Oral lesions / mouth ulcers

• Mouth ulcers (NHS Choices), Mouth ulcers (patient.info), Oral lesions / dermatology (PCDS), Aphthous ulcer (CKS), Cancer of the mouth (NHS Choices)

• Oral leukoplakia: premalignant disorder of the oral mucosa (buccal mucosa > gums > lower lip > floor of mouth >sides or undersurface of tongue > soft palate) - white patch or plaque. Associated with smoking and alcohol intake. Middle aged to elderly men. Avoid smoking/alcohol, active treatment (surgery/laser) prevent development of SCC but high recurrence rate. Lifelong follow up.

• Candida: Candida - oral (CKS), Oropharyngeal fungal infections (BNF/NICE)

Dental abscess / Gum disease

• Dental abscess (NHS Choices), Dental abscess (CKS)

• Gum disease (NHS Choices), Gingivitis and periodontitis (CKS), Oral hygiene (patient.info)

Halitosis

• Halitosis (CKS)

Salivary gland lumps

• Salivary gland calculi (sialolithiasis) in the parotid (5-20%) or submandibular (80-95%) gland can cause a blockage of the draining duct. Post-prandial pain/swelling. 70% can be visualised on Xray. Salivary gland stones (NHS)

• Salivary gland tumour: 80% benign and arise from parotid.

• Salivary gland infection (sialadenitis): acute (e.g. S. aureus, mumps, HIV) or chronic (TB, sarcoid [EN, Ca, bilateral hilar LN])

• Resources: Salivary gland lumps (CKS)

Sore/dry lips

• Sore or dry lips (NHS Choices)

Temporomandibular (TMJ) disorders

• Temporomandibular disorder (NHS Choices), TMJ disorders (CKS)