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Cold sores

What is the protocol at your office for managing patients with cold sores? Do you treat them or reschedule?



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10 Answers

Not only is it imperative to educate the patient about transmission, but also that we could make the lesion spread to other parts of their mouths. Always remember too….the gloves we wear have microscopic pinholes and we are at risk of exposing ourselves to Herpetic Whitlow.

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If the sore is still contagious we reschedule so we don’t spread the virus around. If it is in its latent or healing stage we still them but are careful not to touch or pull on the sore as much as possible. So if the patient says they have had the sore for awhile and it is shrinking and crusted over with little to no discomfort we still see them. And of course document it 🙂

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I explain to the patient about how if a lesion is active, it can be spread to other areas their mouth. Most of the patients want to reschedule without me even having to bring it up.

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For the most part our office always sees the patient which pisses me off. I make sure to be very very careful but I would prefer to do things the way hoosier’s office does it. That way is accurate.

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I reschedule I don’t wanna put my self at risk for contracting herpetic whitlow nor do I wanna spread it to other areas of the patients oral cavity!

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I inform pt of lesion and likely good of it spreading if Rx is rendered…they usually have no issue …use universal precautions and place lubricant liberally over lesion

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Since these come from the trigeminal, the distribution is maintained to the quadrant it was originally exposed. You can spread it to other new exposure sites. I choose not to treat.

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I concur with hoosier, reschedule!

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We treat patients, but use a lot of TLC, and inform patient of spreading. It seems though that patients I have treated with cold sores there has not been reoccurrence
.

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I see patients with cold sores. I have a soft tissue laser that I use on them prior yo tx.

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