Ulcerative stomatitis, as a form of severe disease: causes, features and treatment

What is ulcerative stomatitis?Ulcerative stomatitis is an acute disease of the oral cavity.Ulcerative stomatitis additionally causes other diseases: necrosis, ulcerous decomposition of the mucosa.Usually ulcerative stomatitis occurs in children who already have teeth.It affects not only the epithelium of the mouth, but all layers of the mucous membrane.In another way it is called ulcerative membrane stomatitis.

Study of stomatitis

Completely ulcerative stomatitis has not been studied.Many specialists refer it to a number of infectious .The causative agent is fusospirillar symbiosis - fusiform bacillus and spirochaete Vincent.In 100% of cases of a healthy oral cavity, they are detected.The norm happens in the smallest number of people.The disease occurs exactly when the pathogens prevail over the remaining microbes.In most cases, such microbes are simply in a sleep mode, in a small number of people they wake up.Show yourself a fusiform wand, maybe only when there are certain changes in the body.For example, during the weakening of the resistance of the body, changes in reactivity or disrupted trophic mucosa.

Animal studies have shown that ulcerative stomatitis occurs when the gum trauma occurs.Thus animals sat on a diet, and they did not have enough vitamins.

In order to prevent the possibility of ulcerative stomatitis, all rules and norms of hygiene should be observed, both personal and environmental.It must be proper nutrition, living conditions of life, as well as environmental factors.Frequent manifestations of the disease were in the war period.

Medicine is known to cause stomatitis in children with severe illnesses, such as the flu, stomach or intestines.In addition, the possibility of developing stomatitis occurs when the nervous system is disturbed, during vitamin deficiency, especially the lack of vitamins P, C and Complex B. Poisoning with chemicals or food, pellagra and scurvy is also the cause.

Many authors who to some extent studied stomatitis concluded that hypovitaminosis C plays a large role in the development of ulcerative stomatitis.To a greater extent, flares were observed in the season of the spring thaw .Usually it's May and April.It is during this period that children experience a shortage of vitamin C, which is not replenished with conventional products.

Despite different opinions about ulcerative stomatitis, in turn, we must conclude.The conclusion is still such that it is an independent disease, which is divided into different forms. Forms of stomatitis depending on the course of the disease:

1. Chronic;
2. Sharp;
3. Subacute.

Forms of stomatitis depending on severity:

1. Light;
2. Heavy;
3. Average.

Known experts in the field of ulcerative stomatitis

List of specialist authors:

1. BP Pashkov.In his book he considers 2 sides of the medal: ulcerative stomatitis and gangrenous stomatitis.Then he unites them together with Vincent's angina.
2. IG Lukomsky.From his statements it is clear that he is a supporter of the fact that the nature of the occurrence of stomatitis is the lack of vitamins in the body.
3. S.I. Weiss.Author SI Vays divides stomatitis into two parts: gangrenous and necrotic.

Symptoms

In most clinical cases, ulcerative stomatitis has the form of manifestation - ulcerative gingivitis .First, stomatitis will cover the gum around one or more teeth and then gradually disperse all over the edge of the gum.Ultimately, all gum areas are covered, leaving only small gaps.It happens that both jaws are exposed to the disease.There is no manifestation on toothless areas, such as gingival pockets or places where there are no gingival papillae.

In small children, stomatitis can begin in places where new teeth are about to appear.In adolescents, this happens in places of the lower wisdom tooth.In such places, the mucous membrane usually creates a "hood", and, therefore, they are easily exposed to the disease.There may be stomatitis in the field of manifestations of calculus, caries.As a result, it is not difficult to understand that the area of ​​origin usually occurs in areas where the most favorable habitat and development of such diseases.

Many patients complain of itching, burning pains in the gums of , and also on dry mouth.Gums in the initial period swell, there is swelling and redness.Stomatitis is also accompanied by pain.Severe pain visits a person during the chewing process, in other cases it is aching and penetrating pain.On the second or third day the disease manifests itself in the form of a gray-white coating.Plaque is an unstructured tissue, which in its composition has a huge number of microbes, lifeless leukocytes.The gingival papillae must have cuts.On the inflamed mucosa there is a necrotic disintegration with a thick layer.If it is removed, the mucosa will bleed.

