[Big Coffee Health Course] Prevent oral mucosal disease, say "No" to tobacco betel nut

Oral mucosal disease, as the name suggests, is the general term that occurs in oral mucosa and superficial soft tissue. Perhaps it is a small ulcer that grows in the mouth as rice grains and as large as soybeans, or it may be a piece of white spotted white patterns that are overwhelmed and stubborn. A variety of oral mucosal diseases may be a direct manifestation of the oral "sickness", or it may be the oral manifestation of systemic diseases of the whole body. Which oral mucosal disease is most valued, and how to prevent such annoying diseases? September 20th is the 34th "National Love Day". In this issue of big coffee health classes, the reporter took these issues to ask Wang Xiang, deputy chief physician of the dental mucosal medicine department affiliated to Nanjing University Medical College.

【Big Coffee Biography】

Wang Xiang, a doctor of medicine, deputy chief physician, deputy chief physician, associate professor of Nanjing University, associate professor of Nanjing University, an associate professor, doctoral supervisor, deputy director of the teaching and research department of the oral mucosa, and was a visiting scholar at the University of Michigan. He is currently a member of the Stomatological Special Committee of the Chinese Stomatology Association, deputy chairman of the Stomatology Special Committee of the Jiangsu Stomatology Association, director of Nanjing Traditional Chinese and Western Medicine Society, Frontiers in Cellular and Infection Microbiology Essence Get 2 national invention patents (all of which have been transformed) and 8 practical new patents. Won one second prize of Jiangsu Province Science and Technology Award, 2 second prizes for introduction of new medical technology in Jiangsu Province, and one second prize of Nanjing Science and Technology Progress. Selected into key talents in Jiangsu Province. He presided over 3 topics such as the National Natural Science Foundation. More than 30 high -quality papers were published in the Chinese Stomatological Magazine, Clinical Infectious Diseases, Frontiers in Immunology and other magazines. One editor/deputy editor -in -chief clinical monograph each and participated in compiling 1 national oral mucosal clinical clinical diagnosis and treatment guide.

Hormonal hormones, recurrent oral ulcers are more likely to "stare" women

After breaking the mouth, one or two painful "small beans" were formed. I believe that almost everyone has such experience. Director Wang Xiang introduced that this is the recurrent oral ulcer that everyone is no stranger. The scientific name is recurrence of Ah Hee ulcer, and it is also the most common oral mucosal disease. "Many people have oral ulcers. The data of epidemiology shows that the incidence is about 10%to 20%. That is to say, about 1 billion people around the world have this disease, and the incidence is extremely high. One of the most common diseases of human beings. "

Why do you always be found by the annoying "little white dot" and which factors may cause the disease? Director Wang Xiang explained that there are three main factors.

Among them, immune endocrine factors are particularly critical. "Including endocrine changes, and immune factors are considered internal causes." Director Wang Xiang pointed out that some research that has been proven to have participated in some autoimmune oral mucosal diseases that have been confirmed to have been involved in hormone levels. "The reason for women. "For example, young women can easily cause oral ulcers before menstrual periods, especially women with dysmenorrhea. Interestingly, once women are pregnant, progestin and estrogen levels will not easily suffer from recurrence of oral ulcers, basically hundreds Women who are pregnant with more than 90 or more have no oral ulcers. "Director Wang Xiang said, but when this part of the patient was born with children and the lactation ended, the oral ulcer began to recur after the hormone level." This tells us endocrine factors. It plays a very important role in it. "

"Secondly, genetic factors also play a greater role in the cause of recurrent oral ulcer." Director Wang Xiang introduced that if both parents have recurrent oral ulcers, their children's chances of this disease will be very high. Third, environmental factors also play a certain role in the onset of recurrent oral ulcers. "Including mental tension and stress, these mental and psychological factors are considered external causes with microbial stimulus factors." Oral microorganisms are also one of the local stimulus factors that cannot be ignored. Oral resident bacteria, viruses and other microorganisms have also played a role in the production of "small white dots".

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Local irritation factor is a "fuse" with a large number of pre -cancer lesions of oral mucosal cancer.

In addition to relapse oral ulcers, there are also a type of oral mucosal disease. In recent years, it has also received more and more attention, that is, potential malignant diseases that may occur with cancerous oral cavity. Once they occur but are not standardized and effective, the consequences are serious. "Oral leukoplakia, oral erythema, flat moss, and fibrous fibrosis of the oral mucosa are all pre -oral mucosal cancer." Director Wang Xiang bluntly said that the cancer of oral erythema is 90%, which is one step away from oral cancer. remote. Oral leukoplakia cancer can be up to 34%, becoming one of the key pre -cancer lesions.

