| | Xerostomia (Dry Mouth) | | | SOAP (Subjective, Objective, Assessment, Plan) | | | |
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| Burning Mouth Syndrome; Atrophic Glossitis | | | SOAP (Subjective, Objective, Assessment, Plan) | | | |
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| Aphthous Ulceration | | | SOAP (Subjective, Objective, Assessment, Plan) | | | |
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| Recurrent Herpes Simplex | | | SOAP (Subjective, Objective, Assessment, Plan) | | | |
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| Periodontal Disease | | The medical evaluation of patients with HIV infection should include assessment of periodontal health. Whereas the same type of plaque-induced periodontal diseases can be seen in both immunocompetent and immunosuppressed individuals, periodontal disease in HIV-infected patients can be a marker of HIV disease progression. In the HIV-infected patient with periodontal disease, it is important to distinguish whether or not the periodontitis represents an aggressive and/or chronic presentation unique to those with HIV disease. In addition, it is important to determine whether the patient has an inflammatory oral disease process that may further compromise his or her health. Various illnesses and systemic factors (eg, diabetes mellitus, hormonal abnormalities, medications, and malnutrition) can complicate the clinical presentation of periodontal disease. If significant periodontal disease is suspected, refer to an experienced dentist for diagnosis and treatment. Gingivitis, a milder form of periodontal disease, usually is reversible with proper professional and home oral health care. For further information on linear gingival erythema, necrotizing ulcerative gingivitis, or necrotizing ulcerative periodontitis, see chapters Linear Gingival Erythema and Necrotizing Ulcerative Periodontitis and Gingivitis. | SOAP (Subjective, Objective, Assessment, Plan) | | | |
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| Oral Cancer | | | SOAP (Subjective, Objective, Assessment, Plan) | | | Objective | | Perform a thorough evaluation of the oropharynx, as well as lymph nodes in the head and neck. Suspicious lesions may occur on the lips, tongue, floor of the mouth, palate, gingiva, or oral mucosa, and may appear as an ulcer or a soft-tissue mass or masses that can be pink, reddish, purple, white, or mixed red and white. The lesion typically is indurated and may be painful. It may enlarge rapidly between examinations. | |
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| Bruxism | | | SOAP (Subjective, Objective, Assessment, Plan) | | | |
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| Oral Piercing | | | SOAP (Subjective, Objective, Assessment, Plan) | | | |
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| Maxillary Tori; Mandibular Tori | | | SOAP (Subjective, Objective, Assessment, Plan) | | | |
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| References | | | The appearance of external hyperlinks does not constitute endorsement by the Department of Veterans Affairs of the linked Web sites, or the information, products or services contained therein. | | |
| Cherry-Peppers G, Daniels CO, Meeks V, et al. Oral manifestations in the era of HAART. J Natl Med Assoc. 2003 Feb;95(2 Suppl 2):21S-32S. | | | Davey M. Grisly effect of one drug: "meth mouth." The New York Times. June 11, 2005. Available online at www.nytimes.com. | | | DePaola LG. The Importance of Oral Health in HIV Disease. NUMEDIX. 2003; 4(2):68-69. | | | Ibsen O, Phelan J. Oral Pathology for the Dental Hygienist; 4th ed. Philadelphia: W.B. Saunders; 2004. | | | Mayo Foundation for Medical Education and Research. Canker Sore (April 15, 2004); Cold Sore (April 28, 2004); Bad Breath (July 20, 2004); Bruxism/Teeth Grinding (May 19, 2005); Burning Mouth Syndrome (September 23, 2004); Trench Mouth (October 24, 2004); and Behind Your Smile: What's Your Mouth Made Of? (February 18, 2005). Available online at www.mayoclinic.com. Accessed June 1, 2006. | | | More inmates suffering from "meth mouth." The New York Times. June 13, 2005. Available online at www.nytimes.com. | | | National Institutes of Health, National Institute of Dental and Craniofacial Research. Dry Mouth. Bethesda, MD: National Oral Health Information Clearinghouse; June 1999. NIH Publication #99-3174. Available online at www.nidcr.nih.gov/HealthInformation/ DiseasesAndConditions/DryMouthXerostomia/DryMouth.htm. Accessed June 1, 2006. | | | National Institutes of Health, National Institute of Dental and Craniofacial Research. TMD/TMJ: Temporomandibular Disorders. Bethesda, MD: National Oral Health Information Clearinghouse; May 2005. NIH Publication #94-3487. Available online at www.nidcr.nih.gov/ HealthInformation/DiseasesAndConditions/TMDTMJ/default.htm. Accessed June 1, 2006. | | | Newland JR, Meiller TF, Wynn R, et al. Oral Soft Tissue Diseases: A Reference Manual for Diagnosis and Management; 2nd ed. Hudson, OH: Lexi-Comp; 2002. | | | Nittayananta W, ed. Oral Manifestations of HIV Infection: Current Update with Asian Focus. Bangkok; 2004. Available online at www.hivdent.org/oralm/oralmOMHI082004.htm [purchase information]. | |
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