🌹‏إِنَّ رَبِّي لَسَمِيعُ الدُّعَاءِ🌹

#oralMedicine #white_lesion #Lichen_planus 🌴Description🌴 Mucosal lesion of this disease appear in several forms: 1- reticilar👇👇 🔻-Lacy 🔻-White lines 2- erosive with some form as plaques 👇 🔴 (The most common)🔴 🍋-The same as reticular but there are areas of erosion or ulceration. 🍋Both skin and oral mucosa may be involved,,,, 🍋Oral lesions may occur on any surface but the buccal mucosa is the most common site. 🌴Etiology🌴 🍓The cause is unkown but it is currently believed to be an immune mediated disease. 🍓The target antigen is yet to be identified. 🍓Recent reports discount the role of stress. 🍓Numerous dental materials have been implicated in oral lichenoud lesions. While unbroven these include amalgam, semiprecious metals, gold, and compsite 🌴differential diagnosis🌴 ✅Squamous carcinoma (dysplasia) ✅lupus erythematosus ✅Benign mucous membrane pemphigoid ✅Candidiasis ✅Lichenoid drug eruptions. treatment💉 🎄The reticular and plaque types of this disease are ordinarily asymptomatic and no treatment. 🎄In erosive or ulcerative, relief is often achieved with topical steroids. 🎄If ulceration is too widespread to control with topical treatment, systemic prednisone is indicated. Ulternative drugs include topical tretinoin, cyclodporine, and tacroliumus.

#oralMedicine #white_lesion #Lichen_planus

#oralMedicine #Herpes_vs_Aphthous How Accurate Are You? ؟؟؟؟؟؟؟؟؟

#oralMedicine #Herpes_vs_Aphthous Treatment of aphthous

#oralـMedicine #Treatment_for_Herpes Patients should be informed that there is potential for self-inoculation and 🔄transmission of the virus to other susceptible hosts. Patients or their caregivers 🚫should be warned about potentially transmitting the virus to the eye👁, genitals, hands🖐 👥through direct contact with saliva 💦or vesicular fluid containing the virus.💉 💊Topical steroids❌ applied to intraoral herpetic lesions ❌ must be avoided ❌as steroid use allows the virus to spread. 🍶adequate hydration and nutrition🍲🍗 are essential to the healing process. 💦Palliative rinses combining equal parts by volume of 💉 a topical anesthetic (Lidocaine 2% or Dyclonine 1%) 💊 an antihistamine (diphenhyrdamine 12.5 mg/ml), 😷a coating agent that binds to the lesion's surface (Maalox or Kaopectate) can relieve the symptoms associated with the herpetic lesions. 🚫 When using a topical anesthetic that can potentially affect the swallowing process, patients should be counseled to use caution when drinking and eating. 💊 acetaminophen with or without a narcotic can also be given for relief of pain. ⛔️ In the less common case of an immunocompromised or immunosuppressed adult patient, ⛔️ 💊antivirals can be prescribed. Sample prescriptions are listed below 👇👇👇👇 for three of the more commonly used antivirals. Dosages may need to be adjusted up 🔼or down🔽 based on the size and systemic health (especially in the presence of renal disease) of the patient. 〰 Rx: Acyclovir (Zovirax) 200 mg capsules Disp: 50 capsules Sig: 1 ✖️5 ✖️ 10 Rx: Valacyclovir (Valtrex) 500 mg tablets Disp: 21 tablets Sig: 1✖️3✖️7 Rx: Famciclovir (Famvir) 250 mg tablets Disp: 21 tablets Sig: 1✖️3✖️7