Unlike recurrent oral ulcers, it is mostly the influence of systemic factors. For oral leukoplakia, local stimulus factors such as smoking and chewing betel nut have become a big "fuse". Because of this, oral leukoplakia disease is easier to "start" towards men. "We often visit young male white spots patients. Recently, we have been diagnosed with a 16 -year -old boy and only graduated from junior high school. Because you have been eating betel nut, you have suffered from sub -mucosal fibrous fiber and oral leukoplakia."

For flat moss, the whole body and local factors are involved. "Flat moss is better in middle -aged and elderly women. As their hormone levels are changing, estrogen gradually decreases after menopause, and poor sleep quality will affect the immune system. Director Xiang told reporters that patients with the disease usually show "symmetry" on both sides of the inner wall of the mouth. Drugs are the "main force" for treating oral mucosa disease

The ulceration of oral mucosal disease is like rice grains and large as soybeans, which is not only unbearable, but also may cause dietary difficulties, which directly affects the health and work and life of the patient. When the mouth and lips appear white spots or erythema, pimples, nodules, and even blisters, erosion, ulcers, cracks, etc., they should seek medical treatment in time to eliminate doubts and standardize treatment.

So how should oral mucosal disease be cured? Director Wang Xiang told reporters that the current principles of treatment are still to eliminate the cause or suspicious pathogenic causes, remove local stimulus factors, reduce local symptoms, regulate immunity of the whole body, and promote the recovery of mucosal disease damage. At the same time, compared with other oral diseases, the biggest feature of oral mucosal disease is that drug treatment is still in a very important position.

"Our hospital also has certain characteristics in the treatment of drugs. Oral medication and oral local medication are paid in accordance with the partial drugs and Chinese medicines. Among them, some oral local drugs are unexpectedly unexpected. There are also satisfactory results. "And, Director Wang Xiang reminded that some patients now talk about" hormone "color changes, which is actually unnecessary." When the oral mucosa disease is quite serious, it will be better to use hormone drugs appropriately. Effective. "

Prevent oral mucosal disease, say "no" to tobacco betel nut

Director Wang Xiang said that whether it is oral mucosal cancer or recurrent oral ulcer, prevention is very important.

"As a dentist, we think that smoking and chewing betel nut must be completely quit." Director Wang Xiang reminded that although it is difficult to quit smoking, tobacco is very unfavorable to pre -oral cancer lesions. Accelerate cancer. "For example, patients who chewed betel nuts alone, oral mucosal fibrosis will not be opened. But if you chew betel nut and smoke, it will be easy to have long mouth white spots. The cancerous rate is very high. "Small white spots can be treated with laser minimally invasive therapy, and large white spots are removed only in hospital surgery.

High -temperature diet is also one of the risk factors of oral cancer mentioned by the World Health Organization. Not only oral cancer, Director Wang Xiang said that more than 50 degrees Celsius is also a risk factor for esophageal cancer. "Chinese traditional eating habits are more tended to be hotter, such as hot pot. It is recommended not to eat too fast no matter what you eat, let it be warm, not too hot." The director reminded that the accumulated damage and chronic inflammation may cause cancer under the action of microorganisms.

Oral hygiene is directly related to the health of the oral mucosa, gums, and teeth. At the same time, it also closely affects the health of the whole body. Poor oral hygiene is related to cardiovascular disease, gastrointestinal diseases, and even dementia. Microorganisms in dental and tartar are extremely unfriendly for oral and whole body health. Experts introduced that, for example, the most famous gums of gum -pheasin monolithic bacteria are hidden, which is very stubborn and harmful. Therefore, not only should we regularly clean the teeth and conduct periodontal treatment, but also pay attention to brushing and using dental floss in normal life. "The process of brushing teeth is not only to protect the teeth, but also protect the mouth, and then protect the whole body, avoid harmful periodic pathogenic bacteria harmful oral and whole body health."

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Director Wang Xiang bluntly stated that some patients did not seek medical treatment in time. This also invisibly damaged the sharp crown, the residual roots to the tongue and cheeks. After scratching, a traumatic ulcer was formed, and it was also possible for cancer over time. "In addition, if you do not remove the wisdom teeth in time, you may also damage your neighboring teeth. Repeated swelling and inflammation may not be conducive to the health of the oral mucosa."

Correspondent Wu Mengyu

Yangtze Evening News/Zi Niu Journalist Lu Yanlin

Edit: Qin Xiaoyi

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