A comprehensive review of oral symptoms associated with varicella

Varicose vein diseases are represented by a group of pathologies that affect patients at an early age. They are highly contagious entities that affect more than 90% of children.

The aim of this article is to explore and analyses the oral manifestations of varicose veins, including symptoms, diagnosis and available treatment options.

Understanding these oral manifestations is important for dentists and pediatricians caring for children affected by varicella to provide appropriate symptom management and prevent potential complications.

The characteristic of very rapid transmission from one child to another is also suggested by the fact that in communities such as nurseries, kindergartens and schools, the identification of one case of contagious disease results in the appearance of others in relatively short intervals.

Most of the rashes are located on the skin and may be preceded or accompanied by manifestations in the oral cavity, signs which may lead the doctor to an early diagnosis of the pathology.

They are characterized by widespread vesicular eruptions covering a large part of the body and are always accompanied by itching.

The child is advised and monitored not to discharge the blisters that have appeared as there is a risk of superinfection or scarring.

Chickenpox, also known as chickenpox, is perhaps the most common of childhood diseases. It is seen in an overwhelming majority of patients, especially among those who have had a previous childhood illness.

Chickenpox is a common viral illness in children, characterized by rash and systemic symptoms. Although the skin manifestations are the most familiar, there are also some oral symptoms associated with chickenpox that may occur during the course of the disease.

Chickenpox is an acute viral infection caused by the varicella-zoster virus. It is one of the most common infectious diseases of childhood and is characterized by rash, fever and general symptoms.

However, chickenpox can also affect the oral cavity, manifesting itself in various oral symptoms.

Although these oral manifestations are considered less common than skin rashes, it is essential to recognize and manage them properly.

Oral manifestations:

Oral symptoms associated with varicose veins may include mouth ulcerations, gum lesions, vesicles in the oral cavity and inflammation of the tonsils. These symptoms may occur before, during or after the appearance of the characteristic rash.

Mouth ulcers may be painful and cause difficulty swallowing or eating. Gum lesions may be seen as red or swollen areas around the gums and may be accompanied by bleeding gums. Vesicles in the oral cavity appear as small, fluid-filled vesicular lesions that can cause discomfort and pain. Inflammation of the tonsils can cause sore throat and difficulty swallowing.


Diagnosis of varicose veins with oral manifestations is based primarily on clinical examination and history. The doctor will assess the presence of characteristic rashes and investigate the oral cavity for associated oral symptoms. In some cases, laboratory tests may be needed to confirm the presence of the virus.


Treatment of varicose veins with oral manifestations aims to relieve symptoms and prevent potential complications. Usually, the oral symptoms associated with varicose veins resolve by themselves as the disease heals, but the following treatment options may be considered:

  1. Pain relief: taking oral analgesics or anti-inflammatories can help reduce discomfort and pain associated with mouth ulcers and tonsil inflammation. It is important to follow your doctor’s dosage and instructions when giving these medicines to children.

  2. Proper oral hygiene: Maintaining good oral hygiene is essential to prevent secondary infections and speed healing. It is recommended that your child carefully brushes his or her teeth and rinses the mouth with warm salt water or antiseptic solutions recommended by the doctor.

  3. Adequate nutrition and hydration: Oral symptoms can make eating and swallowing difficult. It is important to offer your child soft, cold or easy-to-swallow foods to reduce discomfort and avoid dehydration. If feeding is very difficult, consult your doctor for further advice or to avoid possible complications.

  4. Avoiding irritants: Avoid acidic, spicy or hot foods or drinks that may aggravate oral symptoms. It is also recommended to avoid hard or crunchy foods that may cause additional irritation.

  5. Topical treatment: In some cases, your doctor may prescribe topical gels or solutions with anesthetic or antiviral properties to reduce discomfort and speed healing of oral ulcers or blisters.

Varicella is transmitted by airborne, salivary or nasopharyngeal secretions and is highly contagious.

Its cutaneous form does not start on the first day of infection. After contracting the virus, its incubation period can last from 4 days to 1-2 weeks, but the first symptoms the patient may report are a state of fatigue accompanied by loss of appetite and fever.

Inappetence is the state in which the child’s appetite decreases.

A few days after the onset of these symptoms the rash may also be visible.

The rash initially appears on the lower and upper limbs, with the distal extremities usually being missed.

At the oral level, blistering occurs in the tegument of the lip, usually the upper lip.

By perforation of the vesicles and dissemination of fluid to the skin, vesicles may also appear in the nasal region.

As many as 3 eruptive waves can usually occur over a 2-week period. The blisters will thus be caught at different stages of development. The rashes may also be accompanied by waves of fever.

Recommendations for patients who have contracted chickenpox:

– it is mandatory to isolate the child from the community when varicella-zoster virus infection is suspected.

– The presence of fever is a normal phenomenon, especially during eruptive waves. If, however, the temperature exceeds 39 degrees Celsius, it is necessary to see the family doctor. The later the onset of chickenpox, the more pronounced the clinical manifestations.

– Treatment is symptomatic, and care should be taken to provide the child with a balanced diet rich in vitamins and to keep them hydrated. Pharmacies also sell ointments that reduce the intensity of the itching.

If the child was being treated by the dentist at the time of the outbreak of chickenpox, it is advisable to delay treatment.

If this is not possible until the disease is over, the patient is asked to wait until the blisters reach the crusting stage to reduce the potential for contagion.


Oral manifestations associated with varicose veins can affect the comfort and quality of life of affected children.

It is important for dentists and pediatricians to be aware of these symptoms and provide appropriate treatment to relieve discomfort and prevent complications.

Patients and parents should be informed about proper oral hygiene, proper nutrition and hydration and follow their doctor’s advice for managing oral symptoms during varicose veins.

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