stomatits.pptx

Stomatitis slide available

1. STOMATITIS

2. STOMATITIS   Stomatitis is an inflammation of the mucous lining of the mouth , which may involve the cheeks, gums ,tongue ,lips , and roof or floor of the mouth. The word“ stomatitis “ literally means inflammation of the mouth

3.  DESCRIPTION Stomatitis is an inflammation of the lining of any of the soft-tissue structures of the mouth. It is usually a painful condition ,associated with redness, swelling ,and occasional bleeding from the affected area. The inflammation may be caused by conditions in the mouth itself , such as poor hygiene , from burns from hot food or drinks, or by conditions that affect the entire body , such as medications , allergic reactions , or infections .

4. ETIOLOGY/CAUSES OF STOMATITIS Medications Loose-fitting dental prosthetics Poor dental hygiene Smoking Infection (viral , fungal ,and bacterial)

5. CLINICAL MANIFESTATION/SIGNS AND SYMPTOMS Pain or discomfort in the mouth. • U lcers in the mouth. • Fever ,sometimes as high as 101– 104°F . • Irritability and restlessness . • Blisters in the mouth . • Swollen gums , which may be irritated and bleed. • Dysphagia. • Foul-smelling breath.

6. TYPES OF STOMATITIS Nutritional deficiency stomatitis Aphthous stomatitis Angular stomatitis Denture-related stomatitis Allergic contact stomatitis Migratory stomatitis

7. NUTRITIONAL DEFICIENCY  Malnutrition (improper dietary intake) or malabsorption (poor absorption of nutrients into the body) can lead to nutritional deficiency states, several of which can lead to stomatitis. For example, deficiencies of iron, vitamin B2 (riboflavin), vitamin B3 (niacin), vitamin B6 (pyridoxine), vitamin B9 (folic acid) or vitamin B12 (cobalamine) may all manifest as stomatitis.

8. APHTHOUS STOMATITIS Aphthous stomatitis is a small ulcers to appear in the mouth, usually inside the lips, on the cheeks, or on the tongue .

9. ANGULAR STOMATITIS Inflammation of the corners (angles) of the lips is termed angular stomatitis. In children a frequent cause is repeated lip-licking, and in adults it may be a sign of underlying iron deficiency anemia, or vitamin B deficiencies.

10. Denture-related stomatitis this is a common condition present in denture wearers. It appears as reddened but painless mucosa beneath the denture.

11. Allergic contact stomatitis  Allergic contact stomatitis reaction that occurs in susceptible  atopic  individuals when allergens penetrate the skin or  mucosa .

12. Migratory stomatitis Migratory stomatitis (or geographic stomatitis) is an atypical presentation of a condition which normally presents on the tongue, termed geographic tongue

13. MANAGEMENT Antiviral drugs:e.g acyclovir to treat viral infection. Analgesics:e.g,actaminophen for reduce pain. Apply a topical anesthetic such as lidocaine or xylocaine to the ulcer (not recommended for children under 6).

14. PREVENTION Nurse should teach the patient following precautions: Using an antiseptics and non-alcoholic mouth wash. Use a soft tooth brush. Maintain proper nutrition and hydration status. Should do daily dental care. Avoid hot foods as well as salty, spicy, and citrus-based foods. Gargle with cool water or suck on ice pops if you have a mouth burn.

15. NURSING MANAGEMENT Should advise the patient to take soft diet. Vitamin supplementation should be given. Apply glycerin on the ulcer. Advise the patient to avoid the contact of mouth with chemical. Avoid the use of irritants. Nurse should instruct to complete restriction of alcohol,smoking and tobacco.