Response of the oral mucosa to denture wearing - …

Management of painful oral mucosal conditions may be either topical or systemic.
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Differences in the response of rodent oral mucosa and …

In accordance with a study by Hickel et al.,, the aesthetic, functional and biological properties of the analyzed crowns were rated. The aesthetic properties examined included surface luster and staining, color stability and translucency, and anatomic form. The functional properties that were scored included the existence of fractures, retention, marginal adaptation, contact points and their impact on chewing food, and radiographic aspects. The biological properties scored postoperatively included sensitivity of the endodontically treated teeth, loss of osseointegration for the implants, the recurrence of caries, erosion, abfraction, periodontal and mucosal aspects of the restored teeth, and oral and general health.

Secondary infection of ulcerative oral mucosal lesions is most commonly fungal in etiology.
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mucosal infections of the oral ..

With the increasing age of the patient population, the dentalprofessional must consider the affects of aging on the oralmucosa during dental treatment, especially those dealing withlonger healing times. Extended healing time must be discussedwith the older patient since it can impact appointment scheduling. Appointments for dental procedures such surgery as wellas nonsurgical periodontal therapy may need to be scheduled soless is done per appointment, thus allowing the healing processto catch up, reduce discomfort, and allow for the best patientoutcomes.

Within several days, this is followed by the development of oral vesicles, which can occur on any of the oral mucous membranes.
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It is also important to keep in mind that prolonged oral discomfort may prompt a change to a long-term “junk food” diet,thus increasing their caries risk. This is especially true of thosepatients having a negative experience with oral prostheses. Theelderly should be monitored after placement of a dental prosthesis for any signs of discomfort or adverse tissue responsesuch as atrophy.

The amount of oral discomfort experienced by patients with oral mucosal lesions varies and can often be controlled without narcotic analgesics.
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Tissue-engineered Oral Mucosa: a Review of the …

posed to thrush in young patients. It hypothesized that that thesusceptibility to mucosal infections is caused not only by an innate abnormal immune response brought on by chromosomaldamage, but also by acceleration of aging in individuals withDown syndrome. Thus there must always be a concern for therisk of infection such as oral candidiasis due to a less effectiveimmune system in the aged population.

Culture of Oral Mucosal Epithelial Cells for the Purpose of ..

The type of reactions of the oral mucosa to placement of anoral prosthesis changes with increased age. In younger patients,mechanical irritation that may occur with a poorly placed oralprosthesis tends to give rise mainly to painful inflammationand swelling, while chronic atrophic processes involving oralulcers are the predominant response in old age. 3

Phys eval terminology & oral exam Flashcards | Quizlet

Post dental treatment diet should be limited to lukewarmfoods that are soft, moist, and easy to chew or thinned withliquids such as broth, milk, yogurt, or gravy. Foods that arecrunchy, sharp, spicy or acidic that may cut or scrape the oralmucosa should be avoided. These temporary dietary changeswill help prevent any further oral injury and provide comfort aswell as maintain nutritional levels needed for healing.

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Pindborg reported four clinical varieties of oral candidosis found in HIV-infected individuals: pseudomembranous, erythematous, hyperplastic, and angular cheilosis.4 These clinical fungal subtypes are also useful in diagnosing and managing these lesions in nonHIV-infected individuals.

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Knowing that the epithelium of the mouth possibly has
undergone generalized atrophy, your older patients need to be
considered more fragile to the trauma that can occur during
dental procedures. When looking at a specific dental procedure
such as local anesthesia administration, excess pressure on the
oral mucosa that can occur may produce bruising resulting in
an oral hematoma. Other commonly performed procedures
such as prolonged use of either the rubber dam and high-speed
suction as well as aggressive wiping of the tissue with gauze
may also adversely affect the more fragile nature of their aged
oral mucosa, causing oral ulcerations.
However, short-term use of the rubber dam and bite block
may prevent issues dealing with the swallowing difficulties
brought on by aging. Placing the patient upright during most
of the dental appointment may also be necessary, as well as use
of nitrous oxide to relax any gag reflex. Also giving the patient
time to react to rinses, using less volume when flushing, and
overall not rushing care may prevent any dramatic gasping mo-
Care must be taken with extreme changes in water tempera-
ture when flushing the mouth as well as any use of chemicals or
lasers that may possibly burn tissue. This is due to the lack of
neural sensitivity from the intrinsic changes in the nerves with
age. Thus older patients may not pick up on any related early
tissue response before irreversible tissue damage has occurred.
Pre and post-treatment use of gentle antimicrobial oral rinses
can reduce the higher risk of infection in the aged from a less
effective immune system.
Noting any further thinning of the oral mucosa such as with
oral ulcerations needs to an important part of the intraoral ex-
amination procedures in the elderly, such as that which occurs
with ill-fitting prosthesis or accidental self-inflicted injury. 12
With these serious lesions, the more aggressive use of stron-
ger oral rinses with chlorhexidine, or oral antibiotics, may be
needed to prevent oral infection.
Discussion of the loss of taste perception may come up with
your elderly patients. The general reasons on how age affects
one’s taste sensation need be explained to those who have this
concern. However, this situation may need to be considered for
medical consultation to a certified nutritionist if it affects the
patient’s overall health or an increased risk of caries is again
noted along with a newly acquired “junk food” diet.
Prevention is key to aging gracefully and avoiding any
tangle with systemic disease states and this certainly holds true
for oral mucosa. Certain cases of trauma related gingival reces-
sion of the attached gingiva might be prevented by appropri-
ate toothbrushing techniques or utilization of a mouthguard.
Other cases may be multifactorial but still need to be part of the
overall treatment plan.
Also support of a sound diet will keep your patients healthi-
er regardless of their age, as well as avoiding use of tobacco and
excessive alcohol consumption. Management of xerostomia
must also be actively pursued in the aged population to prevent
side effects as discussed. This may involve rinses, lubricating
sprays or gels, and chewing special gums. 12