Management Of Recurrent Aphthous Stomatitis (Ras) Mayor In Buccal Mucosa

Abstract

Recurrent Aphthous Stomatitis (RAS) is an oral mucosal lesion which is frequently occured but the cause is still unclear (idiopathic). RAS major is one of the clinical forms of RAS that has deep ulcers characteristic and pain, 1-2 cm in diameter, last up to 3-6 weeks and leave scars. Case: Male, 15 years old, with ulcer on the left buccal mucosa, elongated shape ± 2 cm, white ulcer basis, clear redness boundaries and pain since 7 days ago. It had recurrent history since he was 7 years old and never received therapy but it would heal itself after ± 3 weeks. There was RAS history from his family. Patient was treated temporarily with triamcinolone acetonide 1 mg and multivitamin (B complex, vitamin A, C, E and Zinc). Discussion: RAS major associated with history of chemical and physical trauma. The rapid enlargement of lession’s size might be associated with lower of immune status. The therapy was 1 mg triamcinolone acetonide and multivitamin (B complex, vitamin A, C, E and Zinc) provided the satisfactory results.