Treatment of a traumatic ulcer on a handicapped individual: a case report

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Abstract
Ulcerations of oral mucosa caused by trauma or irritation are not uncommon. Irritation of tissues by fractured teeth or rough restorations often results in ulcerations. Additionally, oral habits have been reported to produce untoward tissue response.1 Fortunately, most traumatic oral ulcerations respond rapidly and favorably to removal of the source of irritation. In the case of handicapped individuals, removal of the causative factor may be difficult because of the inability to communicate and cooperate. This is particularly true when the oral lesion is caused by habitual behavior. Some habits may have serious sequela. Phelan and others2 reported on a deaf‐mute child who had the habit of thumbsucking. Blood loss from an ulceration precipitated by this habit resulted in hospitali‐zation and fluid replacement.The case reported in this paper identifies an unusual problem found in a 9‐year‐old child with excessive lip sucking that perpetuated a large lip ulceration.

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