TRAUMATIC LESIONS 2

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