Management of Unhealing Ulcers on Bilateral Borders of the Tongue

Asaad Javaid Mirza^1, , Musa Khalil Alfadaleh¹ and Maaz Asad²

¹Department of Restorative Dental Sciences, College of Dentistry, Almajmmah University, Alzulfi, Saudi Arabia

²Department of Restorative Dentistry, university of Malaya, Kuala Lumpur, Malaysia

Cite this paper:
Asaad Javaid Mirza, Musa Khalil Alfadaleh and Maaz Asad. Management of Unhealing Ulcers on Bilateral Borders of the Tongue. International Journal of Dental Sciences and Research. 2014; 2(1):9-11. doi: 10.12691/ijdsr-2-1-3

Abstract

Presence of long standing unhealing ulcer in an oral cavity, not only makes eating and chewing difficult but puts the patient under tremendous mental stress leading to cancer phobia. This case report describes management of unusual occurrence of bilateral unhealing ulcers on the tongue of a young lady. The ulcers developed after insertion of fixed partial dentures four year ago. Despite visiting many physicians, dentists and an ENT specialist, she didn’t find the relief. Due to long illness, she has become very irritable, anxious and uncooperative. It was therefore, necessary to treat her in a logical order that her confidence in us is not lost. First of all, to reduce her anxiety, she was put on 0.25 mg Alprazolam tablets which also helped her in sleeping at night. Repair or replacement of her previously deteriorated intracoronal restorations was performed next. Finding no relief with this, a bridge present on right side was removed first. It reduced redness in the ulcer on right side of tongue. The other bridges present on left side were also removed. The ulcers had become less painful and stopped progressing but not found healing. Biopsy of the lesion was done which reported as “Pseudoepithliomatous Hyperplasia”. An oral surgeon was requested to excise the lesion. After excision, both the ulcers healed within two weeks.

Keywords:
oral Metal allergy oral Pseudoepitheliomatous hyperplasia ni cr alloy allergy

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