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Úlceras bucales - Treatment

Nombres alternativos

Úlceras orales; Estomatitis ulcerativa; Úlcera en la boca

Tratamiento:

El objetivo del tratamiento es aliviar los síntomas y eliminar la causa, si se conoce. Una higiene oral completa y cuidadosa puede aliviar algunos de los síntomas. Se pueden recomendar antihistamínicos tópicos (de uso externo), antiácidos, corticosteroides u otras preparaciones para aplicar sobre la úlcera. Igualmente, se deben evitar las comidas calientes o condimentadas que generalmente aumentan el dolor de este tipo de úlceras.

Expectativas (pronóstico):

El desenlace clínico varía dependiendo de la causa de la úlcera. Muchas úlceras bucales son inofensivas y sanan sin tratamiento.

Sin embargo, hay tipos de cáncer que pueden aparecer primero como una úlcera bucal que no sana. Ver carcinoma escamocelular.

Posibles complicaciones:

Celulitis de la boca por infección bacteriana secundaria de úlceras
Infecciones dentales (abscesos dentales)
Cáncer oral
Propagación de enfermedades contagiosas a otras personas

Cuándo contactar a un profesional médico:

Solicite una cita médica si las úlceras bucales no desaparecen después de 3 semanas, si éstas reaparecen con frecuencia o si se presentan nuevos síntomas.

Muguet oral

Úlcera de la boca (úlcera aftosa)

Liquen plano en la mucosa oral

Úlceras de la boca

Reviewed last on: 2/17/2011
Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Muñoz-Corcuera M, Esparza-Gómez G, González-Moles MA, Bascones-Martínez A. Oral ulcers: clinical aspects. A tool for dermatologists. Part I. Acute ulcers. Clin Exp Dermatol. 2009 Apr;34(3):289-94.

Muñoz-Corcuera M, Esparza-Gómez G, González-Moles MA, Bascones-Martínez A. Oral ulcers: clinical aspects. A tool for dermatologists. Part II. Chronic ulcers. Clin Exp Dermatol. 2009 Jun;34(4):456-61. Epub 2009 Apr 14.

Mirowski GW, Mark LA. Oral disease and oral-cutaneous manifestations of gastrointestinal and liver disease. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger & Fordtran’s Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2010:chap 22.

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