Oral Conditions And Their Tx Flashcards
What are infectious lesions?
ANUG, Herpes Labialis, candidiasis, angular cheilitis, alveolar osteitis
What are immune reactions?
Recurrent aphthous ulcers, lichen planus,
Miscellaneous oral conditions
Geographic tongue and burning mouth syndrome or tongue syndrome
Inflammation reactions
Pericoronitis
ANUG is cause by which factors
Bacterial and environmental factors
Treatment of ANUG
OH and mouthwash
Meds used for ANUG
Non prescription for pain reliever
Rx antibiotics should only be used if the patient is immunosuppressed
(Infectious lesion)
Herpes labialis etiology
HSV 1 or HSV2
Initial occurrence of herpes labialis is the result of
Direct contact
Progression of herpes labialis
Flare: tiny blister on vermillion border of lip
7-10 days: self limiting ie. heals
Prescription antivirals for Herpes labialis
Acyclovir, famiclovir, and valacyclovir
Non rx for herpes labialis
Docasonol 10% (topical abreva)
Angular cheilitis treatment is geared towards
Secondary infection
Cheilitis can result from a
Vitamin b6, b2 deficiency
Treatment for severe candidiasis is? Mild?
Rx of fluconazole. Nystatin
Alveolar osteitis treatment
CHX, saline water rinses, debridement, placement of pack, analgesics, SPT
Recurrent aphthous stomatitis etiology?
Unknown.
Treatment for recurrent aphthous stomatitis
Corticosteroids, nutritional deficiencies, avoiding oral trauma
Treatment of lichen planus
Dependent on symptoms: good OH, elimination of irritation, avoidance of habits, smoking cessation
Treatment of geographic tongue
Avoid irritating food and alcohol
Causes of burning mouth or tongue syndrome
Local or systemic symptoms
Treatment of burning mouth syndrome
Tricyclics antidepressants
Pericoronitis treatment
Debridement with saline irrigation and rinses will help if the condition is observed early
To help with comfort of pericoronitis, these can be used
Analgesics
With pericoronitis infection can spread rapidly in these types of patients:
What treatments should be:
Debilitated patients.
Aggressive with antibiotics
Treatment of root sensitivity
Desensitizing toothpastes, fluoride, and amorphous calcium phosphate
Actinic lip changes are caused by
Long term exposure of the lip to the sun can cause irreversible actinic cheilitis
Actinic lip changes can be prevented through
The use of sunscreen
Treatment of actinic lip changes are
Topical 5-fluorouracil to promote sloughing
Fun fact:
Different lesions can be produced by the same drug
And different drugs can produce the same lesion
Drug induced oral side-effects are
Xerostomia, sialorrhea, hypersensitivity-type reactions
Treatment of xerostomia
Caries prevention, artificial saliva, home care, change in medication, pilocarpine, cevemeline HCl
Drugs that produce sialorrhea are
Pilocarpine
Hyper-immune responses triggered by
An antigenic component of the drug or its metabolites
Another type of hypersensitivity reactions are localized and are caused by -
And diffuse are caused by -
Localized: gum/candy
Diffuse: toothpaste
Oral lesions that resemble autoimmune-type reactions are:
Lichenoid-like eruptions, lupus-like eruptions, erythema multiforme-like lesion
Lichenoid like eruptions are induced by
Hydrochlorothiazide
Gingival enlargement can be caused by these drugs
Phenytoin, cyclosporine, calcium channel blockers, other anticonvulsants
Common agents used to treat oral lesions are
Corticosteroids and palliative treatment
Corticosteroids are used for
Inflammation or immune responses
Primarily these types of corticosteroids are used and if not effective these are used
Topical then systemic
Palliative treatment are to
Reduce pain, and topical and systemic may be used together for an additive effect
