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JADA Continuing Education

Background and Overview. Many oral diseases/conditions associated with aging are complex and can have a significant effect on the quality of life for ambulatory older adults. Among these are oral cancers and premalignant lesions, vesiculoerosive diseases, candidiasis, aphthous ulcers and herpes virus reactivation. The practitioner should establish the diagnosis so that appropriate management can be instituted.

Conclusions. The challenge to the practitioner is to formulate a differential diagnosis from oral mucosal signs and symptoms, arrange tests and referrals as needed, and establish a definitive diagnosis so that appropriate management can be instituted.

Clinical Implications. Recognition of benign and malignant muosal lesions will accelerate proper treatment that will help control a variety of oral diseases and conditions. It also will improve the quality of life for many elderly patients who experience associated pain and altered oral functions.

Key Words: Mucosal lesions; older patients; oral medicine

Abbreviations: EM: Erythema multiforme • HPV: Human papillomavirus • HSV: Herpes simplex virus • LP: Lichen planus • MMP: Mucous membrane pemphigoid • RAS: Recurrent aphthous stomatitis • VED: Vesiculoerosive disease

This article has been cited by other articles:

				R. L. Ettinger Oral Health and the Aging Population J Am Dent Assoc, September 1, 2007; 138(suppl_1): 5S - 6S. [Full Text] [PDF]