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ORAL MEDICINE : Pediatric Soft Tissue Oral Lesions


Oral mucosal lesions in children may present as ulcers, color changes, alterations in size, and configuration of oral anatomy.

This article presents a broad overview of oral conditions that affect children, focusing on abnormalities of color and nodular changes.

Ulcerative disorders are covered extensively in other readily accessible literature.

KEY POINTS

a. Oral mucosal lesions in children may present as ulcers, color changes, and alterations in size and configuration of oral anatomy.

b. Leukoedema is a benign white lesion found bilaterally or unilaterally on the buccal or labial mucosa.

c. Pseudomembranous candidiasis, a common condition in children, is an opportunistic fungal infection caused by Candida albicans, more likely to occur in children who had a recent use of antibiotics, corticosteroids, or extended exposure to pacifier.

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d. Melanotic nevus is an alteration of mucosal color. Nevi may be congenital or develop over the life span and mostly represent deviations of normal anatomy.

e. Nodular vascular anomalies are currently classified into either benign tumors or vascular malformations based on the clinical presentation and evolution of the lesion and its histopathologic features.

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Andres Pinto, DMD, MPH, FDS RCSEd / Christel M. Haberland, DDS, MS / Suher Baker, BDS, DMD, MS