Swelling of the mucous cheeks

May be absent. Edema, discoloration of the mucous membrane of the oral cavity is revealed by the dentist Discomfort in the oral cavity, swelling of the tongue, sensation of an increase in the tongue, biting of the mucous membrane of the cheeks, tongue

Minor changes in the oral cavity with a mildcourse of the disease (hypertension, atherosclerosis, etc.) Disturbance of hemodynamics in the capillary network, peripheral circulation disorder, increased vascular-tissue permeability

158 6.1. Changes in the oral mucosa in cardiovascular diseases

Burning sensation, pain when eating irritating food. Hyperemia of the oral mucosa (cheeks, tongue)

Hyperemia of the mucosa, cyanosis caused bya violation of microcirculation, an increase in the level of histamine and other biologically active substances (kinin, acetylcholine, etc.), which contribute to the appearance of pain. With a large focal heart attack in the first days of the disease is determined by a violation of the integrity of the language (cracks, small erosion). The basis of vascular disorders in myocardial infarction are interrelated factors: hemodynamic, humoral and neural-reflex

Children's infections, frequent sore throats, OR-VI,rheumatic heart disease, hypertension, stress, violations of the working and rest regime, bad habits (smoking, drinking alcohol, drugs). Mostly middle-aged and elderly people are ill. The increase in the edema of the mucosa, the color dysfunction are associated with the progression of diseases of the cardiovascular system, the development of insufficiency, the state of decompensation

Children's infections reduce overall resistanceorganism, adversely affect the condition of blood vessels. Stressful situations, physical and nervous overstrain create conditions for the development of pathology of the cardiovascular system. Harmful habits contribute to the progression of cardiovascular diseases. Important hereditary predisposition, accompanying diseases (diabetes, thyrotoxicosis, etc.) Irregular treatment, nervous overexertion, bad habits contribute to the exacerbation and progression of hypertension and other diseases of the cardiovascular system. There are growing phenomena of peripheral circulatory disorders, the level of histamine increases, histamine activity decreases, other biochemical changes occur

Inspection visual inspectionexamination of the oral cavity - dentition, periodontiumexamination of the oral mucosa

With cardiovascular failure, cyanosislips and adjacent areas of the skin Defects of the dentition, carious teeth, chronic periodontitis Edema of the mucous membrane of the cheeks, lateral surfaces of the tongue, teeth impressions. Hyperemia of the oral mucosa, language with the phenomena of edema in persons suffering from cardiovascular insufficiency. Atherosclerosis, the mucous membrane is pale, clearly vascular pattern of palatine arches and soft palate

Consequence of circulatory failure andhypoxia Contribute to oral infection, predispose to certain diseases of the cardiovascular system (endocarditis, etc.). Sharp edges of the teeth cause mechanical trauma of the edematous mucosa of the oral cavity. Expressed hemodynamic disorders, circulatory disorders. Consequence of microcirculatory disorders with stagnation phenomena in the capillary bed, an increase in the level of histamine and other biologically active substances (bradykinin, etc.). Severity of atherosclerotic changes in blood vessels, ischemia, venous stagnation depends on the duration and severity of the disease

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

DIFFERENTIAL DIAGNOSTICS OF THE LIVING STATE

And changes in the color of the mucous membrane of the oral cavity

Severe pain when eating, difficulty in speech Erosion, ulcers in the mouth (tongue, mucous membrane of cheeks, etc.). Shortness of breath, swelling of feet Unpleasant odor from the mouth

Observed with cardiovascularinsufficiency. Pain is the result of irritation of nerve fibers, disruption of the integrity of the mucosa of the oral cavity. Erosion, trophic ulcers due to violation of peripheral circulation, trophic disorders, reduction of the barrier function of the oral mucosa. Corrosion of necrotic masses, reproduction of anaerobic flora. The severity of the changes depends on the severity and duration of the disease (cardiovascular failure in the stage of decompensation)

Insufficiency of the cardiovascular systemusually precede hypertension, atherosclerosis, heart defects, etc. Inadequate treatment, eating disorders (acute, fatty, high-calorie diet), alcohol abuse, psycho-emotional stress, etc.

Creates conditions for the violation of the general and peripheral blood supply, the progression of hemodynamic, metabolic disorders, which leads to trophic changes in the oral mucosa

6.1. Changes in the oral mucosa in cardiovascular diseases


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in childhood, slowly increases insize. Cyanotic complexion of soft consistency: a symptom of filling (increase in size when the head is tilted) and compression (whitening of the formation when pressing) is noted. The basis is the growth of newly formed capillaries and arterioles intertwined with each other and connective tissue. The mechanism of hemangioma formation is different. With vesicoureteral syndrome occurs suddenly, is opened with the formation of erosion, which is rapidly epithelialized

The appearance of blisters on the mucosa

With pemphigus, bubbles may appear

shell of the mouth,

on the skin. Bubbles with a thin tire,

mostly middle-

my transparent, then becomes turbid. The pause-

old age

not single, intraepithelialas a result of acantholysis. Bubbles in the mouth quickly open. Nikolsky's symptom is positive. The general condition (cachexia, exhaustion, intoxication) is disturbed. In the cytological study - acantholytic cells. The flow is long

With bullous pemphigoid there are non-