Emerging inflammation can capture almost the entire oral cavity.This is of the gums, tongue, cheeks and lips of .They usually have a trace of teeth.In rare cases, the necrotic process can reach the periosteum of the bone.Ulcers have the color of gray mud.In this case, it is better to refrain from talking with the interlocutors, since a very sharp, disgusting smell will come from the mouth.Rotten odor from the oral cavity is obtained due to the breakdown of proteins provoked by a spindle-shaped rod and Vincent's spirochaete.When the protein breaks down, the tissue releases hydrogen sulphide and ammonia.

During disease, lymph nodes can swell, which cause pain when feeling.In addition, salivary saliva begins, sometimes 2-3 liters per day.Due to bleeding from the tissues, the saliva takes on a pink tinge.At the same time, the saliva is thick, sticky, and pubescent.Any movement in the mouth causes severe pain.

Every person suffers this pain differently.Sometimes it is a small body temperature, and sometimes from 38 and above.In severe forms of the disease a person often falls into depression because of constant anxiety, loss of appetite and sleep.

The acute period lasts from 10 to 15 days .With good and qualitative treatment, it decreases at times.Usually after 4-5 days.With proper treatment, the disease recedes and the process of restoring the oral epithelium begins.Usually epithelialization begins at the edges of ulcers.It is necessary to continue treatment.Retreat early in the improvement is not worth it.

The main feature of stomatitis is the possibility of a relapse or chronic form.

Complications

Complications are as follows:

• Inflammation of the middle ear.
• Pleurisy.
• Gastroenteritis.
• Disease of the genital tract.
• Rhinitis.
• Endocarditis.

Proper treatment results in a positive result.Of course, there will be incisors on the gums.The root of the tooth or its crown may even be exposed.For young children, the outlook is not as favorable.Sometimes the illness can last for a long time.

Ulcerative stomatitis: treatment

In the treatment of the main drug are antibiotics .Locally used drugs for the healing of oral wounds.In this case, locally used drugs that have antiseptic effects.Preparations:

1. Furacilin.
2. .
3. Hydrogen Peroxide.
4. Chloramine, etc.

Irrigating with topical preparations should take place under pressure.However, if there is no special dental unit, you can use a conventional syringe with a blunt needle.Thorough treatment should expose small holes between the teeth.Further, the treatment process includes: removal of calculus and necrotic decay. Decay should remove all , but with great accuracy and accuracy.In acute manifestations, treatment is transferred to surgical hands.The surgeon must treat all affected areas.Carry out a similar treatment under anesthesia.Often enough to rinse the mouth with 2% solution of novocaine.Novocaine passes through the affected areas of the epithelium and has an analgesic effect.

Before you start taking an antibiotic, you need to check the microflora of the ulcer for sensitivity.As evidence for sensitivity is used, this or that type of antibiotic.

After the appointment of treatment for 2 or 3 days of , the first results begin to manifest.First, the gums stop bleeding.Secondly, ulcerative foci are cleared of decay.Thirdly, the smell from the mouth disappears.Fourth, the pain is not so strong.On the 3rd or 4th day, the epithelium is replaced.In severe forms, it begins on day 5.When chronic for 6-8 days.Children who can rinse the mouth should rinse with lilocim.This solution will allow the wounds to quickly tighten.Sodium rinses will also have a good effect.Soda increases immunity and increases the yield of leukocytes from the gums.After the surgical treatment, a hardening tissue is placed on the gum, which also contributes to an early healing.

In severe forms, doctors prescribe intramuscular injection of penicillin with novocaine 100,000 units every 4 hours.The treatment is 2-3 days.With an average form of the disease, it is sufficient to administer intramuscularly penicillin 2-3 days.Penicillin in this case can replace tetracycline and biomycin tablets.

Additional constituents are also necessary for treatment.However, it does not matter which form of the disease occurs.

Additional complex for treatment:

• Reception of vitamin C( 0,3gram 3 times a day).Course - 7 days.
• The intake of vitamin K( 0.015 grams 3 times a day).Course - 3-4 days.
• Admission of vitamin B.

An analgesic agent with a passing treatment can be a pyramidone with analgin.

During an acute period of illness, doctors recommend that comply with the bed rest regime of , and that proper nutrition is necessary.Get plenty of liquid food with more calories.