surgeon for evaluation of a painful lesion of the right mandibular vestibule. The
patient’s medical history was significant for occasional gastrointestinal discomfort.
She reported that she had recently undergone a colonoscopy with nonspecific findings.
The review of systems was otherwise noncontributory, and the extraoral examination
results were normal. Intraoral examination revealed a tan-beige, focally ulcerated
linear lesion of the mandibular right posterior vestibule (Figure 1). The remaining soft tissues were unremarkable.
To read this article in full you will need to make a payment
Facing terminal ileitis: going beyond Crohn’s disease.
Gastroenterology Res. 2016; 9: 1-9
Epidemiology and natural history of inflammatory bowel diseases.
Gastroenterology. 2011; 140: 1785-1794
Familial and ethnic risk in inflammatory bowel disease.
Ann Gastroenterol. 2018; 31: 14-23
ACG clinical guideline: management of Crohn’s disease in adults [published correction appears in Am J Gastroenterol. 2018 Jul;113(7):1101].
Am J Gastroenterol. 2018; 113: 481-517
BMJ. 2014; 349: g6670
Paneth cell metaplasia in newly diagnosed inflammatory bowel disease in children.
BMC Gastroenterol. 2014; 14: 93
Oral manifestation in inflammatory bowel disease: a review.
World J Gastroenterol. 2013; 19: 8571-8579
Oral manifestations as the first presenting sign of Crohn’s disease in a pediatric patient.
J Clin Exp Dent. 2017; 9: e934-e938
Oral Crohn’s disease without intestinal manifestations.
J Pharm Bioallied Sci. 2012 Aug; 4: S431-S434
Chemical, thermal and electrical lesions in the oral cavity.
Curr Anal Dent. 2019; 2: 00-04
Traumatic chemical oral ulceration: a case report and review of the literature.
Br Dent J. 2010; 208: 297-300
Chemical burns of gingiva and its management.
SRM J Res Dent Sci. 2018; 9: 174-180
Oral self-injury: an update.
Dent Traumatol. 2013; 29: 8-14
The diagnosis and treatment of multiple factitious oral ulcers in a 6-year-old boy.
Case Rep Dent. 2017; 2017: 1986834
Self-inflicted gingival injury due to habitual fingernail scratching: a case report with a 1-year follow up.
Eur J Dent. 2009; 3: 150-154
Self-inflicted oral mucosal injuries.
Res J Pharm. 2018; 8: 1824-1829
Behçet syndrome: a contemporary view [published correction appears in Nat Rev Rheumatol. 2018;14(2):119].
Nat Rev Rheumatol. 2018; 14: 107-119
Behçet disease: new aspects.
Clin Dermatol. 2017; 35: 421-434
Interventions for the management of oral ulcers in Behçet’s disease.
Cochrane Database Syst Rev. 2014; 9: CD011018
Intestinal Behçet and Crohn’s disease: two sides of the same coin.
Pediatr Rheumatol Online J. 2017; 15: 33
Oral squamous cell carcinoma: clinicopathological features from 346 cases from a single oral pathology service during an 8-year period.
J Appl Oral Sci. 2013; 21: 460-467
Squamous cell carcinoma of the gingiva: a diagnostic enigma.
J Oral Maxillofac Pathol. 2015; 19: 267
Histological and molecular aspects of oral squamous cell carcinoma [review].
Oncol Lett. 2014; 8: 7-11
Squamous cell carcinoma of the buccal mucosa involving the masticator space: a case report.
J Korean Assoc Oral Maxillofac Surg. 2017; 43: 191-196
Precancerous lesions of oral mucosa.
World J Clin Cases. 2014; 2: 866-872
Mr. Larmie is a student, Columbia University College of Dental Medicine, New York, NY.
Dr. Vasilyeva is a resident, Division of Oral and Maxillofacial Pathology, Columbia University Medical Center, New York, NY.
Dr. Yunov is in private practice, Flanders, NJ.
Dr. Peters is an assistant professor, Columbia University Medical Center, 630 W 168th St, PH15W-1562, New York, NY 10032.
Published online: May 25, 2021
Received in revised form:
In Press Corrected Proof
Disclosure. None of the authors reported any disclosures.
Diagnostic Challenge is published in collaboration with the American Academy of Oral and Maxillofacial Pathology and the American Academy of Oral Medicine.
© 2021 Published by Elsevier Inc. on behalf of the American Dental Association.
Access this article on ScienceDirect