Ppt Jurnal Om
Transcript of Ppt Jurnal Om
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Allergic Contact Stomatitis: A Case Report and
Review of Literature
P. Lokesh, T Rooban, Joshua Elizabeth, K Umadevi, K Ranganathan
Arbi Wijay
110600114
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• Allergic Contact Stomatitis is a ra
• Wide variety of subtances can ca
oral mucosa reaction
•
Common causes of Alergic/Hyperoral mucosa are flavoring agents,
preservatives, and dental materia
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• Previous exposure of allergen is e
diagnosis
• Memory T cells are activated soo
initial exposure
• On re-exposure to the same aller
hypersensitivity may occur
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• A 26-year-old dental po
student presented with a co
pain and diffuseerythematous lesions for the
days.
• The patient first experienced
and discomfort in the le
mucosa four days ago
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• The following day he
erythematous lesions and pain
buccal mucosa, followed by leanterior part of ventral tongue,
right buccal mucosa and lo
mucosa.
• Difficulty in brushing, speech a
sensation while eating were e
for which 2% benzocaine gel w
3-4 times every day before food
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Intraoral examination revealed carious 26,
cement (GIC) Class I restoration in 46, bucc
and 28. Diffuse erythema involving the whole
without extension on to the hard palate was see
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Ventral surface of anterior tongue was bright r
few small whitish plaques, suggestive of necrosis
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Lower labial mucosa exhibited irregular zone
Large oval to irregular bright red patches
whitish edematous zones were seen on
extending some distance into the vestibule on b
and left side (Fig. 4). The keratinized muco
palate, gingiva and dorsum of the tongue was
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• Further questioning did not revea
any change or use of oral hygienrecent dental treatment or drug in
• Eventually, patient did recall an
having food at a restaurant
before developing the lesions. P
gave a history of episodes of
minor aphthous ulcers.
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• One such episode occurred abou
ago and was characterized
painful oral lesions, which deve
after intake of specific food,
patient has been avoiding since t
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Avoid foods with preservativesand fla
1. Cetirizine hydrochloride 10 m2. 5 ml of diphenhydramine hydmixed with equal amount of an aswish and swallow method 3-4 ti
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• Contact stomatitis caused by ex
subtances which can act as irrita
• Exp : Dental materials, preserva
flavoring agents, oral hygene p
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• Oral mucosa is less commonly p
contact allergic reactions
• Saliva acts as a solvent
• Irritants and allergens that do coral mucosa are removed more
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• Common oral flavoring allergens : Bals
cinnamon, cinnamic aldehyde, menthol,
eugenol
• Reactions can be acute or chronic
Acute :
- Burning/Redness
- Vesicle (Rarelyseen)
- Edema
- Itching or Stinging
Chro
- Eryth
- Ede- Desqua
- Ulcer
- Erotions
Ha
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• Essential to elicit a thorough history and ex
pathosis
• Path test -> False negative result
• Identification and elimination of allergent
important
• If an association is not established, patch
useful
• Pharmacological agents : Antihistamines, t
anesthetics, and topical corticosteroids
• Flavored antacid was included in the pres
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• Allergic contact stomatitis is well recognize
•
Clinical presentation and histopathologic fnot always specific
• High-degree of suspicion and careful histo
essential
•Biopsy not always essential
• Health practitioners should consider this di
differential diagnosis
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