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Oral burnent of oral
burn
By, Dr Ali Abdel Fattah
Pedodontist
 DEFINITION
 BURN VERSUS EROSION
 TYPES
 MANAGEMENT
Definition
 Burn : DAMAGE TO THE SKIN OR OTHER
BODY PARTS CAUSED BY
EXTREME Heat , Flame
CONTACT WITH HEATED
OBJECTS OR CHEMICALS .
 EROSION: AN EROSION IS AN EATING AWAY OF
A SURFACE.
 ULCER: A DEFECT IN THE EPITHILIUM
of the surfaceEating awayAN
EROSIONAN
TYPES
 ELECTRIC BURN
 CHEMICAL BURN
 Thermal burn
MOST COMMON
HOME
CLINIC
HOME
 Burns of the oral mucosa are a frequent
cause of transient non-keratotic white lesions
(d .d of white lesions )
 The others :
1- habitual cheek or lip biting .
2- specific infectious candidiasis.(thrush )
Thermal burn-1
 Central palatal burns associated with the
eating of pizza or other hot cheese dishes
are often more severe.
 The thick keratinized dorsal surface of the
tongue with an adhering coat of saliva is
more resistant to thermal and chemical burns
than are thinner drier areas of the mucosa
such as the palate
Chemical burn2 -
Chemical Burn
Chemical burns occur at home
Chemical burn occur by medication.
Chemical burn occur by misuse or ingestion of
detergent & house bleach.
Burn caused by medication at dental clinic
Burn from medication
1. Aspirin burn ( KIDS ! ! ! )
2. Vit. C burn < kids >
3. Mouthwash containing ethyl
alcohol e.g listrin < kids >
ASPRIN BURN
Burn caused by medication
at dental clinic
1. Phenol and phenol derivatives.
2. Sodium hypochlorite burn.
3. Iodine burn.
4. Acrylic resin burn.
5. Eugenol burn.
6. Gluteraldehide and ultrasonic cleaning
solution.
7-over use of a topical anesthic
ELECTRIC BURN3-
 WHEN ?
HOW ?
 RESULT ?
 PREVENTION
 TREATMENT
WHEN –How ?
The child sucks or chews on exposed
electricwire or places theemal)extension
cord into the mouth( live ).
Prevention…prevention
 Parents should be reminded that accessible
“live” electric cords are potentially dangerous
specially to small children who still use
their mouths to evaluate their environment
(between 6 months -3yeas of age)
Management of electric burn
 Ideally the pt. with an electric burn to the
mouth should be seen by a dentist
between 5-10 days after
the accident.
SURGERY
THE SURGICAL MANAGEMENT OF BURN
INJURY TO THE MOUTH ESPECIALLY
WITH REGARD TO THE TIME WHEN
SUCH SURGERY SHOULD BE
PERFORMED IS CONTROVERSIAL.
BURN APPLIANCE
 The treatment of choice is the use of
prosthetic appliance (burn appliance).
 The appliance is generally delivered
between 10-14 days after injury.(
Edema subside )
Purpose of burn appliance
IT MAY NOT ELIMINATE THE NEED OF
SURGERY BUT REDUCE THE NEED OF
MORE DIFFICUL SURGICAL PROCEDURE
2- PERVENT ASYMMERTY OF THE
COMMISSURES RESULTING FROM
TISSUE COHESION AND SCAR
CONTRACTURE .
3- PROVIDE A MORE APPEARING
.COMMISSURE AFTER HEALING
WE ARE
PREVENTION-
ORIENTED
PROFESSION
?QUESTIONLECTURE
Oral burn

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Oral burn

  • 1. Oral burnent of oral burn By, Dr Ali Abdel Fattah Pedodontist
  • 2.  DEFINITION  BURN VERSUS EROSION  TYPES  MANAGEMENT
  • 3. Definition  Burn : DAMAGE TO THE SKIN OR OTHER BODY PARTS CAUSED BY EXTREME Heat , Flame CONTACT WITH HEATED OBJECTS OR CHEMICALS .  EROSION: AN EROSION IS AN EATING AWAY OF A SURFACE.  ULCER: A DEFECT IN THE EPITHILIUM
  • 4. of the surfaceEating awayAN EROSIONAN
  • 5. TYPES  ELECTRIC BURN  CHEMICAL BURN  Thermal burn MOST COMMON HOME CLINIC HOME
  • 6.  Burns of the oral mucosa are a frequent cause of transient non-keratotic white lesions (d .d of white lesions )  The others : 1- habitual cheek or lip biting . 2- specific infectious candidiasis.(thrush )
  • 7.
  • 8. Thermal burn-1  Central palatal burns associated with the eating of pizza or other hot cheese dishes are often more severe.  The thick keratinized dorsal surface of the tongue with an adhering coat of saliva is more resistant to thermal and chemical burns than are thinner drier areas of the mucosa such as the palate
  • 11. Chemical burns occur at home Chemical burn occur by medication. Chemical burn occur by misuse or ingestion of detergent & house bleach. Burn caused by medication at dental clinic
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  • 14. Burn from medication 1. Aspirin burn ( KIDS ! ! ! ) 2. Vit. C burn < kids > 3. Mouthwash containing ethyl alcohol e.g listrin < kids >
  • 16. Burn caused by medication at dental clinic 1. Phenol and phenol derivatives. 2. Sodium hypochlorite burn. 3. Iodine burn. 4. Acrylic resin burn. 5. Eugenol burn. 6. Gluteraldehide and ultrasonic cleaning solution. 7-over use of a topical anesthic
  • 17. ELECTRIC BURN3-  WHEN ? HOW ?  RESULT ?  PREVENTION  TREATMENT
  • 18. WHEN –How ? The child sucks or chews on exposed electricwire or places theemal)extension cord into the mouth( live ).
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  • 23. Prevention…prevention  Parents should be reminded that accessible “live” electric cords are potentially dangerous specially to small children who still use their mouths to evaluate their environment (between 6 months -3yeas of age)
  • 24. Management of electric burn  Ideally the pt. with an electric burn to the mouth should be seen by a dentist between 5-10 days after the accident.
  • 25. SURGERY THE SURGICAL MANAGEMENT OF BURN INJURY TO THE MOUTH ESPECIALLY WITH REGARD TO THE TIME WHEN SUCH SURGERY SHOULD BE PERFORMED IS CONTROVERSIAL.
  • 26. BURN APPLIANCE  The treatment of choice is the use of prosthetic appliance (burn appliance).  The appliance is generally delivered between 10-14 days after injury.( Edema subside )
  • 27. Purpose of burn appliance IT MAY NOT ELIMINATE THE NEED OF SURGERY BUT REDUCE THE NEED OF MORE DIFFICUL SURGICAL PROCEDURE 2- PERVENT ASYMMERTY OF THE COMMISSURES RESULTING FROM TISSUE COHESION AND SCAR CONTRACTURE . 3- PROVIDE A MORE APPEARING .COMMISSURE AFTER HEALING
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