Oral tissue lesions in children

Mouth-throat candidiasis - Common in newborns due to exposure to fungi from the mother during birth, manifested in the form of opaque plaque and can be removed from soft tissue often with inflammation with hemorrhagic spots .

Candida fungal infection
(Photo: uhavax)

Diagnosis is based on the direct screening results of samples or culture of samples taken from lesions. Oral-throat candidiasis albicans usually resolves in healthy children, cases of prolonged illness, needing treatment with nystatin, fluconazone helps to heal quickly and reduce the risk of transmission.

Oral-throat candidiasis is also an important problem in the treatment of myelosuppression. Systemic candidiasis is often present and fatal in the treatment of myelosuppression, and is almost inevitable in patients who have had oropharyngeal, esophageal or intestinal candidiasis. Combined treatment of chlorhexidine solution 0.2% and fluconazole for prevention of oral or candid candidiasis for patients with bone marrow transplantation is important to prevent and reduce the risk of mouth-throat candidiasis, systemic and esophageal.

Catheter ulcers

As a specific oral lesion, there is a tendency to recur. Catheter ulcers are reported to account for about 20% of the population, manifesting as ulcers with clearly limited margin, the bottom with white necrotic tissue and surrounding red inflamed ring. Lesions exist within 10-14 days and heal without scarring.

Herpes gingivitis

After an incubation period of about 1 week, people infected with herpes virus begin to show signs of fever and fatigue. The oral cavity may have manifestations at various levels including red swollen gums and small blisters scattered throughout the mouth. The above symptoms usually disappear after 2 weeks and leave no scars. Can rehydrate if the child is dehydrated. Mouthwash medicines have analgesic and antipyretic effects to make children more comfortable.

Recurrent herpes cheilitis

Recurring Herpes cheilitis (Photo: pathmicro)

About 90% of people have herpes simplex antiviral antibodies, other than the herpes primary gingivitis, recurrent inflammatory disease of herpes usually only stays in the lips. In addition to the expression of painful blisters and other atypical manifestations, recurrent herpes cheilitis often does not have systemic symptoms. Antiviral therapy is less effective than calming therapy in healthy patients with recurrent herpes virus.

Bohn notes

Appears in newborns, are congenital nodules in the oral cavity and tongue at the lower jaw and upper jaw area, and in the hard palate. These are lesions formed from the residual epithelium of mucous secretions. The bun does not need treatment, it disappears after a few weeks.

Tooth follicle

Appears in newborns, small cysts located along the crest of the lower jaw and crest of the upper jaw. These lesions form from the remaining tissue of the tooth's leaves. Follicles do not need treatment, disappear by themselves after a few weeks.

Fordyce County

Fordyce seeds on the tongue (Photo: dental)

Approximately 80% of adults have many small, white or yellow seeds, clustering or plaque in the oral mucosa, mainly in the lips and inner cheeks. These are abnormal sebaceous glands. This gland appears immediately after birth, can be enlarged and manifest initially in the form of yellow secretory plaques; The frequency of occurrence is about 50% in children. Fordyce seeds do not need treatment.

Abscess benefits

There is a soft, red nodule in the next set of teeth with chronic abscesses. The abscess is usually located in the position to leak the abscess. The benefit of abscess treatment is mainly to accurately diagnose abscesses to remove or treat marrow.

Dry cracked lips

Common in children, there are signs of dry lips, followed by scabbing and cracking of the lips, accompanied by a burning sensation. The disease is often caused by allergies to contact substances (toys or food), or with sunlight. The disease is worse when there is no wetting of the tongue and is further dried by the wind, especially in cold weather. Lips dryness often has fever. Regularly apply diluted gel to help the lesion heal quickly and prevent disease.

Tongue sticking

Characteristic is a short tongue arrestor that obstructs tongue movement. Extra long tongue brakes when children grow up. If tongue stickiness severely affects the pronunciation activity, then surgery should be indicated.

Map blade

Usually benign and does not cause clinical effects, manifested in the form of one or several bright red and flat patches, surrounded by a white, yellow or gray border, located on the normal red tongue tissue. The cause is unknown and there is no indication for treatment.

Cracked tongue

Clinical characteristics have many small slots / grooves in the dorsal surface. If pain can be managed by scraping the tongue or gargling to reduce the number of bacteria inside the grooves.

Doctor PHAM HONG DUC (Melbourne - Australia)