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ULCERATIVE LESIONS OF THEULCERATIVE LESIONS OF THEORAL CAVITY
ORAL CAVITY
CLASSIFICATION traumatic -physical ,chemical, thermal
,radiationInfectious
bacterial-TB , syphilis, leprosy, ANUG viral -HSV herpes zoster,
C V,!BV" #$n%al-histoplasmosis
neoplastic -s& cell carcinoma, lymphoma
Skin lesions -'!,! ,pemphi%$sSystemic diseases -le$(emia,
ne$tropenia,chrons diseaseDrug induced -cytoto)ic chemotherapy
Idiopathic- *AS
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RECCURENT APHTHOUSRECCURENT APHTHOUSULCERS(CANKER SORE)ULCER
S(CANKER SORE)
AETIOLOGY Heredity
hematological/nutritionalAllergic
StressSystemicdiseases
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+ CLASSIFICATION
Minor Major (sutton’s diseaseHerpetiform
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MA!OR APHTHOUS
S"ar on h#a$in% V#r& pain'u$
to *+ 'or
h#a$in% , to - ". in i/#
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TREATMENT TREATMENT
+ Topical anesthetics-+ Topical steroids+ 1ntralesional
steroids+ Tetracycline and
chlorhe)idine mo$thrinse
+ 5apsone,thalidomide, cyclosporine,colchinine
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B!HC!TS S6N5*3 !B!HC!TS S6N5*3 !
+ *AS times a year pl$s any t7o o# the#indin%s
!ye lesionsGenital lesions
s(in lesions0ositive pather%y test
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ANUG(TRENCH ANU G(TRENCHMOUTH0VINCENTS STOMATITIS)MOUTH
0VINCENTS STOMATITIS)
+ Borellia vincenti and #$si#orm bacill$s+ 8 to / yrs
+ 0redisposin% #actors 0oor oral hy%iene Smo(in%
N$tritional de#iciency
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CLINICAL FEATURES CLINICAL FEATURES
0ain and tendernessBleedin% %in%iva2etid odor
1ncreased salivationBad and metallictaste0$nched o$t ,craterli(e
$lcers o# the 150and mar%inal %in%ivaBl$nt 150
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NOMA(CANCRUM ORIS)NOM A(CANCRUM ORIS)
+ 2$lminatin% #orm o# ANUG+ 2acial dis#i%$rement
+ 0ts 7ith n$tritional de#iciency
