The treatment of Covid tongue in an isolation unit

Abstract

Background: In 2019, a viral disease spread from Wuhan, Hubei Province in China. The disease was caused by severe acute respiratory syndrome related to coronavirus 2 (SARS-CoV-2 virus), which was named by the Coronavirus Study Group of the International Committee on Taxonomy of Viruses. Purpose: This article reports the multi-discipline treatment of Covid tongue and exfoliative cheilitis with a main diagnosis of bilateral pneumonia caused by SARS-CoV-2 infection. Case: A female patient, 70 years old was referred with a diagnosis of bilateral pneumonia by a pulmonologist. She complained of painful wounds all over her mouth. An intraoral clinical examination revealed white-thick lesion and multiple ulcerations, whilst an extraoral exam for exfoliative dermatitis has not been described. The working diagnosis was Covid tongue mixed with exfoliative cheilitis. Case management: The procedure was performed by teledentistry and direct visits to implement oral health care by asepsis, debridement and the application of Oxygene gel. Conclusion: The lesion was treated successfully due to the multidisciplinary approaches by an internist and pulmonologist by implementing integrated knowledge and was supported hugely by patient cooperation.

Detection of caries and determination of treatment needs using DentMA teledentistry: A deep learning approach

“…However, the use of teledentistry in Public Health Centers or Pusat Kesehatan Masyarakat (PUSKESMAS), which are governmentally funded health care centers provided for most of the Indonesian population, has not yet started. 11,12 Teledentistry entails an effort to combine telecommunications technology and dental care and to serve remote clinics and education related to patient health, public health, and administrative health. 13 Mobile phone teledentistry incorporates cellular phone technology that can store and transmit data to dental care services and has demonstrated the potential to serve as a valid and reliable tool in dental screening.…”

“…However, there is great variation worldwide in digital preparation, in hospital readiness, availability, and access, and in the implementation of teledentistry. 12 Early detection aims to detect and prevent disease at an early stage before the symptoms of the disease appear. 4,5 Intraoral self-screening has been performed for a long time, and in the case where people are educated and made aware of the signs and symptoms of dental and oral disease, this is a highly useful technique.…”

Periodontal disease severity in patients with long COVID and non-COVID-19

“…Based on literature observation data on the symptoms of long COVID in the oral cavity, it is known that this condition is generally related to a decrease in the immune system, stress, oral health, and the general health condition of the patient; and it is still debatable whether the oral manifestations of COVID-19 are due to the primary infection of this virus. 5,9 However, the composition and activity of organisms in the oral cavity and respiratory system due to long COVID also strongly impact oral conditions; for example, the bacterium Porphyromonas gingivalis (P. gingivalis) is one of many oral pathogenic organisms that can cause dysbiosis of the oral microbiome leading to periodontal disease, since SARS-CoV-2 infection also might occur as a coinfection of P. intermedia and could worsen periodontal disease. 10,11 P. gingivalis enhances the production of bacterial products and pro-inflammatory cytokines such as IL-1β, IL-6, and TNF-a by macrophages that may relate to the COVID-19 cytokine storm.…”