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. Ulcer Definition:Localized defect in the surface epithelium exposing an inflamed connective tissue baseMost common lesion of the oral mucosaMay be a manifestation of many disease entitiesErosion: is a superficial ulcer. Causes of oral ulceration. InfectiveTraumaticIdiopathicAssociated wit
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1. Oral Ulceration and Vesiculobullous Diseases Dr. Rima Safadi
2010
2. Ulcer Definition:
Localized defect in the surface epithelium exposing an inflamed connective tissue base
Most common lesion of the oral mucosa
May be a manifestation of many disease entities
Erosion: is a superficial ulcer
3. Causes of oral ulceration Infective
Traumatic
Idiopathic
Associated with systemic diseases
Associated with dermatologic diseases
Neoplastic
Keep them in mind when thinking of D/D of an ulcer
4. Traumatic Ulceration Mechanical
Chemical
Thermal
Factitious
Radiation
Eosinophilic ulcer (traumatic granuloma)
5. Mechanical Ulceration Three criteria for diagnosis
Define a cause
Fit size, shape and location of ulcer
Healing within 10 days of cause removal
Chronic ulcers may look like neoplasms
Deep crater like ulcer with rolled everted margins and induration
When is biopsy indicated?
6. Chronic Traumatic Ulcer