Agbo-Godeau Scarlette, Benslama Lotfi
Service de chirurgie maxillo-faciale et de stomatologie, Hôpital de La Pitié-La Salpêtrière 75651 Paris.
Rev Prat. 2002 Feb 15;52(4):364-9.
Infectious stomatitis is bacterial essentially when of dental origin, the viral forms most often causing a vesicular and erosive stomatitis, and fungal secondary to a modification of the oral commensal flora. The diagnosis is often clinical with the lesions being of characteristic appearance and arising in a suggestive context. When the appearance is less typical or when the choice of treatment necessitates the identification of the germ, specific samples are taken. The treatment of viral stomatitis is essentially symptomatic, that of bacterial and fungal stomatitis comprising two arms: the specific treatment of the acute episode and then that of the particular oral-dental terrain.
感染性口炎本质上若是源于牙齿问题则多为细菌性,病毒感染形式最常引起水疱性和糜烂性口炎,而真菌性口炎继发于口腔共生菌群的改变。诊断通常基于临床,病变具有特征性外观且发生在有提示意义的背景中。当外观不太典型或治疗选择需要鉴定病原体时,需采集特定样本。病毒性口炎的治疗主要是对症治疗,细菌性和真菌性口炎的治疗包括两个方面:急性发作期的特异性治疗以及针对特殊口腔-牙齿状况的治疗。