ORAL ULCERATION Flashcards
How to describe intra oral lesions?
Site, surface, size, mobility, surface, consistency
Give examples of different types of intra oral lesions
Lumps, ulcers, erosions,, blisters, patches, pigmented lesions
How to describe different types of lumps:
Sesiles- have a wide base
Peduncalate-attached by a narrow pedicle
How to describe loss/ breakdown of mucosa:
Atrophy, erosion, ulcer
What is an ulcer?
pathological disintegration of the surface epithelium
Describing Ulcers
Cause
Appearance- margins, surface, surrounding mucosa
History
Location
Single/ multiple
Other features
Causes of ulcers
-Trauma
-inflammation
-Idiopathic
-
Different appearances ulcers can have:
Punched out
-Raised,rolled margins
soft surface, and underlying tissue
Firm/ indurated
Describing history of ulcers:
How long has it been present, more than 3 weeks?
Has it happened before-recurrent, spontaneously healing, persistent
How many
Associated symptoms-pain, bleeding, bad breath, sharp teeth/bone, dry mouth
PMH-anaemia, GI disease, diet, skin disease, medications, infections
List of differential diagnoses for traumatic ulcers:
Traumatic ulcers could be due to:
mechanical factors
radiation
chemical
thermal
List of differential diagnoses for ulcers:
IDIOPATHIC
recurrent apthous stomatitis-major, minor, herpetiform
List of differential diagnoses for ulcers:
DERMATOLOGICAL
-Lichen planus
-Vesiculobullous disease
Chronic discoid lupus erytematosis
List of differential diagnoses for ulcers:
ASSOCIATED WITH SYSTEMIC DISEASE
haemotological, Gastrointestinal, Behcets disease
List of differential diagnoses for ulcers:
INFECTIVE
Fungal/bacterial/viral
List of differential diagnoses for ulcers:
NEOPLASTIC
Squamous cell carcinoma
other malignancies
