Thakrar Priya, Chaudhry Shahid I
Guys Hospital, London SE1 9RT, UK.
Prim Dent J. 2016 Feb 1;5(1):30-33. doi: 10.1177/205016841600500102.
Mouth ulcers are a common complaint by patients, with individuals regularly presenting to primary care practitioners for diagnosis and treatment. The aetiology and pathogenesis of oral ulceration is, however, both varied and complex. This article highlights the importance of differentiating recurrent aphthous stomatitis (RAS) in otherwise healthy individuals from recurrent oral ulceration (ROU) secondary to known or unknown systemic disease. An overview of the diagnosis and management of such patients is provided as a framework to guide general dental practitioners' with clinical decision making on whether to treat or refer to secondary care.
口腔溃疡是患者常见的主诉,患者经常前往初级保健医生处进行诊断和治疗。然而,口腔溃疡的病因和发病机制多种多样且复杂。本文强调了区分健康个体中的复发性阿弗他口炎(RAS)与已知或未知系统性疾病继发的复发性口腔溃疡(ROU)的重要性。本文提供了对此类患者诊断和管理的概述,作为指导普通牙科医生临床决策是进行治疗还是转诊至二级护理的框架。