Афтозен стоматит - диференциална диагноза и подходи за лечение
Friday, 17 June 2022, 10:00 – 10:30
A large number of saprophytic and pathogenic microorganisms can be found in the oral cavity. A significant part of them pose the danger of the development of local infections, which can sometimes develop into systemic ones. Due to the open invasive nature of the procedures used in routine dental practice, the risk of infection is increased. It is important to know that danger is causes by diverse factors - both for the patient and for the treating specialist, for the staff, as well as for the coming patients.
The main channel of infection in dental practice is the direct contact with saliva or blood; the infection can also be transmitted by airborne pathogens, through exhaled air. The quantity and virulence of the microorganisms are important, as well as the state of the immune system of the patient and the dentist.
Oral lesions (erosions and ulcers) are common in the oropharyngeal mucosa. Although erosion is damage only to the mucosa, while ulcers affect lamina propria (ulcers are usually painful, covered with a whitish pseudomembrane surrounded by an inflammatory halo), often no distinction is made between the two lesions. Mouth lesions can be caused by various physical, chemical or infectious irritants, but can also be the result of immune or nutritional deficiency, systemic disease, or an allergic condition.
Aphthous lesions occur due to or during the evolution of vesicular-bullous lesions in the oral cavity. They consist of a diverse group of diseases, including hand-foot-mouth disease, herpangina, primary herpetic stomatitis, recurrent herpetic stomatitis, Ebstein-Barr virus infection, a cytomegalovirus infection and others.
We will focus on the manifestations in the oral cavity of these diseases, the general symptoms, patient complaints, differential diagnosis and possible treatment regimens.
The main channel of infection in dental practice is the direct contact with saliva or blood; the infection can also be transmitted by airborne pathogens, through exhaled air. The quantity and virulence of the microorganisms are important, as well as the state of the immune system of the patient and the dentist.
Oral lesions (erosions and ulcers) are common in the oropharyngeal mucosa. Although erosion is damage only to the mucosa, while ulcers affect lamina propria (ulcers are usually painful, covered with a whitish pseudomembrane surrounded by an inflammatory halo), often no distinction is made between the two lesions. Mouth lesions can be caused by various physical, chemical or infectious irritants, but can also be the result of immune or nutritional deficiency, systemic disease, or an allergic condition.
Aphthous lesions occur due to or during the evolution of vesicular-bullous lesions in the oral cavity. They consist of a diverse group of diseases, including hand-foot-mouth disease, herpangina, primary herpetic stomatitis, recurrent herpetic stomatitis, Ebstein-Barr virus infection, a cytomegalovirus infection and others.
We will focus on the manifestations in the oral cavity of these diseases, the general symptoms, patient complaints, differential diagnosis and possible treatment regimens.
