In this study, we analyzed the effect of chronic alcohol ingestion on the expression of constitutive (cNOS) and inducible (NOS-2) nitric-oxide synthase and the activity of an apoptotic protease, caspase-3, during buccal mucosal ulcer healing in rats maintained for 5 weeks on alcohol-containing or control liquid diet. In comparison with the controls, the ulcer onset in the alcohol group was characterized by a 2.5-fold greater epithelial cells apoptosis, 2.1-fold greater expression of caspase-3 activity, and a 1.4-fold greater enhancement in NOS-2, but expression of cNOS showed a 1.3-fold decrease. In both groups the ulcer healing was accompanied by a gradual decline in apoptosis, caspase-3, and NOS-2 and a recovery in cNOS activity, but the changes were considerably slower in the alcohol diet group, as manifested by a 40%(4 days) delay in ulcer healing. These results suggest that chronic alcohol ingestion interferes with the suppression of NOS-2 and the apoptotic events propagated by caspase-3 and hence affects the efficiency of oral mucosal repair process.