Angular cheilitis (angular stomatitis)

Angular cheilitis (angular stomatitis)

Key Points

image Angular cheilitis affects both commissures

image Most cases are seen in people with denture-related stomatitis

image Most cases are related to candidosis

image In other cases, a deficiency state may be the cause

image Treat both the infection (mainly Candida albicans) and underlying cause

PREDISPOSING FACTORS

Angular cheilitis is most often chronic, seen in the older, and due to infective and/or mechanical causes. It is predisposed by what are known as the ‘3Ds’ (Fig. 33.2):

image
Fig. 33.2 Pathogenesis of angular cheilitis

image Dental appliance or denture-wearing, denture-related stomatitis and disorders that predispose to candidosis:

image Deficiency states, such as:

image Disorders where the lip anatomical relationships are changed – such as when the vertical dimension of occlusion is reduced – or where lips are enlarged, such as in orofacial granulomatosis, Crohn disease and Down syndrome.

Related posts:

  1. 26: Actinic cheilitis (solar cheilosis)
  2. 30: Submucous fibrosis
  3. 27: Erythroplakia (erythroplasia)
  4. 25: Potentially malignant disorders
  5. 20: Sensory and motor changes
  6. Lumps and swellings in the gingiva

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Feb 18, 2015 | Posted by in Oral and Maxillofacial Pathology | Comments Off on Angular cheilitis (angular stomatitis)

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