10 - Introduction to oral ulceration Flashcards
What are the common causes of oral ulceration?
5
- trauma
- immunological
- carcinoma
- infection
- GI
What history should be taken in relation to ulceration?
6
- where
- size and shape
- blister or ulcer
- how long for
- recurrent (same place or different)
- painful
What should be examined when looking at ulceration?
4
- margins (flat, raised, rolled)
- base (soft, firm, hard)
- surrounding tissue condition
- systemic symptoms
What are common causes of single episode oral ulceration?
4
- trauma
- 1st episode of recurrent oral ulceration
- primary viral infections
- oral SCC
What viruses commonly cause oral ulceration?
2
- coxsackie
- herpes
Describe the distribution of ulceration caused by herpes virus.
Follows innervation of mucosa by the trigeminal nerve
What are the common causes of recurrent oral ulceration?
6
- apthous
- lichen planus
- vesiculobullous lesions
- recurrent viral lesions
- trauma
- systemic disease
What are the types of recurrent aphthous stomatitis?
4
- minor
- major
- herpetiform
- Bechet’s syndrome
How do ulcers caused by Crohn’s disease present?
- linear at depth of sulcus
- crohns associated granulomas
- persist for months
How can you treat Crohn’s related ulceration?
Intralesional steroids
What is the management of an ulcer caused by trauma?
- remove cause
- should heal within 2 weeks
- if not healing, biopsy
Describe recurrent herpetic lesions.
- ulceration limited to one nerve branch (often hard palate)
- lesions recurrent in the same place and have prodromal period
- pain suggests zoster virus rather than simplex
How are recurrent herpetic lesions treated?
- treated with acyclovir
- prophylaxis if prodromal period recognised
Where are recurrent self healing ulcers found?
Non-keratinised mucosa (known as apthae)
Where are recurrent viral ulcers found?
Keratinised tissues
