Module 4 oral infections

Question 1

oral bacterial infections lead to

Answer 1

periodontitis
gingivitis
linked to systemic disease
- CV disease
- DM

Question 2

Candida albicans

Answer 2

most common fungus to infect mouth
- overgrowth of C. albicans: normal flora of GI tract

Question 3

pt susceptible to thrush

Answer 3

immunocompromised
denture wearers
DM
UC
crohn’s disease
gluten sensitivity
poor oral hygiene
inhaled steroid use

Question 4

Aphthous ulcers

Answer 4

Canker sores
- shallow painful, lesions of the oral mucosa

Question 5

Susceptible to aphthous ulcers

Answer 5

UC
Crohn’s
gluten sensitivity

Question 6

Stomatitis

Answer 6

inflammation of the soft tissues of the oral cavity
- chemical injury
- heat injury
- topical aspirin
- burns from hot food/liquid
- oral rinses
- dental products (dentures)
- nicotine abuse
- poor hygiene

Question 7

gingivitis

Answer 7

associated with bacterial overgrowth in people with poor oral hygiene
-> tooth and bone loss
- Assoc. with coronary heart disease, atherosclerosis, stroke

Question 8

herpes simplex s/s

Answer 8

localized pain, tingling, burning with erythema
followed by eruption of vesicles that evolve into painful ulcerative lesions

Question 9

lesions of HSV clinical manifestations

Answer 9

vesicular with erythematous base
may coalesce and ulcerate before healing
- triggered by: fever, stress, exposure to sun

Question 10

HPV clinical manifestation

Answer 10

painless, white, verrucous lesions individually or in clusters
- lips
- hard palate
- gingiva
may become ulcerative in response to trauma

Question 11

candida infection clinical manifestation

Answer 11

white, cottage cheese-like lesions that are easily removed with a swab
- may bleed after manipulation

Question 12

gingivitis clinical manifestation

Answer 12

• inflammation of the gingiva
• areas of ulceration with our without purulent discharge
  bleeding with eating or oral care

Question 13

apththous ulcers clinical manifestation

Answer 13

painful, shallow ulcerations
burning or pricking of mucosa
gray-yellow, pseudomembranous base surrounded by erythema

Question 14

HSV management

Answer 14

topical applications
- zinc oxide
- zinc suphate
antiviral ointment or oral antiviral
anesthetic creams
hydration
analgesic
antipyretics

Question 15

HPV management

Answer 15

surgical excision
HPV vaccine (doesnt target oral HPV, but has shown to dec. number)

Question 16

Thrush management

Answer 16

antifungal agents
- nystatin oral suspension
- nystatin powder: dentures
- creams under dental appliances
troches
recurrent thrush: check for DM

Question 17

gingivitis management

Answer 17

good oral hygiene

Question 18

aphthous stomatitis management

Answer 18

symptomatic relief
topical steroids
steroid mouth rinse

Question 19

oral HSV complications

Answer 19

in immunosuppressed
- lead to widespread systemic infection

Question 20

Gingivitis complications

Answer 20

long-term inattention to oral hygiene
-> periodontitis, tooth loss

Question 21

HPV complications

Answer 21

oropharyngeal cancers