Uploaded byDR. SHRUTI SINGH
Oral ulcer
An oral ulcer is a break in the mucous membrane of the mouth that causes loss of surface tissue and cell death. A study found oral ulcers in 21.7% of patients examined, most commonly affecting women and those in their third and fourth decades of life. Symptoms include pain, sores or ulcers in the mouth, fever, irritability, drooling, and foul breath. Oral ulcers can be classified and differentiated from traumatic, aphthous, or carcinomatous ulcers. Diagnosis involves examinations, blood tests, and biopsies. Treatment includes maintaining oral hygiene, topical analgesics, anti-fungal drugs, corticosteroids, antibiotics, and homeopathic remedies
More Related Content
Oral ulcer
- 1.
- 2. DEFINITION • An ulcer,is a break in the skin or mucous membrane with loss of surface tissue and the disintegration and necrosis of epithelial tissues. A mucosal ulcer is an ulcer which specifically occurs on a mucous membrane.
- 3. EPIDEMIOLOGY • 705 patientsof the total 3244 patients presented with recurrent aphthous ulcers at the time of examination, giving an overall prevalence of 21.7% Patients in the third (20.7%) and fourth (26.5%) decade were most commonly affected. Females (56.3%) were more commonly affected than males (43.7%).
- 5. SYMPTOMS 1. Pain ordiscomfort in the mouth. 2. The presence of open sores or ulcers in the mouth. 3. Fever ,sometimes as high as 101– 104°F . 4. Irritability and restlessness 5. Blisters in the mouth 6. Swollen gums , which may be irritated and bleed. 7. Drooling. 8. Dysphagia. 9. Foul-smelling breath.
- 6.
- 7. DIFFERENTIAL DIAGNOSIS • Traumaticulcer • Aphthaous ulcer • Carcinomatous ulcer • Recurrent aphthous ulcerations
- 8. DIAGNOSIS • Endoscopy • CBC •Serum ferritin • Serum folate • Serum vitamin B12
- 9. GERNERAL MANAGEMENT • Maintainoral hygience and antiseptic mouthwash administered • Topical analgesics – benzydamine mouthwash • Antifungal drugs • Topical corticosteroids – hydrocortisone hemisuccinate, betamethasone sodium phosphate • Topical tetracyclines • Anti inflammatory agents- benzydamine hydrochloride mouthwash for pain relief • Thalidomide – 50- 100 mg daily.
- 10.
- 11. HOMOEOPATHIC MANAGEMENT • MercuriusSolubilis Merc Sol is indicated for ulcers on the tongue, inside of cheeks, and on the gums. The ulcers are white colored with undefined borders, surrounded by a dark margin. Along with ulcers, a sweet metallic taste in the mouth and increased production of saliva may be present. Offensive odor from the mouth may also be noticed. These symptoms may be accompanied by an increased thirst for large quantity of water.
- 12. • Borax Veneta Itis used to treat aphthous ulcers in the mouth, tongue, and inside the cheeks. Aphthae are extremely tender and can cause a feeling of heat in the mouth. The mouth ulcers are extremely sore and painful to touch. • Nitricum Acidum Ulcers on the soft palate may cause peculiar, sharp splinter-like pains. The ulcers may have irregular, zig-zag edges and produce a putrid odor. The pain gets worse from contact.
- 13. • Muratic Acidum Itis a medicine used to treat mouth ulcers where the mouth is studded with ulcers that tend to perforate. The ulcers usually have a dark or black base, and there is excessive redness inside the cheeks and the palate.