Review of oral ulcerative lesions in COVID-19 patients: A comprehensive study of 51 cases

Yu Hsueh Wu, Yang Che Wu, Ming Jane Lang, Yi Pang Lee, Ying Tai Jin, Chun Pin Chiang

Research output: Contribution to journalReview articlepeer-review

14 Citations (Scopus)


Numerous oral manifestations of COVID-19 have been reported in the literatures. Common oral lesions in COVID-19 patients included ulcerations, xerostomia, dysgeusia, gingival inflammation, and erythema. Among them, oral ulceration is the most frequent finding and is present as various but distinct patterns. Thus, we conducted a comprehensive review of 51 COVID-19 patients with oral ulcerative lesions to further analyze the various oral ulcerative lesions in COVID-19 patients. There were a median age of 41.4 years and a slight female predilection in these patients. Most oral lesions manifested as an aphtha-like ulceration but lack of an evidence of recurrent aphthous stomatitis. Some of them were present as herpetiform ulcerations without HSV infection. Widespread ulcerations accompanied with necrosis were observed in the more severe and immunosuppressed older patients. Although some reported patients were asymptomatic, most of them had systemic symptoms concurring or slightly preceding the oral ulcerative lesions and the latency from the onset of systemic symptoms to oral ulcerative lesions were under 10 days, suggesting that oral ulceration was one of the early symptoms of COVID-19. Therefore, the oral ulcerative lesions may be considered as oral markers for early diagnosis of the underlying COVID-19 infection in the asymptomatic patients.

Original languageEnglish
Pages (from-to)1066-1073
Number of pages8
JournalJournal of Dental Sciences
Issue number4
Publication statusPublished - Oct 2021


  • COVID-19
  • Oral manifestation
  • Oral ulcerative lesions
  • Recurrent aphthous stomatitis
  • SARS-CoV-2

ASJC Scopus subject areas

  • General Dentistry


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