Young Male patient having complain of recurrent ulcer on tongue from last 3 months. What is permanent cure? Is biopsy report to be advise??

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Traumatic ulcer ....I think pt has a habit of tongue biting TREATMENT Selective grinding of the sharp cusps Consumption of a soft, bland diet Use of warm sodium chloride rinses Application of topical corticosteroids or topical anesthetics

Yes..cusps are sharp 46,47, so cusp grinding..and also check for any vitamin deficiency..
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Treatment for recurrent aphthous stomatitis Chlorhexidine gluconate mouthwashes and topical corticosteroids, the mainstays of therapy, should be used during the prodrome, if possible. The corticosteroid can be dexamethasone 0.5 mg/5 mL tid used as a rinse and then expectorated or clobetasol ointment 0.05% or fluocinonide ointment 0.05% in carboxymethylcellulose mucosal protective paste (1:1) applied tid. Patients using these corticosteroids should be monitored for candidiasis. If topical corticosteroids are ineffective, prednisone (eg, 40 mg po once/day) may be needed for ≤ 5 days. Treatment may require prolonged use of systemic corticosteroids, azathioprine or other immunosuppressants, pentoxifylline, or thalidomide. Intralesional injections can be done with betamethasone, dexamethasone, or triamcinolone. Supplemental B1, B2, B6, B12, folate, or iron lessens RAS in some patients.

Traumatic ulceration. Most mouth ulcers that are not associated with recurrent aphthous stomatitis are caused by local trauma. The mucous membrane lining of the mouth is thinner than the skin, and easily damaged by mechanical, thermal (heat/cold), chemical, or electrical means, or by irradiation. Round off the edges of the tooth particular in that region where the history of the ulcer If then also the ulcer are prone then go for bipolar

Traumatic ùlcer. Application of topical zytee drops or corticosteroids.

Check if there is chronic biting ......sharp margins of teeth should be rounded ....

Sharp cusps are visible...please round them off ...

Traumatic ulcer

1.Traumatic ulcer 2.Sharp cusps-Grinding

Agreed.good explanation

Doctor just check for calculus flake on cervical area on lingual site with tongue contacting region.. First eliminate all local etiological factors. If still no improvement... U can proceed with above mentioned treatment approaches.

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