Canker Sore – Diagnosis And Treatment

Canker Sore – Diagnosis And Treatment

Question 1. Describe diagnostic features and treatment of aphtous ulcers of tongue.

Answer.Diagnostic Features

Diagnosis of aphtous ulcers is made on the basis of clinical examination:

• Minor aphthous ulcers: Painful round ulcer with yellow base and red margins. Size of the lesion is 0.4 to 1 cm.
• Major aphthous ulcers: Large and deep ulcers. Size may reach to 5 cm. They restrict the mobility of the tongue and uvula.
• Herpetiform aphthous ulcers: These ulcer are numerous and very painful. They are small 1-2 mm in diameter. They occur in crops.

“Understanding The Causes Of Canker Sores”

“Symptoms Of Canker Sores In Mouth”

Aphtous Ulcers of TongueTreatment

• Minor aphthous ulcers: Topical corticosteroid ointment is applied over ulcer 4 to 5 times a day. Nutritional supplements should be given. Oral hygiene should be maintained.
• Major aphthous ulcer: Chlorhexidine gluconate should be given. Triamcinolone acetate is locally applied, choline salicylate gel is given.
• Herpetiform aphthous ulcer: Nutritional supplements should be given. Oral hygiene should be maintained.
  Chlorhexidine or tetracycline mouthwash will lead to rapid heading.

“Comprehensive Overview Of Canker Sore Symptoms”

Question 2. Write short note on myeloid epulis.

Answer. It is also known as giant cell epulis.

Myeloid Epulis Origin

Two views are given over the origin of myeloid epulis:

1. It is an osteoclastoma arising from the peripheral part of jaw and so present under the gums.

2. It is an inflammatory hyperplasia. Granuloma extends in the body of bone where it produces cyst like structure and is surrounded by shell of bone giving the pseudo appearance of osteoclastoma.

Myeloid Epulis Clinical Features

• Myeloid epulis is found on gingival margin between teeth anterior to permanent molars.
• Swelling is round, soft and is maroon or purplish in color.
• Tumor is painless.
• Its consistency is firm and surface is smooth.

“Causes Of Canker Sores”

Myeloid Epulis Investigations

• After doing biopsy on microscopical examination, there is presence of firous tissue with rich vascularity and giant cells of foreign body type.
• X-ray examination showsthe  typical soap bubble appearance of osteoclastoma.

“Early Signs Of Canker Sores”

Myeloid Epulis Complications

• Ulceration
• Serious hemorrhage.

Myeloid Epulis Treatment

• If swelling is small the treatment is curettge along with filing the cavity with cancellous bone chips.
• If tumor is large radical excision of bone is done along with the grafting.