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Infections that are hidden in the mouth

Infections that are hidden in the mouth


At the level of the oral cavity, a series of manifestations of general disorders may occur. These lesions can sometimes be even unique signs of onset of diseases. That is why these lesions are considered particularly important for the diagnosis of general disease.
The presence of this lesion in the mouth cavity is quickly noticed by the patient, due to the high sensitivity of the buccal mucosa area, the natural consequence being the presentation to a specialized control to specify a diagnosis and an adequate treatment.
Oral mucosa includes the following:
gum; the mucosa of the cheeks and lips;
language; the buccal floor; oropharynx and mucosa of the amygdala region.


Common lesions in the oral cavity
Oral bites
These occur frequently in adults, are caused by immunological mechanisms, but can also be produced by local factors (sweets, nuts, nuts, chocolate; excessive fermentation; dental rash; trauma with toothbrush, viruses, gastrointestinal disorders, pregnancy, menstruation, stress).
Most commonly, the lesion is observed when it passes into the yellow-white ulceration stage and is well contoured. The mouth sores heal without scarring in 7-10 days, but they are very painful, usually due to chewing and swallowing, which is why the patient has hypersalivation. Recurrences occur after varying periods of time, unpredictably, from a few days to several years.
The treatment is most often performed by prescribing a mouthwash in which antibiotics, antiseptics, local anesthetics, corticosteroids or local cauterization with silver nitrate 20% -30% are associated.
herpes
Most commonly, the lesions are caused by the herpes virus I. Contamination is usually in childhood or adolescence through contact with infected persons. Following the contact, the first herpes infection occurs. This, after an incubation period of several days, manifests through primary herpes gingivitis.
It is a bladder rash, ulcerative, located at the level of the buccal mucosa and on the citane-mucosal junction (red lip, skin). In addition, it is accompanied by the alteration of the general condition: fever, headache, satellite adenopathy. The healing of the lesions is done in 7-12 days, without scarring, but the virus remains confined in the body in a latent state, located in the trigeminal ganglia.
The reactivation of the virus occurs as a result of triggers such as: exposure to ultraviolet radiation, cold, ingestion of food producing gastrointestinal disorders, influenza, vaccinations, menstruation, trauma, extraction, stress or immunosuppression.
In this context, the secondary herpetic infection appears, with a narrower character than the primary eruption, general unaffected state. It should be noted that the lesions located on the buccal mucosa and the cutaneous-mucosal junction are preceded by: itching, itching, pain at the place of appearance.
To improve the symptoms, mouthwashes and mouthwashes with analgesics, antibiotics are used, and Aciclovir is generally administered to prevent the spread of lesions.
Gingival hypertrophies
These are increases in the volume of the gums, of different causes. They are relatively common and produce functional and aesthetic changes. The volume and color are different depending on the histological structure, most often they are bloody, soft, inflammatory or firm, fibrous.
They may occur during physiological conditions, such as: puberty, menstruation, pregnancy, due to specific hormonal changes during these periods, by administration of contraceptives, menopause, but also in systemic diseases such as: diabetes, hypovitaminosis C, leukemias, anemia, thrombocytopenia or by administration of drugs: hydantoin, Nifedipine, cyclosporine (immunosuppressants).

Oral candidiasis


Oral candidiasis
It is an infection caused by fungi of the genus Candida and is the most common mycosis of the oral cavity. Candida albicans is a fungus present in the oral cavity, being nonpathogenic.
But there are certain conditions that turn it into an aggressive microorganism, namely: excess of antibiotics, diabetes, pregnancy and contraceptive use, immunosuppressive medication, endocrine diseases, poor oral hygiene, smoking, old unadapted prostheses, etc.
The most common forms of candidiasis are in the gums and mucous membranes of the mouth and are manifested by pain on touch, chewing, contact with food, cracks in the mouth.
The lesions can be of various forms: atrophic - erythematous areas of red velvet color, sprinkled with erosion zones, associated with itching, burning, dry mouth; hypertrophic - areas of white-swollen color, highlighted, not removed by deletion, located on the gum, cheek, palate, dorsal face of the tongue.
The allergic reaction is manifested by a change in the color of the gum, it becomes intensely red, the volume is increased, it bleeds easily, it is frequently associated with the tongue and lips (glossitis and cheilitis).
The oral cavity is colonized by a large variety of germs, most non-aggressive, but which can become pathogenic when the body's reactivity decreases. Also, with food, foreign microorganisms of the usual oral flora, some with a special virulence (betahemolytic streptococcus) may enter the buccal cavity.
Although this type of reaction occurs more frequently in the skin, the buccal mucosa may also be the site of allergic manifestations. Such reactions are most commonly encountered in drugs: antimalarials, aspirin, barbiturates, codeine, gold salts, indomethacin, oxacillin, penicillin, streptomycin, preservatives and drug stabilizers; food: preserved meat products, sausages, milk powder, eggs, raspberries, strawberries, fermented cheeses, fish, molluscs; chewing gum; to some components of toothpaste or mouthwash.
As opposed to germ aggression, the oral cavity presents a series of defense mechanisms, such as: saliva (rich in active substances for inhibiting microorganisms), integrity of the buccal mucosa, buccal lymphoid tissues (palatal and lingual tonsils), immune mechanisms in the mucosa.
Source: Health Journal, Dr. Daciana Velisarato

Tags Oral disorders