AphthousUlcer oralulcers oralsores DrRajeshBhardwaj ENTSpecialist ENTSurgeon

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BOU – Benign Oral Ulceration • Caused by: trauma, stress, food products (chocolates, nuts), medications (NSAIDs, Beta Blockers), Vitamin deficiencies. • Immunological process. • Pain exceeds the size of the lesion. • Minor, Major, and Herpetiform aphthae. • Minor Aphthae: • 80% are less than 1 cm. • Generally located on labial or buccal mucosa, the soft palate, and the floor of the mouth. • Can be singular or multiple, small (less than 1 cm in diameter), and shallow. • Major Aphthae: • Larger and involve deeper ulceration. • More likely to scar with healing. • Herpetiform Aphthae: • More numerous and vesicular in morphology. • Note: Patients with benign aphthous ulcers should have no other findings such as fever, adenopathy, gastrointestinal symptoms, or other skin or mucous-membrane symptoms. • Treatment includes: • Avoidance of triggers. • Local pain relief. • Chlorhexidine gargles. • Vitamin supplements. • Oral steroids (rarely). • ORAL PEMPHIGUS VULGARIS • Presents with oral lesions in 50-70% of patients, and almost all patients have mucosal lesions at some point. • Mucosal lesions may be the sole sign for an average of 5 months before skin lesions develop, or they may be the sole manifestation of the disease. • Diagnosis should be considered in any patient with persistent oral erosive lesions. • Intact bullae are rare in the mouth. Patients more commonly have ill-defined, irregularly shaped, gingival, buccal, or palatine erosions, which are painful and slow to heal. • The mucous membranes most often affected are those of the oral cavity, sometimes the only area involved. • Treatment includes: • Topical application. • Administering analgesics. • Maintaining strict oral hygiene using diluted antiseptic mouth wash. • Periodontal treatment. • Following a soft diet without irritants. • Checking prosthetic restorations. • Applying anti-candida therapy in patients on long-term corticosteroid treatments. • Research advances include treatments such as: • Pulse therapy (intravenous infusion of very high doses of Immunosuppressants for a short time period). • High doses of intravenous immunoglobulin. • Plasmapheresis. • STEVEN JOHNSON SYNDROME • An immune-complex–mediated hypersensitivity complex typically involving the skin and mucous membranes. • Classification includes: • Stevens-Johnson syndrome: A minor form of toxic epidermal necrolysis, with less than 10% body surface area (BSA) detachment. • Overlapping Stevens-Johnson syndrome/toxic epidermal necrolysis (TEN): Detachment of 10-30% BSA. • Toxic epidermal necrolysis (TEN): Detachment of more than 30% BSA. • TRAUMATIC ULCER • Usually caused by injury and is self-limiting. • Chronic trauma, as caused by Paan, Tobacco, Gutkha, sharp, or infected tooth can cause a more dangerous type of ulcer. • The ulcer is indurated with raised margins, sometimes causing cervical lymph node enlargement, leading to severe, unremitting pain. There may be oral bleeding as well. • Seek help if they: • ✔ Spread or grow large. • ✔ Last for more than 2 weeks. • ✔ Cause a node in the neck to grow. • ✔ Cause oral bleeding, especially if you have a history of smoking or tobacco use. • About The Doctor! • Our center is run by Dr. (Major) Rajesh Bhardwaj, who brings over 15 years of Army service into his civilian practice, ensuring that every patient is treated with discipline, care, and precision. He has an MBBS from AFMC in addition to an MS, DNB, DLO, and DHA, making him one of the most qualified and experienced ENT specialists in the region. • If you found this video helpful, stay connected and informed with us! • Follow us on social media for the latest updates, health tips, and videos for more informative content directly from MedFirst ENT Centre: • 🌐 Website: entdelhi.com • 📘 Facebook: / medfirstentcentre • 📸 Instagram: / drbhardwajent • 🐦 Twitter: https://x.com/entdelhi • 📝 Blog: https://medfirstentcentre.blogspot.com/ • ⚕️ Contact Form: https://bit.ly/fill_medical_form • Watch Our Latest Educational Videos and Subscribe to our YouTube channel for informative content on ENT health, treatments, and tips from Dr. Bhardwaj. Stay informed about the latest tips and treatments in ENT care. • Like, Share, and Subscribe our channel for regular updates, and don’t forget to click the notification bell so you never miss out any important health tips! • Contact Us: • 📍 Location: MedFirst ENT Centre, South Delhi • 📞 Phone: +91 98711 50032, +91 92055 85295 • 📧 Email: [email protected] • 🌐 Website: entdelhi.com • 🕒 Timings: Monday - Saturday: 9 AM - 6:30 PM • Disclaimer: • Dr. Bhardwaj’s decades of experience ensure that the information provided is medically accurate, comprehensive, and easy to understand. However, this content is intended for educational purposes and should not be considered a substitute for professional medical advice. Always consult a qualified healthcare provider for any medical concerns.

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