A guide to common oral lesions

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drsnehamaheshwaridrsnehamaheshwari
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Registered On: 16/03/2013
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Angular cheilosis
DESCRIPTION: This lesion appears as fissuring and maceration at the labial commissures. The term cheilitis and cheilosis have both been used to describe the same disease.
ETIOLOGY: It is doubtful that this condition is caused by vitamin deficiency in the United States. Studies have shown that the two most common organisms responsible for this condition are Candida albicans and Staphylococcus aureus. This condition is commonly seen in older patients having loss of vertical dimension, in younger patients with orthodontic appliances, and those with a lip licking habit.
TREATMENT: In those patients who have obvious overclosure, restoration of vertical dimension is of benefit. Application of antifungal ointment to eliminate Candida organisms is indicated.
PROGNOSIS: Good

DIFFERENTIAL DIAGNOSIS: The disease is so characteristic that it cannot be confused with any other lesion.