1. By:
Calibo, Jansen S.
DMD-3AA
GINGIVAL DISEASES OF VIRAL
ORIGIN: RECURRENT ORAL
HERPES

2. Recurrent Oral Herpes
 Most patients have only a couple of outbreaks a
year, although a small percentage of patients
experience more frequent recurrences.
 HSV-2 oral infections tend to recur less
frequently than HSV-1.
 Recurrences are usually much milder than
primary infections and are known commonly as
cold sores or fever blisters (because they may
arise during a bout of cold or flu).
 They usually show up on the outer edge of the
lips and rarely affect the gums or throat.
 In most cases there are local, highly contagious
vesicles on the lip or at the gingiva.

3. Etiology:
 Factors which triggers the reactivation of
the virus:
1. Fever
2. Cold
3. upper respiratory infection
4. exposure to the sun or cold air
5. Fatigue
6. Menstruation
7. UV light exposure
8. psychic stress

4.  Diminished host resistance is
the common precipitating factor
for the reactivation of Herpes
Simplex Virus (HSV).

5. Clinically..
 Some patients get an “Aura”
sensation (they are able to sense
that a lesion will soon develop.
 Lesions starts out as vesicles and
maybe fleeting vesicles.
 Occurs particularly on the bound
down mucosa which is attached to
the periosteum.

7. Treatment/Prognosis:
 Topical Acyclovir can be prescribed.
Acyclovir serves to shorten the duration
of the disease by one to two days.
 Instruct patient for proper nutrition, oral
care, appropriate fluid intake.
 Prognosis is self-limiting.

8. The End.