The document discusses oral soft tissue hemorrhages including petechiae and ecchymoses, which appear as pinpoint or larger bruises in the mouth. They can be caused by minor trauma from activities like coughing or dental procedures, or from blood disorders. The lesions are usually red, blue, or purple and found in areas like the cheeks, lips, and palate accessible to trauma. Treatment depends on the cause, but may include removing traumatic objects, applying ice, using steroids and antibiotics, or treating underlying blood disorders. The prognosis depends on whether the hemorrhage was caused by trauma or a systemic condition.

2.  Soft tissue hemmorrhages in pinpoint size.
(Petechiae)
 Soft tissues hemorrhages larger than
pinpoint size (Ecchymoses)
 Appear intraorally because of trauma or
blood disease (Dyscrasia)
 Trauma – red to purple lesions

3. TYPES OF INJURY:
 Cheek biting
 Coughing
 Fellario
 Trauma from prosthetic appliances
 Injudicious hygiene procedures
 Iatrogenic dental procedures

4.  Blood Dyscrasia
 Red to purple macules
 Minor trauma

5.  Color varies from red to blue to purple.
 Lesions usually appear in areas
accessible to trauma, such as:
 buccal mucosa
Lateral tongue
Lips
Junction of hard and soft palate

6.  Lesion secondary to blood dyscrasia
may follow on insignificant trauma
 Other clinical oral signs of blood
dyscrasia:
Gingival enlargement
Gingivitis
“Spontaneous” gingival hemorrhage
Prolonged bleeding after oral surgery
Loose teeth
Mucosal ulcers

7.  Blood disorders
 Dyscrasia
 Lupus
 Pemphigus Vulgaris
 Lichen Planus
 Lichenois Reactions

8.  Removing devices that are causing
trauma & rechecking the px to make
sure the lesions have resolved is
necessary
 Ice packs/ cold compresses, direct
pressure
 Steroids & antibiotic

9.  Excellent for bruises and hematomas
 Good to guarded for immune-mediated
vasculitis conditions
 Depending upon whether the lesion is
induced through trauma or wheter it is
systemic, the prognosis will vary.

10. By:
GROUP 7
 SALMORIN
 SUGUITAN
 TALAM
 UY