Communication, Information, And Education In The Management Of Recurrent Aphthous Stomatitis With Hormonal Predisposing Factors

Abstract

Recurrent aphthous stomatitis (RAS) is an oral mucosal disorder characterized by recurrent ulceration and may be influenced by various factors, including hormonal fluctuations. This case report aimed to describe the management of minor RAS suspected to be associated with hormonal factors. An 18-year-old female patient presented with painful recurrent oral ulcers on the right and left sides of the lower labial mucosa, which had developed four days before presentation. The lesions had recurred intermittently since adolescence. The patient denied any history of systemic diseases or allergies. Intraoral examination revealed bilateral ulcers measuring less than 1 cm in diameter, while a complete blood count showed a slightly elevated lymphocyte count. The patient was diagnosed with minor RAS and treated with topical triamcinolone acetonide ointment applied to the lesions 2–3 times daily. Communication, information, and education were also provided regarding the condition, oral hygiene, potential triggering factors, and recurrence prevention. At the seven-day follow-up, the lesions had healed. The recurrence pattern associated with menstruation suggested a possible role of hormonal factors, although a causal relationship could not be established. Management with topical therapy and patient education resulted in a favorable clinical outcome.