Traumatic Ulcers Follow-up

Updated: Oct 09, 2017
  • Author: Glen Houston, DDS, MSD; Chief Editor: Jeff Burgess, DDS, MSD  more...
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Follow-up

Deterrence/Prevention

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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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Complications

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  • In severe ulcers, secondary infection, scarring, contracture, and disfigurement are potential problems. [15]

  • Severe ulcers may remain for longer than 10-14 days.

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Patient Education

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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.

  • 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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