Ulcer

Question 1

a. Describe the ulcer (2)

Answer 1

cant answer

Question 2

b. Cause of ulcer List 4 (4)

Answer 2

 Trauma  Recurrent aphthous stomatitis  Microbial infection (e.g. Varicella zoster virus infection)  Mucocutaneous diseases (e.g. Neoplastic cancers)  Systemic disorders (e.g. Bechet disease)  Drug therapy (e.g. Lichen planus)

Question 3

c. Feature of ulcers that are important to note during intra oral examination (3)

Answer 3

 Site of ulceration (non-keratinzed or keratinzed)  Size and shape of ulcers  Number of ulcers

Question 4

d. Objective or treatment of RAS

Answer 4

Objective  Elimination of suspected cause  Antiseptic mouthwash if secondary infection is a concern  Covering agent Management  Topical analgesics  Topical antimicrobials  Topical/systemic corticosteroids  Topical/systemic Immunosuppressives

Question 5

a. Describe the clinical photos (left) (4)

Answer 5

 Ulceration on the border of the tongue on the para-keratinzed tissue  Ulceration should be approximately 1 cm wide  Only one ulcer  Round shape  Erythematous border

Question 6

a. Describe the clinical photos (right) (4)

Answer 6

Multiple ulcerations, <5 ulcers Irregular shaped Size is of a wide range

Question 7

b. What are the principal causes of ulcer (4)

Answer 7

 Trauma  Recurrent aphthous stomatitis  Microbial infection (e.g. Varicella zoster virus infection)  Mucocutaneous diseases (e.g. Neoplastic cancers)  Systemic disorders (e.g. Bechet disease)  Drug therapy (e.g. Lichen planus)

Question 8

c. What is your diagnosis (1)

Answer 8

 Left photo: Minor RAS  Right photo: Herpetiform RAS