SlideShare a Scribd company logo
ACUTE HERPETIC
GINGIVOSTOMATITIS
Uzma Jan
3rd year B.D.S
AHG is a viral infection of the oral mucous membrane caused by
herpes simplex virus-I(HSV-I).
Occurs most frequently in infants & Children younger than 6 years .
CLINICAL FEATURES
 ORAL SIGNS :
 Appears as a diffuse shiny
erythematous edema & gingival
bleeding.
 Discrete spherical clusters of vesicle
dispersed in different areas (labial
buccal mucosa hard palate pharynx and
tongue)
 Course of disease is 7-10 days
 SYMPTOMS:
 Generalized soreness of oral cavity
 Ruptured vesicles sensitive t0 touch
thermal changes and food
EXTRA ORAL & SYSTEMIC SIGN &
SYMPTOMS
 1-3 days of fever , loss of appetite and myalgia
 Cervical lymphadenopathy is present.
 After the Primary infection the virus remains latent in the nerve tissues.
 If reactivation occurs it causes herpes labialis (cold sore).
HISTOPATHOLOGY
 The virus targets the epithelial cells which show “ballooning
degeneration”
 These cells are called Tzanck cells.
 Infected cells fuse , forming multinucleated cells and IC edema leads to
formation of an intraepithelial vesicles that rupture and develops a sec.
inflammatory response with a fibro purulent exudate
 Discrete ulceration have a central portion of acute inflammation with
exudate surrounded by engorged blood vessels.
DIAGNOSIS
 Established from pts history & clinical findings.
 HSV isolation by cell culture is the gold standard.
 Tzanck smear
D/D
 Necrotizing Ulcerative Gingivitis
 Erythema multiforme
 Stevens-Johnson Syndrome
 Apthous Stomatitis (canker sores)
COMMUNICABILITY
 Contagious
TREATMENT
 1. Local Applications:
 *Using topical lignocaine and benzocaine in mild cases.
 *topical steroids like triamcinolone and clobetasol application in severe
cases.
 2. Systemic therapy :
 *pentroxifylline daspsone short bursts of systemic steroids &
thalidomide have been used to reduce the no. of ulcers and recurrence.
Acute herpetic gingivostomatitis

More Related Content

What's hot

Pedodontic treatment triangle
Pedodontic treatment trianglePedodontic treatment triangle
Pedodontic treatment triangle
Khushboo Vatsal
 
Pit and fissure sealants
Pit and fissure sealantsPit and fissure sealants
Pit and fissure sealants
Ramniq Kaur
 
Diseases of the Pulp
Diseases of the PulpDiseases of the Pulp
Diseases of the Pulp
Dr. Nithin Mathew
 
Gingival inflammation and features
Gingival inflammation and featuresGingival inflammation and features
Gingival inflammation and features
Navneet Randhawa
 
Dental Plaque
Dental PlaqueDental Plaque
Dental Plaque
Dr. Anuj S Parihar
 
Acute Necrotising Ulcerative Gingivitis
Acute Necrotising Ulcerative GingivitisAcute Necrotising Ulcerative Gingivitis
Acute Necrotising Ulcerative Gingivitis
shabeel pn
 
Clasps
Clasps Clasps
Plaque control
Plaque controlPlaque control
Plaque control
IAU Dent
 
Regressive alterations of teeth
Regressive alterations of teethRegressive alterations of teeth
Regressive alterations of teeth
oral and maxillofacial pathology
 
Peridontal pocket
Peridontal pocketPeridontal pocket
Peridontal pocket
Parth Thakkar
 
Treatment plan
Treatment planTreatment plan
Treatment plan
Parth Thakkar
 
Wedging technique
Wedging techniqueWedging technique
Wedging technique
sakshat Lamichhane
 
Removable partial denture
Removable partial dentureRemovable partial denture
Removable partial denture
Dr. Almas A
 
Development of Occlusion
Development of OcclusionDevelopment of Occlusion
Development of Occlusion
Abhishek Solanki
 
Plaque hypothesis ppt
Plaque hypothesis pptPlaque hypothesis ppt
Plaque hypothesis ppt
Perio Files
 
