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By Richard C.K. Jordan, Michael A.O. Lewis

A complete advisor to prognosis and therapy of oral problems;superb color illustrations built-in all through - combining some great benefits of an atlas with a quick text/reference;symptoms-based approach;one situation in step with web page or web page spread.

content material: PREFACE; ACKNOWLEDGEMENTS; ABBREVIATIONS; 1 creation; 2 ULCERATION; three BLISTERS; four WHITE PATCHES; five ERYTHEMA; 6 SWELLING; 7 PIGMENTATION (INCLUDING BLEEDING); eight OROFACIAL soreness (INCLUDING SENSORY AND MOTOR DISTURBANCE); nine DRY MOUTH, extra SALIVATION, covered TONGUE, HALITOSIS, and adjusted flavor; INDEX.
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A accomplished consultant to analysis and therapy of oral difficulties; incredible color illustrations built-in all through - combining some great benefits of an atlas with a brief text/reference; symptoms-based Read more...

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70 70, 71 Graft versus host disease presenting as diffuse erosion of the buccal mucosa. 71 37 38 ULCERATION Radiotherapy-induced mucositis ETIOLOGY AND PATHOGENESIS Patients who receive radiotherapy to the head and neck, as part of the treatment of malignancy, invariably develop a widespread and painful oral mucosal erosion or ulceration. Radiotherapy damages mitotic epithelial cells leading to epithelial breakdown, atrophy, ulceration, and inflammation. Superinfection by candida and staphylococci may also play a role in the development of radiation-induced mucositis.

However, the clinical appearance is variable and the erosive form of the condition may produce oral ulceration (64–66). DIAGNOSIS Clinical diagnosis of oral lichen planus is aided by the presence of cutaneous lesions. If the main presenting feature is ulceration, further examination is likely to reveal areas of white patch or striae at other oral mucosa sites. 64 64–66 Erosive lichen planus presenting as ulceration in the buccal mucosa and floor of mouth. 5 mg) allowed to dissolve on the affected area 2–4 times daily.

Alternatively, if the distribution of lesions matches the position of old amalgams, a hypersensitivity to amalgam should be considered (142). More recently lichenoid reactions to composite materials have been reported. Mucosal biopsy is often helpful in supporting the diagnosis of a lichenoid reaction, although the changes may be difficult to differentiate from lichen planus or may be nonspecific. It has been suggested that indirect immunofluorescence may be of help in diagnosing a drug-induced lichenoid reaction, but this type of investigation is rarely employed.

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