Selected Disorders of Oral Mucosa - 3

By Dr. Vishaal Bhat on Wednesday, December 12, 2007 with 0 comments

Viral hepatitis is commonly accompanied with difficulties during opening a mouth and redness at the Stenon’s duct. Poliomyelitis acuta anterior shows a similar picture on the tongue as scarlet fever, a triangular pale area around the mouth, whitish spots on the boundary of the soft and hard palates and a triangular exanthema on the hard palate. Dermatophytic mucous inflammations, candidiases, are caused by infection of Candida (Monilia) albicans. Small white spots or coatings that can be originally easily wiped off, appear on the mucosa. They grow deeper later on and form tuberous aggregates. The danger of candidosis lays in a possibility of spreading the disease into other organs. Generalization of this disease represents a life threatening situation for a patient. Therapy is mostly local - rubbing of lesions with 2% solution of gentian violet and borax with glycerin. At the same time, high doses of vitamins B and C are administered. At serious cases, anti-mycotic drugs have to be administered generally. It is important to note that moniliasis can be induced by a long-term administration of antibiotics. Some oral mucosa inflammations originate on the basis of immune system disorders. One of them, stomatitis aphtosa recidivans, is currently proposed to be renamed to aphtosis minor. A small blister with an inflammatory rim that breaks soon and gets covered with fibrin, occurs on the mucosa. Before it outbursts, patients report an aura in the form of burning and tension of a particular place at the mucosa. A strong painfulness comes after an erosion appears. Patients usually have several aphtae inside their mouth at all times and undergo just short periods of rest. Aphtae never affect the hard palate mucosa, attached gingiva or lips vermilion.

Therapy: local rubbing with 5-10% solution of silver nitrate and gentian violet. Mouth washes with chamomile and salvia, sometimes with Framykoin, trypsin may be used locally. Good results have been achieved with Škach’s combination of three compounds: pyridoxine, folic acid and vitamin B12. Epithelization can be quickened by Solcoseryl.

Category: Oral Medicine Notes , Oral Pathology Notes



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