** 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

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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