Oral ulceration Flashcards
Generally what 6 things might cause ulceration in the oral mucosa?
- Trauma
- Immunological
- Infections
- Gastrointestinal disease’s - Crohn’s , ulcerative colitis
What might have caused this ulceration?
Trauma from orthodontic appliances
What viral infections can cause ulceration in the oral mucosa?
- Herpes simplex virus
- Varicella zoster virus
What two types of oral ulceration is associated with Crohn’s disease?
- Apthous type ulcers
- Crohn’s specific ulcers
What is associated with apthous type ulcers in crohn’s disease?
- Haematinic deficiency
Describe 3 characteristics Crohn’s specific oral ulceration?
- Linear at the depth of the sulcus
- Associated with granulomas
- Persist for months - intalesional steroids help
What 3 types of ulcer margins?
- Flat
- Raised
- Rolled
What is a common type of ulceration?
Traumatic ulceration , usually single episode if cause is removed
When do traumatic ulcers usually heal?
Within 2 weeks
3 Characteristics of recurrent herpetic ulceration?
- limited to one nerve branch
- Often affects the hard palate
- Recurs in the same place
What would you use to treat a herpetic ulcers?
Aciclovir
A patient present with this type of ulceration with pain, what would be the cause ?
Reactivation of varicella zoster virus
What are the 4 forms of recurrent apthous ulceration?
- Major
- Minor
- Herpetiform
- oro-genital ulcer syndromes - Behcet’s syndrome
What is a general rule for diagnosing recurrent apthous ulcers?
- Recurrent self healing ulcers that only affects the non-keratinised mucosa
What are Aphthous ulcers ?
A type of oral ulceration that is immunologically generated that is recurrent can be associated with genetics and environmental factors