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Diagramatic representation of mucosal erosion (left), excoriation (center), and ulceration (right) Simplistic representation of the life cycle of mouth ulcers. An ulcer (/ ˈ ʌ l s ər /; from Latin ulcus, "ulcer, sore") [2] is a break in the skin or mucous membrane with loss of surface tissue and the disintegration and necrosis of epithelial tissue. [3]
Local trauma is also associated with aphthous stomatitis, and it is known that trauma can decrease the mucosal barrier. Trauma could occur during injections of local anesthetic in the mouth, or otherwise during dental treatments, frictional trauma from a sharp surface in the mouth such as broken tooth, or from tooth brushing. [9]
A diagnosis can be made from clinical signs and symptoms, and treatment consists of minimizing the discomfort of symptoms. [5] It can be differentiated from herpetic gingivostomatitis by the positioning of vesicles - in herpangina, they are typically found on the posterior oropharynx, as compared to gingivostomatitis where they are typically found on the anterior oropharynx and the mouth.
Treatment for angular cheilitis is typically based on the underlying causes along with the use of a barrier cream. [2] Frequently an antifungal and antibacterial cream is also tried. [ 2 ] Angular cheilitis is a fairly common problem, [ 2 ] with estimates that it affects 0.7% of the population. [ 3 ]
Stomatitis is inflammation of the mouth and lips. [1] It refers to any inflammatory process affecting the mucous membranes of the mouth and lips, with or without oral ulceration. [2] In its widest meaning, stomatitis can have a multitude of different causes and appearances.
An oral medicine or stomatology doctor/dentist (or stomatologist) has received additional specialized training and experience in the diagnosis and management of oral mucosal abnormalities (growths, ulcers, infection, allergies, immune-mediated and autoimmune disorders) including oral cancer, salivary gland disorders, temporomandibular disorders (e.g.: problems with the TMJ) and facial pain ...
Although mouth infections can present in many different ways, they are managed according to the same guiding principles - protect the airway, drain the abscess, and treat with antibiotics if necessary. Securing a patient's airway is the most important part of initial treatment because loss of airway is emergently life-threatening.
Clinically, it typically manifests as a tongue-localized ulcer (60 percent of lesions), though it can also affect the lip, palate, gingiva, vestibular mucosa, and floor of the mouth. RFD may not cause any symptoms or may occasionally be accompanied by pain. [3]