Traumatic Ulcers Follow-up
- Author: Glen Houston, DDS, MSD; Chief Editor: William D James, MD more...
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- The best treatment for chemical injuries is preventing the exposure to caustic materials.
- Traumatic ulcers can be prevented by correction of the etiology, for example, by restoring carious, fractured, or malpositioned teeth.
- Traumatic ulcers can also be prevented by replacing ill-fitting maxillary and mandibular dentures to minimize irritation of the oral mucosa.
- Parents can prevent their children from having access to electrical cords and wires and thereby minimize the potential for electrical and thermal injuries.
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- In severe ulcers, secondary infection, scarring, contracture, and disfigurement are potential problems.
- Severe ulcers may remain for longer than 10-14 days.
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- Instruct parents about how to childproof their homes to prevent electrical burns.
- Remind patients to be careful when eating hot foods.
- Inform patients that many over-the-counter medications for mouth pain can compound the traumatic injury.
- Mucosal damage from many topical medications sold as treatments for mouth sores or toothaches has been reported.
- Products containing eugenol, phenol, or hydrogen peroxide have produced adverse reactions.
- In addition, aspirin can cause mucosal necrosis if it is held in the mouth.
- Silver nitrate remains a popular treatment for aphthous ulcerations (canker sores), but its use should be discouraged because of the extent of mucosal damage that may result.
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