A 40-year-old female with unremarkable medical history was examined at our department because of an asymptomatic mucosal alteration on the posterior, right side of the hard palate. The alteration was red/brown and located near the maxillary tuberosity (Fig. 1).
A seemingly uncomplicated punch biopsy was performed, with oral melanin hyperpigmentation as the histological diagnosis. Treatment consisted of the use of chlorhexidine gel twice daily and paracetamol per os.
Healing was confirmed one month later. It was noted that the patient had a bilateral prominent bony ridge, medial to the dental arch, extending posteriorly to the maxillary tuberosity. The mucosa at the site of the biopsy was very thin.
In retrospect, we would have preferred a scalpel for a thinner and longer biopsy, instead of a circular biopsy punch with a diameter of 5 mm.
The Conservative treatment strategy as presented here should be regarded as the primary option. However, in cases with increasing pain or increasing bone exposure, surgery is required to reduce the amount of bone exposure and to facilitate faster mucosal coverage.
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Dentist at west coast – Our Profile
Ginza Dental Surgery was opened on 1st Oct 1993 at Ginza Plaza, Clementi. We moved to Blk 612 Clementi West St 1 # 01-298 on 1st March 2007 so as to position ourselves closer to our patients in the West Coast heartlands.
Dr. Tan Boon Eng
Dr. Tan Boon Eng graduated in 1990 from the National University of Singapore (NUS). Her first appointment was under the Singapore General Hospital as a Dental Officer. After a short stint, she joined the Institute of Dental Health (IDH) for 2 years from 1990-1991 under the School Dental Services department.
Following on, she joined a private practice for 2 years from 1991-1993. She decided to open Ginza Dental Surgery in 1993 to better serve the needs of her patients.
In 1997, Dr. Tan also completed her Orthodontic Progressive Seminar course.