Chronic Non-Specific Ulcers in the Oral Cavity can Resemble Diabetic Foot Ulcers

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Author(s)
Bakr, Mahmoud
Khan, Usman A.
Kim, Paul
Butler, Ryan
Khzam, Nabil
Griffith University Author(s)
Year published
2016
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Show full item recordAbstract
Oral ulcers are one of the most common mucosal lesions seen in different locations in the oral
cavity. Most of these ulcers will resolve within two weeks. However, chronic ulcers remain
problematic in the way they are managed and investigated for possible etiological factors. Viral
infections, gastrointestinal disorders, blood diseases, cancer treatment, local trauma, medications
or a combination of more than one factor contribute to oral ulcerations. The terms idiopathic or
non-specific oral ulcers are still used when no possible explanation could be found regards the
causative factors of the ulcerations. We present a unique ...
View more >Oral ulcers are one of the most common mucosal lesions seen in different locations in the oral cavity. Most of these ulcers will resolve within two weeks. However, chronic ulcers remain problematic in the way they are managed and investigated for possible etiological factors. Viral infections, gastrointestinal disorders, blood diseases, cancer treatment, local trauma, medications or a combination of more than one factor contribute to oral ulcerations. The terms idiopathic or non-specific oral ulcers are still used when no possible explanation could be found regards the causative factors of the ulcerations. We present a unique case of a completely healthy 45 year old female, where a chronic fistula related to a failed root canal treatment developed into a chronic non-specific ulcer over the period of thirty years. The chronic ulcer resembled a diabetic foot ulcer in both clinical and histopathological pictures. Associated teeth with poor prognosis were extracted. Muco-gingival corrective surgery to close the associated gingival defect as well as a ridge preservation surgery to compensate for the associated bone loss produced excellent healing of both soft and hard tissues.
View less >
View more >Oral ulcers are one of the most common mucosal lesions seen in different locations in the oral cavity. Most of these ulcers will resolve within two weeks. However, chronic ulcers remain problematic in the way they are managed and investigated for possible etiological factors. Viral infections, gastrointestinal disorders, blood diseases, cancer treatment, local trauma, medications or a combination of more than one factor contribute to oral ulcerations. The terms idiopathic or non-specific oral ulcers are still used when no possible explanation could be found regards the causative factors of the ulcerations. We present a unique case of a completely healthy 45 year old female, where a chronic fistula related to a failed root canal treatment developed into a chronic non-specific ulcer over the period of thirty years. The chronic ulcer resembled a diabetic foot ulcer in both clinical and histopathological pictures. Associated teeth with poor prognosis were extracted. Muco-gingival corrective surgery to close the associated gingival defect as well as a ridge preservation surgery to compensate for the associated bone loss produced excellent healing of both soft and hard tissues.
View less >
Journal Title
Medico Research Chronicles
Volume
3
Issue
2
Copyright Statement
© 2016 Medico Research Chronicles. The attached file is reproduced here in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.
Subject
Oral Medicine and Pathology