Onemocnění sliznic dutiny ústní
| Title in English | Diseases of oral membrane mucous |
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| Authors | |
| Year of publication | 2010 |
| MU Faculty or unit | |
| Citation | |
| Description | Examination of oral membrane mucous is an important part of comprehensive examination in dentistry. Dentists are frequently the first medical professionals to examine patients who have oral mucosal changes. Therefore the responsibility of the dentist as the first examiner is significant. Diseases of oral membrane mucous belong to the most difficult chapters in dentistry. Individual morphae (especially blisters) change rapidly due to mastication and wet environment and their typical form lasts very shortly. Various diseases mostly resemble each other but, on the other hand, one particular disease can present itself with heterogeneous clinical manifestation. Etiology of mucous diseases is a multi-factorial one. Local lesions can be caused by mechanical, thermal and chemical factors. Besides these external effects, internal factors, such as nutritional (iron and vitamin) deficiencies, endocrine, metabolic and some genetic diseases play a role. Some of internal disorders affect the oral cavity including infections, allergic, autoimmune and rheumatologic diseases, blood diseases, skin diseases and cancers as well. Dentists who find out a changes in the oral mucosa of a patient must decide whether it is a structural variation of overlying oral soft tissues (within the range of normal variation) or if the abnormality requires further investigation. It is important to distinguish these signs at the earliest possible stages. A physician has to rely on a comprehensive history of the patient, clinical examination, evaluation of the developmant of a disease and auxiliary examinations. All these aspects can help to complete a picture of a disease. Dentists are responsible for recognizing the signs of diseases, transforming them into a diagnosis, and planning the therapy. Interdisciplinary work in this area is unavoidable and dentist should cooperate with other medical professionals. |