#oralMedicine #herpes

#oralMedicine #herpes

#oralMedicine #herpes

#oralـMedicine #Treatment_for_Aphthous Aphthae that are localized or in small numbers can often be effectively treated with 💊 a topical steroid. For single (or few) shallow lesions, a mild steroid ointment or gel is usually adequate. Kenalog (triamicinalone acetonide 0.1%) in Orabase can be used on many mild aphthae cases. Larger lesions, can be treated with a more potent steroid like Lidex (0.05%) or Temovate (0.05%) gels or ointments. When the lesions are more diffuse, difficult to access (i.e., orophaynx), or in larger numbers, a steroid rinse is more helpful than a topical ointment or gel. Decadron (dexam- ethasone) elixir 0.5 mg/5 ml can be considered when treating these lesions. If the lesion(s) are large and accessible, combining dexamethasone with a topical ointment or gel can reduce the signs and symptoms. Although topical steroids used appropriately on a limited basis rarely cause untoward effects, patients should be counseled regarding the potential for candidal overgrowth when steroid rinses are used for extended periods. The more potent steroids (i.e., Temovate) when applied more than twice per day for more than two weeks can lead to mucosal thinning and erosions. Aphthae are expected to respond quickly to steroid therapy. It must be emphasized that when an intraoral ulcer does not heal after potential causes have been addressed and/or after steroid therapy, the lesion should be re-assessed and biopsied. Oral malignancy and other disease processes should be considered as part of the differential diagnosis for lesions that do not respond to conservative therapy. Other immune- mediated disease may also mimic aphthae and require an accurate diagnosis before an adequate treatment plan can be developed.

#oralMedicine #Aphthous

#oralMedicine #Aphthous

#oralـMedicine #Herpes_vs_Aphthous 📌 Etiology📌 🔵RAS is characterized as an idiopathic disorder whose fundamental etiology is unclear It is, however, widely recognized as immunologically mediated. 🔴 The herpes family of viruses currently is thought to consist of ♦️ herpes simplex 1 (HSV-1), ♦️herpes simplex 2 (HSV-2), ♦️varicella-zoster ♦️Epstein-Barr, ♦️cytomegalovirus, ♦️ human herpes virus VI, VII, and VIII Key points for patients: aphthous ulcers These are common They are not thought to be infectious. 👶Children may inherit ulcers from parents. • The cause is not known but some follow 😬 use of toothpaste with sodium lauryl sulphate. 🍳certain foods/🍾drinks. 🚬stopping smoking. 💊Some vitamin 🎌or other deficiencies or conditions may predispose to ulcers • Ulcers can be controlled but rarely cured😕 📆No long-term consequences are known

#oralMedicine #Herpes_vs_Aphthous

#oralـMedicine #Herpes_vs_Aphthous 🍃Recurrent aphthous stomatitis (RAS) and 🍂 recurrent intraoral herpes (RIH) 🍂🍃are the two most commonly presenting oral lesions in the dental setting. To facilitate the differential diagnosis between 🍃RAS and 🍂RIH, We will discuss: 1-signs and symptoms. 2-lesion location. 3-The comparative etiology. 4-treatment considerations . 💢Prodromal Symptoms 🔵aphthous lesion is generally indicated by : 🔹local discomfort at the lesion site. 🔹The degree of pain can vary from slight to severe . 🔴 herpes ♦️ unusual sensation of the affected tissue that may manifest as a lack of tactile or sensory perception. This may progress to ♦️a tingling ♦️burning ♦️ throbbing sensation. ↗️The development of vesicles (small blisters) within 24-48 hours will help to validate the occurence of a recurrent herpes outbreak. 🚥Lesion Location🚦 🔵aphthous ulcerations occurring on: 🔹 non-keratinized 🔹gland-bearing tissues. Common sites include : 🔹labial and buccal mucosa 🔹floor of the mouth 🔹oropharynx 🔹 vestibule 🔹 lateral tongue.👅 In contrast, 🔴Herpes appears on : ♦️keratinized tissues such as : ♦️the vermillion borders of the lips👄 ♦️hard palate ♦️attached gingivae ♦️alveolar ridges.

#oralMedicine #Herpes_vs_Aphthous How Accurate Are You?

