Oral Soft Tissue Diseases in Older Adults Flashcards
Most common infection involving oral tissues in older adults.
Fungal infections
Candida infections are variations of:
- Chronic
- Atrophic
- Pseudomembranous
- Hyperplastic
This type of candida has white plaques that are NOT removable.
Hyperplastic
The following can cause what?
- Antibiotics
- Immunosuppressive agents
- Cytotoxic medications
- Corticosteroids
- Diabetes
- HIV/AIDS
- Immune defects in cell-mediated immunity
Fungal infection/ opportunistic overgrowth of ubiquitous organisms.
This type of fungal infection has white patches that CAN be wiped off, to expose bleeding mucosa underneath.
Pseudomembranous
Example of erythematous/ atrophic fungal infection.
Median rhomboid glossitis
Causes of angular cheilitis
- Decreased vertical dimension
- Vitamin B deficiency
- Steroid use
Oral rinses and pastilles to treat Candida
ANC
Amphotericin B
Nystatin
Clotrimazole
Cream for candida
Nystatin
Clotrimazole
Miconazol
Oral systemic meds for candida
Azole antifungals
(Ketokonazole, Fluconazole, Itraconazole).
Have a higher index of suspicion when leukoplakia has these features.
1) Large or with erythroplakia
2) Verrucous or ulcerative
Caused by negative pressure on tissues.
Papillary hyperplasia
Lichen planus on mucosa looks _______.
Erosive
It’s not necessary to treat this form of lichen planus.
Non-symptomatic reticular form
Positive Nicholsky’s sign is seen in ______.
Cicatricial Pemphigoid
