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SUMMARYComparison has been made for startup and operating costs of mobile versus traditional dental practice. Economies in the mobile practice have been demonstrated. Some strategies were presented to help perpetuate those economies. Reimbursement mechanisms through Medicaid and Medicare were briefly examined in addition to present initiatives in health care reform. The financial aspects of mobile practice must be studied before implementation of this vital service so that the practitioner may be financially secure.

A clinical case of oral mucosal lichenoid reaction to sulfamethoxazole in a dental patient with complicating medical conditions is described. Although the relationship between oral mucosal lichenoid reaction and sulfa drugs has not been documented previously, the patient's lichenoid reaction corresponded with sulfamethoxazole use, and improved when the drug was discontinued. Reactions of this type should be monitored so that treatment and preventive measures may be instituted.