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Orofacial viral infections – an update for clinicians Raj G Nair Ali Salajegheh Anut Itthagarun Sahar Pakneshan Michael T Brennan Lakshman P Samaranayake Dental Update 2025 41:6, 707-709.
Authors
Raj GNair
MSc, PhD, MRACDS(Oral Med)
Oral Medicine, School of Dentistry and Oral Health, Centre for Medicine and Oral Health, Griffith Health Institute, Griffith University and Department of Haematology and Oncology, Gold Coast Hospital
Orofacial viral infections may be less common but appear in different clinical forms. Often these infections get initially treated by antibiotics which obviously will have limited or no effect. The authors review the current concepts of orofacial viral infections, causative agents, their classification and clinical manifestations and a basis for treatment.
Clinical Relevance: Most viral infections do not require any specific treatment except in patients who are immunosuppressed or immunodeficient. Appropriate diagnosis and timely management of orofacial viral lesions are important irrespective of whether it is localized or a manifestation of a systemic infection.
Article
Patients often present with orofacial infections in general medical and dental practice. These infections may be caused by bacterial, fungal or viral pathogens. Viral infections may manifest in different clinical forms and affect all age groups. The most common viral infection affecting the orofacial region is caused by the herpes simplex virus (HSV). Infection from a virus follows a different aetiopathogenic pathway compared with bacteria, fungi and other organisms, as a virus metabolism is dependent on host cells. In general, most of the viral infections of the orofacial region are self-limiting in an otherwise healthy individual, whilst compromised individuals may present with a myriad of local and systemic complications of viral infections.
General dental practitioners should be aware of the wide range of clinical manifestations of viral infections, which may affect the orofacial region as a localized disease or a manifestation of a systemic viral infection, such as the human immunodeficiency virus (HIV) disease. The aim of this short review is to provide a state-of-the-art, concise account of orofacial viral infections of humans and their management.
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