Eosinophilic Ulcer of the Tongue in a Patient with Cerebral Palsy: A Case Report

Abstract

Introduction: Cerebral palsy (CP), a non-progressive brain disorder, occurs due to the destruction of the brain during its development and causes neuro-muscular disturbances. CP patients are highly susceptible to dental disorders. Here, we present a case of eosinophilic ulcer in the tongue of a boy who had CP with multiple carious teeth, for whom oral rehabilitation was carried out under general anesthesia. Case Presentation: A 16-year-old boy with CP presented to the Oral Medicine Department of Dental School of Semnan University of Medical Sciences with the chief complaint of chronic traumatic ulceration of the tongue. Because of the lack of his cooperation, after obtaining his parents’ informed consent, we decided to do the dental treatment under anesthesia. The intraoral examination showed that all of his teeth had severe caries with almost lost crowns. There was a horizontal incisor erupted toward his tongue leading to the tongue ulceration since two months ago. We started the extraction of the exposed roots of the mandibular teeth and then the maxillary roots. The antibiotics, analgesics, and mouthwash were prescribed. In a recall session two weeks later, the ulcer totally disappeared, but the contour of the tongue was depressed with the intact mucosa and no color changes. Conclusions: Oral health problems in patients with CP may be neglected compared to their overall health management. The multidisciplinary approach is necessary for oral health care and may be defined as an essential scheme for improving their quality of life.