Prognosis in periodontics
Prognosis in periodonticsPrognosis in periodontics
Prognosis in periodontics
DrRoopse Singh
 
BLEEDING ON PROBING - PERIODONTICS
BLEEDING ON PROBING - PERIODONTICSBLEEDING ON PROBING - PERIODONTICS
BLEEDING ON PROBING - PERIODONTICS
Dr. Vishal Gohil
 
principles of instrumentation of hand instruments
principles of instrumentation of hand instrumentsprinciples of instrumentation of hand instruments
principles of instrumentation of hand instruments
fiza shameem
 
Vesiculobullous
VesiculobullousVesiculobullous
Vesiculobullous
Nakulbista8
 
Dental home
Dental homeDental home
Dental home
Sreeshma Sreekumar
 

What's hot (20)

Pedodontic treatment triangle
Pedodontic treatment trianglePedodontic treatment triangle
Pedodontic treatment triangle
 
Pit and fissure sealants
Pit and fissure sealantsPit and fissure sealants
Pit and fissure sealants
 
Diseases of the Pulp
Diseases of the PulpDiseases of the Pulp
Diseases of the Pulp
 
Gingival inflammation and features
Gingival inflammation and featuresGingival inflammation and features
Gingival inflammation and features
 
Dental Plaque
Dental PlaqueDental Plaque
Dental Plaque
 
Acute Necrotising Ulcerative Gingivitis
Acute Necrotising Ulcerative GingivitisAcute Necrotising Ulcerative Gingivitis
Acute Necrotising Ulcerative Gingivitis
 
Clasps
Clasps Clasps
Clasps
 
Plaque control
Plaque controlPlaque control
Plaque control
 
Regressive alterations of teeth
Regressive alterations of teethRegressive alterations of teeth
Regressive alterations of teeth
 
Peridontal pocket
Peridontal pocketPeridontal pocket
Peridontal pocket
 
Treatment plan
Treatment planTreatment plan
Treatment plan
 
Wedging technique
Wedging techniqueWedging technique
Wedging technique
 
Removable partial denture
Removable partial dentureRemovable partial denture
Removable partial denture
 
Development of Occlusion
Development of OcclusionDevelopment of Occlusion
Development of Occlusion
 
Plaque hypothesis ppt
Plaque hypothesis pptPlaque hypothesis ppt
Plaque hypothesis ppt
 
Prognosis in periodontics
Prognosis in periodonticsPrognosis in periodontics
Prognosis in periodontics
 
BLEEDING ON PROBING - PERIODONTICS
BLEEDING ON PROBING - PERIODONTICSBLEEDING ON PROBING - PERIODONTICS
BLEEDING ON PROBING - PERIODONTICS
 
principles of instrumentation of hand instruments
principles of instrumentation of hand instrumentsprinciples of instrumentation of hand instruments
principles of instrumentation of hand instruments
 
Vesiculobullous
VesiculobullousVesiculobullous
Vesiculobullous
 
Dental home
Dental homeDental home
Dental home
 

Similar to Acute herpetic gingivostomatitis

Primary herpetic gingivostomatitis
Primary herpetic gingivostomatitisPrimary herpetic gingivostomatitis
Primary herpetic gingivostomatitis
binny dhingra
 
Infection of oral mucosa
Infection of oral mucosa Infection of oral mucosa
Infection of oral mucosa
pj725758
 
Bacterial, Viral & Mycotic Infections
Bacterial, Viral & Mycotic InfectionsBacterial, Viral & Mycotic Infections
Bacterial, Viral & Mycotic Infections
guest018923
 
Viral infections of oral cavity - Dr. Abhishek Solanki
Viral infections of oral cavity - Dr. Abhishek SolankiViral infections of oral cavity - Dr. Abhishek Solanki
Viral infections of oral cavity - Dr. Abhishek Solanki
Abhishek Solanki
 
Infective stomatitis
Infective stomatitisInfective stomatitis
Infective stomatitis
Edward Kaliisa
 
Sur mucosal lesions
Sur mucosal lesionsSur mucosal lesions
Sur mucosal lesions
NINAN THOMAS
 
