Lesions of oral mucosa in children By Dr Sachin Rathod

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Lesions of oral mucosa in children

Lesions of oral mucosa in children

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  • 1. Dr Sachin Rathod Email:- drsachin.rathod@yahoo.com LESIONS OF ORAL MUCOSA IN CHILDREN
  • 2. LESIONS OF ORAL MUCOSA IN CHILDREN LESIONS OF ORAL SOFT TISSUES DEVELOPMENTAL DISORDERS OF ORAL MUCOSA INFECTIONS OF ORAL MUCOSA HEMATOLOGICAL DISORDERS NUTRITIONAL DEFICIENCIES NEOPLASMS MISCELLANEOUS
  • 3. DEVELOPMENTAL DISORDERS These disorders can be due to genetic abnormalities or mutation of the single or multiple genes and some with environmental influence.
  • 4. DEVELOPMENTAL ANAMOLIES OF LIP OROFACIAL CLEFTS COMMISSURAL LIP PITS PARAMEDIAN LIP PITS DOUBLE LIP ORAL MELANOTIC MACULES
  • 5. TRAUMATIC LESIONS OF LIP MUCOCELE are the most common soft tissue swelling or cyst of the minor salivary glands filled with mucous. when such collection of mucous occurs in the floor of the mouth it referred as ranula. mucocele Extravasation type Retention type
  • 6. CLINICAL FEATURES Extra vasation type is seen as a dome- shaped, painless swelling measuring few mm to few cm in size, may appear translucent like a vesicle. The cause for this being trauma and lower lip is favourable site. In children it is usually associated with lip biting.
  • 7. • mucocele
  • 8. TREATMENT Surgical excision. Some lesions may resolve on their own.
  • 9. Developmental disorder of buccal mucosa Focal epithelial hyperplasia Fordyce’s granules White spongy nevus
  • 10. • Fordyce’s granules
  • 11. Developmental anomalies of tongue Aglossia Microglossia Macroglossia Ankyloglossia Fissured tongue Geographic tongue Cleft tongue Lingual thyroid Hairy tongue
  • 12. ANKYLOGLOSSSIA Ankyloglossia is characterized by an abnormally short lingual frenum,resulting in complete or partial attachment of tongue to the floor of mouth. it may lead to decreased mobility of the tongue.
  • 13. • Ankyloglossia
  • 14. TREATMENT FRENECTOMY.
  • 15. CLINICAL FEATURES Partial Ankyloglossia or tongue tie is more common. This defect may lead in disorders of speech,deformities in dental occlusion, difficulty in feeding and deglutition.
  • 16. GEOGRAPHIC TONGUE Also known as migratory glossitis. It is an idiopathic condition. Seen in children characterized by multifocal,patchy,sharply demarcated, irregular areas of surface erosions on dorsal surface of tongue. The periphery of these lesions shows whitish serpiginous or snaky white lines.
  • 17. • GEOGRAPHIC TONGUE
  • 18. The prevalence of this disease is about 1 -3% of the population. These lesions are usually asymptomatic but some may complain of burning sensation or sensitivity to hot and spicy food.
  • 19. MICROSCOPIC FEATURES The hyperplastic epithelium shows focal collection of neutrophils designated as munro’s abscess within the epithelium.
  • 20. TREATMENT Topical or systemic cortisone.
  • 21. LINGUAL THYROID This occur due to failure in descent of the thyroid tissue to its final normal position during embryogenesis. During the development by about 3-4 week of fetal life the epithelial proliferation occurs from embryonic pharynx.
  • 22. • LINGUAL THYROID
  • 23. The initial site of descent eventually becomes the foramen cecum located in midline at junction of anterior 2/3rd and posterior1/3rd of tongue.
  • 24. Developmental disorders of gingiva Fibromatosis gingivae Retrocuspid papilla Gingival cyst of new born Cyst of dental lamilla Epstein pearls Bohn’s nodules
  • 25. Developmental disorders of floor of the mouth Sublingual dermoid or dermoid cyst Oral lympho-epithelial cyst
  • 26. Traumatic lesion in the floor of the mouth • Ranula
  • 27. Herpes simplex virus It is a DNA virus. Types of herpes virus 1. HSV -1 2. HSV -2 Primary infection usually Occur in child under 5 years of age. HSV-1 causing infection in upper part of body. HSV- 2 causing infection in lower part of body
  • 28. Infection of the oral mucosa • It may be caused by viruses ,bacteria and fungi. Viral infections Herpes simplex virus infection.
  • 29. • A prodrome consisting of focal itching, burning or tingling sensation on the lips may precede herpes labialis. • Oral sign & symptoms :- a) The condition appears as diffuse erythematous shiny involvement of gingiva & adjacent oral mucosa with varying degrees of edema and gingival bleeding. b) The ulcers may be observed on area of mucous membrane. c) The diseases is accompanied by generalized soreness of the oral cavity which interfere with drinking and eating. d) In Infants the diseases is marked by refusal to take food and irritability.
  • 30. Treatment • Application of mild topical anesthetic such as dyclonine hydrochloride. • Lidocane • An Anti histaminic drug • Acyclovir 5 % ointment
  • 31. Bacterial infection affecting the oral mucosa Syphilis Congenital syphilis Tuberculosis Actinomycosis Scarlet fever Noma or cancrum oris
  • 32. RECCURENT HERPETIC INFECTION • It may manifest in about one and three who had primary infection either clinical or subclinical infection.
  • 33. Fungal infection of oral mucosa • Candidiasis A. acute candidiasis B. chronic candidiasis C. mucocutaneous candidiasis
  • 34. Microscopic features of candidiasis
  • 35. Hematological disorders Hemoglobinopathies Nutritional deficiency Vitamin-a deficiency Vitamin-b1 deficiency Vitamin-b3 deficiency Vitamin-b2 deficiency Vitamin-b12 deficiency Vitamin-c deficiency Protien deficiency
  • 36. Miscellaneous lesions of oral mucosa Riga- fede disease Frictional keratosis Apthous ulcer Traumatic ulcers
  • 37. Apthous ulcer
  • 38. Neoplasm of oral mucosa Benign connective tissue neoplasm of the oral mucosa Fibroma Hemangioma Lymphangioma Melanotic neuroectodermal tumor of infancy Congenital epulis,congenital granular cell lesion Neurofibroma Mucoepidermoid carcinoma Rhabdomyosarcoma
  • 39. • Rhabdomyosarcoma
  • 40. • Lymphangioma
  • 41. • Hemangioma
  • 42. Dr Sachin Rathod Email:- drsachin.rathod@yahoo.com