Lesions of oral mucosa in children By Dr Sachin Rathod
Dr Sachin Rathod
LESIONS OF ORAL MUCOSA IN CHILDREN
LESIONS OF ORAL MUCOSA IN
LESIONS OF ORAL SOFT TISSUES
DEVELOPMENTAL DISORDERS OF
INFECTIONS OF ORAL MUCOSA
These disorders can be due to genetic
abnormalities or mutation of the
single or multiple genes and some
with environmental influence.
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.
Extravasation type Retention type
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.
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
Partial Ankyloglossia or tongue tie is
This defect may lead in disorders of
speech,deformities in dental
occlusion, difficulty in feeding and
Also known as migratory glossitis.
It is an idiopathic condition.
Seen in children characterized by
irregular areas of surface erosions on
dorsal surface of tongue.
The periphery of these lesions shows
whitish serpiginous or snaky white
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
The initial site of descent eventually
becomes the foramen cecum located
in midline at junction of anterior 2/3rd
and posterior1/3rd of tongue.
Developmental disorders of
Gingival cyst of new born
Cyst of dental lamilla
Developmental disorders of floor
of the mouth
Sublingual dermoid or dermoid cyst
Oral lympho-epithelial cyst
Traumatic lesion in the floor of
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
HSV- 2 causing infection in lower part of
Infection of the oral mucosa
• It may be caused by viruses ,bacteria
Herpes simplex virus infection.
• A prodrome consisting of focal itching, burning or
tingling sensation on the lips may precede herpes
• 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
c) The diseases is accompanied by generalized soreness
of the oral cavity which interfere with drinking and
d) In Infants the diseases is marked by refusal to take
food and irritability.
• Application of mild topical anesthetic
such as dyclonine hydrochloride.
• An Anti histaminic drug
• Acyclovir 5 % ointment
Bacterial infection affecting the
Noma or cancrum oris
• It may manifest in about one and
three who had primary infection either
clinical or subclinical infection.
Fungal infection of oral
A. acute candidiasis
B. chronic candidiasis
C. mucocutaneous candidiasis