DISEASES OF THE ORAL MUCOSA – MUCOSAL INFECTIONS.ppt
DISEASES OF THE ORAL MUCOSA – MUCOSAL INFECTIONS.pptDISEASES OF THE ORAL MUCOSA – MUCOSAL INFECTIONS.ppt
DISEASES OF THE ORAL MUCOSA – MUCOSAL INFECTIONS.ppt
SamkeloKhumalo2
 
acute gingival infections
 acute gingival infections   acute gingival infections
acute gingival infections
neeti shinde
 
Infectious disease skin rash
Infectious disease skin rashInfectious disease skin rash
Infectious disease skin rash
Hussein Abdeldayem
 
Herpetic skin infections
Herpetic skin infectionsHerpetic skin infections
Herpetic skin infections
Habrol Afzam
 
Bacterial infections of oral cavity
Bacterial infections of oral cavityBacterial infections of oral cavity
Bacterial infections of oral cavity
poornima chittamuru
 
Viral Infections of the Oral Cavity
Viral Infections of the Oral CavityViral Infections of the Oral Cavity
Viral Infections of the Oral Cavity
Jansen Calibo
 
ACUTE AND CHRONIC TONSILITIS.pptx
ACUTE AND CHRONIC TONSILITIS.pptxACUTE AND CHRONIC TONSILITIS.pptx
ACUTE AND CHRONIC TONSILITIS.pptx
subhash ch. mahaseth
 
Erythema multiforme, Steven-Johnson syndrome and Toxic Epidermal Necrolysis
Erythema multiforme, Steven-Johnson syndrome and Toxic Epidermal NecrolysisErythema multiforme, Steven-Johnson syndrome and Toxic Epidermal Necrolysis
Erythema multiforme, Steven-Johnson syndrome and Toxic Epidermal Necrolysis
Binaya Subedi
 
3 enanthem
3 enanthem3 enanthem
3 enanthem
Walaa Manaa
 
syphilis.pptx
syphilis.pptxsyphilis.pptx
syphilis.pptx
wasim167150
 
Orofacial viral infections
Orofacial viral infectionsOrofacial viral infections
Orofacial viral infections
ALLABOUTLIFE
 
Hsv , mazin malik
Hsv , mazin malikHsv , mazin malik
Hsv , mazin malik
mazinpaediatric
 
Oral viral infections
Oral viral infectionsOral viral infections
Oral viral infections
Eman Hassona
 
Vesiculo bullous diseases
Vesiculo bullous diseasesVesiculo bullous diseases

Similar to Acute herpetic gingivostomatitis (20)

Primary herpetic gingivostomatitis
Primary herpetic gingivostomatitisPrimary herpetic gingivostomatitis
Primary herpetic gingivostomatitis
 
Infection of oral mucosa
Infection of oral mucosa Infection of oral mucosa
Infection of oral mucosa
 
Bacterial, Viral & Mycotic Infections
Bacterial, Viral & Mycotic InfectionsBacterial, Viral & Mycotic Infections
Bacterial, Viral & Mycotic Infections
 
Viral infections of oral cavity - Dr. Abhishek Solanki
Viral infections of oral cavity - Dr. Abhishek SolankiViral infections of oral cavity - Dr. Abhishek Solanki
Viral infections of oral cavity - Dr. Abhishek Solanki
 
Infective stomatitis
Infective stomatitisInfective stomatitis
Infective stomatitis
 
Sur mucosal lesions
Sur mucosal lesionsSur mucosal lesions
Sur mucosal lesions
 
DISEASES OF THE ORAL MUCOSA – MUCOSAL INFECTIONS.ppt
DISEASES OF THE ORAL MUCOSA – MUCOSAL INFECTIONS.pptDISEASES OF THE ORAL MUCOSA – MUCOSAL INFECTIONS.ppt
DISEASES OF THE ORAL MUCOSA – MUCOSAL INFECTIONS.ppt
 
acute gingival infections
 acute gingival infections   acute gingival infections
acute gingival infections
 
Infectious disease skin rash
Infectious disease skin rashInfectious disease skin rash
Infectious disease skin rash
 
