention measures. Any observed microbiological benefits were modest, transient and strain-specific, without consistent translation into clinical outcomes. Their recommendation should remain cautious until larger, long-term randomised trials confirm durable effects.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>PROSPERO registration number: CRD420251180536</p>\u0000 </section>\u0000 </div>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"71 2","pages":"119-135"},"PeriodicalIF":2.4,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145861974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trauma-Informed Care Practice for Dental Practitioners: A Scoping Review","authors":"Kristy S. Choi,&nbsp;Woosung Sohn,&nbsp;Delyse Leadbeatter","doi":"10.1111/adj.70049","DOIUrl":"https://doi.org/10.1111/adj.70049","url":null,"abstract":"","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"71 2","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148093226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Root Canal Treatment for Older Adults: New Zealand Dentists’ Experiences and Approach to Practice","authors":"Lara Friedlander,&nbsp;Payman Hamadani,&nbsp;Nicholas Chandler,&nbsp;Ben Daniel","doi":"10.1111/adj.70040","DOIUrl":"10.1111/adj.70040","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>This study investigated the experiences and approach to practice of New Zealand (NZ) general dental practitioners (GDP) providing root canal treatment (RCT) for older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A national online survey collected data from GDPs managing older adults including their approaches to pulpal diagnosis and RCT techniques. Questions also explored informed consent, specialist referrals, confidence, treatment outcomes and engagement with continuing education. Data were analysed descriptively and bivariate analysis of categorical variables used Chi-square and Fisher's exact tests.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 382 GDPs participated (response rate 23.6%). RCT for older adults was common, and most dentists felt confident and incorporated contemporary techniques, although they were less comfortable managing polypharmacy or complex medical conditions. Verbal consent was usual. Almost three-quarters had updated their endodontic knowledge and skills within the previous 2 years through continuing professional development. Around two-thirds found diagnosis challenging; however, RCT was viewed as successful. Females were less confident, and a proportion did not treat molars.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Older adults commonly require RCT, and enhancing GDPs’ knowledge and skills to manage patients with a range of medical conditions is important. Written consent is advised for RCT when patient or tooth factors are complex, or where patients’ capacity may be impaired.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"71 2","pages":"173-183"},"PeriodicalIF":2.4,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145910351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Misquoting of Scientific Literature","authors":"Ivan Darby","doi":"10.1111/adj.70053","DOIUrl":"10.1111/adj.70053","url":null,"abstract":"&lt;p&gt;The theme of this editorial is about the accuracy and validity of references quoted in papers. My editorial on treatment-resistant depression (Darby, I. (2023), Treatment-resistant depression. &lt;i&gt;Aust Dent J&lt;/i&gt;, 68: 221–221. https://doi.org/10.1111/adj.13001) has been, somewhat surprisingly, quoted 3 times according to Prof. Scholar.Google. This was a chance finding and came in a more general search.&lt;/p&gt;&lt;p&gt;It was quoted in the &lt;i&gt;World Journal of Psychiatry&lt;/i&gt;, &lt;i&gt;Frontiers in Psychiatry&lt;/i&gt;, and &lt;i&gt;BMC Pharmacology &amp; Toxicology&lt;/i&gt;. So why did the authors quote this editorial and is it appropriate?&lt;/p&gt;&lt;p&gt;The editorial focused on esketamine and MDMA usage and that we don't know what the dental side effects are. Included were some details about mode of administration, but little of indications and metabolism. The first of the 3 papers quotes in relation to ‘quality of life and social function’ in the introduction to a clinical study on the use of electroconvulsive therapy (ECT) in treatment-resistant depression using ECT and esketamine. The second in relation to disrupting irrational beliefs as part of the prelude to their study of the use of ‘Internet +’ in 100 subjects with depression and the third on elevated suicide mortality in an investigation of the side effects of esketamine therapy. None of these directly relates to the editorial.&lt;/p&gt;&lt;p&gt;Prof. Dr. Google suggests that as many as 9 out of 10 manuscripts have citation errors, either in the text or references. They are often misspelling of names, incorrect page numbers and, the focus of this editorial, ‘ghost’ citations. Mattiazzi et al. provide a more in-depth analysis making the interesting comment of negligence and expediency in compiling references (Mattiazzi A, Vila-Petroff M. Unveiling the ethical void: Bias in reference citations and its academic ramifications. &lt;i&gt;Curr Res Physiol&lt;/i&gt;. 2024 Jul 26; 7:100130. doi: https://doi.org/10.1016/j.crphys.2024.100130. PMID: 39184379; PMCID: PMC11341931). They also make depressing comments about gender, region and status bias when quoting papers.&lt;/p&gt;&lt;p&gt;In general, there are a number of consequences related to misquotation including misleading readers into making erroneous conclusions, misleading findings, and confusion. It may suggest that a particular treatment is more efficacious, especially as significant findings are quoted much more often than non-significant findings. For a clinician, this may have detrimental clinical consequences when an incorrectly cited treatment is used, perhaps leading to patient harm. For example, and probably a poor one, when one paper says a particular endodontic file is much better is quoted, but the five others that state they break more easily are not.&lt;/p&gt;&lt;p&gt;So how does the reader know that the papers quoted in an article have been properly quoted? As with statistics (Darby, I. (2024), Lies, Damn Lies and Statistics. &lt;i&gt;Aust Dent J&lt;/i&gt;, 69: 161–161. https://doi.org/10.1111/adj.13032) it comes down prima","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"71 2","pages":"99-100"},"PeriodicalIF":2.4,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/adj.70053","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147980412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Letter to Editor Regarding ‘Photogrammetry in Implant Dentistry’","authors":"Jiayi Chen","doi":"10.1111/adj.70039","DOIUrl":"10.1111/adj.70039","url":null,"abstract":"","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"71 2","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145888245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral-Onset Langerhans Cell Histiocytosis in a Noncompliant Adult: A Cautionary Case of Multisystem Progression","authors":"Ayşe Ege Selman,&nbsp;Burcu Karaduman,&nbsp;Mustafa Cenk Durmuslar,&nbsp;Necat Vakur Olgac,&nbsp;Hanife Ataoğlu","doi":"10.1111/adj.70038","DOIUrl":"10.1111/adj.70038","url":null,"abstract":"<div>\u0000 \u0000 <p>Langerhans cell histiocytosis (LCH) is a rare clonal proliferative disorder that may initially present with oral manifestations, posing diagnostic challenges, especially in adults. We report a rare case of a 27-year-old male who initially presented with painful ulcerative palatal lesions and advanced periodontal symptoms. Despite early biopsy-confirmed LCH diagnosis and haematology referral, the patient's noncompliance led to delayed treatment, resulting in progression from localised oral involvement to multisystem disease, including mandibular, iliac, and vertebral bone lesions. Treatment ultimately required systemic chemotherapy after repeated biopsies and positron emission tomography/computed tomography imaging confirmed disease dissemination. Dental extractions and soft tissue excision were performed to manage oral symptoms. This case highlights the critical role of dental professionals in early LCH detection and underscores the impact of delayed intervention. Interdisciplinary collaboration and patient compliance are essential to prevent disease progression and improve outcomes in LCH with oral involvement.</p>\u0000 </div>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"71 2","pages":"206-212"},"PeriodicalIF":2.4,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145892077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}