Oral disorders (exam 3) Flashcards
aphthous stomatitis
unknown cause
canker sores
aphthous stomatitis presentation
painful lesions on tongue, floor of mouth, soft palate, lips and cheeks
discomfort with eating and drinking
fever secondary to infection
heals after 5-14 days
nonpharmacologic treatment for aphthous stomatitis
resolve nutrient deficiency
diet changes
reduce stress
apply ice directly to lesions in 10 minute increments
pharmacological treatments for aphthous stomatitis
oral deriding and wound cleansing agents
topical oral anesthetic
topical oral protectant
oral rinses
systemic analgesics
oral debriding and wound cleansing agents
how old do patients have to be to use this?
carbamide peroxide 10%
hydrogen peroxide 1.5%
over 2 years
oral deriding and wound cleansing agents are not recommended to use over _____________ due to
7 days
soft tissue irritation, decalcification of enamel, overgrowth of organisms, cellular changes
topical oral anesthetic
how old do patients have to be to use this?
benzocaine
over 2 years
topical oral protectants can be used in patients over
5 years old
oral rinses can be used in patients over
12 years old
exclusions for treatment of aphthous stomatitis
lesions with underlying pathology
lesions over 14 days
frequently recurring lesions
systemic illness
failure of prior OTC treatment
for aphthous stomatitis, follow up in _________ and if no improvement, MD referral
7 days
herpes simplex labialis (cold sores) prodrome
tingling, itching, burning, numbness
herpes simplex labialis (cold sores) first lesion
small, red papules or fluid containing vesicles
herpes simplex labialis (cold sores) mature lesion
crust over the top of many burst vesicles (14 days)
nonpharmacologic treatment for herpes simplex labialis
clean lesions with mild soap
maintain lesions moist
avoid triggers to inhibit delay healing
