Lingual mucosal ulceration with mandibular sequestration

Dent Update. 2007 Nov;34(9):573-4, 576-7. doi: 10.12968/denu.2007.34.9.573.

Abstract

Lingual mucosal ulceration with mandibular sequestration is a condition that presents most commonly in the lower molar region and may be influenced by a variety of local and systemic factors. Three such cases are reported, two involving a history of recent dental extraction and one of seemingly spontaneous onset with the possibility of an underlying association with bisphosphonate therapy. An overview of the surgical and non-surgical management strategies for such cases is described.

Clinical relevance: This condition presents most commonly following extraction of mandibular molar teeth. Patients may require referral to secondary care for further management if failing to respond to local non-surgical measures or in the presence of underlying systemic factors.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Bone Density Conservation Agents / adverse effects
  • Diphosphonates / adverse effects
  • Humans
  • Male
  • Mandibular Diseases / complications*
  • Mandibular Diseases / etiology
  • Mandibular Diseases / surgery
  • Middle Aged
  • Mouth Mucosa / pathology
  • Oral Ulcer / complications*
  • Oral Ulcer / etiology
  • Osteonecrosis / complications*
  • Osteonecrosis / etiology
  • Osteonecrosis / surgery
  • Tongue Diseases / complications*
  • Tongue Diseases / etiology
  • Tooth Extraction / adverse effects

Substances

  • Bone Density Conservation Agents
  • Diphosphonates