In article, we briefly explain about Traumatic Oral Ulcers which are considered the most common single non-reccurent Oral ulcer.
Trumatic Ulcers
Features
- Most Common Single oral Ulcer.
- Can Occur anywhere.
- Cause is usually physical or chemical remove of upper surface of the oral tissue leaving an ulcer.
Etiology
By Patient
- Check biting.
- Dentures soreness.
- irritation from rough tooth restoration.
- lip biting (after L.A. or during an epileptic attack)
By dentist (Iatrogenic)
- Mechanical: improper use of dental instruments, forceful removal of cotton…etc.
- Chemical: silver nitrate, eugenol.
- Thermal: hot dental instruments, impression compound.
Clinical Features
- Single.
- Covered by white fibrin clot.
- Located near or at the site subjected to injury.
- Painful (as soon as the injury occurs).
- If the ulcer is subjected to repeadted trumamay be firm on palpation + elevated border.
- Ulcer resolves within 1‐2 week after removal of the cause.
Diagnosis
- By history and clinical examination.
- Site and shape of the ulcer is related to the source of trauma.
- Most definitive diagnostic featureResolution of the lesion after removal of the cause.
- Differential diagnosismust differentiate from other single ulcers of bacterial origin or syphilitic chancre.
Treatment
- Remove the cause.
- Reevaluate after removal of the cause, if persistence of the ulcer 1‐2 weeks after elimination of the cause the ulcer, this is indication for biopsy to rule out possible malignancy.
- Use Drugs:
- Prevent 2nd infection by Tetracycline mouth bath.
- Symptomatic treatment by Benzdamine hydrochloride mouths wash.
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Sources
- Misr International University Article written By Dr. Mohsen S. Mohamed.
- Wikipedia.
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