Burns of the oral mucosa

Report of Etchant Induced Oral Chemical Burn- A Rare Incidence.

“…The treatment for chemical burns is the application of a protective coating such as Orabase with or without steroids and initiation of a bland diet. 15,16 In this case similar treatment was implemented. Permanent removal of the agent has been suggested as a preliminary measure in iatrogenic or accidental injury case.…”

“…1 Chemical injuries of the oral soft-tissues may readily occur due to the large number of chemical substances such as drugs and various agents, which come in contact with the oral cavity. 2 The severity and extent of lesions caused by chemical agents depends on the concentration, type and quantity of the substance, as well as on the time of contact with the oral soft-tissues.…”

Traumatic chemical oral ulceration: a case report and review of the literature

“…39,40 Hydrogen peroxide has often been reported to cause chemical burns of the oral mucosa 41 when used as mouth rinse or via cotton swab as undiluted hydrogen peroxide solution 3% 42 or at concentrations as low as 1%. 43,32 Other substances that have been associated with mucosal injury include gasoline battery acid, 15 Minard's Liniment 44 (camphor 5.45%; ammonia 3.5% and turpentine 10,5% W/W), silver nitrate, Arrack 45 (a strong 40% spirit distilled from fi gs) and topical anaesthetic gel with phenol and alcohol. 46 The improper intra-oral use of dental cleanser tablets can result in mucosal injuries.…”

“…56 Histopathological examination of lesional and perilesional tissue is rarely indicated unless it is diffi cult to obtain an adequate history (this may be intentionally unclear or confusing) or if there is a suspicion of malignancy or potential malignancy. 45 The histopathology of chemically induced ulceration typically demonstrates areas of focal coagulative necrosis of the epithelium, ulceration, intra-and extra-cellular oedema and a sub-epithelial acute infl ammatory infi ltrate.…”

“…58 In instances of more severe tissue damage, non-potent topical corticosteroids (eg triamcinolone) in a protective vehicle of carboxymethylcellulose may be helpful. 59 A bland diet can also be benefi cial. 57 Lesions occurring after extensive exposure to strong caustic agents may require local debridement and antibiotic therapy.…”