Please enable JavaScript.
Coggle requires JavaScript to display documents.
Oral Pathology (Management (Idiopathic/Stress/Defiencies (Lichen Planus…
Oral Pathology
Management
Viral
HSV
-
-
Hepes Labalis
Multiple vesicles (which appear 1x1mm diameter) can be seen on the lower lip (to the left of the mid-line), and they appear to have a yellow-white colouration with an erythematous border.

Tx: Acyclovir - cream (5%) or systemic PO (800mg x5daily 5-7 days)
HZV (Shingles) + Human Papilloma Virus (Sqamous pailloma) Tx: Acyclovir - cream (5%) or systemic PO (800mg x5daily 5-7 days) + Analgesics (PCT + NSAIDS)
-
Bacterial
Sialadentitis
pus coming out of the parotid duct as a result of infection in the gland
NUG
There is blunting of the interdental papilla, with these papillae appearing to be lost in some regions. There is a white pseudo-membrane of both the upper and lower gingiva below the above the gingival margins. There is some sloughing of the tissues, particularly in the lower arch.

Tx: Debridement, Rx 1.5% H2O2 or 0.12% CHX, OHI, Metronidazole 400mg and Analgesics
Fungal
Candidasis
Erythematous Candidosis
broad-spectrum antibiotics, inhaled steroids, and in patients with HIV or xerostomiahe oral mucosa is red, shiny and atrophic, and there may be co-existing areas of thrush. 
eliminate the cause, topical fungal preparations, CHX mouthwashTopical antifungals include – miconazole gel, amphotericin B lozenges
-
-
Angular Chelitis
a combined staphylococcal, streptococcus and candidal infection, and is a chronic form of candidosis which involves the tissues at the angle of the mouth
Clinically, it presents as red, cracked, macerated skin at the angle of the mouth, often with a gold crust.

Tx: miconazole cream
Cutaneous Diseases
-
Pemphigus Vulgaris
lcerative lesion present on the bilateral buccal mucosa. Irregular in shape and size, with pseudomembranous and erythematous surrounding. Some areas appear raw and erosive.
Tx: topical corticosteriods --- systemic steriods if persists
Biopsy
Chronic ulcertaive lesion (unresolved after 2 weeks!?)
- lateral border/ventral aspect of tongue
- FOM
Incisional (suspected PMOD/OSCC)
- large lesions
- mixture of normal and suspect tissue
Excisional Biopsy (Non-Malignant & Small suspect lesions)
- lesions less than <1cm
- possibly definitive tx option
Clinical History
- Duration
- Site
- Onset
- Associated Symptoms
- no.
- fixed/mobile
- peduncilated/sessile
OSSC Presentation
- Assymetry
- Border
- Colour
- Diameter
- Elevation
-