Week 12 Flashcards
Aphthous ulcers mostly effect the
Non- keratinized tissue
(Buccal mucosa, labial mucosa, floor of the mouth, ventral side of the tongue, soft palate and posterior Oropharynx
Minor aphthous ulcers are most common of the 3 types they appear how
Yellowish-white surface with a halo of red
Minor aphthous ulcers contain a prodromal period of? Healing time ?
Prodromal period of 1-2 days
Healing time 7-10 days
Minor aphthous ulcers always occur less than __ ulcers at one time and can be up to 1cm in diameter
5
Minor aphthous ulcers occur mainly in __ portion of oral cavity
Anterior
Major aphthous ulcers is aka ?
It’s the largest of the three types, have the same appearance but they have ___ ___
Suttons disease
Irregular borders
Clients present with major aphthous ulcers suffer with if ___ for years. More common in __ portion of oral cavity
Chronically; posterior
What is the least common of the 3 types of aphthous ulcers? Very tiny from 1-2mm, gray white erosions that enlarge, anywhere from 10-100 lesions at any time. Healing will require?
Herpetiform aphthous ulcer
-topical application of liquid tetracycline
Aphthous ulcers are idiopathic and may be caused by
Viral infections or trauma
Female predilection of aphthous ulcers
20-29 years, non smokers
Affected by stress, physical or chemical changes, food sensitivities and genetic predisposition
There is no curative treatment of aphthous ulcers, what ways can we manage?
Avoid local traumatic precipitants
-lessen pain and duration of ulceration by suppressing the local immune system
-topical agents (corticosteroids, benzydamine, antimicrobials, Chlorhexidine gluconate
Major ulcers may cause
Scarring
Differential diagnosis: pemphigus vulgaris
Early phases may be characterized by oral lesions
Differential diagnosis: malignant ulcers
Doesn’t heal
Differential diagnosis: mononucleosis
Sometimes small superficial lesions
What is burning mouth syndrome?
Painful moderate to severe burning sensation in the tongue, lips, gingiva, palate, throat or throughout the mouth
The burning sensation in burning mouth syndrome usually begins ? Discuss severity through the day?
Begins in the morning and the severity increases throughout the day then decreases at night
Top 4 most common burning tongue symptoms
Strange taste sensations
Burning feeling at the back of the tongue
Overall oral discomfort
Increase in menopausal symptoms
Other burning tongue common symptoms
Dry mouth
Sore mouth
Itchy mouth
Sticky mouth
A tingling or numb sensation in the mouth or in the tip of the tongue
A metallic taste
Burning mouth syndrome can be found in individuals with local or systemic conditions such as
Diabetes
Xerostomia
Candidiasis
Acid reflux
Nutritional deficiency (B12, folate, iron)
Hormonal changes
Allergic reactions
Inflammatory process
Nerve damage
Poorly fitting dentures
Psychogenic or an idiopathic reaction
Up to what % of menopausal women experience burning mouth and tongue
40%
Clinical manifestations of burning mouth syndrome
Oral cavity may appear normal but burning or itching
-filiform papillae may be reduced
-if the tongue is very red and smooth then it is likely associated with a local or systemic cause (erythematous candidiasis)
Helpful tips for those experiencing burning mouth syndrome
Sip water frequently
Suck in ice
Avoid irritating substances like hot or spicy foods, alcohol, high acidic content
Chew sugarless gum
Brush dentures/ teeth with baking soda and water
Avoid alcohol and tobacco products
