Evaluation of oral ulceration

Last reviewed: 21 Oct 2024
Last updated: 25 Jun 2024

Summary

Differentials

Common

  • Inadvertent trauma
  • Lichen planus
  • Contact stomatitis
  • Recurrent aphthous stomatitis
  • Intraoral dental sinus (parulis)
  • Herpes simplex virus (HSV) infection
  • Herpangina
  • Hand-foot-and-mouth disease
Full details

Uncommon

  • Iatrogenic trauma (medical or dental procedure)
  • Self-inflicted trauma
  • Iron deficiency anemia
  • Folate deficiency
  • Vitamin B12 deficiency
  • Vitamin C deficiency
  • Pemphigus
  • Mucous membrane pemphigoid
  • Linear IgA bullous dermatosis
  • Epidermolysis bullosa acquisita
  • Oral lichenoid reaction
  • Chemicals/medications
  • Erythema multiforme
  • Stevens-Johnson syndrome and toxic epidermal necrolysis
  • Necrotizing sialometaplasia
  • Behcet disease
  • Periodic fever syndromes
  • Reactive arthritis (Reiter syndrome)
  • Lupus erythematosus
  • Giant cell arteritis
  • Granulomatosis with polyangiitis (formerly known as Wegener granulomatosis)
  • Graft-versus-host disease
  • Necrotizing ulcerative gingivitis
  • Syphilis
  • Gonorrhea
  • Tuberculosis
  • Varicella-zoster virus (VZV) infection
  • Cytomegalovirus infection
  • Zygomycosis
  • Aspergillosis
  • Histoplasmosis
  • Blastomycosis
  • Paracoccidioidomycosis
  • Infectious mononucleosis
  • Squamous cell carcinoma
  • Malignant salivary gland tumors (mucoepidermoid carcinoma and adenoid cystic carcinoma)
  • Non-Hodgkin lymphoma
  • Kaposi sarcoma
  • Oral melanoma
  • Antiresorptive agent-induced osteonecrosis of the jaw (ARONJ)
  • Chronic ulcerative stomatitis
Full details

Contributors

Authors

Michaell A. Huber, DDS

Professor

Oral Medicine Subject Expert

Department of Comprehensive Dentistry

UTHSCSA School of Dentistry

San Antonio

TX

Disclosures

MAH is an author of a number of references cited in this topic. He lectures extensively on oral medicine-related topics. He has prepared online CE courses for DentalCare.com and online Quality Resource Guide CE courses for Metlife Insurance Company. MAH is a Consultant member of the Dentalcare.com Advisory Board for Proctor and Gamble.

Peer reviewers

Stephen Porter, PhD, MD, FDS RCS, FDS RCSE

Academic Head

Oral Medicine and Special Needs Dentistry Unit

Division of Maxillofacial Diagnostic, Medical and Surgical Sciences

UCL Eastman Dental Institute

Professor of Oral Medicine

University of London

London

UK

Disclosures

SP declares that he has no competing interests.

Nathaniel Treister, DMD, DMSc

Oral Medicine Attending & Associate Surgeon

Division of Oral Medicine and Dentistry

Brigham and Women's Hospital

Assistant Professor

Department of Oral Medicine, Infection and Immunity

Harvard School of Dental Medicine

Boston

MA

Disclosures

NT declares that he has no competing interests.

Angela Chi, DMD

Associate Professor

Division of Oral Pathology

College of Dental Medicine

Medical University of South Carolina

Charleston

SC

Disclosures

AC declares that she has no competing interests.

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