oral diseases

1. Oral diseases
Professor Dr. Mohamed Alshekhani.

2. Oral diseases: aphthus ulcers
 Superficial ,painful,recurrent in 30%.
 Especially common in women in premenstrual period.
 Mostly idiopathic.
 Sometimes in severe cases, other causes considered &
biopsy considered for diagnosis.
 Treatments:
 Local anesthetics,local steroid(Kenalog past) or local
aspirin & rarely if severe oral steroids.

12. Oral cancer:
 SCC; Common WW & increasing.
 Mortality 50% B/O late diagnosis.
 RFs: poor diet,alcohol,smoking,chewing tobacco,betel
leaves chewing&HPV 16&18.
 Sometimes in severe cases, other causes considered &
biopsy considered for diagnosis.
 Treatments:
 Local anesthetics,local steroid(Kenalog in ora base
paste) or local aspirin & rarely if severe oral steroids.

13. Oral candidiasis:
 Candidia is normal mouth flora, but may proliferate&cause thrush(white
patches on tongue&mucosa) in:
 Neoborns,babies,debilitated, immunocompromised as DM,on
immunosupps,HIV.
 Features: dysphagia &odynophagia(suggest pharangeal or esophageal
extension).
 Clinal diagnosis is enough to start treatment,but biopsies or brushing may
be needed for cnfirmation.
 Treatments:
 Local nystatin or amphotersin suspension or lozenges.
 In resistant cases in immunocompromised oral ketoconazole.

14. Parotitis:
 Viral as mumps that causes self-limiting parotitis.
 Bacterial parotitis, more severe,usually occurs postop from dehydration &
poor oral hygiene that can be prevented by good postop care.
 Presents with parotid swelling,fever & can progress to abscess.
 Treatment:broad spectrum antibiotics & drainage for abscess.