DIFFERENTIAL DIAGNOSIS OF DISEASES OF THE MUCOSA OF THE ORAL CAVITY

Variants of pathological changes related to the group of white lesions: multiform erythema, flat lichen, candidiasis glossitis at the stage of formation of white foci. In this paper we consider the differential diagnosis of multiform erythema, planar lichen, candidiasis glossitis in the presence of signs of white plaque. Clarification of the diagnosis is based on a thorough examination and additional (including laboratory) research methods. Analysis of the results of observation of clinical cases of oral mucosa diseases to differentiate existing foci for correct diagnosis and subsequent treatment.The analysis of clinical cases of diseases of the oral mucous membrane indicates the similarity of their elements of destruction and manifestations of other symptoms, which greatly complicates the diagnostic search. A thorough survey, inspection, consultations of general specialists and additional laboratory tests allow to successfully solve the tasks

A systematic examination of the mucous membrane of the mouth (oral mucous membrane) – method of early diagnosis of precancerous diseases

The article presents information on the liability of the dentist for reducing the risk of development of pathological processes, including malignant neoplasms of the oral cavity. A thorough inspection of the oral mucous membrane, in accordance with WHO recommendations provides a systematic survey of all departments of the oral cavity and surrounding tissues. This tactic can significantly reduce the risk of development of pathological lesions of the oral cavity, to prevent malignant transformation or provide early diagnosis.

Oral Mucous Membrane Pemphigoid With Positive Nikolsky’s Sign: A Case Report

Mucous membrane pemphigoid (MMP) is a rare inflammatory, autoimmune, and subepithelial vesiculobullous disease in which tissue-bound autoantibodies are produced against one or more components of the basement membrane. Oral lesions of the pemphigoid begin in the form of vesicles or bullae that often involve throughout the mouth but may be confined to specific areas, especially the gingiva, in a pattern known as desquamative gingivitis. The positive Nikolsky's sign is characteristic of pemphigus vulgaris, in which a blister can appear on the normal-appearing skin if exerting lateral pressure, and is very rare in the mucosa and other vesiculobullous diseases. Here we report a case of mucous membrane pemphigoid that developed as desquamated gingivitis in a 46-year-old woman with positive Nikolsky's sign in the gingival mucosa. In the histopathologic view, a subepithelial cleft was observed. The results of direct and indirect immunofluorescence tests and related therapeutic interventions are also presented. Positive Nikolsky's sign can be observed in the mucosa as well as in the mucous membrane pemphigoid in addition to pemphigus vulgaris, and vesiculobullous lesions should be diagnosed based on the sum of clinical, histopathological, and immunofluorescence findings.

A Patient with a Sudden Onset of Oral Pigmentation

Addison's disease or primary adrenal insufficiency (hypoadrenocorticism) is an endocrine disease characterized by a deficiency in the production of the adrenal cortex hormones, particularly cortisol and aldosterone. Patients affected by Addison's disease develop anorexia, weight loss, hypoglycemia, fatigue, nausea, vomiting, skin, and mucosal pigmentation. Skin pigmentation is considered a commonly encountered manifestation of the disease; however, oral mucous membrane pigmentation is rarely noticed early enough for diagnosis. This case report demonstrates a case where oral pigmentation was an early diagnostic sign of Addison's disease.

Sublingual Tablets : An Overview

Drug delivery via the oral mucous membrane is considered to be a promising alternative to the oral route. Sublingual route is a useful when rapid onset of action is desired with better patient compliance than oraly ingested tablets. In terms of permeability, the sublingual area of the oral cavity (i.e. the floor of the mou) is more permeable than the buccal (cheek) area, which in turn is more permeable than the palatal (roof of the mouth) area. A rapid onset of pharmacological effect is often desired for some drugs, especially those used in the treatment of acute disorders. Sublingual tablets disintegrate rapidly and the small amount of saliva present is usually sufficient for achieving disintegration of the dosage form coupled with better dissolution and increased bioavailability.