2 (J) Flashcards
small blister
“Vesiculo”
(VESICULOEROSIVE)
breakdown of
the outer layers of the
skin
“Erosive”
- An ongoing inflammatory condition that affects mucous membranes inside the mouth
- Commonly located inside of the cheeks
Oral Lichen Planus
- May appear as lacy, white, raised patches of tissue
- Red, swollen, tender patches of tissues
- Open sores
Oral Lichen Planus
- Immune disorder and genetic factors may be involved
- Possible that it may be triggered by certain medications, mouth injury, infection or allergy causing agents like dental materials
ORAL LICHEN PLANUS
ORAL LICHEN PLANUS
LOCATION:
- Inside of the cheeks (most common location)
- Gums
- Tongue
- Inner tissues of the
lips - Palate
ORAL LICHEN PLANUS
TREATMENT:
- Topical corticosteroid (cream or ointment to reduce swelling and redness
- Corticosteroid (Prednisone)
An acute condition which can affect the mouth, causing painful and widespread ulceration
ERYTHEMA MULTIFORME
The lips are often involved with ulceration and crusting
ERYTHEMA MULTIFORME
T/F
ERYTHEMA MULTIFORME
CAUSES:
- Thought to be caused by a hypersensitivity reaction or an over reaction of the immune system
- Possibly caused by specific medications
T
- Some patients notice mild flu-like symptoms prior to the development of skin or oral problems
- Ulceration in the mouth and lip
ERYTHEMA MULTIFORME
- Patches on the skin can be quite specific
- They can be called “target lesions” because they have the appearance of a target with rings of a paler skin surrounding a dark centre
ERYTHEMA MULTIFORME
ERYTHEMA MULTIFORME
TREATMENT:
- ANTISEPTICS: reduce the chances of secondary infection
- ANESTHETIC MOUTHWASH: numbs the mouth before eating or drinking and brushing teeth
- CORTICOSTEROIDS: aim to reduce the inflammation
- ANTIBIOTICS
- CHANGING MEDICATIONS
An ongoing inflammatory condition that affects mucous membranes inside the mouth
MUCOUS MEMBRANE
PEMPHIGOID/ PEMPHIGUs
T/F
MUCOUS MEMBRANE
PEMPHIGOID/ PEMPHIGUS is Commonly located inside of the cheeks
T
T/F
PEMPHIGUS
CAUSES:
- Autoimmune disease, which basically means that an individual’s immune system starts reacting against their own tissue
T
- Blisters form first on the gums near the teeth
- Palate, tongue, lips, buccal mucosa, floor of the mouth and throat may be affected
- Painful erosions and ulcers make it difficult to eat
MUCOUS MEMBRANE
PEMPHIGOID/ PEMPHIGUS
PEMPHIGUS
TREATMENT:
- Regular dental care including dental hygiene measures
- Topical steroid creams/ointments
- Intralesional steroid injections
- Topical cyclosporine rinse
meaning that
it affects the whole
body; hence the word
Systemic
believed to be a
form of autoimmune
type III hypersensitivity
reaction consequent to an
environmental trigger
SYSTEMIC LUPUS ERYTHEMATOSUS
Osseointegrated prosthesis may be indicated
SYSTEMIC LUPUS ERYTHEMATOSUS
patients with _____ are sometimes placed on blood-thinning medications because of the increased risk of stroke
SYSTEMIC LUPUS ERYTHEMATOSUS
chronic disorder
characterized by a
burning sensation of the
mouth without any
clinical abnormalities
Burning mouth
syndrome
- Majority of patients, the majority of whom are postmenopausal women.
- Has xerostomia
Burning mouth
syndrome
- The tongue is the most frequently affected
- It may also occur in the lips, buccal mucosa, and/or floor of the mouth
BURNING MOUTH SYNDROME
alterations in peripheral nerves
Neurogenic
CAUSES
- May be local (e.g Candidiasis, Geographic tongue, reactions to dental materials)
- May be systemic (nutritional deficiencies, hormonal disturbance, anemia, diabetes)
- Psychogenic (anxiety, depression)
- Neurogenic (alterations in peripheral nerves)
BURNING MOUTH SYNDROME
BURNING MOUTH SYNDROME
TREATMENT:
The management of BMS is usually palliative and not curative.
- Patient education and encouragement may be the best approaches to improve the patient’s quality of life
BURNING MOUTH SYNDROME
MANAGEMENT:
- To help ease the pain, you can sip a cold beverage, suck on ice chips or chew sugarless gum
- Avoid things that can irritate the mouth (e.g Tobacco, spicy foods)
T/ F
Burning mouth syndrome may last for months to years
- In rare cases, symptoms may suddenly go away on their own
T
Excess of diminished movement
a. Hyperkinetic
b. Hypokinetic
A
Excessive involuntary movements
a. Hyperkinetic
b. Hypokinetic
A
- Bruxism
- Dystonia
- Dyskinesia
a. Hyperkinetic
b. Hypokinetic
A
Not characterized by a lack of motor strength but rather a poverty
of movement
a. Hyperkinetic
b. Hypokinetic
B
Parkinson’s disease
a. Hyperkinetic
b. Hypokinetic
B
Happens during inserting of new dentures
A. Hypersalivation
B. Hyposalivation
A
Speculated that the dentures act as foreign bodies thereby stimulating salivary flow
A. Hypersalivation
B. Hyposalivation
A
angular cheilitis, oral candidiasis, dysphagia and difficulty wearing oral prostheses
A. Hypersalivation
B. Hyposalivation
B
Hypersalivation
Treatment:
- Regular
toothbrushing - Glycopyrrolate
- Scopolamine
- Botulinum toxin
Hyposalivation
Treatment:
-Sialogogues (e.g
Pilocarpine)
- Moisturizing
mouth spray
T/F
Sjogren’s syndrome is An autoimmune disorder
T
Most associated disorder
associated with
xerostomia
Sjogren’s
syndrome
Sjogren’s syndrome SYMPTOMS:
- Xerophthalmia (dry eyes)
- Xerostomia (dry mouth)
- Diabetes patients are at risk of infection and also have poorer healing potential
- Oral consequences include
hyposalivation,
candidiasis,
mucositis - However, it should be noted that many asymptomatic and satisfied denture wearers are controlled diabetics
Sjogren’s syndrome
- Diabetes patients are at risk of infection and also have poorer healing potential
- Oral consequences include
hyposalivation,
candidiasis,
mucositis - However, it should be noted that many asymptomatic and satisfied denture wearers are controlled diabetics
Sjogren’s syndrome
