Key Clinical Message: Peripheral giant cell granuloma (PGCG) is a benign reactive exophytic oral lesion that originates from the periosteum or the periodontal ligament. It exclusively develops on the gingiva or alveolar mucosa. Hyperparathyroidism (HPT) is a possible etiology for its development. HPT is an endocrine disorder characterized by increased secretion of the parathyroid hormone (PTH). This case report describes a case of recurring PGCG in a patient diagnosed with secondary HPT after paraclinical assessment.

Background: Public university-affiliated dental clinics, in addition to their educational mission, provide general and specialized services to diverse populations at government-subsidized rates. Considering the importance of patient loyalty—and the factors influencing it, such as price, quality, and satisfaction—is crucial for the sustainable operation of these clinics. This study aimed to analyze the impact of price, quality, and satisfaction on patient loyalty in the dental clinic of a public university of medical sciences. Methods: This cross-sectional study was conducted at the dental clinic of Alborz University of Medical Sciences in Karaj, Iran, during 2023–2024. Data were collected from 190 participants using convenience sampling through four questionnaires: demographic information, perceived price and quality, patient satisfaction, and dental patient loyalty. Structural equation modeling (SEM) with PLS software was used for data analysis, and model fit indices (rms Theta, SRMR, and NFI) were employed to assess model quality. Additionally, relationships between variables were examined using SPSS version 22 with independent t-tests, ANOVA, chi-square tests, and Pearson’s correlation coefficient. Results: Price, as well as the combined effects of quality and satisfaction, significantly influenced patient loyalty ( P < 0.001). Furthermore, price had a significant effect on both quality and satisfaction ( P < 0.001). Analysis of demographic variables showed that dental services provided by faculty members—compared to those provided by students—were associated with higher patient loyalty ( P < 0.01). Conclusion: Patient loyalty in public university dental clinics is primarily driven by perceived service quality and satisfaction, with price serving as an important secondary factor. To enhance loyalty, clinic administrators should adopt integrated strategies that improve service quality (particularly through increased faculty supervision), optimize patient satisfaction, and maintain affordable pricing structures. These findings underscore the need for balanced attention to both clinical and non-clinical aspects of service delivery in academic dental settings.

Objectives: Giant cell granuloma is a local nonneoplastic lesion that is divided into two categories, based on its site of occurrence: Central and peripheral giant cell granuloma. Central giant cell granuloma is an intraosseous lesion that has a tendency to recure even in surgically treated cases. Several studies have proven that there is an association between different lesions clinical behavior and their histological features. The aim of this study was to evaluate the expression of AgNOR and Ki67 in lesions with and without recurrency.Material and Methods: Files and records of 35 patients who had been histologically diagnosed with central giant cell granuloma were investigated. Histological features were studied after performing AgNOR staining and Ki67 marker. The data were analyzed by chi‐square, Fisher, and T‐test.Results: Acquired data indicated that the count of AgNOR staining and Ki67 marker was significantly higher in lesions with recurrency than the lesions with no recurrency. The same results were attained from Ki67 intensity.Conclusion: The current study indicated that AgNOR staining and Ki67 marker have prognostic value in predicting recurrency of central giant cell granuloma lesions.

Oral candidiasis is the most common opportunistic fungal infection in patients undergoing head and neck radiotherapy (RT). The present study is aimed at provide the best treatment for patients undergoing RT by determining the characteristics of the Candida species in these patients and investigating the antifungal sensitivity patterns against eight available drugs according to the Clinical and Laboratory Standards Institute (CLSI). In this descriptive cross‐sectional study, 30 patients underwent head and neck RT. All patients were examined in three stages using oral and pharyngeal mucus swabs, and nystatin was prescribed for patients with symptoms of candidiasis infection. Subsequently, clinical fungal specimens were investigated by direct microscopy and culture and tested for sensitivity to antifungal drugs. MIC ₅₀ , MIC ₉₀ , and geometric mean MIC were calculated for each drug. Evidence of fungal colonization was observed in 17 specimens at various stages, with Candida albicans being the most frequently identified species. All tested Candida isolates were sensitive to nystatin and amphotericin B, whereas Trichosporon asahii showed intrinsic resistance to echinocandins (caspofungin, anidulafungin, and micafungin), and C. krusei exhibited the expected intrinsic resistance to fluconazole. The observed sensitivity of C. tropicalis to the tested antifungal drugs is based on a single isolate and should be considered descriptive rather than generalizable. Cases of C. albicans strains showed moderate or dose‐dependent susceptibility to itraconazole, voriconazole, and caspofungin. The isolate of T. asahii was only sensitive to nystatin and amphotericin B. According to the laboratory and clinical results, nystatin is recommended for most patients. Finally, it is better to prescribe the antifungal drugs in each center according to their reported sensitivity.