Learning Objectives

1. List at least 8 causes of chronic nonspecific mucosal lesions.
2. Outline certain recognized etiologic agents and correlate them with subtle lesional patterns in the diagnosis of chronic nonspecific mucosal lesions.
3. Enumerate eight reasons as to why a causative agent cannot be attributed to a particular lesion.
4. List drugs commonly associated with lichenoid reactions.
5. Explain why it?s difficult to establish a relationship between drugs and lichenoid drug eruption.
6. List various dental materials known to cause oral allergic lesions.
7. Describe the differential diagnosis process for chronic lichenoid or leukoplakic oral mucosal lesions by considering the following factors:
    - medications associated with lichenoid reactions
    - dental materials
8. Describe and distinguish between the two approaches to the classification of oral mucosal lesions: one based on the etiopathogenesis of the lesion and the other on the clinical appearance.
9. Explain the mnemonic system recommended for the diagnosis of oral mucosal lesions based on the etiopathogenesis of the lesions.
10. As part of the clinical classification, identify oral mucosal lesions as white lesions, red lesions, pigmentation, ulceration, vesiculobullous lesions and swellings.
11. Describe the etiology and appearance of the four most common forms of candidosis, namely
    - pseudomembranous
    - erythematous
    - hyperplastic
    - angular cheilosis
12. List systemic and local factors that predispose a patient to develop candidosis.
13. List at least 4 topical medications used to treat candidosis, provide instructions for their use, and describe their relative advantages and disadvantages.
14. List various factors that cause recurrent aphthous ulcers.
15. Describe the clinical appearance and diagnosis of recurrent aphthous ulcers.
16. List topical medications used to treat recurrent aphthous ulcers.
17. Provide instructions to the patient on the proper use of topical steroids for the treatment of minor recurrent aphthous ulcers.
18. Describe herpes simplex virus infection and its clinical manifestations.
19. Describe the symptoms and diagnosis of recurrent herpetic infection and list 3 medications used to treat it with patient instructions.
20. List over-the-counter products for oral ulcerations in the following categories:
    - covering agents
    - local anesthetics
    - oxygenating agents
    - cauteries and antiseptics

Course Contents

1 The diagnosis and Management of Chronic Nonspecific Mucosal Lesions
    Clinical Presentation
    Etiology
    Lichenoid Drug Eruption
    Contact Lichenoid Reaction to Dental Materials
    Common Sensitizers in Dental Materials
    The Role of Galvanism
    Patient/Lesion Assessment
    Contact reactions to Foods and Oral health Care Products
    A typical Lichen Planus
    Candidiasis
    Other Conditions in the Differential Diagnosis
    Patient Management
    Author
    Bibliography
2 Two Approcahes to the Diagnosis of Lesions of the Oral Mucosa
    Etiopathogenic Classification
    Procurement of Data
    Clinical Classification
    Authors
    References
3 Strategies for Management of Commonly Encountered Oral Mucosal Disorders
    Oral Candidosis
    Recurrent Apthous Ulcers
    Herpes Simplex Virus Infection
    Recurrent Herpetic Infections
    Lichen Planus
    Discussion
    Author
    References
4 Over the Counter Products for Oral Ulcerations
    OTC Products
    Summary
    Authors
    References
Post Test

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