Herpetic skin infections
Herpetic skin infectionsHerpetic skin infections
Herpetic skin infections
 
Bacterial infections of oral cavity
Bacterial infections of oral cavityBacterial infections of oral cavity
Bacterial infections of oral cavity
 
Viral Infections of the Oral Cavity
Viral Infections of the Oral CavityViral Infections of the Oral Cavity
Viral Infections of the Oral Cavity
 
ACUTE AND CHRONIC TONSILITIS.pptx
ACUTE AND CHRONIC TONSILITIS.pptxACUTE AND CHRONIC TONSILITIS.pptx
ACUTE AND CHRONIC TONSILITIS.pptx
 
Erythema multiforme, Steven-Johnson syndrome and Toxic Epidermal Necrolysis
Erythema multiforme, Steven-Johnson syndrome and Toxic Epidermal NecrolysisErythema multiforme, Steven-Johnson syndrome and Toxic Epidermal Necrolysis
Erythema multiforme, Steven-Johnson syndrome and Toxic Epidermal Necrolysis
 
3 enanthem
3 enanthem3 enanthem
3 enanthem
 
syphilis.pptx
syphilis.pptxsyphilis.pptx
syphilis.pptx
 
Orofacial viral infections
Orofacial viral infectionsOrofacial viral infections
Orofacial viral infections
 
Hsv , mazin malik
Hsv , mazin malikHsv , mazin malik
Hsv , mazin malik
 
Oral viral infections
Oral viral infectionsOral viral infections
Oral viral infections
 
Vesiculo bullous diseases
Vesiculo bullous diseasesVesiculo bullous diseases
Vesiculo bullous diseases
 

Recently uploaded

Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...
Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...
Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...
Dr. Vinod Kumar Kanvaria
 
Digital Artefact 1 - Tiny Home Environmental Design
Digital Artefact 1 - Tiny Home Environmental DesignDigital Artefact 1 - Tiny Home Environmental Design
Digital Artefact 1 - Tiny Home Environmental Design
amberjdewit93
 
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UP
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UPLAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UP
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UP
RAHUL
 
Film vocab for eal 3 students: Australia the movie
Film vocab for eal 3 students: Australia the movieFilm vocab for eal 3 students: Australia the movie
Film vocab for eal 3 students: Australia the movie
Nicholas Montgomery
 
The History of Stoke Newington Street Names
The History of Stoke Newington Street NamesThe History of Stoke Newington Street Names
The History of Stoke Newington Street Names
History of Stoke Newington
 
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2023-2024 (CÓ FI...
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2023-2024 (CÓ FI...BÀI TẬP BỔ TRỢ TIẾNG ANH 8 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2023-2024 (CÓ FI...
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2023-2024 (CÓ FI...
Nguyen Thanh Tu Collection
 
How to Build a Module in Odoo 17 Using the Scaffold Method
How to Build a Module in Odoo 17 Using the Scaffold MethodHow to Build a Module in Odoo 17 Using the Scaffold Method
How to Build a Module in Odoo 17 Using the Scaffold Method
Celine George
 
The Diamonds of 2023-2024 in the IGRA collection
The Diamonds of 2023-2024 in the IGRA collectionThe Diamonds of 2023-2024 in the IGRA collection
The Diamonds of 2023-2024 in the IGRA collection
Israel Genealogy Research Association
 
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
PECB
 
How to deliver Powerpoint Presentations.pptx
How to deliver Powerpoint  Presentations.pptxHow to deliver Powerpoint  Presentations.pptx
How to deliver Powerpoint Presentations.pptx
HajraNaeem15
 
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
National Information Standards Organization (NISO)
 
RHEOLOGY Physical pharmaceutics-II notes for B.pharm 4th sem students
RHEOLOGY Physical pharmaceutics-II notes for B.pharm 4th sem studentsRHEOLOGY Physical pharmaceutics-II notes for B.pharm 4th sem students
RHEOLOGY Physical pharmaceutics-II notes for B.pharm 4th sem students
Himanshu Rai
 
