Oral Ulcers
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(Major, minor and herpetiform)
Description
Oral ulceration is probably the most common oral mucosal disease seen. It can potentially be the most serious too. There are many causes and one must make careful history and examination to help diagnosis.
Treatment
- Hydrogen peroxide solution 3% 6 hourly for at least 5 days
- Chlorhexidine 0.2% topical oral gel 12 hourly
- Antibiotic use is rarely indicated
- Oral prednisolone 5-10mg bd for 5 days
A corticosteroid cream application may help but if the ulcer does not heal in 2-3 weeks’ time, refer immediately for dental assessment