Medical history (history of illness) represents an important component in the diagnosis of glossitis (inflammation of the tongue). Family history Social history Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). Have you noticed any burning of the tongue? Where is the … Tongue Inflammation (Glossitis): Medical History
Blood, blood-forming organs – immune system (D50-D90). Iron deficiency anemia Immunodeficiency (immune deficiency), unspecified. Pernicious anemia – anemia caused by a deficiency of vitamin B12 or, less commonly, folic acid deficiency. Endocrine, nutritional and metabolic diseases (E00-E90). Diabetes mellitus (diabetes). Menopause (menopause in women) Infectious and parasitic diseases (A00-B99). Bacterial infections, unspecified Oral thrush – … Tongue Inflammation (Glossitis): Or something else? Differential Diagnosis
The following are the most important diseases or complications that can be caused by glossitis (inflammation of the tongue) as well: Restriction of the quality of life
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin, mucous membranes Oral cavity [Leading symptoms: Burning tongue (glossodynia); pain on the tongue, especially at the tip and edges; discoloration of the tongue (pale to fiery red)] If … Tongue Inflammation (Glossitis): Examination
Laboratory parameters of the 2nd order – depending on the results of the history, physical examination, and obligatory laboratory parameters – for differential diagnostic clarification Small blood count Differential blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Fasting glucose (fasting blood glucose), if necessary oral glucose tolerance test (oGTT). HbA1c … Tongue Inflammation (Glossitis): Test and Diagnosis
Inflammation of the pulp (dental pulp or colloquially (incorrectly) dental nerve) or apical periodontium can cause pain or be completely asymptomatic. If discomfort occurs, it may be caused by acute pulpitis or a flare-up of chronic pulpitis. To consider further therapeutic measures, it is first useful to distinguish between reversible and irreversible pulpitis. The term … Dental Neuritis (Pulpitis): Symptoms, Complaints, Signs
Pathogenesis (development of disease) Pulpitis can be caused by numerous natural or iatrogenic (caused by medical treatment) factors. Three main groups can be distinguished: Infectious pulpitis, meaning the infection is caused by microorganisms such as: Hematogenous (bacteria transmitted by the bloodstream). Caries (most common cause) Non-caries-related loss of tooth structure. Periodontopathies (diseases of the periodontium). … Dental Neuritis (Pulpitis): Causes
General measures Observe general oral hygiene! Since most pulpitides caused by bacteria are triggered by caries, regular dental prophylaxis is useful and necessary. Nicotine restriction (refrain from tobacco use). Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day). Aim for normal weight! Determination of BMI (body mass … Dental Neuritis (Pulpitis): Therapy
Glossitis (synonyms: Fede-Riga disease; gingivoglossitis; glossitis; glossitis chronica superficialis; glossitis interstitialis sclerosa; glossitis superficialis corticalis; glossodynia exfoliativa; Hunter glossitis; Hunter disease [glossitis]; Möller glossitis; Möller-Hunter glossitis; subglossitis; tongue inflammation; tongue papillitis; tongue ulceration; ICD-10-GM K14. 0: Glossitis) refers to an inflammation of the mucous membrane of the tongue. The following forms of glossitis are distinguished: … Tongue Inflammation (Glossitis)
Diseases or changes Deposits on the teeth, e.g., tartar. Noncarious dental defects: Abrasion (loss of tooth structure due to abrasion by foreign bodies). Attrition (abrasion due to contact with adjacent or antagonistic tooth surfaces). Hereditary developmental disorders (tooth hard tissues not formed properly, abnormalities in tooth number and shape). Wedge-shaped defect (probably caused by incorrect … Caries: Or something else? Differential Diagnosis
Caries can cause a variety of local consequences related to the mouth, as well as systemic consequences related to other body systems: Cardiovascular system (I00-I99). Atherosclerosis (arteriosclerosis, hardening of the arteries) – children who had caries and/or periodontal disease (disease of the periodontium) at about 8 years of age had higher intima-media thickness in younger … Caries: Complications
Classification by ICD-10 code 2013: K02.- Dental caries K02.0 Caries limited to the enamel of the tooth Incl: Opaque spots, white spots, [Initial caries.] K02.1 Caries of the dentin (dentine). K02.2 Caries of the cementum K02.3 Caries mark K02.4 Odontoclasia Incl: Infantile melanodontia, melanodontoclasia. Excl : internal and external resorption (K03.3). K02.5 Caries with exposed … Caries: Classification
