A Comprehensive Review on Classification of Oral Ulcerative Lesions| Stephy Publishers

 


               SOJ Dental and Oral Disorder - (SOJDOD) | Stephy Publishers

Abstract

A brief overview of the superficial oral lesion

Objectives:

Oral mucosal lesions are a broad group of lesions which are located in the soft tissues of the oral cavity identified by its specific etiology, clinical manifestations, differential diagnosis and treatment. White lesions of the oral cavity constitute a rather common group of lesions that are encountered during routine clinical dental practice. The process of clinical diagnosis and treatment planning is of great concern to the patient as it determines the prognosis. There should be in-depth knowledge to the consultant about the varied clinical features, etiology of the disease and various treatment plans. Clinical diagnostic skills and ideal judgment forms the key to successful management of white lesions of the oral cavity

This review will discuss many of the most common intraoral white lesions including their clinical presentation, how to make an accurate diagnosis

Keywords

Feeding, Nesting, Weaver-bird, Environmental conditions, Crops

Introduction

Oral lesions are a common clinical finding that we encounter day to day in clinics. Lesion may have varied features ranging from a small macular region to a white plaque or a patch. The lesion may have various forms of clinical features that include its colour, its presentation, flat or raised lesions and its different morphological forms. Surface of the lesion which may appear to be smooth, rough and corrugated surface. Diagnostic dilemma occurs to the practioners as the lesions presents with various specific clinical and morphological features. As a general practioners and interns we should be aware of the superficial oral lesions that may appear in the oral cavity and have sufficient knowledge and awareness to diagnose such lesions and if they appear suspected may send them for investigations.1

Diagnostic Challenge

A thorough patient history is important for diagnosis. For example, a history of heavy smoking, consumption of tobacco, arecanut etc. Possibility of a systemic condition should also be considered; for example, use of a medication known to cause a lichenoid reaction along with skin lesions suggests oral lichen planus. On examination, the location, and surface and sub epithelial characteristics of lesions are important factors in diagnosis.2

White lesions of the oral cavity (category wise in the decreasing order of frequency.

1.    a. Inflammatory/Reactive

2.    b. Dysplastic/neoplastic

3.    c. Oral manifestations of common dermatologic disease (eg Lichen planus)

4.    d. Oral manifestations of systemic disease

5.    e. Developmental

The clinical examination to identify a lesion an oral condition and systematic approach to diagnose a lesion its specific characteristics may help in diagnosing an oral mucosal lesion. The examination of soft tissues in paediatricpatients involves knowledge of normal size, shape, colour, and texture of the structures that comprise it. The correct exploration of the oral mucosa can provide important tools in diagnosing developmental, neoplastic, infectious, or inflammatory alterations.


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