Ulcer On The Right Lateral Border Of The Tongue

Ulcer On The Right Lateral Border Of The Tongue

Write short note on differential diagnosis of ulcer on the lateral border of tongue.

Answer. The various types of ulcer on the lateral border of tongue are as follows:

• Aphthous ulcer
• Traumatic or dental ulcer
• Chronic non-specifi ulcer
• Post-pertussis ulcer
• Syphilitic ulcer
• Tuberculous ulcer
• Carcinomatous ulcer
• Herpetic ulcer
• Ulcer due to glossitis

“The Role Of Imaging Tests In Diagnosing Tongue Ulcers”

“Ulcer On Right Side Of Tongue”

Diagnosis Of Ulcer Aphthous ulcer

Minor aphthous ulcer:

• It is small painful ulcer seen on the tip, undersurface and side of the tongue.
• The ulcer is small, superfiial with white flor,yellowish border and surrounded by a hyperemic zone.
• It can occur at any age group, more common in females at the time of menstruation.

Major aphthous ulcer:

• When they are larger, deeper, painful, they are called major aphthous ulcer.
• They subside within a few days.
• Temporary relief can be obtained by applying salicylate gel.
  Vitamin B complex is usually given.

“Symptoms Of Tongue Ulcers”

Diagnosis Of Ulcer  Traumatic or dental ulcer

• This ulcer occurs due to broken, sharp tooth, ill-fitng dentures, prostheses, etc.
• These ulcers occur at the lateral border or under surface of tongue.
• It often presents a slough at its base and surrounded by a zone of erythema and induration.
• This ulcer is quite painful.

Diagnosis Of Ulcer Chronic non-specific ulcers

• Usually occur in the anterior two-thirds of the tongue.
• Its etiology is unknown.
• It is moderately indurated and not very painful.

Diagnosis Of Ulcer Post­pertussis ulcer

• Occurs only in children with whooping cough.
• Usually seen on the upper part of frenum lingulae and in the undersurface of tongue.

“Best Remedies For Tongue Ulcers”

Diagnosis Of Ulcer Syphilitic ulcer

• Primaryulcer, i.e. chancre found onthe tip ofthe tongue.
• Mainly snail-track ulcers are seen in oral cavity in second stage of syphilis.
• In tertiary syphilis, the gummatous ulcers are found on the midline in the anterior two-thirds of the tongue
• The gumma found on the dorsum of tongue.

Diagnosis Of Ulcer Tuberculous ulcer:

• Young adults are usually involved.
• Such ulcers are shallow, often multiple and grayish yellow with slightly red undermining edges.
• These ulcers are seen at the margin (lateral border),tip or dorsum of tongue.
• These ulcers are very painful with enlargement of regional nodes.

“Understanding The Causes Of Tongue Ulcers”

Diagnosis Of Ulcer Carcinomatous ulcer:

• It usually occurs in elderly individual above the age of 50 year.
• Common site is the margins of tongue.
• It may occur at the dorsum of tongue.
• It is usually single, but may be multiple.
• It is usually painless to start.
• The ulcer is irregular in shape, has a raised and everted edges with indurated base.
• The flor of such ulcer is covered with necrotic debris.
• It bleeds on touch.
• It is fied with underlying structures.