Ticku Smriti et al; International Journal of Advance Research, Ideas and Innovations in Technology. © 2017, www.IJARIIT.com All Rights Reserved Page | 1133 ISSN: 2454-132X Impact factor: 4.295 (Volume3, Issue3) Available online at www.ijariit.com Oral Ulcers: Diagnosis a Dilemma? Dr. Smriti Ticku V.S Dental College smrititicku28@gmail.com Dr. Prashanth Rajaram V.S Dental College drprashanthraj6@gmail.com Dr. Beema Vinod Kumar V.S Dental College vinod200899@gmail.com Dr. Purva Mansabdar V.S Dental College mansabdar.purva@gmail.com Abstract: Oral ulcers are characterised by a loss of the mucosal layer within the mouth. This loss may be acute or chronic, localised or diffuse. This is one of the most common oral problems presenting in primary care and can arise as a result of a number of disorders. Some of these relate to problems around the oropharynx but there is a wide variety of systemic disorders that can also give rise to these lesions. Recurrent aphthous stomatitis (RAS) is the most common chronic disease of the oral cavity, affecting 5-25% of the population. The underlying aetiology remains unclear, and no curative treatment is available. The present review examines the existing treatments for RAS with the purpose of answering a number of questions: How should these patients be treated in the dental clinic? This article reports cases of recurrent apthous ulcer that presented with oral and lip ulcerations and highlights the importance of early diagnosis and proper management. Keywords: Oral Ulcers, Apthous Ulcer. INTRODUCTION Recurrent aphthous stomatitis (RAS) is a common condition, restricted to the mouth, that typically starts in childhood or adolescence as recurrent small, round, or ovoid ulcers with circumscribed margins, erythematous haloes, and yellow or gray floors. A positive family history of similar ulcers is common, and the natural history is typical of resolution in the third decade of life. Not all ulcers that recur are RAS and this has led to some significant confusion in this field. Ulcers with similar clinical features but rarely resolving spontaneously with age may be associated with systemic conditions such as Behçet syndrome, auto-inflammatory syndromes, gastrointestinal disease, or immune defects such as HIV/AIDS Aphthous mouth ulcers are painful sores that can occur anywhere inside the mouth. They are the most common type of mouth ulcer. At least 1 in 5 people can develop aphthous mouth ulcers at some stage in their life. Women are affected more often than men CASE REPORT A 21-year-old female patient presented to the dental OP department with the complaint of painful ulcerations of the oral cavity for the past 5 days. She gave a history of the development of a single ulcer within the mouth for which she was given Injection Avil and Injection Inac 3cc after which the ulcers subsided. The patient reported back 3 months later with similar ulcers and this time patient was pregnant and in her first trimester (1st month) of pregnancy. She gave a history of multiple vesicles of the oral mucosa, buccal, and labial mucosa, which ruptured to form painful ulcerations. After 2 days she developed ulceration of lips and tongue. The patient was unable to eat any hot and spicy food and was on liquid diet for the last 2 days.Extraoral examination showed extensive ulcerations with bloody crustations on the upper and lower lip. Intraorally multiple ulcerations of the buccal and labial mucosa. Tongue showed white coating on the dorsal surface with irregular ulcerations of the right lateral border.