Aphthous Ulcer

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Aphthous Ulcer

  1. 1. APHTHOUS ULCER<br />PRESENTED BY – DR.ManjulaMuthuraj<br />manju<br />
  2. 2. SYNONYMS -<br />manju<br />
  3. 3. manju<br />Aphthous /canker<br />
  4. 4. DEFINITION <br />It is a most common disease charecterized by the development of painful,recurring,solitary or multiple ulcerations of the oral mucosa.<br />manju<br />
  5. 5. ETIOLOGY<br />manju<br />
  6. 6. SURBHI<br />
  7. 7. TYPES<br />manju<br />
  8. 8. CLINICAL FEATURESRECURRENT APHTHOUS MINOR<br /><ul><li>AGE-10-30yr
  9. 9. GENDER-women>men
  10. 10. SITE-common on non-keratinized mucosa e.g –buccal &labial mucosa,buccal & lingual sulci,tongue,softpalate,pharynx,gingiva.
  11. 11. APPEARANCE-begins as a single or multiple superficial erosions covered by greyish – white removable fibrinopurulent membrane encircled by erythematous halo.
  12. 12. SIZE-2-3 mm to 10 mm in diameter.
  13. 13. Persist for 7-14 days & heal without scarring.</li></ul>SURBHI<br />
  14. 14. MINOR APHTHOUS ULCER<br />Area of ulceration with surrounding erythema present on movable mucosa of left maxillary muco-buccal fold.<br />manju<br />
  15. 15. MINOR APHHOUS ULCER<br />.<br />manju<br />
  16. 16. RECURRRNT APHTHOUS MAJOR<br /><ul><li>Previously it represent a separate disease entity k/n as periadenitis mucosa necroticarecurrens (mikulicz’s scarring aphthae or sutton’s disease)
  17. 17. It is now regarded as severe expression of aphthous stomatitis.
  18. 18. COMMON SITE-lips,cheeks,tongue,softpalate,fauces,cause severe pain & dysphagia.
  19. 19. Also involve keratinized mucosa
  20. 20. INCIDENCE – common in HIV patient.
  21. 21. SIZE – Larger than the minor apthous ulcer diameter more than 10mm.</li></ul>manju<br />
  22. 22. Continued......<br /><ul><li>NO.-1-10 in no.
  23. 23. Takes 4-6 weeks to heal.
  24. 24. Heal with scarring
  25. 25. Recurrs in less than a month time.
  26. 26. APPEARANCE- extend deeper and may present as crater-like ulcers with rolled margins which are indurated on palpation because of underlying fibrosis. </li></ul>manju<br />
  27. 27. manju<br />MAJOR APHTHOUS ULCER<br />
  28. 28. MAJOR APHTHOUS ULCER<br />manju<br />
  29. 29. RECURRENT HERPETIFORM ULCERS<br />manju<br />
  30. 30. Clinical features<br /><ul><li>SITE- any intra oral site
  31. 31. SIZE-1-3 mm in diameter
  32. 32. APPEARANCE – charecterized by crop of small,shallow ulcers ,that may be joined together and form large ulcer.
  33. 33. No. – 10 – 100
  34. 34. Healing occur in 1 to 2 weeks.
  35. 35. Heal with scarring.
  36. 36. Lesions persist for 1 to 3 year,with short remissions</li></ul>manju<br />
  37. 37. RECURRENTHERPETIFORM ULCERATIONS<br />manju<br />
  38. 38. CONTRASTING FEATURES<br />manju<br />
  39. 39. HISTOPATHOLOGY<br />manju<br />
  40. 40. manju<br />
  41. 41. SURBHI<br />THANKS….<br />

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