Oral lesions diseases – therapeutic approaches and risk management.

The oral mucosa is subject to various influences – mechanical, physical, chemical, thermal, acute and chronic trauma, etc. All of these can lead to diseases with different clinical characteristics. Depending on the nature of the etiological factors, they are divided into primary (as a result of trauma, thermal effects, harmful habits, etc.) or secondary (as a result of systemic diseases, intake of various medications, allergies, toxicosis, etc.).

Therefore, diagnosing and treating aphthous lesions poses a challenge for every dentist. In many cases, the clinical presentation of the lesions is accompanied by manifestations of inflammation and its classic clinical symptoms. All of this can lead to difficulty in eating, swallowing, speaking, loss of taste, etc.

In many cases, the differential diagnosis of oral mucosal diseases is difficult. In the case of persistent aphthae, with a history of chronic use of cigarettes, alcohol and other harmful substances, the development of various neoplasms should also be considered.

Local therapy includes a number of hygienic, therapeutic and prophylactic measures. Such as the use of local protective agents, management of pain and discomfort, creation of favourable environment for healing, etc.

Adequate treatment and prevention approaches should lead to a faster recovery process, and hence to a better quality of life.

Making an accurate and correct diagnosis, as well as creating an adequate treatment plan, should be evidence-based. Everything said so far is the gateway to a successful treatment. Many of the listed challenges facing dental practitioners are also related to controlling and managing a number of risks.

The lecture discusses the risks associated with errors in making a correct and accurate diagnosis. It also presents different treatment approaches and the making of certain errors that can put the patient at risk. Risk management in these cases aims to prevent possible complications.

Prof. Rosen Kolarov

Prof. Dr. Rosen Kolarov was born on 10.06.1959 in Sofia. Graduated in 1984 at Faculty of Dental Medicine, Sofia. In 1984 and 1985 worked in the village of Dibich, region Shumen, as a dentist. From 1985 he is appointed as an assistant in dental surgery at the Faculty of Dental medicine in Sofia. Successively became senior and chief assistant. 

In 2007 became an associate professor in dental surgery and from 2014 – an associate professor in maxillofacial surgery in Medical University, Varna.

In 2008 was appointed as a professor in Medical University, Varna and in National Sports Academy “Vasil Levski”, Sofia.

In 2023, he was elected an Academician of BASA – Bulgarian Academy of Sciences and Arts.

He has four recognized specialties: Surgical Dentistry, Maxillofacial Surgery, General Dentistry and Social Medicine and Health Management.

From 2001 to 2015 is a Director of “Specialized hospital for active treatment in Maxillofacial surgery” EOOD – Sofia. 

In the period from 2008 to 2017, he was a national consultant in Maxillofacial Surgery.

From 2022 to 2023, he was an Executive Director of the Executive Agency Medical Supervision.

He currently teaches at the University of Varna and at National Sports Academy “Vasil Levski”, Sofia.

Author and co-author of more than 120 scientific publications, textbooks and manuals. He has been cited over 600 times. 

Until 2019 he has been a chairman of the management board of SOS Kinderdorf International in Bulgaria. 

Dr. Kolarov is a prominent artist-photographer and has over 90 participations in national and international exhibitions. He has more than 30 awards from Japan, USA, Macedonia, Serbia and others.

He has dozens of publications in the national and international press. His photographs are possessed by the Museum of press-photography in Oslo and the Pushkin State Museum of Fine Arts in Moscow.

Author of more than fifteen independent exhibitions displayed in Bulgaria, Austria, France and Poland.

He is the recipient of the statuette of the "Yanka Kyurkchieva" Academy of Photography for his contribution to the Bulgarian photography.