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Case Reports
. 2014 Jun 2:2014:bcr2014204259.
doi: 10.1136/bcr-2014-204259.

Prosthetic rehabilitation of palatal perforation in a patient with 'syphilis: the great imitator'

Varsha Murthy  1 , Yuvraj Vaithilingam  2 , David Livingstone  1 , Ajay Pillai  3
Affiliations
Case Reports

Prosthetic rehabilitation of palatal perforation in a patient with 'syphilis: the great imitator'

Varsha Murthy et al. BMJ Case Rep. .

Abstract

Syphilis is a sexually transmissible disease caused by treponema palladium, a microaerophilic spirochete. Syphilis may progress from primary to tertiary stage if left unnoticed and untreated. Dentists should be vigilant and suspect sexually transmitted infections such as syphilis in the differential diagnosis of oral inflammatory or ulcerative lesions with palatal perforation. Moreover, it is imperative that dentists should have knowledge about its stages, characteristic features, oral presentation and prosthetic rehabilitation. This case report describes a case of tertiary syphilis with palatal perforation and the prosthetic rehabilitation of the defect with a prosthetic obturator.

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Figures

Figure 1
Figure 1
Palatal perforation.
Figure 2
Figure 2
Final impression of the defect.
Figure 3
Figure 3
Final cast with the defect and missing teeth.
Figure 4
Figure 4
Tissue surface of the obturator.
Figure 5
Figure 5
Intraoral view of the obturator with removable partial denture.
Figure 6
Figure 6
Lateral profile in occlusion.
See this image and copyright information in PMC

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