ABSTRACT
Examination of the oral cavity can provide significant diagnostic information regarding the general health of the patient. The oral cavity is affected by a multitude of pathologic conditions of variable cause and significance; however, there are numerous normal variations of oral soft tissue structures that may resemble a pathologic state. Understanding these variations assists practitioners to discriminate between normal versus abnormal findings and determine the appropriate course of management, if necessary.
Subject(s)
Mouth Diseases/diagnosis , Mouth Diseases/therapy , Primary Health Care , Soft Tissue Injuries/diagnosis , Soft Tissue Injuries/therapy , Ankyloglossia , Diagnosis, Oral , Humans , Leukoedema, Oral/diagnosis , Leukoedema, Oral/therapy , Lingual Thyroid/diagnosis , Lingual Thyroid/therapy , Mouth Abnormalities/diagnosis , Mouth Abnormalities/therapyABSTRACT
This article provides an overview of common color changes and soft tissue oral nodular abnormalities in children and adolescents. The clinical presentation and treatment options to address these conditions are presented in a concise approach, highlighting key features relevant to the oral health care professional.
Subject(s)
Mouth Diseases/diagnosis , Mouth Mucosa/pathology , Adolescent , Candidiasis, Oral/diagnosis , Child , Humans , Leukoedema, Oral/diagnosis , Leukokeratosis, Hereditary Mucosal/diagnosis , Lip Diseases/diagnosis , Mouth Diseases/therapy , Mouth Neoplasms/diagnosis , Pigmentation Disorders/diagnosis , Tongue Diseases/diagnosisABSTRACT
Introdução: As lesões brancas da cavidade oral constituem um complexo conjunto de entidades, cuja principal característica clínica se evidencia pela presença de áreas esbranquiçadas na boca. Sua etiologia é extremamente variada, sendo que certas lesões não apresentam uma causa única, mas o resultado da interação de diversos fatores. Objetivo e Método: Pretende-se, com este trabalho, realizar uma revisão de literatura sobre essas lesões, onde serão discutidas as algumas das lesões brancas da cavidade oral, seus fatores etiológicos e características clínicas além de enfocar aspectos necessários para o estabelecimento do diagnóstico diferencial das referidas lesões. Conclusão: Pode-se inferir que é necessário o conhecimento das lesões brancas da cavidade oral pelo cirurgião-dentista, a fim de que seja estabelecido o diagnóstico correto das lesões para que seja instituído o tratamento adequado a cada tipo, e então, recuperada a condição de saúde do paciente.
Introduction: White lesions of oral cavity constitute a complex group of entities, whose the main clinical characteristic is evidenced by the presence of white areas in the mouth. Your aetiology is extremely varied and some lesions don't present an only cause, but they are the result of the interaction of several factors. Aim and methods:It is intended, with this work, to accomplish a literature revision on those lesions, where it is discussedthe main white lesions of the oral cavity, your aetiology factors and clinical characteristics besides focusing necessary aspects for the establishment of the diferencial diagnosis of the referred lesions. Conclusion: It can be inferred that is necessary the knowledge of the white lesions of the oral cavity for the dentist, to established the correct diagnosis of the lesions to institute the appropriate treatment to each type, and then, the condition of the patient's health.
Subject(s)
Candidiasis, Oral/diagnosis , Mouth Diseases/diagnosis , Mouth Diseases/etiology , Leukoedema, Oral/diagnosis , Leukoplakia, Oral/diagnosis , Lichen Planus, Oral/diagnosisABSTRACT
El leucoedema es una patología oral supuestamente muy frecuente, mientras que el nevo blanco esponjoso es una rareza. Sin embargo, ambas entidades son muy parecidas en cuanto a clínica, histopatología, microscopia electrónica, evolución y tratamiento. Se presenta el caso de un varón de 46 años con lesiones blanquecinas en la mucosa oral. Se realiza un exhaustivo diagnóstico diferencial entre leucoedema y nevo blanco esponjoso, llegándose a la conclusión de que son entidades relacionadas (AU)
Subject(s)
