Burns and White Lesions in Oral Mucosa

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10 Questions

What percentage of the population has Candida species in their oral flora?

40%-60%

What is the primary characteristic of Candida as an infectious agent?

Poorly equipped to invade and destroy tissue

What is the term for the white necrotic slough that can be rubbed off leaving a raw red bleeding painful surface in burn injuries?

White necrotic slough

What is the term for the disease that is characterized by acute necrotizing ulcerative gingivostomatitis?

Acute necrotizing ulcerative gingivostomatitis (ANUG)

What is the term for the type of candidiasis that results from antibiotic use?

Acute Atrophic Candidiasis (antibiotic stomatitis)

What is the term for the chronic condition characterized by denture sore mouth?

Chronic Atrophic Candidiasis (Denture Sore Mouth)

What is the primary difference between acute and chronic candidiasis?

Course of the disease

What is the term for the burn injury that results from an electrical source?

Electrical burn

What is the term for the white lesions that appear on the oral mucosa?

White lesions

What is the term for the disease that is characterized by a chemical injury to the oral mucosa?

Chemical burn

Study Notes

White Lesions

  • Burns can cause white lesions in the oral mucosa
  • Chemical burns, thermal burns, and electrical burns can cause mucosal lesions

Chemical Injuries of the Oral Mucosa

  • Can cause white lesions in the oral mucosa
  • Uremic stomatitis is a type of chemical injury

Burns

  • Depending on the magnitude and duration of the insult, the mucosal lesion can appear as:
    • Localized erythema
    • White necrotic slough that can be rubbed off, leaving a raw, red, bleeding, and painful surface
  • Diagnosis is made by history

Acute Necrotizing Ulcerative Gingivostomatitis (ANUG)

  • Can cause white lesions in the oral mucosa

Oral Candidiasis

  • Candida species are normal inhabitants of oral flora in 40% - 60% of the population at low concentration
  • Candida is an opportunistic infectious agent that is poorly equipped to invade and destroy tissue
  • Predisposing factors for oral candidiasis include:
    • Diabetes
    • Malnutrition
    • Immunosuppression
    • Antibiotic therapy
    • Hormonal imbalance
    • Poor oral hygiene

Classification of Oral Candidiasis

  • The disease can be either acute or chronic in nature
  • Acute forms include:
    • Acute Pseudomembranous Candidiasis (Thrush)
    • Acute Atrophic Candidiasis (Antibiotic Stomatitis)
  • Chronic forms include:
    • Chronic Atrophic Candidiasis
    • Denture Sore Mouth

This quiz covers the causes and effects of burns and white lesions on the oral mucosa, including chemical and thermal burns, and their diagnosis.

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