Aphthous ulcer following forceps extraction: A complication or coincidental event

Abstract

Trauma has been reported to contribute to the development of aphthous ulcer, but uncomplicated forceps extraction as a form of trauma has not been reported. This article reports a case of aphthous ulcer in an otherwise healthy 30-year-old female 2 days after forceps extraction of the upper right 3rd molar. The ulcer was painful and disturbed patient mastication. There was associated dysphagia and hypersalivation. Warm saline mouthwash, topical application of Bonjela cream (choline salicylate and cetalkonium chloride), and tablets of prednisolone (5 mg) were prescribed for the patient for 1 week while the patient continued the other postoperative medications. One-week review of the patient showed significant improvement in the clinical presentation. In conclusion, aphthous ulcer may be considered a potential complication of forceps extraction after excluding other contributing factors. The authors hereby recommend (1) ensuring adequate precaution geared toward minimizing trauma to the oral mucosa during forceps extraction and (2) inclusion of aphthous ulcer as a complication of forceps extraction to reduce chances of possible litigation.