Concluded Case

Post covid oral manifestation

Post covid19 day 5 55 f moderately obese On pulse therapy of methyl Prednisonlone 250 mg bd on d9 to d11 of illness Apthous ulcer on Lower lip and behind 4 8 not painful no sluffing seen Difficulty in chewing with with reduced mouth opening 2 fingers Extensive periodontitis seen with previous history of pan masala chewing Current CBC mildly deranged owing to glucocorticoid tapering

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Concluded answer

Made a diagnosis of post covid sequale due to use of higher antibiotics Prescribed probiotics with application of topical lignocaine And proper oral hygiene with betadine gargles followed by nasal spray ns And proper brushing technique and tongue cleaning guidance and brief about ss of fungal infection mucor Patient has reduced ulcer size post day 5 of treatment

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Pt is habitual of Pan Masala chewing She has very bad oral hygiene Episode of covid is coincidental in aggravating her oral findings of apthous ulcer or periodentitis Trismus is owing to chewing habit Yes she needs dental care with massage to gingiva Local cleaning of infection Locally astringents Multivitamins supplements Cap doxycycline 100mg 1od Hexigel+kenacort locally Once infection resolves Physiotherapy and exercises of jaw mobility of TM joint

Thanx dr Rakesh Kayasth(pt)
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Alum powder. Alum powder is made from potassium aluminum sulfate. ... Salt water rinse. Rinsing your mouth with salt water is a go-to home remedy, although a painful one, for mouth sores of any kind. ... Baking soda rinse. ... Yogurt. ... Honey. ... Coconut oil. ... Hydrogen peroxide. ... Milk of magnesia... Tab multivitamin.. Capsule doxycycline 100 mg od.. Massage of chewing gum.. Brush your teeth at least twice a day. ... Opt for an electric toothbrush to maximize your cleaning potential. Make sure your toothbrush has soft or extra-soft bristles. Replace your toothbrush every three months. Floss daily. Use a natural mouthwash. Visit your dentist at least once a year..

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Made a diagnosis of post covid sequale due to use of higher antibiotics Prescribed probiotics with application of topical lignocaine And proper oral hygiene with betadine gargles followed by nasal spray ns And proper brushing technique and tongue cleaning guidance and brief about ss of fungal infection mucor Patient has reduced ulcer size post day 5 of treatment

WELL . .DIAGNOSED. AND NICELY MANAGED... POSSIBLY O S M F. WITH ORAL. STOMATITIS

CST taper steroid

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Well said n described

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Mainatain good oral hygiene Supradyn 1 od for 15 days Fruits + vegetables intake Balanced diet

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Oral stomatitis Osmf

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Pt.in the case has traumatic ulcer on lower lip due to the impingement of upper central incisor. Looking at the depappilated tongue she has anaemia plus lower cellular resistance following steroid intake. Sharp incisal margin, if any, either in upper or lower incisors must be taken care of.

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osmf generalize chronic periodontitis poor oral hygiene

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