GINGIVAL DISEASES OF VIRAL ORIGIN: RECURRENT ORAL HERPES
Calibo, Jansen S.
GINGIVAL DISEASES OF VIRAL
ORIGIN: RECURRENT ORAL
Recurrent Oral Herpes
Most patients have only a couple of outbreaks a
year, although a small percentage of patients
experience more frequent recurrences.
HSV-2 oral infections tend to recur less
frequently than HSV-1.
Recurrences are usually much milder than
primary infections and are known commonly as
cold sores or fever blisters (because they may
arise during a bout of cold or flu).
They usually show up on the outer edge of the
lips and rarely affect the gums or throat.
In most cases there are local, highly contagious
vesicles on the lip or at the gingiva.
Factors which triggers the reactivation of
3. upper respiratory infection
4. exposure to the sun or cold air
7. UV light exposure
8. psychic stress
Diminished host resistance is
the common precipitating factor
for the reactivation of Herpes
Simplex Virus (HSV).
Some patients get an “Aura”
sensation (they are able to sense
that a lesion will soon develop.
Lesions starts out as vesicles and
maybe fleeting vesicles.
Occurs particularly on the bound
down mucosa which is attached to
Topical Acyclovir can be prescribed.
Acyclovir serves to shorten the duration
of the disease by one to two days.
Instruct patient for proper nutrition, oral
care, appropriate fluid intake.
Prognosis is self-limiting.