BDS3 Oral Medicine Flashcards
What is primary herpetic gingivostomatitis and what is it caused by?
Acute infectious disease
Herpes simplex virus 1
What are some signs and symptoms of primary herpetic gingivostomatitis?
Fluid filled vesicles - rupture to form painful ragged ulcers on gingivae, tongue, lips, buccal and palatal mucosa
Severe oedematous marginal gingivitis
Fever
Headache
General discomfort/ unwell
Swollen neck lymph nodes
What is the most common complication of primary herpetic gingivostomatitis?
Dehydration
What is the treatment for primary herpetic gingivostomatitis?
Bed rest
Soft diet/ hydration
Paracetamol
Antimicrobial gel/ mouthwash
Acyclover - anti-viral medication used for herpes simplex (only if child is immunosuppresed)
What is the recurrent disease of primary herpetic gingivostomatitis?
Herpes labialis - cold sores
managed with topical acyclovir cream
What diseases does the coxsackie A virus cause?
Herpangina
AND
Hand, foot and mouth disease
What is the sign/ symptom for herpangina and how long does it last?
Vesicles in the tonsillar/ pharyngeal region
7-10 days
What are the signs of hand, foot and mouth disease and how long does it last?
Ulceration on soft tissues of the mouth
Maculopapular rash on the hands and feet
7-10 days
What are some causes of oral ulceration?
Infection
Immune mediated disorders - chron’s, coeliac
Vesiculobullous disorders
Trauma
Vitamin deficiencies
Immunodeficiency disorders
What is the common cause of ulceration in children?
RAU - recurrent apthous ulceration (canker sores)
How should you manage canker sores/ RAU?
Prevention of superinfection - corsodyl 0.2% mouthwash
Protect healing ulcers - hyaluronate gel/ mouthwash (hyaluronate)
Symptomatic relief - Difflam and local anaesthetic spray
What are some clinical features of OFG?
Lip swelling - most common
cobblestone appearance of buccal mucosa
Full thickness gingival swelling
Linear oral ulceration
Angular cheilitis
What does geographical tongue look like?
Shiny red areas on the tongue with loss of filiform papillae surrounded by white margins.
What is the cause of geographical tongue?
Idiopathic
How do you manage geographical tongue?
Bland food during flare-ups
(discomfort more likely with spicy food/ citrus food/ juice)
What are epulides?
Common solid swellings of the oral mucosa
Benign hyperplastic lesions
3 main types:
Fibrous epulis
Pyogenic granuloma
Peripheral giant cell granuloma
What is a congenital epulis and in what group is it most likely to occur?
Rare lesion
Granular cells covered in epithelium most commonly affecting anterior maxilla
Occurs in neonates
F>M
Excision is curative
What is a mucocele?
A mucocele is a benign, mucus-containing cystic lesion of the MINOR salivary glands
Most are in lower lip
What are the 2 types of mucocele and which is more common?
Mucous extravasation cyst - more common - secretions rupture into adjacent tissue
Mucous retention cyst - secretions retained in an expanded duct
What is a ranula?
Mucocele in FOM
Can be from minor salivary glands or ducts of sublingual/ submandibular gland