Wound healing PPT
Wound healing PPTWound healing PPT
Wound healing PPT
Jyoti Chand
 
Chapter wise All Notes of First year Basic Civil Engineering.pptx
Chapter wise All Notes of First year Basic Civil Engineering.pptxChapter wise All Notes of First year Basic Civil Engineering.pptx
Chapter wise All Notes of First year Basic Civil Engineering.pptx
Denish Jangid
 
Main Java[All of the Base Concepts}.docx
Main Java[All of the Base Concepts}.docxMain Java[All of the Base Concepts}.docx
Main Java[All of the Base Concepts}.docx
adhitya5119
 
Liberal Approach to the Study of Indian Politics.pdf
Liberal Approach to the Study of Indian Politics.pdfLiberal Approach to the Study of Indian Politics.pdf
Liberal Approach to the Study of Indian Politics.pdf
WaniBasim
 
How to Add Chatter in the odoo 17 ERP Module
How to Add Chatter in the odoo 17 ERP ModuleHow to Add Chatter in the odoo 17 ERP Module
How to Add Chatter in the odoo 17 ERP Module
Celine George
 
How to Manage Your Lost Opportunities in Odoo 17 CRM
How to Manage Your Lost Opportunities in Odoo 17 CRMHow to Manage Your Lost Opportunities in Odoo 17 CRM
How to Manage Your Lost Opportunities in Odoo 17 CRM
Celine George
 
বাংলাদেশ অর্থনৈতিক সমীক্ষা (Economic Review) ২০২৪ UJS App.pdf
বাংলাদেশ অর্থনৈতিক সমীক্ষা (Economic Review) ২০২৪ UJS App.pdfবাংলাদেশ অর্থনৈতিক সমীক্ষা (Economic Review) ২০২৪ UJS App.pdf
বাংলাদেশ অর্থনৈতিক সমীক্ষা (Economic Review) ২০২৪ UJS App.pdf
eBook.com.bd (প্রয়োজনীয় বাংলা বই)
 
Cognitive Development Adolescence Psychology
Cognitive Development Adolescence PsychologyCognitive Development Adolescence Psychology
Cognitive Development Adolescence Psychology
paigestewart1632
 

Recently uploaded (20)

Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...
Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...
Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...
 
Digital Artefact 1 - Tiny Home Environmental Design
Digital Artefact 1 - Tiny Home Environmental DesignDigital Artefact 1 - Tiny Home Environmental Design
Digital Artefact 1 - Tiny Home Environmental Design
 
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UP
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UPLAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UP
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UP
 
Film vocab for eal 3 students: Australia the movie
Film vocab for eal 3 students: Australia the movieFilm vocab for eal 3 students: Australia the movie
Film vocab for eal 3 students: Australia the movie
 
The History of Stoke Newington Street Names
The History of Stoke Newington Street NamesThe History of Stoke Newington Street Names
The History of Stoke Newington Street Names
 
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2023-2024 (CÓ FI...
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2023-2024 (CÓ FI...BÀI TẬP BỔ TRỢ TIẾNG ANH 8 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2023-2024 (CÓ FI...
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2023-2024 (CÓ FI...
 
How to Build a Module in Odoo 17 Using the Scaffold Method
How to Build a Module in Odoo 17 Using the Scaffold MethodHow to Build a Module in Odoo 17 Using the Scaffold Method
How to Build a Module in Odoo 17 Using the Scaffold Method
 
The Diamonds of 2023-2024 in the IGRA collection
The Diamonds of 2023-2024 in the IGRA collectionThe Diamonds of 2023-2024 in the IGRA collection
The Diamonds of 2023-2024 in the IGRA collection
 
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
 
How to deliver Powerpoint Presentations.pptx
How to deliver Powerpoint  Presentations.pptxHow to deliver Powerpoint  Presentations.pptx
How to deliver Powerpoint Presentations.pptx
 
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
 
RHEOLOGY Physical pharmaceutics-II notes for B.pharm 4th sem students
RHEOLOGY Physical pharmaceutics-II notes for B.pharm 4th sem studentsRHEOLOGY Physical pharmaceutics-II notes for B.pharm 4th sem students
RHEOLOGY Physical pharmaceutics-II notes for B.pharm 4th sem students
 
