Needle perforation of oral mucosa and local occurrence of aphthae: mechanism and approaches

Alberto Consolaro, Dario A. Oliveira Miranda

Oral aphthae may be prevented by maintaining the mucosal integrity, and such lesions may occur at the site of penetration of the anesthetic needle. In these cases, a gel may be indicated soon after completion of anesthesia, explaining this approach to the patient. Some individuals with aphthae report previous occurrence of aphthae after anesthesia, and the professional may suggest the patient to carry the gel on the following consultation to apply this “preventive” procedure. For patients with frequent small oral aphthae, the professional may follow the described management protocol, using the gel for local application according to the presented sequence. When aphthae appear, it is very important to identify the associated causes, prescribe local and/or systemic drugs and instruct the patients to reduce their duration and frequency. There are well-defined causes and therapies, yet this requires diagnostic and therapeutic skill of the professional, persistence of all individuals involved, and patient awareness.

Keywords: Aphthae. Small aphthae. Mickulicz aphthae. Oral anesthesia.

How to cite: Consolaro A, Miranda DAO. Needle perforation of oral mucosa and local occurrence of aphthae: mechanism and approaches. J Clin Dent Res. 2018 May-Aug;15(2):158-68. DOI: https://doi.org/10.14436/2447-911x.15.2.158-168.bes

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