Ulceration in the mouth is common. It is important to be able to distinguish between simple benign ulcers, e.g. traumatic or aphthous, and those that are malignant. Tongue lesions are dealt with on p. 463. Diagnosis usually obvious, such as ill-fitting dentures or sharp teeth and ulcers heal when the precipitating cause is removed. Patient presents with small, painful ulcers, usually inside the cheeks or lips. They heal in about one week but others may occur while the initial ulcers are healing. A number of patients will have a history of gastrointestinal disease, e.g. coeliac disease or Crohn’s disease. They may also arise in patients with debilitating disease. Chronic granulomatous disease (Crohn’s) may affect the oral cavity. The patient may complain of painful ulcers, swelling of the lips or gum swelling.
Mouth Ulcers
Causes
History
Traumatic
Aphthous
Inflammatory
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