Ulceração aftosa recorrente: revisão dos conceitos atuais
Recurrent aphthous ulceration: a review of the present aspects
Pereira, K.M.A.; Rocha, D.A.P.; Galvão, H.C.; Freitas, R.A.
Resumo
A ulceração aftosa recorrente (UAR) oral é uma condição caracterizada pelo desenvolvimento periódico de úlceras solitárias ou múltiplas e dolorosas na mucosa oral, de etiologia ainda não muito bem esclarecida e bastante incômoda para o paciente. Entre os fatores predisponentes propostos estão estresse, história familiar, trauma, hipersensibilidade alimentar, deficiências nutricionais, alterações hematológicas e, ainda, um possível envolvimento bacteriano. Porém, a etiologia é ainda controversa, sendo mais aceito o mecanismo imunológico, especialmente a citotoxicidade mediada por células. Como numerosos fatores têm sido propostos, torna-se difícil estabelecer um protocolo terapêutico eficaz para todos os casos. Tanto a etiologia quanto o tratamento parecem ser particulares para determinados pacientes. O entendimento dessa condição é importante para o cirurgião-dentista, pois ela dificulta a alimentação em muitos casos, interferindo na qualidade de vida dos pacientes por ela acometidos.
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References
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