Avtor/Urednik		Gašperšič, R; Skalerič, U
Naslov		Pojavnost, klinična slika in zdravljenje aft v ustni votlini
Prevedeni naslov		Epidemiology, clinical characteristics and treatment of aphthous ulcers in the oral activity
Tip		članek
Vir		Zobozdrav Vestn
Vol. in št.		Letnik 59, št. 4-5
Leto izdaje		2004
Obseg		str. 133-8
Jezik		slo
Abstrakt		Epidemiology and clinical characteristics: Recurrent aphthous ulcers are one of the most common diseases of the oral mucosa, affecting approximately 20% of the population. They first appear in childhood or adolescence. Women are more frequently affected. The frequency and severity of the lesions decline with age. In most cases, the ulcers appear in otherwise healthy individuals. The principal sites of involvement are the buccal mucosa, the lips, the vestibulum or the tongue. Diagnosis: Recurrent aphthous stomatitis is diagnosed on the basis of history and clinical examination. Further investigations are recommended in patients with large ulcers, symptoms and signs related to other organs, and first appearance after 25 years of age. Treatment: Due to the idiopathic aetiology, the treatment of aphthous ulcers is symptomatic. It should reduce pain, prevent secondary infection, accelerate healing and prevent recurrence. Mouth rinses with chlorhexidine and topical application of anaesthetics or corticosteroids are recommended. Severe forms of the disease are treated with systemic corticosteroids.
Izvleček		Klinična slika in pojavljanje: Ponavljajoče se afte so ena najpogostejših bolezni ustne sluznice, ki prizadene okoli 20% Ijudi. Pojavijo se v otroštvu ali obdobju adolescence, nekoliko pogosteje pri ženskah. Prizadeta je predvsem sluznica ustnic in lic, ustnega preddvora in jezika. Pogostost in intenziteta sprememb z leti upadata. Večinoma se aftozni ulkusi pojavijo pri povsem zdravih Ijudeh. Diagnostika: Za diagnozo malih aft zadostujeta anamneza in klinični pregled bolnika. V primeru velikih in dolgotrajnih aft, spremljajočih sistemskih simptomov, prvem pojavu aft po 25. letu ter ob večanju razjed se bolnika napoti k specialistu za ustne bolezni, ki odredi dodatne preiskave. Zdravljenje: Zdravljenje aftoznih razjed je zaradi nejasne etiolologlje simptomatsko s ciljem lajšanja bolečin, preprečevanja sekundarne infekclje in pospešitve celjenja. Pri majhnih aftah bolnikom svetujemo izpiranje ustne votline z raztopino klorheksidina, topikalno nanašanje anestetikov in kortikosteroidov. Pri hujših oblikah bolnika napotimo k specialistu, ki kortikosteroide injicira v bolezensko spremenjeno sluznico. Pri najhujših oblikah je potrebno sistemsko dajanje kortikosteroidov.
Deskriptorji		STOMATITIS, APHTHOUS ORAL ULCER