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samenvatting mondzorg bij kinderen, jongeren en volwassenen

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iedere thema is apart samengevat. in deze samenvatting zijn de powerpoints en de eigen notities verwerkt. De aparte bundels maken het gemakkelijk om te leren.

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  • July 7, 2024
  • 10
  • 2023/2024
  • Summary
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De lippen
1. Acanthosis nigricans
 Zeldzaam
 Gepigmenteerde papillomateuze huidletsels
 Vaak gepaard met gastro- intestinale maligniteit

Etiologie
 Ongekend

Klinische aspecten
 Papillomateuze letsels lippen
 Zelden gepigmenteerd

Behandeling
 Indien nog niet gekend met gastro-intestinale maligniteit
 Investigeren

2. Cheilitis
2.1 Cheilitis actinica
 Korstvormende afwijking v lippenrood
 Premaligne stadium voor plaveiselcelcarcinoom
- Vrij grote kans op maligne

Epidemiologie
 Vnl vanaf middelbare leeftijd
 M>v

Etiologie
 Zonlicht
 Roken

Klinische aspecten
 1 of > korstvormende plekjes lippenrood onderlip
 Soms recidiverend
 Soms pijnlijk
 Komt meer voor op onderlip dan bovenlip

DD
 Voorstadium v plaveiselcelcarcinoom

Histopathologie
 Wisselende mate van hyperkeratose en epitheeldysplasie
- Lipshave: laagje per laagje wegnemen
- Cryotherapie: foto dynamisch therapie
- PDT

, Behandeling
 Opp verwijderen v slijmvlies lippenrood
 Frequente controle  6m of sneller




2.2 Cheilitis angularis
 Ontstekingsachtige afwijking mondhoek
 Meestal beiderzijds

DD
 Ragaden
 Perlech

Etiologie
 Slechte beet met plooivorming in mondhoeken
Bv gebitsprothese met beethoogteverlies
 Frequent candida albicans, soms ook staphylococcus aureus
- Warm speeksel wordt opgegoten in huidplooi  ideaal voor albicans of stafylococcus
 Soms onderliggende systemische aandoening
- Diabetes
- Vitaminedeficiëntie
 Slijtage gebitsprothese of incorrecte beethoogtebepaling

Epidemiologie
 Vnl oudere populatie

Klinische ascpecten
 Rode mondhoeken
 Ev kloofjes
 Meestal pijnlijk

Behandeling
 Indien relevant: aanpassen gebitsprothese
- Knarsetanden  slijtage gebitsprothese
 Applicatie v locale antischimmel/antibacteriële cremes
 ± laag gedoseerd lokaal corticoid
 Beschermen (ev zinkoxide pasta)
 Naar HA doorsturen

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