Article Text

Download PDFPDF
Comprehensive management of major aphthous ulcer
  1. Aravind Warrier,
  2. Maguluru Sruthi and
  3. K Anbarasi
  1. Oral Medicine and Radiology, Sri Ramachandra Institute of Higher Education and Research, Chennai, India
  1. Correspondence to Dr Maguluru Sruthi; d0718002{at}


Recurrent aphthous ulcers are the most prevalent oral mucosal disease, but the subset major aphthous ulcer is a less frequent type. These ulcers are refractory, may persist for several weeks to months, and interfere with the normal state of health. The aetiology is multifactorial and so is the treatment. We present a case of an adolescent male patient reported with multiple oral ulcers. He developed three ulcers simultaneously and suffered for 10 months despite using topical medications prescribed by different dental practitioners. We executed a multidisciplinary treatment approach that resulted in a long-term disease-free state. The treatment methods followed in our case could be a successful model to implement by medical practitioners and oral physicians when the situation demands.

  • dentistry and oral medicine
  • nutritional support
  • cognitive behavioural psychotherapy
  • medical management
  • mouth

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Contributors AW contributed to patient care, patient follow-up, manuscript conceptualisation and manuscript revision. MS is involved in patient care, patient follow-up, documentation of treatment details and manuscript writing. KA has contributed to patient management, literature search, manuscript writing and revision.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Disclaimer Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.