Dental Journal (Majalah Kedokteran Gigi)
ISSN 1978-3728
Vol. 45 / No. 2 / Published : 2012-06
Order : 2, and page :68 - 72
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Original Article :
The management of chronic traumatic ulcer in oral cavity
Author :
- Maharani Laillyza Apriasari*1
- Department of Oral Medicine, Study Program of Dentistry, Faculty of Medicine, Lambung Mangkurat University, Kalimantan Selatan - Indonesia
Abstract :
Background: The Traumatic ulcer is one of the most common oral mucosal lesions. The etiology of traumatic ulcer may result from mechanical trauma, as well as chemical, electrical, or thermal stimulus, may also be involved in addition, fractured, malposed, or malformed teeth. The clinical manifestation of traumatic ulcer are ulcer, have a yellowish floor, fibrinous center, red and inflammatory margin without induration. Purpose: The purpose of this case report is to present how to manage the patient with the chronic traumatic ulcer in oral cavity. Case: This case report is about the patient with chronic ulcer in oral cavity. Intra oral examination showed on the right tongue margin appeared the major ulcer, single, diameter 1,5 cm, pain, white color, induration and irreguler margin around the ulcer. The patient had been suffering it for 5 months. She had come to a lot of dentist and the oral maxillofacial surgery, but they could not heal the ulcer. The dental occlusion of the patient, especially 17 and 47 then 15 and 45 teeth was looked bitten the right tongue. It underlied to get the clinical diagnosis as the chronic traumatic ulcer. Case management: The main therapy of traumatic ulcer is eliminiting the etiology factor, so that decided to do teeth extraction 45 and 47 that was looked linguversion position on 45 degrees. Before doing the teeth extraction, the patient was referred to take complete blood count (CBC), blood glucose examination and biopsy. The monitoring of the ulcer must be done until 2 weeks after the teeth extraction. If the lesion was persistent, it is suspected as malignancy. Conclusion: It can be concluded that the main management of chronic traumatic ulcer in oral cavity is removing the etiology factors. If the ulcer is still persistent after 2 weeks from the etiology factor had been removing, it is suspected as the malignancy that is needed biopsy examination to get the final diagnosis.
Keyword :
Biopsy, chronic, management, traumatic ulcer,
References :
Laskaris G,(2005) Treatment of oral disease: A Concise Textbook New York : Thieme, Stuttgart;
Cawson RA ,(2002) Cawson’s essensials of oral pathology and oral medicine UK : Churchill Livingstone, Elsevier
Apriasari ML,(2010) Stomatitis aftosa rekuren oleh karena anemia - : Jurnal Dentofasial
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 Volume : 45 / No. : 2 / Pub. : 2012-06 |
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