Male , Middle Aged , Humans , Leukoedema, Oral/diagnosis , Nevus/diagnosis , Skin Neoplasms/diagnosis , Leukoedema, Oral/complications , Leukoedema, Oral/etiology , Leukoedema, Oral/drug therapy , Clinical Evolution , Diagnosis, Differential , Tobacco Use Disorder/adverse effects , Mouth Mucosa/parasitology , Mouth Mucosa/pathology , Nevus/complications , Nevus/etiology , Nevus/drug therapy , Candida/isolation & purification , Candida/pathogenicity , Tongue/parasitology , Tongue/pathology , Fluconazole/pharmacology , Amoxicillin/pharmacologyABSTRACT
El leucoedema es una entidad de naturaleza benigna, que clínicamente se describe como un blanqueamiento difuso y opalino de la mucosa oral que le confiere un aspecto aterciopelado, generalmente bilateral, simétrico y de carácter crónico. Es más frecuente en negros americanos, aunque la prevalencia descrita en cada estudio es controvertida, al igual que su patogenia. Histológicamente se caracteriza por una hiperparaqueratosis, una acantosis con hiperplasia epitelial, espongiosis, edema intracelular y papilomatosis; no se observan alteraciones malignas o premalignas ni en el epitelio ni en el tejido conectivo. Deberemos diferenciar esta entidad del resto de lesiones blancas orales. No se recomienda tratamiento alguno, excepto el evitar aquellos irritantes locales que puedan favorecer su aparición. (AU)
No disponible
Subject(s)
Female , Male , Humans , Leukoedema, Oral/diagnosis , Leukoedema, Oral/epidemiology , Leukoedema, Oral/etiology , Leukoedema, Oral/drug therapySubject(s)
Mucous Membrane/abnormalities , Skin Abnormalities , Skin Diseases/congenital , Acne Vulgaris/congenital , Acne Vulgaris/diagnosis , Adult , Age Factors , Diagnosis, Differential , Epidermal Cyst/congenital , Epidermal Cyst/diagnosis , Female , Follow-Up Studies , Foot Dermatoses/congenital , Foot Dermatoses/diagnosis , Hand Dermatoses/congenital , Hand Dermatoses/diagnosis , Hemangioma/congenital , Hemangioma/diagnosis , Humans , Infant, Newborn , Leukoedema, Oral/congenital , Leukoedema, Oral/diagnosis , Male , Odontogenic Cysts/congenital , Odontogenic Cysts/diagnosis , Pigmentation Disorders/congenital , Pigmentation Disorders/diagnosis , Skin Abnormalities/diagnosis , Skin Diseases/diagnosis , Skin Diseases, Vascular/congenital , Skin Diseases, Vascular/diagnosis , Skin Neoplasms/congenital , Skin Neoplasms/diagnosis , Testicular Hydrocele/congenital , Testicular Hydrocele/diagnosis , Time FactorsABSTRACT
La patología blanca de la mucosa oral comprende una constelación de enfermedades cuyos cuadros clínicos se asemejan mucho entre sí y se caracterizan por la presentación de una lesión de aspecto blanquesino en la cavidad bucal. Con el fin de remarcar las diferencias entre cada afección, sus diversas evoluciones y pronósticos y alertar sobre aquellas con tendencia cancerígena y pronóstico más ominoso es que se realiza este trabajo. Es también nuestro interés señalar que no debemos olvidar a la cavidad bucal en el examen dermatológico de rutina
Subject(s)
Humans , Candidiasis, Oral/diagnosis , Dyskeratosis Congenita/diagnosis , Fox-Fordyce Disease/diagnosis , Glossitis, Benign Migratory/diagnosis , Leukoplakia, Hairy/diagnosis , Mouth Mucosa/pathology , Nevus/diagnosis , Syphilis/diagnosis , Candidiasis, Oral/pathology , Condylomata Acuminata/diagnosis , Condylomata Acuminata/pathology , Diagnosis, Differential , Focal Epithelial Hyperplasia/diagnosis , Focal Epithelial Hyperplasia/pathology , Fox-Fordyce Disease/pathology , Glossitis, Benign Migratory/pathology , Leukoedema, Oral/diagnosis , Leukoedema, Oral/pathology , Leukoplakia, Hairy/pathology , Leukoplakia, Oral/diagnosis , Leukoplakia, Oral/pathology , Lupus Erythematosus, Systemic/diagnosis , Lupus Erythematosus, Systemic/pathology , Mouth Diseases , Mouth Neoplasms/diagnosis , Mouth Neoplasms/pathology , Papilloma/diagnosis , Papilloma/pathology , Psoriasis/diagnosis , Psoriasis/pathology , Measles/diagnosis , Measles/pathology , Syphilis/pathology , Stomatitis/diagnosis , Stomatitis/etiologyABSTRACT
La patología blanca de la mucosa oral comprende una constelación de enfermedades cuyos cuadros clínicos se asemejan mucho entre sí y se caracterizan por la presentación de una lesión de aspecto blanquesino en la cavidad bucal. Con el fin de remarcar las diferencias entre cada afección, sus diversas evoluciones y pronósticos y alertar sobre aquellas con tendencia cancerígena y pronóstico más ominoso es que se realiza este trabajo. Es también nuestro interés señalar que no debemos olvidar a la cavidad bucal en el examen dermatológico de rutina (AU)
Subject(s)
