Figure 2-19.Aphthous stomatitis.
lesion is usually found on the lip as shown in
NOTE: Some oral lesions are caused by an
infectious disease; therefore, wear rubber gloves
when examining the patient.
SYMPTOMSThe patient may complain of a
painful swelling; a fever blister, cold sore, or
canker sore; a great amount Of pain when eating
or drinking; and a fever, a headache, or a
rundown feeling (herpetic gingivostomatitis).
Figure 2-20.Recurrent labial herpes.
SIGNSYour examination may show red,
swollen areas with blisters or small craters formed
in the centers, or these lesions covered with
grayish-white or yellowish membrane.
TREATMENTSince these conditions will
normally disappear spontaneously within 7 to 10
days, measures to eliminate the patients
discomfort are all that is necessary. Have the
patient rinse with a warm solution of sodium
bicarbonate several times daily. Treat stubborn
recurrent cases by encouraging the patient to hold
1 teaspoon of tetracycline oral suspension in the
mouth for 2 minutes 4 times daily for 5 days.
Symptomatic relief may be obtained from
anesthetic troches, ointments, or solutions such as
an anesthetic mouth rinse. Also, tell the patient
not to smoke; eat hot, spicy, or acidic foods; or
drink alcoholic beverages.
This condition may occur any time from a few
hours to several days after the tooth extraction.
The bleeding from the extraction site may be light
or heavy. Treat all abnormal postextraction
bleeding as serious.
SYMPTOMSThe patient may say that
bleeding started or failed to stop after an extrac-
tion and that he or she is swallowing or spitting
out large amounts of blood and feels weak from
blood loss. A patient may also complain of a large
amount of blood on bed clothing after sleeping;
however, a small amount of blood in the saliva is
normal after extraction.
SIGNSThese include blood oozing or flowing
from a recent extraction site after normal clotting
should have occurred and a large amount of blood
or large blood clots in the patients mouth or on
TREATMENTInitial attempts at con-trolling
the hemorrhage should be directed at removing
any clot in the mouth extraneous to the alveolus.
Place a tightly folded 4 x 4 gauze pad or tea bag
over the wound site, and have the patient bite
firmly for 15 to 20 minutes. Keep the mouth as dry
as possible, and encourage the patient to breathe
through the mouth because this will help to keep