By Robert P. Langlais DDS MS, Craig S. Miller DMD, Jill S. Gehrig RDH MA
This article offers prime quality color photos of universal oral illnesses. The illustrations are prepared based on their very important medical features. assurance is largely dependent. each one complete web page color plate includes 8 illustrations of problems heavily comparable via visual appeal or aetiology, for comparability and differentiation. at the pages contrary to the scientific photos, concise, informative textual content discusses aetiology, direction and remedy in addition to diagnostic info when it comes to position, intercourse, age and race. Appendices supply stream charts, RX abbreviations, healing protocols and a self-assessment quiz.
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Ankyloglossia occurs with an estimated frequency of one case per 1000 binhs. Lingual Varicosity fPhlebectasia) 'Fig. 19-8) Lingual varicosities. or venous dilations. are a common finding in elderly adults. The etiology of these vascular dililalions is either a blockage of the vein by an intemal foreign body, such as a plaque. or the loss of elasticity of the vascular wall as a result of aging. Intraoral varicosities most commonly appear superficially on the ventra! surface of the anterior two thirds of the tongue and ma~ extend onto the lateral border.
Initially, slightly raised white plaques and fo1 appear in a diffuse pattern covering areas of Irauma. Increased injury produces a hyperplastic response tha' increases the size of the plaque. A linear or strialed patte... is sometimes observed. with thick and thin areas seen sideby-side. Persislent injury leads to interadjacenl Iraumata. erythema and ulceralion. Mucosal chewing is usually seen on the buccal mucosa. less frequently on the labial mucosa. The lesions rna) be unilaleral or bilateral and can occur al any age.
Tender. nnd painful. Acute symptoms often recur at meal lime. Swelling may extend along the course of the excretory duct and last for hours or days. depending on the blockage. TIle overlying mucosa usually remains pink. Secondary infe<:tion results in pus emanating from the ductal opening or in redness of the swollen floor of the mouth. Treatment involves appropriate occlusal radiographs. sialography (if no infection is present). and surgical removal of the sialolith. Localized cellulitis and fever require the use of antibiotics prior to invasive procedures.