#oralـMedicine_Q 3. A 20-year-old male presents for initial examination. Although his overall hygiene is good, you notice generalized loss of tooth structure. This loss includes incisal edges and occlusal surfaces. The lingual of the anterior maxillary teeth and the labial of the anterior mandibular teeth are also affected. Large, flat wear facets are seen. He reports that he has been grinding his teeth for years. ⛔️What type of tooth wear is this patient suffering from? A. Attrition B. Abrasion C. Abfraction D. Erosion ✅the answer: 👇 3. ⭐️The correct answer is A.⭐️ 😬Attrition is : loss of tooth structure due to tooth-to-tooth contact during contact and mastication. 🔹 Bruxing. 🔹premature contacts. and 🔹 poor-quality enamel can accelerate the damage. 😞Abrasion is : the pathologic wearing away of tooth structure secondary to the mechanical action of an external agent.💀 😬 Vigorous tooth brushing with abrasive toothpastes 🔺 is the most common cause Patterns can vary depending on cause. ♠️Abfraction ♠️ is loss of tooth structure secondary to occlusal stress that creates repeated tooth flexure and results in failure of enamel and dentin at a point away from the point of loading. This is most frequently seen in the cervical area of teeth and appears as a wedge-shaped defect. ♦️Erosion ♦️ is loss of tooth structure caused by a non bacterial chemical process. This can include 🍺 acidic drinks, 💊certain medications, and 😨reflux of gastric secretions both 😵 involuntarily (hiatal hernia) 😈voluntarily (bulimia). Clinically, 💥tooth loss does not correlate with functional wear patterns. Posterior teeth tend to lose occlusal tooth structure and they can appear cupped out, with the center being dentin and the edges enamel. The palatal and lingual surfaces of anterior teeth may also be affected.

نكمل ماتبقى من مادة ال oral medicine 👇👇👇

نــكــمـــل مــا تــبــقــى بــمــادة الـــ oral medicine#

⭕ أختصارات تفيد بالحفظ ⭕ 1--- أي تركيبة دواء علمية تنتهي بمقطع prazol ( يستثنى Aripiprazole من ذلك )يصنف دواء للمعدة من عائلة ال ppi ( proton pump inhibitors مثل : 1-lanzoPRAZOL 2-omePRAZOL 3-esomePRAZOL 4-rapiPRAZOL 5-pantoPRAZOL 2--- أي تركيبه دواء علمية تنتهي بمقطع sartan فهو للضغط مثل : 1-candiSARTAN 2-irpeSARTAN 3-telmiSARTAN 4-valSARTAN 5-loSARTAN 6-eproSARTAN 7- OLMESARTAN 3--- أي تركيبة دواء علميه تنتهي بمقطع VASTATIN فهو للكولسترول مثل : 1-loVASTATIN 2-praVASTATIN 3-atorVASTATIN 4-simVASTATIN 5-fluVASTATIN 6-rosuVASTATIN 4--- أي تركيبه دواء علميه تنتهي بالمقطع CONAZOL فهو مضاد فطري مثل : 1-miCONAZOL 2-itraCONAZOL 3-ketoCONAZOL 4-fluCONAZOL 5-isoCONAZOL 6-sertaCONAZOL 5--- أي تركيبه دواء علمية تنتهي بالمقطع gliptin فهو للسكري مثل : 1-vinlaGLIPTIN 2-saxaGLIPTIN 3-linaGLIPTIN 4-sitaGLIPTIN 5- ALOGLIPTIN 6--- أي تركيبه دواء علميه تنتهي بالمقطع PRIL فهو للضغط مثل : 1-captoPRIL 2-lisnoPRIL 3-enalaPRIL 4- RAMIPRIL 7--- أي تركيبه دواء علميه تنتهي بالمقطع osin فهو للبروستات مثل : 1-doxaZOSIN 2-prazOSIN 3-terazOSIN 4-alfuzOSIN 5- tamsulOSIN _______ هذه الاختصارات تفيدكم بالحفظ