Abstract

Abstract This report describes a case of a 49 year old male patient presenting with lingual mucosa ulceration with cortical bone necrosis, above mylohyoid ridge in the right side of mandible. The patient had extraction a few days before development of the ulcer. The patient’s medical history was clear and not on any drugs. Clinically, he presented with moderate pain and discomfort. Intraoral examination revealed a discrete ulcer of about 1 cm in diameter and exposure of the underlying bone, which was necrotic. Extra-oral examination showed no abnormalities. Radiographs revealed no pathology, apart from extraction socket. The case was treated in two phases; initial control of acute signs and symptoms by antibiotic cover and analgesic for 5 days, and smoothening of the exposed bone. This was followed by surgical removal of the necrotic bone and dressing of the vital bone with iodoform gauze. The lesion healed completely in 3 weeks. Although the cause of this lesion is not clear, minor trauma from suture may be initiated the process. These ulcers are basically uncommon; however, general dental practitioners are invited to understand the potential systemic and local etiological factors and the management to avoid any unwanted complications.

Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call