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Recurrence of angular cheilitis.

S C Ohman1, M Jontell, G Dahlen

  • 1Department of Oral Diagnosis, Faculty of Odontology, University of Gothenburg, Sweden.

Scandinavian Journal of Dental Research
|August 1, 1988
PubMed
Summary
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Recurrence of angular cheilitis is common, with 80% of patients experiencing it again after treatment. Dry skin and leukoplakia increase recurrence risk, suggesting longer-term management is needed for this common condition.

Area of Science:

  • Dermatology
  • Oral Medicine
  • Microbiology

Background:

  • Angular cheilitis is a common inflammatory condition affecting the corners of the mouth.
  • Antimicrobial therapies are often used for treatment, but recurrence rates are a concern.

Purpose of the Study:

  • To investigate the incidence and factors associated with the recurrence of angular cheilitis after successful antimicrobial treatment.
  • To assess the long-term outcomes of antimicrobial therapy for angular cheilitis.

Main Methods:

  • A cohort of 48 patients with angular cheilitis was followed for up to 5 years post-treatment.
  • Clinical assessments and microbial examinations were performed at 8 months and 5 years.
  • Patient history regarding associated conditions like dry skin, leukoplakia, and denture stomatitis was recorded.

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Main Results:

  • Eighty percent of patients experienced recurrence of angular cheilitis during the observation period.
  • Associated dry skin conditions and intraoral leukoplakia were linked to a higher incidence of recurrence.
  • The presence of Candida albicans, Staphylococcus aureus, or denture stomatitis did not correlate with the number of recurrences.

Conclusions:

  • The high recurrence rate suggests that antimicrobial treatment for angular cheilitis may have short-term effects.
  • Longer-term management strategies are necessary for patients with angular cheilitis, especially those with predisposing factors.
  • Further research into preventative measures and sustained treatment protocols for angular cheilitis is warranted.