Humans , Dyskeratosis Congenita/diagnosis , Fox-Fordyce Disease/diagnosis , Leukoplakia, Hairy/diagnosis , Nevus/diagnosis , Mouth Mucosa/pathology , Glossitis, Benign Migratory/diagnosis , Candidiasis, Oral/diagnosis , Syphilis/diagnosis , Glossitis, Benign Migratory/pathology , Fox-Fordyce Disease/pathology , Candidiasis, Oral/pathology , Leukoplakia, Hairy/pathology , Syphilis/pathology , Measles/diagnosis , Measles/pathology , Condylomata Acuminata/diagnosis , Condylomata Acuminata/pathology , Lupus Erythematosus, Systemic/diagnosis , Lupus Erythematosus, Systemic/pathology , Stomatitis/diagnosis , Stomatitis/etiology , Psoriasis/diagnosis , Psoriasis/pathology , Focal Epithelial Hyperplasia/diagnosis , Focal Epithelial Hyperplasia/pathology , Leukoplakia, Oral/diagnosis , Leukoplakia, Oral/pathology , Papilloma/diagnosis , Papilloma/pathology , Mouth Neoplasms/diagnosis , Mouth Neoplasms/pathology , Leukoedema, Oral/diagnosis , Leukoedema, Oral/pathology , Mouth Diseases , Diagnosis, DifferentialABSTRACT
Se examinó clínicamente a 77 farmacodependientes de dos centros de rehabilitación de Lima. 53 pertenecían a hospitalización y 24 a consulta ambulatoria. El promedio de edades fue de 25 +- 4 años, con un tiempo de consumo promedio de 7.2 +- 3 años, y tiempo de tratamiento promedio de 4.6 +- 2.5 meses. Las lesiones bucales observadas fueron: lengua saburral (59.7 por ciento), queilitis angular (37.7 por ciento), úlceras traumáticas (25.9 por ciento), aftas (23.3 por ciento), entre otras lesiones. Las zonas más afectadas fueron: comisuras labiales, labio inferior, dorso lingual, mucosa de carrillos y paladar duro. Las lesiones cursaron asintomáticas. La mayoría de lesiones se encontraban en pacientes ambulatorios, con largos tiempos de consumo y tiempos de tratamiento cortos. Sólo en cinco pacientes se registraron mucosas bucales normales, éstos estaban hospitalizados y coincidían con más de un año de tratamiento. Aparentemente el consumo de drogas incrementa el riesgo de lesiones bucales y éstas regresionan cuando hay abstinencia
Subject(s)
Humans , Male , Female , Adult , Oral Manifestations , Substance-Related Disorders/complications , Stomatitis, Aphthous/diagnosis , Tongue Diseases/diagnosis , Candidiasis, Oral/diagnosis , Leukoplakia, Oral/diagnosis , Cheilitis/diagnosis , Leukoedema, Oral/diagnosisSubject(s)
Leukoedema, Oral/diagnosis , Mouth Diseases/diagnosis , Adult , Humans , Leukoedema, Oral/pathology , Male , Mouth Mucosa/pathologyABSTRACT
"White lesions" of the oral mucosa often present problems of differential diagnosis, which are of primary importance when assessing precancerous changes in the mouth. The precancerous character of oral leukoplakia is well established, and the "high-risk" type: erosive-dysplastic leukoplakia of greater malignant potential, has been thoroughly investigated. Because of their possible association with oral carcinoma, some clinical types of oral lichen planus, namely, the atrophic erosive forms, indicate caution in their treatment and supervision. Epithelial dysplasia is often associated with candidiasis and discoid lupus erythematosus, but neither these, nor such other white lesions as white sponge naevus or morsicatio buccarum, are considered to be preneoplastic. All these white lesions may be clearly identified, differentiated, and circumscribed as clinico-pathological disease-entities, by clinical, histopathological and ultrastructural methods, thus facilitating early diagnosis, treatment and prevention of possible malignancy.
Subject(s)
Leukoplakia, Oral/diagnosis , Mouth Diseases/diagnosis , Skin Diseases/diagnosis , Candidiasis, Oral/diagnosis , Cheek , Diagnosis, Differential , Female , Humans , Leukoedema, Oral/diagnosis , Leukoplakia, Oral/ultrastructure , Lichen Planus/diagnosis , Lupus Erythematosus, Discoid/diagnosis , Male , Mouth Mucosa/injuries , Mouth Mucosa/pathology , Self Mutilation/diagnosisABSTRACT
Leukoedema is a white or whitish-gray edematous lesion of the buccal and labial oral mucosa. The lesions may be diffuse or patchy, and are usually asymptomatic. Leukoedema may be confused with leukoplakia, Darier's disease, white sponge nevus, pachyonychia congenita, or candidal infection. The condition is seen most frequently among black men. The histologic appearance simulates that of white sponge nevus. Symptomatic leukoedema seems to respond to topical application of tretinoin.
