contestada

A 37-year-old male visited his family dentist for a prophy. During the oral exam, a white plaque was noted on the dorsal tongue. When questioned about the lesion, the patient stated he was aware of the white patch on the tongue and that it had been present for approximately two weeks. The patient denied any pain or burning in the affected area, reporting that the lesion had not appeared to increase or decrease in size. At the time of the dental appointment, the patient appeared to be in a general good state of health. He reported a recent use of antibiotics for an upper respiratory infection. No other health problems were noted, and no medications were being taken by the patient at the time of the dental examination. The patient`s dental history included regular examinations and routine dental treatment. The patient`s vital signs were all found to be within normal limits. Examination of the head and neck region revealed no palpable lymph nodes. No significant or unusual findings were discovered during the extraoral examination. Intraoral examination revealed a white plaque on the midline of the posterior dorsal tongue measuring approximately 1.5 cm in diameter. The lesion could not be removed by wiping or scraping. Further oral examination revealed no other lesions present.


1.How should you treat this disease?
2.base on the clinical information available , what is the most likely diagnosis?
3. Is this organism part of the normal human microbiota?
4. What is the organism responsible for this infection

Respuesta :

Answer:

Explanation: 1. The treatment for this condition would depend on the diagnosis. Generally, any suspected oral lesion should be biopsied for a definitive diagnosis. If it's determined to be a benign condition, observation may be sufficient. However, if it's indicative of a more serious condition, appropriate treatment will be necessary, which could include medication, surgical excision, or other interventions.

2. Based on the clinical information provided, the most likely diagnosis is oral leukoplakia. Leukoplakia presents as a white plaque or patch that cannot be rubbed off and cannot be classified as any other disease entity. It is often associated with chronic irritation or inflammation and has the potential to transform into squamous cell carcinoma, although many cases remain benign.

3. Leukoplakia is not considered a normal part of the human microbiota. It is an abnormal change in the cells of the mucous membranes of the mouth.

4. The exact organism responsible for leukoplakia is not a single bacterium or fungus but rather a result of chronic irritation or inflammation of the oral mucosa. However, certain risk factors such as tobacco use, alcohol consumption, and chronic irritation from poorly fitting dental appliances or rough teeth can contribute to its development.