Abstract
A 63-year-old man with complaint of painful oral ulcerations with 10 days of evolution was referred to the service. Medical history revealed a recent liver transplant owing to a severe liver dysfunction caused by a hepatocellular carcinoma and cirrhosis caused by hepatitis C virus and end-stage renal disease. Intraorally, multiple painful ulcerative lesions associated with white plates were observed. Investigation revealed increased levels of urea. The diagnosis of uremic stomatitis was established. The patient was under hemodialysis treatment. Photobiomodulation with diode laser and oral hygiene instructions were used for stimulating oral lesion healing and pain control. After 10 days all the lesions had healed completely. Uremic stomatitis remains a poorly understood disease, and there are few cases reported in literature. It is associated with long-standing renal failure and high uremic conditions. Also being considered a chemical burning, ulcerations commonly heal right after uremic disorders return to normal levels.
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