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7 Cards in this Set

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Plasma Cell Gingivitis



Gingiva becomes red and edematous


Response to topical allergens, usually derived form toothpastes or chewing gum


- Toothpaste (Sodium Lauryl Sulfate)


- Chewing gum (Cinnamon oil ingredient)


Presentation is NOT specific for a immediate contact stomatitis and similar lesions, not caused by allergic mechanism can occur

Lichenoid stomitis

Lichenoid stomatitis = Lichenoid mucositis


Caused by hypersensitivity or allergic reaction


Less specific term, which would include type IV hypersensitivity cases and the autoimmune LICHEN PLANUS



Lichen planus

Lichen mucosititis (stomatitis)


Lace like pattern chain on buccal mucosa


Radicular - referred as intersecting line


MUCOCUTANEOUS CONDITION


Cell mediated immune response to epithelial lining (autoimmune driven or hypersensitivity driven response)

Contact Hypersensitivity

Immune reaction theory:


- Langerhans cells


Important antigen presenting molecule


Mediate inflammatory response


Pick up antigen cells & go into connective tissue assessing other cells


- Epithelial cells lining mucosa (Squamous cells & Melanocytes)


- T lymphocytes are going to produce and initiate inflammatory cascade

Stomatitis Medicamentosa

Hypersensitivity to systemically administered antigens


Reaction secondary to ingested or parenterally administer allergens


Reaction usually mediated by type 1 or type 4


Reaction secondary to ACE inhibitor (Enapril)

Oral presentation of Stomatitis Medicamentosa

Diffuse or multifocal red, ulcerated or vesicular oral lesions can present as part of a range of Type I mediated systemic effects


Presentation is very unspecific and highly inflamed mouth (ulceration in the floor of the mouth)



Clinical distinct variant of Stomatitis Medicamentosa

LICHENOID STOMATITIS


Oral lichenoid (Lacey white pattern to the mucosa) lesions, thought to represent type IV reactions, occur in response to systemic medications