LESIONS – Occasionally sores can appear in and around the mouth requiring attention by a qualified dental professional. These should be addressed in order to prevent further development of oral problems. There are many causes for these, and many are normally occurring and easily treated, as well as some which require your more immediate attention.
While some of the terms may seem clinical, further research on the part of the patient will complete their understanding of the condition and treatments.
Dr. Goldenstein is trained and experienced in evaluating and treating conditions such as these.
More information on Lesions and Pathology
Common oral lesions include candidiasis, recurrent herpes labialis, recurrent aphthous stomatitis, erythema migrans, and lichen planus. Oral candidiasis typically is a localized infection; however, rarely it may progress to or occur in patients with systemic candidiasis. Recognition and diagnosis should be performed including taking a thorough history and performing a complete oral examination. Knowledge of clinical characteristics such as size, location, surface morphology, color, pain, and duration is helpful in establishing a diagnosis. Oral candidiasis is common in infants, but in adults it may signify immune deficiency or other illness. Herpes typically is a mild, self-limited condition. Recurrent aphthous stomatitis most often is a mild condition; however, severe cases may be caused by nutritional deficiencies, autoimmune disorders, or human immunodeficiency virus infection. Erythema migrans is a waxing and waning disorder of unknown etiology. Hairy tongue represents elongation and hypertrophy of the filiform papillae and most often occurs in persons who smoke heavily. Oral lichen planus is a chronic inflammatory condition that may be reticular or erosive. Certain risk factors have been associated with each of these lesions, such as poor oral hygiene, age, tobacco use, and alcohol consumption, and some systemic conditions may have oral manifestations. Many recommended therapies for oral lesions are unsupported by randomized controlled trials.
Up to 60% of healthy adults carry Candida species as a component of their normal oral flora. However, certain local and systemic factors may favor overgrowth. These include use of dentures, use of a steroid inhaler, xerostomia, endocrine disorders, human immunodeficiency virus (HIV) infection, leukemia, malnutrition, reduced immunity based on age, radiation therapy, systemic chemotherapy, and use of broad-spectrum antibiotics or corticosteroids.
Dr. Goldenstein is happy to evaluate and discuss any problems in this area and offer treatment options best suited for your situation.
INSTRUCTIONS:
Pre-Op preparation:
To aid in your surgery process and allow for maximum success and comfort, follow the instructions on the PDF sheet below.
You'll most likely receive post-surgery medication and will receive complete instructions. THIS IS A SAMPLE ONLY of the instructions you'll receive.
Open the above PDFs, download and read as appropriate.
Post-Op preparation:
To aid in your recovery and comfort, follow the instructions on the PDF sheet below.
Open the above PDF, download, and read as appropriate.
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Keeping or losing wisdom teeth is a choice made by nature. This short animation gives you an overview of the conditions that can affect your third molars (wisdom teeth).
Your treatment may required anesthesia and you have several options that will be explained to you by Dr. Goldenstein.
Oral and maxillofacial surgeons are extensively trained to administer local anesthesia, all forms of sedation and general anesthesia in a safe and cost-effective manner in the office setting. They are required to obtain continuing education in anesthesia and to regularly undergo a rigorous office anesthesia evaluation and certification.
Be sure to download and read our PDFs on Pre and post-surgical procedures. Also, Dr. Goldenstein and his staff will give complete instructions during your visit.