1 / 9

APTHOUS ULCER

APTHOUS ULCER. BY DR. MANISHA MISHRA. Apthous ulcer is characterised by development of painful recurring solitary or multiple ulcerations of the oral mucosa. Etiology: Bacterial infections : Streptococcus sanguis Immunological abnormalities Iron,VitaminB12 or folic acid deficiency.

gallagher-haren
Télécharger la présentation

APTHOUS ULCER

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. APTHOUS ULCER BY DR. MANISHA MISHRA

  2. Apthous ulcer is characterised by development of painful recurring solitary or multiple ulcerations of the oral mucosa. • Etiology: • Bacterial infections : Streptococcus sanguis • Immunological abnormalities • Iron,VitaminB12 or folic acid deficiency

  3. Precipitating factors: • Trauma : Due to self inflicted bites,Oral surgical procedures like extractions and tooth brushing • Endocrine conditions : Pregnancy and premenstrual period • Psychic factors • Food and drug Allergies

  4. Types of Apthous ulcer 1.Recurrent Apthous minor : • It is frequent in women than men • Onset : 10-30 years • Frequency of outbreaks : 1 or more attacks in a year and in some 1 in a month also and every attack may be of prolong periods • Some patients may never be free of this lesions • There may be generalisedoedema of the oral cavity , low grade fever , localisedlymphadenopathy • No. of lesions: Exceeds 100 but usually more than 6

  5. Size:2-3mm to more than 10mm • Sites : Buccal and labial mucosa , Buccal and lingual sulci , Soft palate and tongue , Pharynx and gingiva • Ulcers persists for 7-14 days and then heal gradually with little or no evidence of scarring • It begins as a single or multiple erosions,superficial erosions covered by a gray membrane and has a well circumscribed margin.

  6. 2.Recurrent abscess major • Females are more commonly affected • Occur at any age group • These are large painful ulcers • No. 1-20 • Size:>10mm • Sites:Lips,cheeks,tongue,soft palate • This lesions persists upto 6 weeks and leave a scars upon healing

  7. 3.Recurrent herptiform ulcers • It is similar to herpes simplex infection but virus is not found • These are characterised by crops of multiple small shallow ulcers, often upto 100 in number • Can occur at any site of oral cavity • Numerous small lesions may be found on any intraoral mucosal surface • Lesions begins as small pin-head size erosions that gradually enlarge and collaese • Lesions are more painful • This lesions could be present almost continuously for upto 1-2 years with relatively short remissions • 2% tetracycline mouthwash may relief pain

  8. 4.Behcet’s Syndrome • Etiology : Unknown • Age : 10-45 years • It is 5-10 times more common in males • Lesions is very painful • Size : Several mm to cm or even more in diameters

  9. Treatment of Apthous ulcres: • Vitamin supplements : VitB12,Iron and Folic acid • Metronidazole 400mg PO TDS for 5 days • Removal of the decayed tooth • Mouthwash: 2%tetracycline or 0.2% Chlorhexidine 3-4 times for 7 days.

More Related