Healing the Wounds: Management of Traumatic Ulcer with Topical Medication and Patient Education

Traumatic ulcers or stomatitis are common lesions that occur in the oral cavity. It can cause discomfort, pain, and difficulty in eating and speaking. The management of traumatic ulcers requires a comprehensive approach, including identifying the cause, proper diagnosis, and appropriate treatment. In this case report, we present the successful management of a traumatic ulcer in an 18-year-old patient using topical medication and oral health education.

An 18-year-old female patient reported to our clinic with a chief complaint of a painful ulcer on the right-back side of the tongue which was caused by accidental biting 4 days ago. Intra-oral examination revealed a single, irregular-shaped ulcer lesion parallel to tooth 46. The lesion was yellowish-white in color, with erythematous well-defined edges, shallow depth, and a concave base. The patient denied any history of recurrent stomatitis, smoking, drug consumption, or allergy.

Based on the clinical presentation, the patient was diagnosed with a traumatic ulcer, and topical medication was prescribed. Triamcinolone acetonide 0.1% in oral base, chlorhexidine 0.1%, and multivitamins were given to the patient. In addition, the patient was educated that the lesion was not a dangerous disease, and good oral hygiene and nutrition intake would help in wound healing.

One week later, the patient came for a follow-up visit, and no complaints were reported. The intra-oral examination revealed that the lesion had fully healed.

In conclusion, the management of traumatic ulcer requires a comprehensive approach, including identifying the cause, proper diagnosis, and appropriate treatment. In this case report, we presented a successful management of a traumatic ulcer in an 18-year-old patient using topical medication and oral health education. The dentist must recognize and treat such cases appropriately in terms of giving medication and patient education.

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