Please enable JavaScript.

Coggle requires JavaScript to display documents.

Vesiculo-Bullous Lesions, Information obtained from General and Oral…

- - - - Primary Herpetic Gingivostomatitis
        Etiology: Commonly acquired during childhood and is often exaggerated response to initial exposure to Herpesvirus Type 1
        Transmission: Close contact such as kissing, sharing utensils, aerosols, and close living conditions. The virus lives in fluid filled sacks that are highly infectious upon bursting.
        Characteristics: Commonly found on and around the oral cavity. Fiery red, marginal gingivitis that effects all areas of dental arches. Multiple, small vesicular lesions appear on the gingiva, lips, tongue, oral mucosa, and occasionally perioral skin. After vesicles rupture they appear as ulcerations surrounded by erythema. Patients experience extreme pain, elevated temperatures, and malaise. Cervical lymphadenopathy and sore throat are common. Signs and symptoms may be more severe in adults.
        Dental implications: The clinical appearance and transmission are significant factors in diagnosis. Dental treatment should be postponed until the lesions have crusted over or healed as it is a highly infectious disease. Patient should be encouraged to stay hydrated.
        Treatment: Soft diet, non-acidic drinks, non-carbonated drinks, cold foods. Acyclovir administration during first few days can help. Oral antivirals are not helpful unless administered in the first three days of the infection.
        Prognosis: The lesions usually clear up on their own within 10-14 days, however the virus lays latent and recurrence is likely. Recurrence should not be as bad as the initial infection.
        Citation: DeLong, Burkhart, (2019). General and Oral Pathology for the Dental Hygienist. pgs 250-252.
      - Secondary or Recurrent Herpes Simplex
        Etiology: Recurrent infection caused by reactivation of latent HSV-1 virus. Reactivation can be due to stress, compromised immune system, cold, fever, sunburn, trauma, pregnancy, infection, debilitation, menstruation, systemic disease, and allergies.
        Transmission: Virus becomes reactivated, however it is active and can be spread.
        Characteristics: Localized, prodromal symptoms prior to appearance of vesicles. Symptoms such as itching, burning, tingling, warm tissue, or pain before vesicles appear. Clusters of vesicles along the vermilion boarder, perioral skin, or keratinized intraoral surfaces.
        Dental implications: When lesions are present, dental treatment should be postponed to prevent patient discomfort and spreading of the virus. Lesions need to be completely healed or crusted over before dental treatment.
        Treatment: Antiviral, topical ointments may reduce the duration on the outbreak. Penciclovir can be successful if used prior to outbreak. Patients can often recognize when an outbreak is about to occur. Patients should be advised to use a cotton tip applicator or gloves when applying topical to avoid spreading the virus.
        Prognosis: Typically resolves on it's own within 10-14 days.
        Citation: DeLong, Burkhart, (2019). General and Oral Pathology for the Dental Hygienist. pgs 252-253.