Traumatic Lesions II

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These simple lesions are often confused for more severe conditions like lichen planus, oral candidiasis, pemphigus, erythema multiforme.

TYPE OF TRAUMA

FEATURES

Burns

Most common after ingestion of hot foods, and particularly seen on the palate or tongue. Chemical burns are usually due to analgesics positioned next to a painful tooth or chemicals used in restorative dentistry
  • Burns in the palate located in characteristic sites related to eating, restored or painful tooth

Sharp teeth and restorations Trauma from sharp teeth or restorations is often worsened in patients with physical or intellectual disability
  • Lesion is site specific and is related to a sharp edge

Ulceration due to local anaesthetic

Ulceration due to biting the area of anaesthetised mucosa
  • Ulcer confined to the area of anaesthetised mucosa

Treatment

Burns

  • Reassurance that healing will occur without scarring
  • Topical anaesthetic lidocaine 2% may help

Sharp teeth and restorations

  • Smooth the edge and/or apply a restorative material to the tooth

Sharp teeth and restorations

  • Smooth the edge and/or apply a restorative material to the tooth

Ulceration due to local anaesthetic

  • Reassurance
  • May require antibiotic therapy if the area becomes secondarily infected
    • Amoxicillin 500 mg every 8 hours for 5-7 days if necessary