Evidence map›Paper›PMID 41293406›Full record

ArticleClinical case reports2025

Unusual White Plaques on the Tongue in a 37-Year-Old Male.

José Ramón García Iglesias, Pedro Diz-Dios, Jacobo Limeres-Posse, Márcio Diniz-Freitas

Abstract read
In one paragraph

Article in Clinical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

José Ramón García IglesiasMedical-Surgical Dentistry Research Group (OMEQUI), Health Research Institute of Santiago de Compostela (IDIS) University of Santiago de Compostela (USC) Santiago de Compostela Spain.
Pedro Diz-DiosMedical-Surgical Dentistry Research Group (OMEQUI), Health Research Institute of Santiago de Compostela (IDIS) University of Santiago de Compostela (USC) Santiago de Compostela Spain.
Jacobo Limeres-PosseMedical-Surgical Dentistry Research Group (OMEQUI), Health Research Institute of Santiago de Compostela (IDIS) University of Santiago de Compostela (USC) Santiago de Compostela Spain.
Márcio Diniz-FreitasMedical-Surgical Dentistry Research Group (OMEQUI), Health Research Institute of Santiago de Compostela (IDIS) University of Santiago de Compostela (USC) Santiago de Compostela Spain.ORCID https://orcid.org/0000-0001-5349-1091

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Frictional keratosis is a benign reactive condition of the oral mucosa resulting from chronic mechanical irritation. This case report describes a 37-year-old male presenting with asymptomatic, bilateral, non-removable white plaques on the lateral borders of the tongue. Clinical examination, medical history, and lesion morphology ruled out infectious and neoplastic conditions, leading to a provisional diagnosis of frictional keratosis associated with the use of orthodontic clear aligners. Discontinuation of aligner use resulted in complete lesion resolution within 21 days, confirming the diagnosis without the need for invasive diagnostic procedures. This case highlights the importance of recognizing orthodontic appliances, particularly clear aligners, as potential sources of frictional trauma. Prompt identification and elimination of the irritant are essential to avoid unnecessary interventions. To the best of our knowledge, this is the first reported case of frictional keratosis linked to orthodontic clear aligners.

Indexed as

clear alignersoral pathologyorthodonticswhite plaques

Identifiers

PMID41293406
PMCPMC12640782

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.