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Article: Volume 48 Number 9 Page 771 - October 2021

  Dent Update 2021; 48: 771-780  Read article

Paediatric Dentistry /Oral Medicine:  Oral ulceration and vesiculobullous conditions in the paediatric patient

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Abstract: Deviations from the normal appearance of pale, pink and healthy mucosa require close monitoring or intervention and may be a sign of an underlying systemic disorder. Therefore, it is important that there is timely identification of abnormalities, appropriate management in primary care and onward referral for investigation to specialist services when required. Oral ulceration is the most common soft tissue abnormality in children, with recurrent aphthous stomatitis being the most common type of ulceration. This article discusses the various causes of oral ulceration in addition to vesiculobullous conditions, which may affect the paediatric patient.

Clinical relevance: It is important that GDPs are aware of the range of causes of ulcers and blisters presenting in children and are aware of when to refer.

Author notes: Lisa Clarke, BDS (Hons), MFDS RCS (Ed), Specialty Dentist in Paediatric Dentistry, University Dental Hospital of Manchester. Tara Maroke, BDS (Hons), BSc (Hons), Dental Core Trainee in Paediatric Dentistry, University Dental Hospital of Manchester. Vidya Srinivasan, BDS, MDS (Chennai, India), MSc, FDS RCS Ed, MPaedDent RCSEng, FDS (Paed Dent) RCS Ed, Dip Con Sed, PGCert, Consultant in Paediatric Dentistry, University Dental Hospital of Manchester. Meenakshi Rudralingam, BDS (Wales), FDS RCS (Eng), MBBChBAO (Belf), FRCS (Edin), Consultant in Oral Medicine, University Dental Hospital of Manchester. email: lisa.clarke@mft.nhs.uk

Objective: The reader should understand the aetiology, clinical presentation and management of various ulcerative and vesiculobullous conditions that may affect children.