Aphthous Ulcer
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Aphthous Ulcer

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Aphthous Ulcer Aphthous Ulcer Presentation Transcript

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