Dentaltown September 2017 - 65
5
Pseudomembranous
candidiasis
This is the most
common form of
candidal infection,
often referred to as
"thrush." Symptoms are generally
mild. Presence of infection is dependent
on several factors, including host immune
status and the oral mucosal environment.
6
Mucocele
A mucocele is a common oral lesion
caused by a ruptured salivary gland duct.
The mucin then spills into the surrounding
soft tissues, forming a dome-shaped, fluctuant swelling.
It may increase
or decrease in
size. Mucoceles
are often caused
by trauma to the
site and, as such, the lower lip is a common
site of involvement. While some may
rupture and resolve on their own, most
require local surgical excision.
7
Leukoplakia
A leukoplakia is a descriptive term
for a white plaque or patch that cannot be
classified clinically or pathologically as any
other disease. It is, therefore, a diagnosis
of exclu sion.
Other disorders
that cause white
lesions must be
excluded before
declaring a lesion as leukoplakic.
This type of lesion may be premalignant. Therefore, a biopsy is necessary
to rule out other causes of keratosis and
to assess for the presence of epithelial
dysplasia. Leukoplakia can be characterized as thin, thick, homogenous,
nonhomogenous, granular, nodular or
verrucous. This particular lesion is a
homogenous leukoplakia.
8
Squamous cell carcinoma
Squamous cell carcinoma is the most
common type of oral malignancy. While
a single causative agent has not been
identified, risk factors include tobacco
and alcohol use. Squamous cell carcinoma
may also be preceded by a precancerous
lesion, such as
leukoplakia.
High-risk sites
are the tongue
a nd f lo or of
mouth. Early
detection is paramount. Prompt referral
to a head and neck surgeon is necessary
for a comprehensive diagnostic work-up
and treatment.
9
Recurrent herpes
simplex infection
This lesion is a result of reactivation of the
herpes simplex virus (HSV-1), which is
spread through
infected saliva
or active perior a l le s ion s .
Various triggers
can cause recurrent HSV, such as ultraviolet light, stress,
dental treatment, pregnancy, allergy,
trauma and menstruation. Prodromal
signs (e.g., burning, tingling, erythema,
itching) may occur before the lesion
develops. The vermilion border of the
lip and adjacent skin is a common site
of involvement. Intraoral mucosa can
also be affected, which involves the
keratinized mucosa (hard palate and
attached gingiva). ■
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dentaltown.com \\ SEPTEMBER 2017
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Table of Contents for the Digital Edition of Dentaltown September 2017
Dentaltown September 2017 - Intro
Dentaltown September 2017 - Cover1
Dentaltown September 2017 - Cover2
Dentaltown September 2017 - 1
Dentaltown September 2017 - 2
Dentaltown September 2017 - 3
Dentaltown September 2017 - 4
Dentaltown September 2017 - 5
Dentaltown September 2017 - 6
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Dentaltown September 2017 - Cover3
Dentaltown September 2017 - Cover4
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