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Year : 2020  |  Volume : 10  |  Issue : 1  |  Page : 65-68

Chemical burn from direct application of aspirin onto a painful tooth

Department of Restorative Dental Sciences, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia

Correspondence Address:
Dr. Hussam Alfawaz
Department of Restorative Dental Sciences, College of Dentistry, King Saud University, P.O. Box 60169, Riyadh 11545
Kingdom of Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/sej.sej_24_19

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Aspirin is one of the most effective oral analgesic agents available worldwide without prescription. Aspirin tablets can be directly placed on the painful tooth and adjunct mucosa to relieve pain and avoid dental visits. However, aspirin is acidic in nature and its protein coagulation effects can cause severe chemical burns to the surrounding mucosa when placed directly. Here, we describe a rare case of chemical burn caused by the direct placement of an aspirin tablet on a painful tooth. A 55-year-old healthy African female presented to the clinic with a history of pain in the right maxillary region. The patient stated that she had placed aspirin locally to relieve her toothache for a few days. On intraoral examination, a grayish-white fibrin-coated ulcer was observed on the buccal mucosa near the painful tooth, extending to the upper and lower buccal vestibules, up to the premolar area. The source of pain was resolved by root canal treatment of #17, and the patient was advised to discontinue the direct application of aspirin to oral tissues. Two weeks later, the lesion had healed entirely without scarring. This case highlights the differences in the degree of clinical presentation of the lesion and the importance of considering the injudicious use of aspirin as a potential cause of white lesions in the oral cavity.

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