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Traumatic Ulcers Follow-up

  • Author: Glen Houston, DDS, MSD; Chief Editor: William D James, MD  more...
 
Updated: Nov 06, 2014
 

Deterrence/Prevention

See the list below:

  • 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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Complications

See the list below:

  • In severe ulcers, secondary infection, scarring, contracture, and disfigurement are potential problems.[16]
  • Severe ulcers may remain for longer than 10-14 days.
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Patient Education

See the list below:

  • 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.
  • For excellent patient education resources, visit eMedicineHealth's Oral Health Center and First Aid and Injuries Center. Also, see eMedicineHealth's patient education articles Canker Sores and Thermal (Heat or Fire) Burns.
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Contributor Information and Disclosures
Author

Glen Houston, DDS, MSD Chair, Professor, Department of Oral and Maxillofacial Pathology, University of Oklahoma Health Sciences Center

Glen Houston, DDS, MSD is a member of the following medical societies: American Academy of Oral Medicine, American Academy of Oral and Maxillofacial Pathology, American Dental Association

Disclosure: Nothing to disclose.

Specialty Editor Board

Michael J Wells, MD, FAAD Associate Professor, Department of Dermatology, Texas Tech University Health Sciences Center, Paul L Foster School of Medicine

Michael J Wells, MD, FAAD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Medical Association, Texas Medical Association

Disclosure: Nothing to disclose.

Drore Eisen, MD, DDS Consulting Staff, Department of Dermatology, Dermatology Research Associates of Cincinnati

Drore Eisen, MD, DDS is a member of the following medical societies: American Academy of Dermatology, American Academy of Oral Medicine, American Dental Association

Disclosure: Nothing to disclose.

Chief Editor

William D James, MD Paul R Gross Professor of Dermatology, Vice-Chairman, Residency Program Director, Department of Dermatology, University of Pennsylvania School of Medicine

William D James, MD is a member of the following medical societies: American Academy of Dermatology, Society for Investigative Dermatology

Disclosure: Nothing to disclose.

Additional Contributors

Daniel Mark Siegel, MD, MS Clinical Professor of Dermatology, Department of Dermatology, State University of New York Downstate Medical Center

Daniel Mark Siegel, MD, MS is a member of the following medical societies: American Academy of Dermatology, American College of Mohs Surgery, American Association for Physician Leadership, American Society for Dermatologic Surgery, American Society for MOHS Surgery, International Society for Dermatologic Surgery

Disclosure: Nothing to disclose.

References
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  2. Bouquot JE. Common oral lesions found during a mass screening examination. J Am Dent Assoc. 1986 Jan. 112(1):50-7. [Medline].

  3. Baroni A, Capristo C, Rossiello L, Faccenda F, Satriano RA. Lingual traumatic ulceration (Riga-Fede disease). Int J Dermatol. 2006 Sep. 45(9):1096-7. [Medline].

  4. Ceyhan AM, Yildirim M, Basak PY, Akkaya VB, Ayata A. Traumatic lingual ulcer in a child: Riga-Fede disease. Clin Exp Dermatol. 2009 Mar. 34(2):186-8. [Medline].

  5. Padmanabhan MY, Pandey RK, Aparna R, Radhakrishnan V. Neonatal sublingual traumatic ulceration - case report & review of the literature. Dent Traumatol. 2010 Dec. 26(6):490-5. [Medline].

  6. Gilvetti C, Porter SR, Fedele S. Traumatic chemical oral ulceration: a case report and review of the literature. Br Dent J. 2010 Apr 10. 208(7):297-300. [Medline].

  7. Maron FS. Mucosal burn resulting from chewable aspirin: report of case. J Am Dent Assoc. 1989 Aug. 119(2):279-80. [Medline].

  8. Rees TD, Orth CF. Oral ulcerations with use of hydrogen peroxide. J Periodontol. 1986 Nov. 57(11):689-92. [Medline].

  9. Shetty K. Hydrogen peroxide burn of the oral mucosa. Ann Pharmacother. 2006 Feb. 40(2):351. [Medline].

  10. Rawal SY, Claman LJ, Kalmar JR, Tatakis DN. Traumatic lesions of the gingiva: a case series. J Periodontol. 2004 May. 75(5):762-9. [Medline].

  11. Ozcelik O, Haytac MC, Akkaya M. Iatrogenic trauma to oral tissues. J Periodontol. 2005 Oct. 76(10):1793-7. [Medline].

  12. Hirshberg A, Amariglio N, Akrish S, et al. Traumatic ulcerative granuloma with stromal eosinophilia: a reactive lesion of the oral mucosa. Am J Clin Pathol. 2006 Oct. 126(4):522-9. [Medline].

  13. Ganesh R, Suresh N, Ezhilarasi S, Rajajee S, Sathiyasekaran M. Crohn's disease presenting as palatal ulcer. Indian J Pediatr. 2006 Mar. 73(3):229-31. [Medline].

  14. Edlich RF, Farinholt HM, Winters KL, Britt LD, Long WB 3rd. Modern concepts of treatment and prevention of electrical burns. J Long Term Eff Med Implants. 2005. 15(5):511-32. [Medline].

  15. Jivanescu A, Borgnakke WS, Goguta L, Erimescu R, Shapira L, Bratu E. Effects of a Hydrogel Patch on Denture-Related Traumatic Ulcers; an Exploratory Study. J Prosthodont. 2014 Jul 8. [Medline].

  16. Hashem FK, Al Khayal Z. Oral burn contractures in children. Ann Plast Surg. 2003 Nov. 51(5):468-71. [Medline].

  17. Hitchings A, Murray A. Traumatic ulceration mimicking oral squamous cell carcinoma recurrence in an insensate flap. Ear Nose Throat J. 2004 Mar. 83(3):192, 194. [Medline].

  18. Gallego L, Junquera L, Llorente S. Oral carcinoma associated with implant-supported overdenture trauma: a case report. Dent Traumatol. 2009 Feb. 25(1):e3-4. [Medline].

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