上海交通大学-口腔医学口腔粘膜病学溃疡类疾病.pptVIP

7. Treatment Symptomatic in mild cases. Systemic steroids, immunosuppressive drugs, colchicines, thalidomide, and dapsone are administered in severe cases. BACK * IV. Traumatic Ulcer  Traumatic Bulla 1. Preface Because of the constant motion of the masticatory mucosa over the teeth and the introduction of hard objects into the oral cavity, traumatic ulcers are frequent. NEXT * 2. Etiology Mechanical factors: a sharp or broken tooth, rough fillings, clumsy use of cutting dental instruments, hard foodstuffs, sharp foreign bodies, biting of the mucosa, and denture irritation etc. Physical factors: thermal burns Chemical factors: strong acid, strong base, As2O3, Ag(NO)3, iodophenol NEXT * 3. Clinical feature 1) Decubital ulcer mechanical irritating factors the ulcer conforms in area and linearity to the source of the irritating factors NEXT * NEXT traumatic ulcer * traumatic ulcer NEXT * infants, hard palate improper feeding NEXT 2) Bednar ulcer * 3) Rida-Fede ulcer infants lingual frenum ulcer secondary to inferior deciduous incisor NEXT * 4) Factitious ulcer mentally handicapped patients or those with serous emotional problems oral self-inflicted trauma by biting, fingernails, or by the use of a sharp object tongue, lower lip, gingiva slow to heal due to perpetuation of the injury by the patient local measures and psychiatric therapy NEXT * 5) Chemical burn the type of chemical utilized, its concentration, and the duration whitish surface?desquamating?painful erosion or ulcer?bone damage healing within 1-2 weeks NEXT * NEXT chemical burn * 6) Thermal burn very hot foods, liquid, or hot metal objects palate, lips, floor of the mouth, tongue painful, red, undergoing desquamation, leaving erosions supportive treatment; self-healing in about a week NEXT * NEXT thermal burn * 7) Traumatic bulla traumatic hematoma caused by biting or prosthetic appliances buccal mucosa, soft palate, lips, tongue self-healing in 4-6