Management of Recurrent Aphthous Stomatitis with Reproductive Hormones Predisposing Factor (Case Report)

Abstract

Recurrent aphthous stomatitis (SAR) is the most common ulceration in the oral mucosa. The SAR is a common disease with unknown specific etiology. One of its predisposing factors is hormonal imbalance which is related to menstrual cycle, may be associated with reproductive hormonal factor, namely progesterone where changes in the luteal phase. Progesterone levels will affect the delay of epithelial turnover, especially in the oral mucosal epithelium. Purpose: The purpose of this paper was to report the treatment of SAR with reproductive hormonal predisposing factor. Case: A 57-year-old woman patient complained of ulcers on the right and left buccal mucosa and tongue from ± 5 days ago. Ulcers were painful, white-yellow floor, surrounded by erythematous halo, clear and irregular margin and first raised 12 years ago. Ulcers occur several days before menstruation and recover after menstruation ends, last about 7 – 10 days. Case Management: Diagnosis was confirmed by anamnesis, clinical examination, and the history of disease investigation. Conclusion: SAR in this case can be due to reproductive hormonal factor. Treatment in this case is intended to reduce the incidence of recurrence and severity of the lesions.