Wound healing PPT
Wound healing PPTWound healing PPT
Wound healing PPT
 
Chapter wise All Notes of First year Basic Civil Engineering.pptx
Chapter wise All Notes of First year Basic Civil Engineering.pptxChapter wise All Notes of First year Basic Civil Engineering.pptx
Chapter wise All Notes of First year Basic Civil Engineering.pptx
 
Main Java[All of the Base Concepts}.docx
Main Java[All of the Base Concepts}.docxMain Java[All of the Base Concepts}.docx
Main Java[All of the Base Concepts}.docx
 
Liberal Approach to the Study of Indian Politics.pdf
Liberal Approach to the Study of Indian Politics.pdfLiberal Approach to the Study of Indian Politics.pdf
Liberal Approach to the Study of Indian Politics.pdf
 
How to Add Chatter in the odoo 17 ERP Module
How to Add Chatter in the odoo 17 ERP ModuleHow to Add Chatter in the odoo 17 ERP Module
How to Add Chatter in the odoo 17 ERP Module
 
How to Manage Your Lost Opportunities in Odoo 17 CRM
How to Manage Your Lost Opportunities in Odoo 17 CRMHow to Manage Your Lost Opportunities in Odoo 17 CRM
How to Manage Your Lost Opportunities in Odoo 17 CRM
 
বাংলাদেশ অর্থনৈতিক সমীক্ষা (Economic Review) ২০২৪ UJS App.pdf
বাংলাদেশ অর্থনৈতিক সমীক্ষা (Economic Review) ২০২৪ UJS App.pdfবাংলাদেশ অর্থনৈতিক সমীক্ষা (Economic Review) ২০২৪ UJS App.pdf
বাংলাদেশ অর্থনৈতিক সমীক্ষা (Economic Review) ২০২৪ UJS App.pdf
 
Cognitive Development Adolescence Psychology
Cognitive Development Adolescence PsychologyCognitive Development Adolescence Psychology
Cognitive Development Adolescence Psychology
 

Acute herpetic gingivostomatitis

  • 2. AHG is a viral infection of the oral mucous membrane caused by herpes simplex virus-I(HSV-I). Occurs most frequently in infants & Children younger than 6 years .
  • 3. CLINICAL FEATURES  ORAL SIGNS :  Appears as a diffuse shiny erythematous edema & gingival bleeding.  Discrete spherical clusters of vesicle dispersed in different areas (labial buccal mucosa hard palate pharynx and tongue)  Course of disease is 7-10 days  SYMPTOMS:  Generalized soreness of oral cavity  Ruptured vesicles sensitive t0 touch thermal changes and food
  • 4. EXTRA ORAL & SYSTEMIC SIGN & SYMPTOMS  1-3 days of fever , loss of appetite and myalgia  Cervical lymphadenopathy is present.
  • 5.  After the Primary infection the virus remains latent in the nerve tissues.  If reactivation occurs it causes herpes labialis (cold sore).
  • 6. HISTOPATHOLOGY  The virus targets the epithelial cells which show “ballooning degeneration”  These cells are called Tzanck cells.  Infected cells fuse , forming multinucleated cells and IC edema leads to formation of an intraepithelial vesicles that rupture and develops a sec. inflammatory response with a fibro purulent exudate  Discrete ulceration have a central portion of acute inflammation with exudate surrounded by engorged blood vessels.
  • 7. DIAGNOSIS  Established from pts history & clinical findings.  HSV isolation by cell culture is the gold standard.  Tzanck smear
  • 8. D/D  Necrotizing Ulcerative Gingivitis  Erythema multiforme  Stevens-Johnson Syndrome  Apthous Stomatitis (canker sores)
  • 10. TREATMENT  1. Local Applications:  *Using topical lignocaine and benzocaine in mild cases.  *topical steroids like triamcinolone and clobetasol application in severe cases.  2. Systemic therapy :  *pentroxifylline daspsone short bursts of systemic steroids & thalidomide have been used to reduce the no. of ulcers and recurrence.