THEME 142: PRIMARY INFECTIOUS (AUTOINFECTIOUS STOMATITIS.

ACUTE CATARRHAL STOMATITIS. ETIOLOGY, PATHOGENESIS, CLINICAL

PICTURE, DIAGNOSIS, TREATMENT, PREVENTION.
Questions for control of knowledge:
1) The concept of primary autoinfetious stomatitis.
2) The etiology and pathogenesis of acute catarrhal stomatitis.
3) The clinical manifestations, diagnosis of acute catarrhal stomatitis.
4) Differential diagnosis of acute catarrhal stomatitis.
5) Treatment of acute catarrhal stomatitis, prevention.
Acute catarrhal stomatitis (stomatitis acuta cataralis) - exudative inflammation
of the mucous membranes of the mouth, which is characterized by hyperemia, the
increased desquamation of epithelial cells, amplified output through the mucous
membranes of cellular elements of the blood, mainly white blood cells and serous
exudate; and an increase in the amount of mucus in the oral fluids.
Acute catarrhal stomatitis is found in all age groups.
Etiology. The most common cause of acute catarrhal stomatitis - acute infectious
diseases (influenza, typhus, pneumonia, sepsis).
Clinic. Catarrhal stomatitis by flow can be: acute , subacute and chronic. Acute
serous stomatitis develops as a superficial inflammation of the mucosa and has a
characteristic clinical picture. The mucous membrane of the mouth is bright red,
edematous. On the buccal mucosa and tongue you can see imprints of the teeth, the gums
become inflamed and hyperemic, gingival and interdental papilla a little cover crowns of
the teeth, and therefore a so-called "false gingival pocket", which accumulates food
scraps, microbes, calculus, etc. Increases desquamation of the epithelial cells. Due to the
high temperature, which is accompanied by a common disease, decreases salivation,
saliva is thick, sticky, and stringy. Appears dry mouth, mucous is covered by whitish
plaque of cheeks, tongue, lips and gums. Especially characteristic plaque is on the back
of tongue, which can be brown. Tongue is dry, swollen, presents bad smell from the
mouth. Chewing is painful.
The disease lasts from 1 to 3 weeks, and then there comes full recovery. In the case
of accession of secondary infection in immunocompromised patients arises ulcerative
stomatitis.
Diagnosis of catarrhal stomatitis is based on the patient's complaints, history of the
disease, clinical picture and differential diagnosis.
Acute catarrhal stomatitis is differentiated with:
- mild forms of burns stomatitis, caused by the thermal and chemical factors,
- stomatitis, which arise as a result of drug therapy,
- acute fungal stomatitis,
- accompanying catarrhal inflammation of the mucous membranes of the mouth
during flu,
- acute inflammation of upper respiratory tract,
- and other infections .

Treatment of acute catarrhal stomatitis is to apply of funds for local and systemic
therapy. The first step is to treat basic common diseases. Then should be removing all
local irritants.
After the elimination of acute symptoms is carried out extraction of teeth and roots.
Is necessary to abstain from rough toothbrush and acute irritant food. Is prescribed
frequent rinsing with: sodium carbonate, decoction of chamomile, plantain, sage, citral,
1% solution of sodium novoimanina, 0.5% solution of sodium usninata in castor oil and
liniment sangviritrin, 2% oil solution of hlorfilipte, and other applications of 5% mixture
with anestezine metatsilom. For common (systemic) treatment prescribed vitamins A, B2,
C, gluconate, glycero-phosphate, or Ca (0.5 thrice a day). For the prevention of stomatitis
conducted a full oral hygiene and dental health.
7. Practical skills on the topic:
1) to be able to work with dental equipment;
2) to be able to work with dental tool, to know the rules of sterilization;
3) to be able to make recording and reporting documents of dentist and analysis
performance;
4) to be able to conduct the clinical examination of the patient with the pathology
of the oral mucosa, to make medical history correct, make a plan examination and
treatment of the patient;
5) to be able to perform and assess the hygienic characteristics of oral cavity;
6) to be able to take the material for bacteriological research, analyze the results;
7) to be able to analyze the results of bacteriological tests of patient, blood count,
urinalysis, blood chemistry at the contents of glucose;
8) to be able to carry out irrigation, instillation and application of drugs;
9) to be able to write out the recipe, to assign physical therapy;
10) to be able to perform professional oral hygiene;
11) to be able to give advice on the choice of means and objects of oral hygiene,
prevention of complications.
1.

Terminology: stomatitis acuta cataralis.

Test tasks:
1. Diseases that develop on a background of changes reactivity of the
organism and toxic-allergic effects of oral microflora:
A. Acute autoinfetious stomatitis
B. Fungal lesions
C. Bacterial diseases
D. Infectious diseases
E. Allergic stomatitis
2. The microflora in the acute catarrhal stomatitis:
A. Tubercle bacillus
B. Streptococci and staphylococci

C. Treponema pallidum
D. Yeast-like fungi
E. Viruses
3. What is the inflammation of an acute catarrhal stomatitis?
A. Proliferative
B. Exudative
4. The reason of acute catarrhal stomatitis:
A. Acute infectious diseases
B. Viral diseases
C. Fungal violation
D. Bacterial diseases
E. Traumatic lesions
5. What kind of inflammation is characterized by redness, increased
desquamation of epithelial cells, the yield of leukocytes, serous exudation?
A. Proliferative inflammation
B. Exudative inflammation
6. Catarrhal stomatitis by clinical course:
A. Acute, chronic,
B. Acute, exacerbation
C. Acute, subacute, chronic
D. Chronic subacute
7. The mucous membrane of the oral cavity in acute catarrhal stomatitis:
A. Cyanotic, atrophic
B. Bright red color, edematous
C. Anemic
8. How long does acute catarrhal stomatitis?
A. 1-3 days
B. 5-6 months
C. 1-3 weeks
D. 5-6 weeks
E. 2-3 months
9. Differential diagnosis of acute catarrhal stomatitis is carried out with:
A. Medication, fungal stomatitis
B. Traumatic stomatitis
C. Herpetic stomatitis
D. Acute catarrhal gingivitis
E. Acute aphthous stomatitis

10. What medications are used for local treatment of acute catarrhal
stomatitis?
A. 2% solution of chloramine
B. 1% solution of trimecaine
C. 0.01% solution dimexide
D. 1% solution of citral
E. 1% solution of ascorbic acid
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