Publications by authors named "I van der Waal"

412 Publications

The term 'Proliferative verrucous leukoplakia' should be abandoned and this is why.

Oral Oncol 2021 Dec 9;123:105621. Epub 2021 Nov 9.

VU medical center Amsterdam, Oegstgeest, Netherlands. Electronic address:

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http://dx.doi.org/10.1016/j.oraloncology.2021.105621DOI Listing
December 2021

The role of the dentist in the diagnosis and management of patients with oral mucosal diseases.

Med Oral Patol Oral Cir Bucal 2021 Mar 1;26(2):e256-e260. Epub 2021 Mar 1.

Department of Oral and Maxillofacial Surgery and Oral Pathology VU University Medical Center P.O. Box 7057, 1007 MB Amsterdam, The Netherlands

Based on a few case reports of oral mucosal diseases a number of questions is raised about the role of dentists-general practitioners in the diagnostic procedure and management of patients with such diseases. For instance, are dentists prepared to prescribe topical corticosteroids and should dentists be taught how and when to take a biopsy? And how about palpation of the neck? A strong recommendation is made to take clinical pictures for proper documentation and, if needed, for telediagnostic procedures. Another issue relates to the communication between dentists and dental specialists when dealing with patients with oral diseases. In case of a patient suffering from burning mouth syndrome or any other type of chronic orofacial pain, the question is raised whether dentists-general practitioners are prepared to manage such patients. Furthermore, there is a call for structuring the collaboration between dentists-general practitioners and dental specialists, including oral and maxillofacial surgeons.
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http://dx.doi.org/10.4317/medoral.24465DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7980288PMC
March 2021

Professional diagnostic delay in osteosarcomas of the jaws.

Authors:
I van der Waal

Med Oral Patol Oral Cir Bucal 2020 Nov 1;25(6):e834-e837. Epub 2020 Nov 1.

Department of Oral and Maxillofacial Surgery/Pathology Amsterdam University Medical Center/ Academic Center for Dentistry (ACTA) P.O. Box 7057, 1007MB, Amsterdam, the Netherlands

A series of 20 consecutive patients with an osteosarcoma of the jaws has been evaluated with regard to possible professional diagnostic delay. When set at an arbitrarily chosen period beyond three months, professional delay occurred in 15 patients, the mean being 21 months and the median 11 months. In five of the 15 patients a wrong diagnosis has been rendered on the biopsy specimen, being fibrous dysplasia (2x), osteoma (2x) and, in case of palatomaxillary swelling, pleomorphic adenoma (1x). In the other ten patients the initial clinicoradiographic features were misleading and apparently not indicative of a malignancy, except for one patient in whom a distinct widening of the periodontal ligament, as expressed on a periapical film, has been overlooked or not properly interpreted. It has not been possible to assess the possible influence of the delayed diagnosis on the prognosis.
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http://dx.doi.org/10.4317/medoral.24334DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7648920PMC
November 2020

Oral leukoplakia; a proposal for simplification and consistency of the clinical classification and terminology.

Authors:
I van der Waal

Med Oral Patol Oral Cir Bucal 2019 Nov 1;24(6):e799-e803. Epub 2019 Nov 1.

Department of Oral and Maxillofacial Surgery and Oral Pathology VU University Medical Center P.O. Box 7057, 1007 MB Amsterdam, The Netherlands

There is a distinct lack of uniformity in the definitions and clinical terminologies related to oral leukoplakia and leukoplakialike lesions and disorders. Proposals have been put forward to subclassify leukoplakia into a homogeneous and a non-homogeneous type based on color only, being either predominantly white or mixed whiteand-red, respectively, irrespective of the texture of the lesion. In this proposal there is no need anymore to regard the poorly defined proliferative verrucous leukoplakia as a separate entity. Since keratosis is primarily a histopathological term, its clinical use is discouraged. Alternative terminology for these so-called keratotic lesions and disorders has been put forward. Finally, a suggestion has been made to rename the term hairy leukoplakia, being a well defined, not potentially malignant disorder particularly related to HIV-infection, into 'EBV-positive white lesion of the tongue (EBVposWLT).
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http://dx.doi.org/10.4317/medoral.23372DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6901141PMC
November 2019

Oral leukoplakia: A diagnostic challenge for clinicians and pathologists.

Oral Dis 2019 01 27;25(1):348-349. Epub 2018 Sep 27.

Department of Oral and Maxillofacial Surgery/Pathology, VU medical center/ACTA, Amsterdam, The Netherlands.

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http://dx.doi.org/10.1111/odi.12976DOI Listing
January 2019
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