Traumatic Ulcer
Susan Müller, DMD, MS
Key Facts
Terminology
-
Chronic traumatic ulceration of oral mucosa with unique histopathologic features
Etiology/Pathogenesis
-
Accidental trauma from biting or fractured teeth
-
Riga-Fede disease
Clinical Issues
-
Can occur anywhere in oral cavity
Microscopic Pathology
-
Ulcer bed composed of granulation tissue with mixed chronic inflammatory cell infiltrate lymphocytes, histiocytes, neutrophils, and occasionally plasma cells
-
Inflammation including scattered eosinophils extends into underlying muscle
Top Differential Diagnoses
-
Recurrent aphthous stomatitis
Clinical photograph shows a traumatic ulcer of the lateral tongue. The patient bit the tongue while anesthetized for dental treatment. |
Higher power photomicrograph shows the thickened fibrino-purulent covering and granulation tissue composed of a mixed inflammatory cell infiltrate. |
TERMINOLOGY
Synonyms
-
Traumatic ulcer with stromal eosinophilia
-
Eosinophilic granuloma of tongue
-
Traumatic granuloma
-
Atypical histiocytic granuloma
-
Riga-Fede disease
Definitions
-
Chronic traumatic ulceration of oral mucosa with unique histopathologic features
ETIOLOGY/PATHOGENESIS
Mechanical Damage
-
Accidental trauma from biting
-
Fractured or malposed teeth
-
Sharp foodstuffs
Self-Inflicted Wound
-
Parafunctional habits
-
Nocturnal clenching
-
Tongue and lip biting
-
-
Riga-Fede disease
-
Ulceration of ventral tongue caused by tongue thrusting
-
Occurs in infants with natal or neonatal teeth
-
-
Electrical and thermal injury
Stay updated, free articles. Join our Telegram channel
Full access? Get Clinical Tree
