by clicking the arrows at the side of the page, or by using the toolbar.
by clicking anywhere on the page.
by dragging the page around when zoomed in.
by clicking anywhere on the page when zoomed in.
web sites or send emails by clicking on hyperlinks.
Email this page to a friend
Search this issue
Index - jump to page or section
Archive - view past issues
News Bulletin : ADA News Bulletin June 2011
11 JUNE 20 11 no false advice Please contact Garry Pammer, Alison Lacey or Heath Stewart on: Telephone (02) 9264 1111 Fax (02) 9264 1344 email email@example.com website clarkjacobs.com.au Dental specialists for over 20 years Dentists can play an important role in the detection, diagnosis and, in many cases, management of common mucosal pathology that occurs in the oral cavity. A broad spectrum of mucosal disease can present intraorally ranging from reactive lesions through to neoplastic disease. Furthermore, mucosal disease can be either a local disease process in the mouth or reflect more widespread systemic disease. Either way, it is important that dentists have a good understanding of oral mucosal pathology, particularly the common things that patients may present within the dental surgery. ULCERS Perhaps some of the most common pathologies that occur in the mouth are ulcers; these lesions can have varied aetiologies ranging from infectious causes through to neoplastic. The most common forms of ulcers are recurrent aphthous ulcers. There are three main subtypes of this sort of ulceration including minor, major and herpetiform forms with the minor form of aphthous ulcers the most common.1 This occurs almost exclusively on areas of non-attached mucosa. These small, but painful ulcers are typically no more than 5 mm in diameter surrounded by an erythematous border and often covered by a yellowish pseudomembrane (Fig 1). For the majority of patients these ulcers resolve within 7 to 10 days with minimum active intervention apart from palliation of symptoms. However, in others these ulcers can be more troublesome, with new ulcers developing as old ones heal. In this situation, active treatment is indicated (such as topical steroids) to help promote healing.1 It is also important to remember there are strong links between the presence of aphthous ulcers and systemic diseases, particularly gastrointestinal diseases such as Crohn's disease and coeliac disease.2 Patients with ongoing ulceration should be referred to an appropriate medical practitioner for further assessment. Infectious causes of ulceration are most often a result of viral infection. Bacterial causes of oral ulcers are uncommon apart from ulceration associated with acute necrotising ulcerative gingivitis Dental Health Week 2011 COMMON ORAL PATHOLOGIES committee report Fig 1. Minor aphthous ulceration on the lower lip. Fig 2. Viral ulcers on the hard palate. Fig 3. Fibroepithelial polyp on the tip of the tongue.
ADA News Bulletin May 2011
ADA News Bulletin July 2011