Category:

Oral Mucosal Disorders

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