Oral pathology lab 9-9

Dr. Rusul Raad

 Herpetic stomatitis
• Caused by herpes
simplex virus type 1
• Usually affect
children younger
than 6 years
• Vesicles then ulcer,
may affect any part
of oral mucosa
• Lymphadenopathy
and fever (variable in
severity)
• Supportive
treatment
 Herpes labialis

• Secondary infection by HSV-1

• Known as cold sore or fever blister
• Symptoms arise 6-24hrs before the lesion develop
• Symptoms include:
– Pain
– Burning
– Itching
– Tingling
– Localized warmth
– erythema
Herpes zoster of trigeminal nerve
 Herpes zoster of trigeminal nerve
(ophthalmic)
• Recurrent latent varicella
zoster infection
• Typically in elderly
• Rash preceded by pain
• Lesion localized to one side
within the distribution of any
of the divisions
• Can be life threatening in
immunocompromised.
• Treated by antivirals
• Antibiotics needed if the rash
is infected.
 Traumatic ulcer
• Usually caused by
biting, denture
trauma, or chemical
trauma.
• Heals days after
elimination of the
cause.
• If persist more than 10
days consider biopsy.
Allergic contact stomatitis
 Aphthous stomatitis
• Recurrent aphthous
stomatitis (RAS) is a
common condition in
which round or ovoid
painful ulcers recur on
the oral mucosa.
Etiology is unclear.
Diagnosis is clinical.
Treatment is
symptomatic and
usually includes topical
corticosteroids.