Viral Stomatitis Treatment in Barcelona
Viral stomatitis represents an acute inflammation of the oral mucosa. In Barcelona dental clinics, this pathology requires a comprehensive approach to treating herpetic stomatitis in adults and children. The key difference from bacterial or fungal forms is the viral pathogen (commonly herpes virus). It is characterized by acute onset with high fever, intoxication, severe pain, and rapid symptom development. The typical sign is grouped vesicles on the mucosa that subsequently form ulcers.
Disease Characteristics
Herpetic stomatitis differs from candidal, aphthous, and bacterial lesions by its characteristic clinical picture. Vesicles with serous content transform into erosions with fibrinous exudate.
What Causes Viral Stomatitis?
The main etiological factor is herpes simplex virus type 1 (HSV-1), which possesses high contagiosity and latent persistence. Cytomegalovirus, Epstein-Barr virus, and enteroviruses provoke stomatitis in patients with immunodeficiencies. Primary infection occurs in childhood, evolving toward latent carrier status.
Disease Symptoms
The prodromal period is accompanied by weakness and subfebril temperature. In the eruption stage, a symptomatic triad develops: vesicular eruptions, pain syndrome, and hypersalivation. Regional lymphadenopathy with painful palpation of lymph nodes evidences immune response. Trismus complicates food intake, generating dysphagia.
Diagnosis
Differential diagnosis in Barcelona clinics is based on analysis of clinical manifestations. PCR allows identification of virus type. Immunoenzymatic analysis detects IgM and IgG antibodies, differentiating primary infection from reactivation. Mucosal swab complements diagnosis.
Types of Viral Stomatitis
Spanish specialists distinguish acute, subacute, and chronic recurrent forms. The acute form develops in primary infection of young children. Chronic recurrent stomatitis is characterized by frequent recurrences.
By evolution, three forms are distinguished:
Acute. Severe course with abrupt onset: high fever, intoxication, intense pain. Multiple vesicles on mucosa (cheeks, tongue, gums, palate) that rupture forming ulcers.
Subacute. Moderate symptomatology: subfebril temperature, isolated ulcers. Arises in reinfection or exacerbation.
Chronic (recurrent). Develops over persistent herpetic infection in persons with reduced immunity. Characterized by regular recurrences of eruptions, frequently without fever.
How to Treat Viral Stomatitis
The therapeutic scheme in Barcelona dental centers includes etiotropic, pathogenetic, and symptomatic treatment. Antiviral therapy with acyclovir constitutes the treatment foundation. Local anesthetics based on lidocaine provide analgesia. Antiseptic solutions with chlorhexidine prevent bacterial superinfection.
Particularities of Treatment in Children
Pediatric tactics in Spanish clinics require multidisciplinary approach. Oral rehydration is important to prevent critical dehydration in Catalonia's climate. Elimination diet excludes irritating products.
Expert Opinion
Specialists from Corona Dental clinic in Barcelona emphasize the importance of early diagnosis. Emergency consultation with pediatric dentist is necessary at first signs. Development of individualized antiviral therapy scheme ensures optimal results. Emergency assistance for dehydration may require hospitalization.
Possible Complications
Generalization of herpetic infection represents a threat to newborns. Herpetic keratitis develops when infection extends to conjunctiva. Herpetic gingivostomatitis with vermillion border involvement and nasal pharynx extension requires quarantine measures. Critical dehydration alters hydroelectrolytic balance. Secondary bacterial superinfection prolongs convalescence period.
Preventive Measures
Recurrence prevention in Barcelona clinics is based on strengthening immunity and maintaining hygiene. Timely sanitation of foci reduces risk of latent viral infection activation. The epithelialization stage requires medical control in Mediterranean climate.
