Hello and welcome to the Zero to Finals podcast.

My name is Tom and in this episode I'm going to be talking you through mouth and gum conditions.

You can find written notes on this topic at zero definals.com slash mouth and gum conditions

or in the ear, nose and throat section of the zero

de finals surgery book. So let's get straight into it. We're going to go through several

individual mouth and gum conditions, starting with leukoplacia. Lucopacia is characterized by white patches in the mouth, often on the tongue or the inside of the

cheeks.

The surface of the inside of the cheeks is called the buckle mucosa.

Leucoplacia is a pre-cancerous condition, meaning it increases the risk of squamous cell carcinoma

of the mouth.

The patches are asymptomatic, irregular and slightly raised. They're fixed in place

meaning they cannot be scraped off. Lucopacia may require a biopsy to exclude abnormal cells

called dysplasia or to exclude cancer. Management involves

stopping smoking, reducing alcohol intake, close monitoring and potentially laser removal or surgical

excision. Next let's talk about erythroplacia. Arithroplacia is similar to leukoplacia, except that the lesions are red.

Arithrolucoplacia refers to lesions that are a mixture of red and white.

Both erythroplacia and erythrolucoplacia are associated with a high risk of squamor cell carcinoma

and need to be referred urgently to exclude cancer.

Next let's talk about lichen plainus.

Lichen plainess is an autoimmune condition that causesised chronic inflammation of the skin.

The skin affected by lichen planus has shiny, purplish, flat-topped, raised areas with white

lines that cross the surface, and these white lines are called Wickham-Stri-A.

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