Oral Ulcerations

Apthous ulcers

4 Single, multiple, re c u rrent, well circ u m s c r i b e du l c e r s .

4 Whitish pseudomembrane surrounded by anerythematous halo.

4 Usually limited to mucosa of the soft palate,buccal mucosa, tongue and tonsillar area.

Atypical ulcers

4 May appear in any location on the oral mucosa.

4 Usually deep, crater-like & covered by fibrin.

Linear Gingival Erythema

4 A distinct fiery red band along the margin ofthe gums.

4 Amount of erythema is disproportionatelyintense for the amount of plaque seen.

4 No ulceration is present and there is no evidence of pocketing or attachment loss.

Periodontal (Gum) Conditions

N e c rotising (ulcerative) Gingivitis

4 D e s t ruction of one or more inter-dental papillae.

4 Bleeding, ulceration, necrosis and sloughing.

4 Tissue destruction limited to gingival tissues& does not involve alveolar bone.

N e c rotising (ulcerative) Periodontitis 4 Advanced necrotic destruction of periodontium.

4 Rapid loss of periodontal attachment; destru c t i o nor sequestration of bone, teeth may become loose.

4 Severe pain & bad breath may be prominent.

Parotid Enlargement

4 Unilateral or bilateral diffuse, soft swellingof the parotid salivary glands.

4 Often causes dry mouth (xerostomia).

4 May be accompanied by pain.

Kaposi’s Sarcoma

4 One or more erythematous, slightly bluishswellings with or without ulcerations.

4 Predominantly seen on the gingiva or thepalate.

Common Oral Lesions in Adultswith HIV/AIDS

VISUAL REFERENCE FOR HEALTH CARE WORKERS CHART 2 OF 4

FUNDED BY:

SECURE THE FUTURETM

Bristol-Myers Squibb

S T E L L E N B O S C H U N I V E R S I T Yyour knowledge partner

ALL RIGHTS RESERVED. MARCH 2001. This poster is for professional use only.Copyright: University of Stellenbosch. Produced by: Dr Sudeshni Naidoo Department of Community Dentistry, Faculty ofHealth Sciences, University of Stellenbosch, PrivateBag X1, Tygerberg, 7505, South Africa.

ACKNOWLEGDEMENTS:1. We are very grateful to the patients and staff of

Chapel Street, Gugulethu and the HIV FamilyPractice Clinic, Tygerberg Hospital, Western Cape.

3. Dr Ashraf Grimwood, Cape Town.

2. Professor Usuf Chikte and the Department ofCommunity Dentistry, Faculty of Health Sciences,University of Stellenbosch.

4. P rofessor J-C Petit for the use of the images forK a p o s i ’s Sarcoma and Necrotising Periodontitis.

Designed by muhdni@worldonline.co.za