Edema of the oral mucosa

Edema is a consequence of an allergic reaction.

edema Allergic (medicamentous) stomatitis Flu Vitamin B ^ -deficit anemia

oral cavity Changes in color of mucous membrane Pain,burning and hyperemia of the oral mucosa Pain, burning sensation when eating; hyperemia of the oral mucosa Pain in the tongue and mucous membrane of the oral cavity. Foci of hyperemia on the mucous membrane of the tongue

actions of an immediate type. Often there is also swelling of the lips and other areas of the body. Edema disappears within a few hours or days of the oral cavity. Catarrhal or catarrhal hemorrhagic stomatitis develops 24-48 hours after taking the medication. Allergic reaction of delayed type. Pathological changes disappear after the drug is stopped. Catarrhal stomatitis develops during or after the flu. Characterized by the defeat of throat and soft palate; small hemorrhages Atrophy of the filiform papillae of the tongue, foci of hyperemia in the form of bands of various lengths on the dorsal surface of the tongue, the mucous membrane of the cheeks. In the future there is a sharp atrophy of the filiform and mushroom-shaped papillae (polished tongue of bright red color) - the glossitis of Möller-Gunther

Chapter 6. Changes in the mucous membrane of the mouth with certain systemic diseases and metabolic disorders

Erotic-ulcerative lesions of the oral mucosa

Painful erosion on various

Single erosive rashes after dissection

mucous membrane

small bubbles. The most frequent locale-

The destruction of the elements of the lesion is the mucosa of the hard palate, the border of the mucous membrane and skin. Provoking factors are hypothermia, stressful situations

Pain, burning in the mouth; ero-

Sharply painful aphthae round or oval

mucosal aphthae

Forms covered with fibrinous coating with rim

coma hyperemia. Localize in areas of the mucous membrane, normally not subjected to keratinization. The development cycle of aphthae is 5-10 days with subsequent epithelization without scar. In the etiology of chronic recurrent aphthous stomatitis along with infectious-allergic factors, great importance is attached to the pathology of the colon

Burning, less pain when taking

"Geographic language" is observed in children;

spicy and hot food. The centers of de-

the hereditary nature of the disease is possible.

In adults, the migrating form of de-

squamous glossitis. It is often combined with a folded tongue. The course of desquamative glossitis is prolonged, sometimes all life

The focus of atrophy of the filiform papillo-

Chronic inflammatory disease with ob-

language, desquamation; sometimes

unfolding of the desquamation focus in the form of a rhombus in

minor pain with

posterior part of dorsal surface of tongue

stimuli (smoking,

(in front of the papillate papillae). Lasts for years,

occurs asymptomatically, sometimes there is a burning sensation. Candida fungus is often detected. Isolate flat, papillomatous and tubercular forms. In the period of remission of peptic ulcer there is a decrease or disappearance of the outbreak


Treatment of all the changes described abovesuggests two main areas: treatment of an identified and diagnosed common disease in a gastroenterologist, therapist; treatment of lesions of the oral mucosa at the dentist.

A dentist must strictlyindividual, thorough sanitation of the oral cavity, reduce the infection of the oral cavity, restore normal chewing function using, in particular, prosthetics.

A thorough sanitation of the oral cavity provides for:

correction of individual hygiene and control ofthe quality of teeth cleaning; carrying out professional hygiene using ultrasonic devices; choice of hygiene products (toothbrushes, pastes, brushes, irrigators, etc.); treatment of caries, its complications; restoration of teeth;

removal of the destroyed teeth, roots not subject to use in orthopedic constructions; manufacturing of therapeutic, functional prostheses;

elimination of traumatic factors; the use of local symptomatic therapy includes: - anesthesia (a solution of lidocaine,

anesthetic suspension in peach oil

6.2. Changes in the mucosa of the oral cavity in gastrointestinal diseases

- antiseptic treatment of the mucosa
shell of the mouth (chlorhexidine,
dentofit, etc.);

- stimulation of epithelialization of erosion and
ulcers (gel, solcoseryl ointment, mundizal
gel, radevit ointment, sea buckthorn oil
etc.). Assign imudon as
immunostimulant inside vitamins
group B (Bь AT2. PP, B12. AT5 ) and micro

Drugs that normalize the intestinal flora, enzymes (bifidumbacterin, meksaz, abo-min, etc.) should be prescribed by the gastroenterologist after examination of the patient.

Patients with pathology of the gastrointestinal tract should be on a dispensary record with a gastroenterologist and dentist.

A 52-year-old patient turned to the dentist with complaints about the appearance of painful "sores" in his mouth.

In the anamnesis children's infections. For 10 years, he suffers from gastric ulcer. Periodically observed in the therapist, treatment is irregular. She smokes for many years, consumes alcoholic drinks moderately. About 2 years ago, during the peptic ulcer exacerbation, I felt pain in the tongue when smoking, taking hot and spicy food, I found "ulcers" in the tongue. He was treated with rinses with a solution of potassium permanganate.

When viewed externally without visible changes. The submandibular lymph nodes are not palpable. The mucous membrane is slightly moistened. On the dorsal surface of the tongue in the middle third, against the background of a dense plaque, there is a desquamation focus in the form of a red spot measuring 5.5x0.7 cm with uneven contours. The oral cavity is not sanitized, dental deposits, carious cavities in the teeth of 16, 37, 25, 26 teeth.

There are no prostheses. Free and attached gingiva is hyperemic, edematic, pockets 4-5 mm.

Establish a preliminary diagnosis, schedule a further examination and treatment of the patient.

1. Acute peptic ulcer disease
contribute to:

3) violation of diet;

2. Erosive-ulcerative lesions of the mucosa
shells are differentiated with:

1) acute herpetic stomatitis;

2) chronic recurrent aphthous stomatitis;

5) multiforme exudative erythema.

3. The encased language happens when: '

2) gastric ulcer;

3) atrophy of the filiform papillae.

4. In case of a strike in the language,

4) with red flat phallia.

5. Plaque in the language of chronic gastritis
is deleted:

6. When complaining about the metallic taste in
the mouth should be:

1) study of gastric secretion;

2) a clinical blood test;

3) determination of the magnitude of microcurrents.