The management of chronic traumatic ulcer in oral cavity

Apriasari, Maharani Laillyza

doi:10.20473/j.djmkg.v45.i2.p68-72

Cited by 16 publications

(17 citation statements)

References 5 publications

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“…Clinically, OSCC appears as a mixed white or reddish proliferative growth-like lesion with raised margins and an ulcerated surface with yellowish greyish pseudomembranous tissue, particularly on the lateral and ventral of the tongue. 14,15 OSCC also demonstrates other clinical characteristics such as exophytic (outward growing) or endophytic (inward growing), leukoplakic, erythroplakic all of which show visible changes to the surface. 3,7 OSCC is characterized by firmness on palpation which can be a helpful diagnostic clue.…”

Section: Discussionmentioning

confidence: 99%

Management of chronic traumatic ulcer mimicking oral squamous cell carcinoma on the tongue

Nelonda

Setiadhi

2018

Dent. J.

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Background: Traumatic ulcers represent the most common oral mucosal lesions that can be differentiated from oral squamous cell carcinoma (OSCC) by their clinical appearance. From a clinical perspective, OSCC may resemble a chronic traumatic ulcer (CTU) because the base of the CTU that is healing is filled with reddish-pink granulated tissue, similar to that in OSCC. Purpose: The aim of this case report is to provide information about the oral management of a CTU case that imitates OSCC. Case: A 30-year old female presented with a major, painful, non-healing ulcer located on the right lateral of the tongue for the previous two months. Approximately two years before, she had experienced a similar lesion on the tongue. Intra oral examination showed a 10mm x 5mm yellowish ulcer with a fibrous center, erythematous irregular-induration margin and concave yellow base. The 15th, 44th and 47th teeth were sharp and on occlusion caused trauma to the right lateral border of the tongue. Case management: Based on the clinical features, the lesion was imitating OSCC. After a case history review, clinical examination and appropriate investigation, the patient was diagnosed as suffering from a chronic traumatic ulcer. The primary treatment of traumatic ulcers involves eliminating etiological factors. As pharmacological therapy, a mixture of triamcinolone acetonide and 1mg dexamethasone tablet was administered in addition to folic acid and vitamin B12. Conclusion: Clinical presentation of traumatic lesions varies significantly and may, at times, be ambigous. It is important to immediately establish a correct diagnosis and implement prompt treatment of CTU lesions because they play a role at the oral carcinogenesis promotion stage.

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Section: Discussionmentioning

confidence: 99%

Management of chronic traumatic ulcer mimicking oral squamous cell carcinoma on the tongue

Nelonda

Setiadhi

2018

Dent. J.

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“…The traumatic ulcer may result from mechanical trauma, chemical, electrical, or thermal stimulus, fractured, malposed, or malformed teeth . The main (Apriasari et al, 2012) therapy of traumatic ulcer is eliminating the etiology factor. The monitoring of the ulcer must be done until 2 weeks after the teeth extraction .…”

Section: Traumatic Ulcermentioning

confidence: 99%

“…The monitoring of the ulcer must be done until 2 weeks after the teeth extraction . If the lesion was persistent, it (Apriasari et al, 2012) is suspected as malignancy . (Apriasari et al, 2012) 18.…”

Section: Traumatic Ulcermentioning

confidence: 99%

Recurrent aphthous ulcer: Literature review on etiopathogenesis, diagnosis and clinical aspects

Nandini¹,

Sreeja²,

Muthukumar³

et al. 2020

Asian J Pharm Pharmacol

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“…The therapy of ulceration in the oral cavity is essentially symptomatic to reduce inflammation, pain, and accelerate wound healing. 5 Previous research indicates that gel extract of mauli banana stem (EMBS) can accelerate and increase epithelium thickness of the buccal mucosal wound healing in mice. [6][7][8] EMBS has bioactive materials of mauli banana consisted of 67.59% of tannin, 14.49% of saponin, 0.34% of alkaloids, 0.44% of ascorbic acid, 0.25% of flavonoids, and 0.006% of lycopene.…”

Section: Introductionmentioning

confidence: 99%

The effect of musa acuminata stem in increasing macrophage and neovascular cells of healing process

et al. 2018

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Introduction: Musa acuminata stem has both of imunostimulatory and imunosuppressant effects that are influenced by their concentrations. The study aimed to analyze the effect of Mauli banana stem extract (EMBS) to increase the number of macrophage and neovascular cells in traumatic ulcer healing. Methods: Rattus norvegicus of male Wistar strain were used as model of traumatic ulcer. The left buccal mucous was biopsied, then used the histopathology method to find the number of macrophage and neovascular cells. Results: EMBS gel was effected when administered at a concentration of 37.5% because it significantly increased the number of macrophage and neovascular cells in traumatic ulcer healing on the 3rd day to 5th days. Conclusion: It can be concluded that EMBS within concentration of 37.5% can accelerate ulcer healing through the increasing number of macrophage and neovascular cells.

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The management of chronic traumatic ulcer in oral cavity

Abstract: Background:The traumatic ulcer is one of the most common oral mucosal lesions.

Cited by 16 publications

References 5 publications

Management of chronic traumatic ulcer mimicking oral squamous cell carcinoma on the tongue

Management of chronic traumatic ulcer mimicking oral squamous cell carcinoma on the tongue

Recurrent aphthous ulcer: Literature review on etiopathogenesis, diagnosis and clinical aspects

The effect of musa acuminata stem in increasing macrophage and neovascular cells of healing process

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