-
** handout ^0^
Common oral lesions in children
( 4 )
Aphthous stomatitis Primary herpetic gingivostomatitis Recurrent
herpes simplex infection Oral candidiasis Chapped or cracked lips
Benign migratory glossitis (Geographic tongue) Perioral impetigo
ANUG
Groups of lesions 4 1. Developmental anomalies and variations of
the soft tissues 2. Benign mucosal surface lesions
1) White lesions 2) Pigmented lesions 3) Red and ulcerated
lesions
3. Benign submucosal exophytic lesion 4. Cysts and pseudocysts
of soft tissues 1. Developmental anomalies and variations of the
soft tissues
1.1. Congenital epulis
Age : ()
Clinical finding : - nodule alveolar ridge
:
PEDOII 9 Common oral lesions in children . 12/07/2013
14.00-15.00
Filmy Lunlita :) Wa Sarunya :)
-
1.2. Dental lamina cysts (Bohns nodules)
Age : () Clinical finding : alveolar ridge nodule
dental lamina remnants degenerate
:
1.3. Teething ( )
Age : 4-10 Clinical finding :
:
1.4. Pericoronitis
Age : 1st and 2nd decades Clinical finding : 6-7 operculum
trauma inflame
: inflam antibiotic
irrigate
operculectomy
interfere ()
-
1.5. Fordyce granules
Age : 1st and 2nd decades
Clinical finding : buccal and labial mucosa
:
1.6. Retrocuspid papilla
Age : 1st and 2nd decades (most < 10 yrs)
Clinical finding : lingual canine nodule surface
: variation(/)
1.7. Fissured tongue
Age : 1st and 2nd decades Clinical finding : groove lesion
plaque
inflame
:
1.8. Partial ankyloglossia
Age : at birth Clinical finding : Short lingual frenum or
anterior attachment of frenum to tip of
tongue (ventral surface of tongue), may interfere speech [.
handout ]
: surgery /
-
speech therapy
lingual frenum
>>
frenectomy
1.9. Hypertrophied labial frenum
Age : 1st and 2nd decades Clinical finding : labial frenum
lingual papilla : alveolar
diastema central incisor
diastema
alveolar frenum
supernumerary tooth
x-rays
labial frenum lingual papilla
diastema
frenum central incisors frenectomy
2. Benign mucosal surface lesions 3
2.1) White lesions
2.2) Pigmented lesions
2.3) Red and ulcerated lesions
-
2.1) White lesions
2.1.1) Focal hyperkeratosis
Age : 1st and 2nd decades Clinical finding :
buccal
labial mucosa lateral tongue
: remove
2.1.2) Candidiasis
Age : 1st and 2nd decades Clinical finding :
patch
Candida on Antibiotic/steroid Xerostomia
oral hygiene immune
immune HIV Candida
: underlying disease underlying disease antifungal
Pseudomembranous candidiasis
oral hygiene irritate antifungal
Pseudomembranous candidiasis erythematous type patch
Antibiotic Steroid Xerostomia appliance immune AIDS
underlying disease underlying disease antifungal 14
-
slide
Systermic antifungal Fluconazole, Ketoconazole
Topical antifungal Nystatin oral suspension, Clotrimazole
2.1.3) Geographic tongue ()
Age : 1st and 2nd decades, esp. young child Clinical finding :
erosion loss of filiform papilla
: underlying disease infection
2.2) Pigmented lesions
2.2.1) Physiologic pigmentation
Age : 1st and 2nd decades
Clinical finding : patch symmetry smooth attach
gingival
: laser pigment
gummy smile attach gingival
laser depigment
2.2.2) Amalgam or graphite tattoos
Age : 1st and 2nd decades Clinical finding : patch
irregular margin, smooth surface
: Laser
-
2.3) Red and ulcerated lesions
2.3.1) Traumatic ulcer
Clinical finding : prevention
irritate
plate
:
2.3.2) Burn
Clinical finding : Burn gauze
Burn Topical gel
burn
leak rubber dam primer
burn
Burn handpiece impact
burn
2.3.3) Aphthous ulcer
, , tissue trauma
minor, major herpetiform lesion
: Kenalog(Triamcinolone acetonide) systemic
concept oral rinse(Chlorhexidine)
sore mouth Triamcinolone acetonide
-
2.3.4) Primary herpetic gingivostomatitis (HSV-1)
Age : 1st decades O_o 7
Clinical finding : rupture(/)
: 10-14
Topical antiviral .
plaque 2
underlying disease systemic antiviral
2.3.5) Recurrent herpes simplex infection
Clinical finding : vesicle
burning sensation
vesicle
induce
: Topical antiviral
-
2.3.6) Hand-foot-mouth disease
Clinical finding : lesion -- vesicle Coxakie virus,
Enterovirus
: underlying disease
2.3.7) Angular cheilitis
Age : 1st and 2nd decades VD loss
Clinical finding : deep fissure infection
: lubricant infection
2.3.8) Cheilitis/Cracked/Chapped lip
Age : 5
Clinical finding : fissure
: lubricant
2.3.9) Impetigo
Age : 1st and 2nd decades VD loss
Clinical finding : S. Aureus, Strep. Pyogenes
hygiene
: antimicrobial
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3. Benign submucosal exophytic lesion 3.1. Soft tissue
abscess
Age : () Clinical finding : nodule
pus exudate
Location : gingival and alveolar mucosa : lesion
lesion pulpectomy
3.2. Traumatic fibroma
Age : 1st and 2nd decades Clinical finding : irritate
fibroma
Location : Buccal and labial mucosa and lateral border of
tongue
: biopsy
4. Cysts and pseudocysts of soft tissues 4.1. Eruption cyst
Age : 1st and 2nd decades
Clinical finding : dome shape alveolar Location : alveolar
mucosa :
4.2. Mucocele (mucous retention cyst)
Age : 1st and 2nd decades Clinical finding : Location : Lower
labial mucosa, buccal mucosa
: remove recurrent surface excision
marsupialization
-
4.3. Ranula ()
mucocele floor of mouth
4.4. Mumps ()
Clinical finding : . .
.
4 variation
^=^ ^0^ ** oral disease ^^
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