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Rhinomaxillary
mucormycosis
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located in the periodontal tissue (gingival and alveolar bone) are rare. Most often, the clinical presentation is that of a non-healing extraction socket. Initial signs are non-specific necrotic ulcer, which later turns into a characteristic black necrotic lesion. A literature search was performed in PubMed/Medline database using the terms “periodontal
mucormycosis
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”, “rhinomaxillary
mucormycosis
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” and “gingival
mucormycosis
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”. A total of 35 research papers have been retrieved. Only
case
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reports in which
cases
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showed a periodontal or gingival presentation of
mucormycosis
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in the maxillary or mandibular arch were considered. A total of eleven
case
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reports were included in the manuscript, whose main characteristics have been summarized in table 2. None of these reported
cases
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had a history of
Covid-19
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.
Nagalli
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Cagalli
et. al. in 2021 published a systematic
review
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on “
Mucormycosis
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in
Covid-19
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” [6]. None of the
cases
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in their
review
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showed any gingival or periodontal clinical findings. Roden MM et al. 2005 conducted a
review
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of 929
cases
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of zygomycosis[8]. The
review
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showed that the fungal infection mainly occurred in the mean age group of 38.8 years with a higher prevalence seen in the males (65%) compared to females. Diabetes mellitus was the most common underlying condition seen in most
of
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the
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apply
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patients
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. 154
patients
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presented with a malignant neoplasm, among which 147 (95%) were having haematological malignancies.
However
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, Bonifaz A et al 2020 in their literature
review
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reported 11
cases
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of periodontal
mucormycosis
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. The common risk factor in 10 of the
patients
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was haematological malignancies and one was reported with diabetes[9]. In the present paper, the
first
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case
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had transient hyperglycemia due to steroids intake for
covid-19
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treatment, the
second
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case
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had controlled diabetes but had taken steroids for
covid-19
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treatment, which again lead to transient hyperglycemia during the treatment and the
third
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patient had uncontrolled diabetes and was not taking any medications for the same. The common risk factor in all three
patients
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was hyperglycemia during
Covid-19
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infection. All three
cases
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showed
mucormycosis
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presentation within two months of
Covid-19
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recovery.

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For we to consider an essay structure a great one, it should be looking like this:

  • Paragraph 1 - Introduction
    • Sentence 1 - Background statement
    • Sentence 2 - Detailed background statement
    • Sentence 3 - Thesis
    • Sentence 4 - Outline sentence
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    • Sentence 1 - Topic sentence
    • Sentence 2 - Example
    • Sentence 3 - Discussion
    • Sentence 4 - Conclusion
  • Paragraph 3 - Second supporting paragraph
    • Sentence 1 - Topic sentence
    • Sentence 2 - Example
    • Sentence 3 - Discussion
    • Sentence 4 - Conclusion
  • Paragraph 4 - Conclusion
    • Sentence 1 - Summary
    • Sentence 2 - Restatement of thesis
    • Sentence 3 - Prediction or recommendation

Our recommended essay structure above comprises of fifteen (15) sentences, which will make your essay approximately 250 to 275 words.

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