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A survey was sent to 1,000 Colorado dentists to evaluate their recognition and reporting of child, elder, and spouse abuse. Approximately 40% of the dentists returned the survey. In answering questions about suspected and reported cases of child abuse, 29% of the respondents indicated that they had suspected at least one of their patients to be a victim of child abuse, while 14% of the respondents had actually reported at least one case. Only 7% of the responding dentists had ever suspected a case of elder abuse, while just over 1% indicated that they had reported at least one suspected elder abuse case to authorities. When asked about their recognition and reporting of spouse abuse, 30% of the responding practitioners had suspected at least one case, while only 3% had ever actually reported a case to authorities. The overwhelming majority of responding dentists indicated that they needed to know more about child, elder, and spouse abuse.

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Recurrent aphthous stomatitis (RAS) and recurrent intraoral herpes (RIH) are the two most commonly presenting oral lesions in the dental setting. It is critical that the oral health professional be able to accurately discriminate between these disorders. To facilitate the differential diagnosis between RAS and RIH, important components of assessment are discussed. These include: prodromal signs and symptoms, lesion location, and appearance of the initial and mature lesion. The comparative etiology, prevalence, pathogenesis, and treatment considerations for these lesions are presented. A familial case report is provided. Citation Tilliss TSI, McDowell JD. “Differential Diagnosis: Is It Herpes or Aphthous?” J Contemp Dent Pract 2002 Feb;(3)1: 001-015.