To prevent oral mucosa infection q4h , instruct patient to use:
A- Warm saline gargle
B- Glycerin oil
C- Antibiotic
D- Warm gargle with mineral oil.
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Pathology of the oral mucosa:
This clinic aims to perform a specific and comprehensive approach to diseases that affect the oral mucosa.
We study and treat a set of very diverse diseases, including inflammatory, tumor, infectious, reactive, autoimmune and psychosomatic processes.
In inflammatory pathology, oral lichen planus (LPO) stands out, a chronic autoimmune mucocutaneous disease of unknown cause that can affect the skin, oral mucosa, genital mucosa, scalp and nails. The oral mucosa is affected in up to 50% of cases and often exclusively. The LPO presents in a varied way, from asymptomatic reticulated plaques to painful erosions that affect the entire mouth. The most severe forms can also affect the genital and esophageal mucosa and greatly alter the quality of life of patients. Erosive LPO lesions have been associated with the development of oral squamous carcinoma, so periodic clinical controls must be performed in these patients.
Another frequent disease that affects the oral mucosa is recurrent aphthous stomatitis (RAS). It is a process of unknown cause that manifests itself in the form of painful recurrent lesions in the oral mucosa. Canker sores are round or oval lesions less than 5 mm, white-yellowish and with an erythematous border, which take care without scarring in 1-2 weeks. We talk about complex EAR when there is an almost constant presence of more than 3 oral and oral and genital canker sores. In these cases we are obliged to rule out associated processes such as Behçet's disease, inflammatory bowel disease, cyclic neutropenia, vitamin deficits, celiac disease and human immunodeficiency virus infection. EAR treatment is symptomatic, as there is no specific treatment. In cases of complex EAR systemic treatments may be required.
A part of the patients that we treat in the oral pathology unit suffer from the so-called urentra or orodina mouth syndrome. This disease is treated in coordination with the psychodermatology unit. It consists of the chronic burning or stinging sensation in the oral mucosa without evidence of mucosal injury or other underlying pathology. The diagnosis is exclusion and we must first rule out the presence of organic pathology. In these patients, psychiatric comorbidity, of an anxious-depressive type, is frequent and will be evaluated in the psychodermatology unit, where the patient will be referred once the diagnosis is reached.
Within the tumor pathology, precancerous lesions of the oral mucosa and lips stand out, also named leucoplachies and erythroplachies, which manifest respectively in the form of white plaques or persistent erythematous lesions in the labial, jugal, gingival or lingual mucosa. They are related to various risk factors such as tobacco, alcohol abuse. These lesions are at risk of evolving into squamous carcinoma of the oral mucosa, so they require continuous monitoring and early treatment. Once the diagnosis is confirmed by biopsy, precancerous lesions with mild atypia can be controlled by eliminating risk factors and applying topical preparations containing retinoic acid. In lesions with greater atypia, it will be necessary to destroy the lesion by surgical excision or with less invasive therapies such as cryotherapy, electrosurgery and the CO2 laser.
In the case of squamous carcinomas of the oral mucosa, the treatment of choice will be surgical and a multidisciplinary approach will be carried out with the Maxillofacial Surgery, Otolaryngology, Oncology and Radiotherapy Services.
A- Warm saline gargle
B- Glycerin oil
C- Antibiotic
D- Warm gargle with mineral oil.
---------------------------
Pathology of the oral mucosa:
This clinic aims to perform a specific and comprehensive approach to diseases that affect the oral mucosa.
We study and treat a set of very diverse diseases, including inflammatory, tumor, infectious, reactive, autoimmune and psychosomatic processes.
In inflammatory pathology, oral lichen planus (LPO) stands out, a chronic autoimmune mucocutaneous disease of unknown cause that can affect the skin, oral mucosa, genital mucosa, scalp and nails. The oral mucosa is affected in up to 50% of cases and often exclusively. The LPO presents in a varied way, from asymptomatic reticulated plaques to painful erosions that affect the entire mouth. The most severe forms can also affect the genital and esophageal mucosa and greatly alter the quality of life of patients. Erosive LPO lesions have been associated with the development of oral squamous carcinoma, so periodic clinical controls must be performed in these patients.
Another frequent disease that affects the oral mucosa is recurrent aphthous stomatitis (RAS). It is a process of unknown cause that manifests itself in the form of painful recurrent lesions in the oral mucosa. Canker sores are round or oval lesions less than 5 mm, white-yellowish and with an erythematous border, which take care without scarring in 1-2 weeks. We talk about complex EAR when there is an almost constant presence of more than 3 oral and oral and genital canker sores. In these cases we are obliged to rule out associated processes such as Behçet's disease, inflammatory bowel disease, cyclic neutropenia, vitamin deficits, celiac disease and human immunodeficiency virus infection. EAR treatment is symptomatic, as there is no specific treatment. In cases of complex EAR systemic treatments may be required.
A part of the patients that we treat in the oral pathology unit suffer from the so-called urentra or orodina mouth syndrome. This disease is treated in coordination with the psychodermatology unit. It consists of the chronic burning or stinging sensation in the oral mucosa without evidence of mucosal injury or other underlying pathology. The diagnosis is exclusion and we must first rule out the presence of organic pathology. In these patients, psychiatric comorbidity, of an anxious-depressive type, is frequent and will be evaluated in the psychodermatology unit, where the patient will be referred once the diagnosis is reached.
Within the tumor pathology, precancerous lesions of the oral mucosa and lips stand out, also named leucoplachies and erythroplachies, which manifest respectively in the form of white plaques or persistent erythematous lesions in the labial, jugal, gingival or lingual mucosa. They are related to various risk factors such as tobacco, alcohol abuse. These lesions are at risk of evolving into squamous carcinoma of the oral mucosa, so they require continuous monitoring and early treatment. Once the diagnosis is confirmed by biopsy, precancerous lesions with mild atypia can be controlled by eliminating risk factors and applying topical preparations containing retinoic acid. In lesions with greater atypia, it will be necessary to destroy the lesion by surgical excision or with less invasive therapies such as cryotherapy, electrosurgery and the CO2 laser.
In the case of squamous carcinomas of the oral mucosa, the treatment of choice will be surgical and a multidisciplinary approach will be carried out with the Maxillofacial Surgery, Otolaryngology, Oncology and Radiotherapy Services.
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