- Oral and Maxillofacial Surgery Taunton And Somerset NHS
- Miscellaneous dental conditions tauntonmaxfax.net
- maxfax sho.co.uk
- Oral Health Rural Health West au
- Centre for Rural and Remote Oral Health University of Western Australia
- Apthous ulcers medscape
- Paediatric apthous ulcers medscape
- Apthous Ulcers AAFP
- Apthae dermnetnz
- tauntonmaxfax.net oral ulceration
C. albicans yeast infection of the oral mucous membrane and tongue
acute pseudomembranous – newborn and impaired immunity including inhaled steroids – use a spacer and gargle with water afterwards
- tauntonmaxfax.net oral candida infections
DD – Consider leukoplakia oral lichen planus
1st line Rx Nystatin suspension 100,000 units/mL, 1mL 6 hourly for 7 days or 48 hours after lesions have resolved
Increase dose to 500,000 units if extensive in terminal illness and immuno-compromised adults.
Miconazole gel in babies and small children.
2nd line Fluconazole 50-100mg daily for 7-14 days or itraconazole 100mg daily for 15 days. (200mg daily in immuno-compromised).
- tauntonmaxfax.net white patches leukoplakia and oral lichen planus
- Leukoplakia NHS choices
- Leukoplakia medlineplus
- cancerresearchuk.org mouth and oropharyngeal cancers
- skincancer-survivor.com leukoplakia
Smooth patches due to loss of papillae. Not clinically significant.
tauntonmaxfax.net geographic tongue
Pale smooth tongue
with atrophy of filiform papillae – iron/B12 deficiency
Benign condition due to overgrowth/elongation of dermal papillae.
?? May be due to candida secondary to smoking, antibiotics or steroids.
Amyloidosis, acromegaly, myxoedema
fasiculations and wasting – LMN lesions eg progressive bulbar palsy
spastic tongue + dysarthria and increased jaw jerk – pseudobulbar palsy
- tauntonmaxfax.net burning tongue
- mayoclinic.com burning mouth syndrome
- emedicinezone.com glossodynia
- Xerostomia PUK
- Xerostomia uic.edu
- macmillan.org.uk Mouthcare/Radiotherapy
Mumps, DM, debilitated alkies, TB sarcoid, Sjorjens lymphoma and syphilis.
Unilateral swelling – mised parotid tumour
Intermittent swelling – salivary calculi
Whartonns submandibular duct obstruction
Teeth are numbered from 1 to 8 from the midline.
Permanent teeth (n =32)
Deciduous teeth (n = 20)
World Dental Federation International 2 digit notation
Each of the four quadrants are numbered
A cross is drawn to represent quadrants, but the numerals are used as above for permanent teeth. Deciduous teeth are represented by the letters A-E.
Lower third molars.
upper (maxillary) right
upper (maxillary) left
Lower (mandibular) right
Lower (mandibular) left
- Dental abcess medscape
- Dental abcess journal of medical microbiology
- dry sockets medicinenet.com
- dentalguide.co.uk dry sockets
- tauntonmaxfax.net Oral surgery complications
Tooth extraction 1-3 days earlier.
Very severe pain. unrelieved by analgesics.
Continuous pain on the side of the face.
Mainly in the lower molars. especially the third (wisdom teeth).
Examination shows a socket with few or no blood clots. and sensitive bone surfaces covered by a greyish-yellow layer of necrotic tissue.
If a permanent (second) tooth is knocked out (in an accident or fight) but is intact, it can be saved by the following, immediate procedure.
1. Replace the tooth in its original position,preferably immediately; if dirty, put it in milk, before replacement or place it under the tongue
Note: Do not use water, and do not wipe it or touch the root.
2. Fix the tooth by moulding strong silver foil (e.g.a milk bottle top or cooking foil) over it and the adjacent teeth.
3. Refer the patient to his/her dentist or dental hospital as soon as possible.
Note: Teeth replaced within half an hour have a 90% chance of successful re-implantation.