A 43-year-old male with a history of diabetes mellitus presented with solitary ulcer on both buccal mucosa. Dorsum of the tongue shows an area of papillary atrophy close to the junction of anterior two-third and posterior one-third of the tongue surrounded by an area of regenerating papillae. Bilateral angular cheilitis was noted. A solitary ulcer with ragged borders and tissue tags was present on both sides of mucosa corresponding to the sharp teeth margins. Intraorally poor oral hygiene was noted along with complete attrition of teeth [].\nDifferential diagnosis: Geographic tongue (related to psychosomatic disorders) and traumatic ulcers.
A 58-year-old male with uncontrolled diabetes mellitus presented with ulcers on the left buccal mucosa corresponding to 35, 36, and 37 regions. Roughly 4 cm × 3 cm which were irregular in shape. The ulcer appears to have punched-out borders with tissue tags and is surrounded by inflammation. A similar ulcer was also present in the right buccal mucosa with 45, 46, and 47 [].\nDifferential diagnosis: Traumatic ulcer secondary to cheek bite.