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Stomatitis

Sheila O. Stille, DMD and Hugh Silk, MD, MPH, FAAFP Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Literally, inflammation of the mouth. Inflammation of the mucous lining of any of the structures in the mouth, which may involve the cheeks, lip, tongue, gingiva, and floor or palate...

DIAGNOSIS

HISTORY

  • Patient will complain of pain, burning sensation, intolerance to temperature extremes, and irritation with certain foods.

  • During review of clinical history, determine the onset, progre...

TREATMENT

  • To date, no strong evidence for broadly applicable efficacy of a single treatment. This likely reflects the poor methodologic rigor of trials and lack of studies rather than the true effect ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Lesions need to be followed until resolved; biopsy if they fail to resolve, continuously recur, or appear suspicious 

DIET

Avoid spicy, acidic, an...

REFERENCES

1
Tarakji B, Gazal G, Al-Maweri SA, et al. Guideline for the diagnosis and treatment of recurrent aphthous stomatitis for dental practitioners. J Int Oral Health.  2015;7(5):74–80. [Vie...

ADDITIONAL READING

Slebioda Z, Szponar E, Kowalska A. Recurrent aphthous stomatitis: genetic aspects of etiology. Postepy Dermatol Alergol.  2013;30(2):96–102. [View Abstract on OvidMedline] 

CODES

ICD10

  • K12.1 Other forms of stomatitis

  • B00.2 Herpesviral gingivostomatitis and pharyngotonsillitis

  • B08.4 Enteroviral vesicular stomatitis with exanthem

  • K12.0 Recurrent oral aphthae

  • B08.5 Enteroviral v...

CLINICAL PEARLS

  • Stomatitis is often self-limiting and requires only pain relief treatment and supportive care.

  • Consider broad differential diagnosis.

  • Treat all underlying conditions.

  • Depending on geograp...

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