Decubital ulcer of the oral cavity is a chronic pathology of the mucosa that develops due to the continuous effect of the traumatic factor. Patients complain of pain during a conversation and eating, while examining a peptic ulcer with uneven undercut edges, covered with a dirty gray coating. The diagnosis is established based on anamnestic data, objective examination, it is also necessary to conduct a cytological study for differential diagnosis with ulcers of another etiology. Treatment of the disease consists in eliminating the traumatic factor and drug treatment of the affected focus to accelerate the regeneration of tissues.
Causes of decubital ulcers
The main etiological factor of the occurrence of an ulcer is the constant effect of a traumatic stimulus on the mucosa of the oral cavity. In the first stage, the surface layer of the mucosa undergoes infiltration, then infection occurs, and inflammation begins. In the epithelium of the affected area, an ulcer is formed, the bottom of which is covered with granulations and a purulent coating. The most common irritants are teeth with a neglected carious process and sharp edges, illiterate seals extending beyond the borders of the crowns, any orthopedic and orthodontic structures.
Symptoms of decubital ulcer
Patients complain of painful education in the oral cavity, uncomfortable sensations during a conversation or eating. Upon examination, a single ulcerative mucosal defect with uneven edges is revealed, covered with a dirty gray coating, which is easily removed with a spatula leaving a bleeding surface. When you touch the affected hearth, the patient experiences pain. The surrounding tissues are edematous, inflamed, and severe hyperemia is observed. Submandibular lymph nodes on the affected side are enlarged in size and painful on palpation.
Treatment of decubital ulcers
The main goal of treatment is to eliminate or reduce the effect of the traumatic factor. It is mandatory to sanitize the oral cavity, fill the carious teeth and replace old substandard seals with new ones. It is necessary to minimize the irritating effect of all orthopedic and orthodontic structures. Patients with severe pain syndrome are recommended to conduct warm rinses, applications or irrigation with local anesthetics (lidocaine, novocaine, pyromecaine).