Thyroid & Adrenal
Which is the aetiology of aphthous ulcer of the tongue?
a. Aphthous stomatitis is a common idiopathic ulcerative condition of the oral cavity.
b. The ulcers are typically painful and may occur anywhere in the oral cavity and the oropharynx but are rarely found on the hard palate, the dorsal tongue, and the attached gingiva.
c. Affected patients often have a history of lesions, beginning before adolescence.
d. There are three different clinical presentations of recurrent aphthous stomatitis, of which minor aphthous ulcers are the most common .
e. The diagnosis is made on the basis of the history and the physical examination; biopsy is reserved for lesions that do not heal or that grow in size.
f. The majority of aphthous ulcers heal within 10 to 14 days and require no treatment; however, patients with severe symptoms may require medical intervention.
g. Temporary pain relief can be obtained with topical anesthetic agents (e.g., viscous lidocaine).
h. Tetracycline oral suspension and antiseptic mouthwashes have also been used, with varying success.
i. Topical steroids are the mainstay of therapy and may shorten the duration of the ulcers if applied during the early phase.