Oral ulceration with bone sequestration


  • CS Farah,

    Corresponding author
    1. *NHMRC Research Fellow and Senior Lecturer in Oral Medicine and Pathology, Oral Biology and Pathology Research Unit, The University of Queensland.
    Search for more papers by this author
  • NW Savage

    1. †Reader in Oral Medicine and Pathology, The University of Queensland and Consultant Oral Pathologist, Royal Brisbane Hospital, Brisbane.
    Search for more papers by this author

Dr CS Farah Oral Biology and Pathology The University of Queensland Brisbane, Queensland 4072 Email: c.farah@mailbox.uq.edu.au


Oral mucosal ulceration is a common manifestation of various disease processes. Identification of the aetiological factor(s) involved greatly facilitates the management of such conditions. This report describes oral ulceration of the mucosa overlying the lingual shelf and mylohyoid ridge of the mandible and, less commonly on tori and exostoses, in association with bone sequestration. Trauma, which involves the subjacent periosteum resulting in a focus of ischaemic bone necrosis, in conjunction with local anatomical and perhaps other systemic predisposing factors, forms the aetiopathogenesis for this particular type of focal ulcerative lesion.