Vol 21 No. 1

J Bagh College Dentistry Vol. 21(1), 2009 Clinical observation of …
in the body, relieving and precipitating factors
was also obtained.
The diagnosis was supported by the clinical
findings, duration of lesions, symptoms and
presence or absence of systemic diseases and also
presence or absence of similar lesions in other
parts of the body. Laboratory investigations were
carried out included Hematological examinations:
CBC, Hb g/dl, PCV %, W.B.C (differential
count), Serum iron level and total iron binding
capacity (T.I.B.C). Pathergy Test was done for
those patients that had ulcers with frequent
recurrence and increased severity, to confirm or
exclude Behcet's disease, or possibility of
developing this syndrome. This test was included
subcutaneous pricking in the forearm, and waiting
until 24 hours, after 24 hours patients with
behcet's syndrome mostly develop pustules.
RESULTS
Table 1 shows that the majority of patients
(26.25 %) were in 31-40 years, only 9 patients
(11.25 %) were below 20 years. Tables 2 and 3
show that majority of patients had minor aphthous
ulceration which constituted 70 % and minority of
patients had herpetiform ulceration which
constituted 2.5 %., minor aphthous ulceration
were found in all age groups, while major
aphthous ulcer and herpetiform ulceration were
not seen in 10-20 years age group.
Table 1: Distribution of all 80 patients with
RAU according to age and gender.
Gender
(10-
20)
(21-
30)
(31-
40)
(41-
50)
(51-
60) Total
years years Years years years
Female 7 7 13 13 13
53
(66.25
%)
Male 2 9 8 4 4
27
(33.75
%)
Total 9 16 21 17 17
80
(100
%)
The majority of the minor aphthous ulcers
24.8 % were seen in the lower lip (figure 1),
followed by the tip of tongue and lateral side of
tongue (23.52 %, 21.13 %) respectively as shown
in figure (2), followed by buccal mucosa and
upper lip 11.8 %, 10.5 % respectively figure (3).
Minority of them (3.5%) were located in
mucobuccal fold areas. In the 80 patients
examined in this study, 22 patients 27.5 % had
major aphthous ulceration. In all of them the total
number of major ulcers was 34 ulcers. Every site
of the oral cavity might be involved, including
non-keratinized and keratinized mucosa of
dorsum of tongue and palate (Figure 4), but the
lower lip 26.5 % seemed to represent the most
common site of involvement (figure 5), followed
by lateral side and dorsal surface of tongue (23.5
%, 20.6 %) respectively (figure 6).
Minority of major aphthous ulcers were seen
in the tip of tongue, upper lip, and floor of mouth
in which each of them constitute 2.9%. Figure 7
shows major aphthous ulcer on the upper lip.
Table 2: Distribution of aphthous ulcers in
all 80 patients according to type and gender.
Gender Minor Major
ulcer ulcer Herpetiform Total
Female 41 12
53
(66.25 %)
Male 15 10 2
27
(33.75 %)
Total 56 22 2
80
(100 %)
Table 3: Distribution of aphthous ulcers in
all 80 patients according to type and age
Age Minor Major
Herpetiform
groups ulcer ulcer
Total
(10-20) 9
9
(11.25
%)
(21-30) 7 8 1
16
(20 %)
(31-40) 16 5
21
(26.25
%)
(41-50) 14 3
17
(21.25
%)
(51-60) 10 6 1
17
(21.25
%)
Total
56
(70
%)
22
(27.5
%)
2
(2.5 %)
80
(100 %)
Oral Diagnosis 75