From Diagnosis to Management of Oral Manifestations Associated with Crohn’s Disease: A Case Report

Abstract

In addition to the intestinal manifestations, the inflammatory bowel disease of Crohn’s disease (CD) is also associated
with some extra-intestinal symptoms, such as ulcers in the oral cavity, which tend to aggravate the general care and
compromise the patient’s general well-being. The following case presents a 23-year-old patient with a CD complicated
by severe oral symptoms persisting despite early treatments, including recalcitrant recurrent aphthous stomatitis,
mucosal swelling, and gingivitis. The patient was treated using a multidisciplinary approach that integrated both
gastroenterology and dental aspects. Systemic corticosteroids, immunosuppressive therapy, topical corticosteroids,
antibacterial mouth rinses, dietary advice, and general support were among the treatment modalities provided. This
comprehensive plan, which significantly enhanced the patient’s quality of life, also demonstrated improvement in oral
health and a decrease in signs and symptoms. This case demonstrates how interdisciplinary strategies can help in CD
oral manifestations management, given the enhancement of the patient’s health. Further investigation and case studies
are needed to refine treatment strategies and expand understanding of these oral lesions and concerns regarding them.