Clinical observation of recurrent aphthous stomatitis in Sulaimania

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21/4/2014 12:40 PM

Clinical observation of recurrent aphthous stomatitis in Sulaimania

Shanaz M. Gaphor B.D.S, M.Sc., PhD (1)

Shokhan A. Hussien B.D.S (1)


Background: Recurrent aphthous stomatitis is the most common recurring oral ulcerative condition in many parts of the world, characterized by painful oral ulcerations recurring with varying frequency the aim of this Study: To: record the distribution of aphthous ulcers in Sulaimani, find the clinical features and effect of local factors and medical disorder on occurance of aphthous ulceration.
Patients and Methods: This prospective study was performed on 80 patients and seen in period from January 2008 to August 2008. Complete medical history and full history of present illness was obtained, physical examination and laboratory investigations were carried out to asses patients condition.
Results: In this study 80 patients were examined, 53 of them 66.25 % were females, 27 patients 33.75 % were males. 56 patients (70 %) had minor aphthous ulceration, 22 patients (27.5 %) had major aphthous ulceration, and 2 patients (2.5 %) had herpetiform ulceration. In our sample the most common etiological factor of RAU was stress and anxiety which constitute (45 %) followed by hematological deficiency and hormonal causes in which each of them constitute (16.25 %), Behcet's disease (12.5 %), gastrointestinal diseases (10 %).
Conclusions: From this study the researcher concludes that: Recurrent aphthous ulcer is more common in females than males. Minor aphthous ulceration is more common than major aphthous ulceration and herpetiform ulcer is a very rare form of aphthous ulceration and is also seen in older age group. Minor aphthous ulcers occurs only in nonkeratinized mucosa the most common site is lower lip, but major and herpetiform ulcers occur anywhere in oral cavity including keratinized and non-keratinized mucosa.
Key words: RAU, clinical presentation.

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