Mortazavi H, Safi Y, Baharvand M, Rahmani S. Diagnostic features of common oral ulcerative lesions: an updated decision tree. Int J Dent. 2016; https://doi.org/10.1155/2016/7278925
Scully C., Felix D H. Oral medicine – update for the dental practitioner. Aphthous and other common ulcers. Br Dent J. 2005; 119:259-264
Porter S R, Leao JC. Review article: oral ulcers and its relevance to systemic disorders. Aliment Pharmacol Ther. 2005; 21:295-306
Leao JC, Gomes VB, Porter S. Ulcerative lesions of the mouth: an update for the general medical practitioner. Clinics (Sao Paulo). 2007; 62:796-780 https://doi.org/10.1590/s1807-59322007000600018
Gilvetti C, Porter SR, Fedele S. Traumatic chemical oral ulceration: a case report and review of literature. Br Dent J. 2010; 208:297-300 https://doi.org/10.1038/sj.bdj.2010.295
Scully C, Bagan JV. Adverse drug reactions in the orofacial region. Crit Rev Oral Bio Med. 2004; 51:221-239
Tarakji B, Gazal G, Al-Maweri SA Guidelines for the diagnosis and treatment of recurrent aphthous stomatitis for dental practitioners. J Int Oral Health. 2015; 7:74-80
Chen JY, Wang WC, Chen YK, Lin LM. A retrospective study of trauma-associated oral and maxillofacial lesions in a population from southern Taiwan. J Appl Oral Sci. 2010; 18:5-9
Mortazavi H, Safi Y, Baharvand M, Rahmani S. Diagnostic features of common oral ulcerative lesions: an updated decision tree. Int J Dent. 2016; 2016 https://doi.org/10.1155/2016/7278925
Munoz-Corcurea M, Esparza-Gomez G, Gonzalez-Moles MA, Bascones-Martinez A. Oral ulcers: clinical aspects. A tool for dermatologists. Part I. Acute ulcers. Clin Exp Dermatol. 2009; 34:289-294 https://doi.org/10.1111/j.1365-2230.2009.03220.x
Felix D, Luker J, Scully C. Oral medicine: 1. Ulcers: aphthous and other common ulcers. Dent Update. 2012; 39:513-519
Field EA, Allan RB. Oral ulceration – aetiopathogenesis, clinical diagnosis and management in the gastrointestinal clinic. Aliment Pharmacol Ther. 2003; 18:949-962 https://doi.org/10.1046/j.1365-2036.2003.01782
Lucavechi T, Barberia E, Marato M, Areans M. Self-injurious behaviour in a patient with mental retardation: review of the literature and case report. Quintessence Int. 2007; 38:e393-398
Rawal SY, Claman LJ, Kalmar JR, Tatakis DN. Traumatic lesions of the gingiva: a case series. J Periodontol. 2004; 75:762-769
Osaghae IP, Azodo CC, Egwoum B. Factitious oral injuries in dental patients and recall appointment default. Int J Med Biomed Res. 2017; 6:86-91 https://doi.org/10.14194/ijmbr.6.2.4
Anura A. Traumatic oral mucosal lesions: a mini review and clinical update. Oral Health Dent Manag. 2014; 13:(2)254-9
Oral ulceration is a common condition that can affect the oral mucosa, and patients often present in both primary and secondary care. There are a number of causes of oral ulceration, ranging from trauma to malignancy. The cause of the oral ulceration can be difficult to establish, especially when the history and investigations do not support an obvious cause. We report a case of a 19-year-old male who presented with a 2-month history of worsening oral ulceration. Despite further questioning and investigations, the cause of the oral ulceration remained elusive.
CPD/Clinical Relevance: To understand the clinical presentation and causes of oral ulceration.
Article
Oral ulceration is a common condition affecting the oral mucosa and can affect up to 20% of the population.1 Ulceration is defined as a breach in the epithelium that can expose underlying nerve endings, resulting in pain and soreness for patients.2 The amount of pain and soreness that patients may experience varies greatly.3 There are a number of causes of oral ulceration, including trauma, recurrent aphthous stomatitis, microbial infections, mucocutaneous disease, systemic disorders, malignancy and drug therapy.4 Owing to the many causes and range of clinical features with which patients present, diagnosis can be challenging.5,6 Most commonly ulcers are due to local causes such as trauma.3 In order to establish a cause of traumatic ulceration, it is mandatory that clinicians conduct a thorough history and examination of presenting patients to explore all causative factors. We report a case of a patient with an atypical presentation of traumatic ulceration without an identifiable cause.
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