Mucosal deposit after triamcinolone injection: a case report

Abstract Background Oral ulcers exhibit diverse symptoms and etiologies. The treatment approach varies depending on the size and characteristics of the ulcer, typically starting with topical therapies such as steroid or antifungal mouth rinses. While most ulcers respond well to these localized treat...

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Main Authors: Kun-Hwa Kang, Jin-Seok Byun, Jae-Kwang Jung, Ji Rak Kim
Format: Article
Language:English
Published: BMC 2025-04-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-025-05919-1
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author Kun-Hwa Kang
Jin-Seok Byun
Jae-Kwang Jung
Ji Rak Kim
author_facet Kun-Hwa Kang
Jin-Seok Byun
Jae-Kwang Jung
Ji Rak Kim
author_sort Kun-Hwa Kang
collection DOAJ
description Abstract Background Oral ulcers exhibit diverse symptoms and etiologies. The treatment approach varies depending on the size and characteristics of the ulcer, typically starting with topical therapies such as steroid or antifungal mouth rinses. While most ulcers respond well to these localized treatments, some cases necessitate systemic interventions, including oral medications or intralesional injections. Case presentation A 59-year-old man with a one-month history of a persistent oral ulcer in the maxillary vestibule was diagnosed with major aphthous ulcer and treated with intralesional triamcinolone injection and corticosteroid gargle. The ulcer healed completely within two weeks, but a triamcinolone deposit remained asymptomatic and resolved spontaneously within a month. The patient experienced no discomfort and required no further intervention. Conclusions While triamcinolone is a highly effective and rapid treatment for oral mucosal ulcers, caution is advised when treating ulcers above the alveolar bone. It is preferred to administer injections in the corresponding vestibular groove near the buccal mucosa, which has a rich blood supply, rather than above the alveolar bone. Otherwise, reducing the dosage or switching to a more easily absorbable corticosteroid, such as dexamethasone, may be carefully recommended.
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institution OA Journals
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publishDate 2025-04-01
publisher BMC
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series BMC Oral Health
spelling doaj-art-586d4368582c401a8080e37db75580ea2025-08-20T02:17:52ZengBMCBMC Oral Health1472-68312025-04-012511510.1186/s12903-025-05919-1Mucosal deposit after triamcinolone injection: a case reportKun-Hwa Kang0Jin-Seok Byun1Jae-Kwang Jung2Ji Rak Kim3Department of Oral Medicine, Kyungpook National University Dental HospitalDepartment of Oral Medicine, Kyungpook National University Dental HospitalDepartment of Oral Medicine, Kyungpook National University Dental HospitalDepartment of Oral Medicine, Kyungpook National University Dental HospitalAbstract Background Oral ulcers exhibit diverse symptoms and etiologies. The treatment approach varies depending on the size and characteristics of the ulcer, typically starting with topical therapies such as steroid or antifungal mouth rinses. While most ulcers respond well to these localized treatments, some cases necessitate systemic interventions, including oral medications or intralesional injections. Case presentation A 59-year-old man with a one-month history of a persistent oral ulcer in the maxillary vestibule was diagnosed with major aphthous ulcer and treated with intralesional triamcinolone injection and corticosteroid gargle. The ulcer healed completely within two weeks, but a triamcinolone deposit remained asymptomatic and resolved spontaneously within a month. The patient experienced no discomfort and required no further intervention. Conclusions While triamcinolone is a highly effective and rapid treatment for oral mucosal ulcers, caution is advised when treating ulcers above the alveolar bone. It is preferred to administer injections in the corresponding vestibular groove near the buccal mucosa, which has a rich blood supply, rather than above the alveolar bone. Otherwise, reducing the dosage or switching to a more easily absorbable corticosteroid, such as dexamethasone, may be carefully recommended.https://doi.org/10.1186/s12903-025-05919-1Intralesional injectionOral ulcerTriamcinolone acetonide
spellingShingle Kun-Hwa Kang
Jin-Seok Byun
Jae-Kwang Jung
Ji Rak Kim
Mucosal deposit after triamcinolone injection: a case report
BMC Oral Health
Intralesional injection
Oral ulcer
Triamcinolone acetonide
title Mucosal deposit after triamcinolone injection: a case report
title_full Mucosal deposit after triamcinolone injection: a case report
title_fullStr Mucosal deposit after triamcinolone injection: a case report
title_full_unstemmed Mucosal deposit after triamcinolone injection: a case report
title_short Mucosal deposit after triamcinolone injection: a case report
title_sort mucosal deposit after triamcinolone injection a case report
topic Intralesional injection
Oral ulcer
Triamcinolone acetonide
url https://doi.org/10.1186/s12903-025-05919-1
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AT jinseokbyun mucosaldepositaftertriamcinoloneinjectionacasereport
AT jaekwangjung mucosaldepositaftertriamcinoloneinjectionacasereport
AT jirakkim mucosaldepositaftertriamcinoloneinjectionacasereport