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White Lesions_Part II [Lecture by Dr.Eman Metwally @AmCoFam]

White Lesions_Part II [Lecture by Dr.Eman Metwally @AmCoFam]

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Categories:Types, Research, Science
Published by: AmericanCornerFamily on Jul 07, 2011
Copyright:Attribution Non-commercial

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10/20/2014

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2
nd
lecture
BYDR. IMAN METWALY
 
 
 
3. Infective lesions
A-Candidiasis
Etiology &pathogenesis 
 
Candida Albican
is the most common oral fungal infection
 
It is normally presenting in oral mucosa
in symbiosis
{30-50 %of people carry it}
 
Considered to be
opportunistic infection
as it may be
pathogenic
in certain situations
 
May attack oral mucosa ranging
from mild
superficial mucosalinvolvement
to fatal disseminated
disease in severelyimmunocompromized patients
Predisposing factors
1.
 
Local factors
 i.
 
Mucosal traumaii.
 
Denture wearingiii.
 
Denture hygieneiv.
 
Tobacco smoking2.
 
Age
{extremes of age : neonates , infants & old age}3.
 
Drugs
:broad spectrum antibiotics ,corticosteroids ,immunosuppressant therapy4.
 
Xerostomia
: drugs , radiotherapy5.
 
Systemic diseases:
iron deficiency,diabetes mellitus, acuteleukaemia , HIVinfection & AIDs6.
 
Other immunodeficiency states
 
 
Classification of oral candidiasis
Exhibits a
variety
of clinical patterns
1
-Candidiasis confined to the mucosa
A-Acute
1.
 
Pseudomembranous candidiasis {Thrush }
2.
 
Erythematous
candidiasis {antibiotic sore mouthor acute atrophic }
B-Chronic
1.
 
Chronic hyperplastic {candidal leukoplakia }{Erythematous Candidiasis]
2.
 
Chronic atrophic candidiasis {denture sore mouth=denturestomatitis }
3.
 
Chronic central papillary atrophy of the tongue
{medianrhomboid glossitis}
4.
 
Chronic multifocal candidiasis in addition to the dorsal tongue itincludes the junction of the hard & soft palate resulting in what is
called kissing lesions
 5.
 
Angular cheilitis
either a component of chronic multifocalcandidiasis or occurs alone or associated with denture stomatitis
2
-
Oral manifestations of generalized candidiasis
-Mucocutaneous candidiasis

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