Periodontics · single question

A healthy patient has a fractured cusp with a traumatic ulcer on the tongue directly at the fracture site. What is the best management?

  1. Perform the restoration (remove the sharp source)
  2. Biopsy the ulcer immediately
  3. Refer to oncology
  4. Prescribe an antifungal
Show answer and explanation

Correct answer: A. Perform the restoration (remove the sharp source)

  • A. Correct. The ulcer is traumatic, caused by the sharp fractured cusp. Restoring/smoothing the tooth removes the cause and the ulcer resolves.
  • B. Biopsy is premature — first eliminate the obvious traumatic cause and reassess.
  • C. Oncology referral is unwarranted for an obviously traumatic ulcer in a healthy patient.
  • D. There's no evidence of fungal infection; antifungals don't address the sharp edge.

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