Introduction to Oral Ulceration Flashcards
what are trauma examples of oral ulceration?
biting lip, burn etc
what are infection examples of oral ulceration?
bacterial, fungal, VIRAL
what are immunological examples of oral ulceration?
aphthous ulcers, LICHEN PLANUS, lupus, vesiculobullous, erythema multiforme
what are gastrointestinal examples of oral ulceration?
crohns disease, ulcerative colitis
what are the 3 types of aphthous ulceration?
Minor
Major
Herpeteform
what are the main types of oral ulceration?
- aphthous ulceration
- lichen planus
- vesiculobullous lesions (pemphigoid, pemphigus, erythema multiforme)
- viral lesions - Herpes simplex
- trauma
- systemic disease (crohns)
what do crohns disease oral ulcers present as?
Mixture:
- aphthous type ulcers (usually haematinic associated)
- Crohns specific - full of crohns associated granulomas, persist for months
what taking a HISTORY for oral ulceration, what do you need to ask?
History:
Where?
Size & Shape?
Blister or ulcer?
How long for? [more than 2 wks?]
Recurrent? [same or different site]
Painful?
when EXAMINING an ulcer, what do you need to look at?
Margins [flat, raised, rolled?]
Base [soft, firm, hard]
Surrounding tissue [normal? inflamed?]
Systemic Illness?
what are some signs & symptoms of traumatic ulcerations?
- COMMON
- single episode, can be recurrent IF cause NOT REMOVED
- normal/abnormal epithelium
- healing (if cause removed, heals within 2 weeks)
where do RECURRENT herpetic lesions often present & what treatment is needed?
Often hard palate
systemic aciclovir
What is recurrent aphthous stomatitis (RAS)?
presence of small painful lesions present inside the mouth - recurring
what are the types of recurrent aphthous stomatitis lesions?
- minor
- major
- herpetiform
- behcet’s syndrome
How do you DIAGNOSE recurrent aphthous stomatitis? (RAS)
Diagnosed by History & Examination
