Traumatic Lesions of the Gingiva: A Case Series

Abstract

A variety of chemical, physical, and thermal injuries may involve the gingiva. Accidental and iatrogenic injuries are often acute and self-limiting, while factitious injuries tend to be more chronic in nature.

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

“…[24][25][26][27][28][29][30][31][32][33] Most cases are caused by aspirin and derivates when sucked, 25 applied as a gel, 26 mouthwash, 27 powder 28 or as a tablet next to an aching tooth in an attempt to alleviate pain. [29][30][31][32][33] The low PH (3.5-5.0) of these products seems to be the origin of the mucosal damage. Other medications such as chlorpromazine, promazine 15 and alendronate 34,35 have been linked to mucosal damage of the upper aerodigestive tract when used contrary to the drug prescription and physician instructions.…”

“…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.…”

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

“…3 In the oral cavity, chemical substances cause diffuse erosive lesions ranging from simple desquamation to complete obliteration of the oral mucosa with extension into the basement membrane and to the submucosa. 4 Buonocuore in 1955, introduced the standard protocol to remove the smear layer for successful bonding which is popularly known as acid etching. 5 Phosphoric acid is used as an etching material in adhesive dentistry.…”

Arnica montana does not affect mast cell populations in experimentally induced oral ulcers in rats

“…1 This kind of lesion can affect several anatomical regions of the mouth, especially the tongue, the gingiva, and the cheeks. [2][3] The formation of an ulcer occurs when superficial layers of the oral mucosa are lost. Morphologically, oral ulcers appear as circular Copyright © 2015 MEDICALEXPRESS.…”

“…In addition, several herbal agents have been employed in order to help in the repair of these oral lesions. 3 Arnica is an herbaceous perennial plant. The subspecies montana is widely distributed, and grows in mountainous areas and thrives in nutrient-poor siliceous meadows and acid soils.…”