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Early diagnosis of potentially malignant oral lesions: clinical cues
In the blog Early diagnosis of potentially malignant oral lesions: clinical clues
Oral health guide
Help Guides Oral health guide Aa correct oral health ensures a better quality of life and a better preservation of the dental pieces. In this reading guide we give you some clues to know the advice and recommendations of specialists, as well as the main problems arising from poor eating habits and in the cleaning and care of the mouth. Consult
Aphthas
Pathologies Aphthas Unlike cold sores, canker sores do not form on the surface of the lips and are not contagious.  Mouth ulcers are generally bothersome and may cause pain, making it difficult to eat or speak..  They are rarely a sign of a major disease. In the case of extensive or very painful ulcers or ulcers that tend not to heal, it is necessary to consult the family physician or the dentist.. 

What are canker sores?

Canker sores represent the clinical expression of the recurrent aphthous stomatitisulcer, which is the most frequent ulcerative pathology in the oral cavity. It presents as an oval, whitish lesion of variable size: there are those of less than one centimeter in diameter, also called, minor canker sores, and more than one centimeter or major aphthous ulcers. There are also herpetiform aphthous ulcerswhich appear as clusters of punctate ulcerations.  The oral mucosal sites most frequently affected are those consisting of non-keratinized tissueIt is found on the lips, cheeks, mucosal folds, margins and undersurface of the tongue, floor of the mouth, soft palate and tonsillar pillars. Its presence inside the mouth distinguishes it from angular cheilitis, located in the outer corner of the lips. 

Causes

Although the causes of this disorder are still are not entirely clearmay exist more than one factor underlying the infectionidentifying triggers that favor the appearance of inflammation: genetics, stress, nutritional deficiencies, microbiological agents (among which oral streptococci predominate), immune factorsIn addition, endocrine disorders, autonomic nervous system disorders, psychic diseases and local, acute or chronic trauma (such as bites, tooth brushing erosions, etc.) play an important role.   Other triggering factors include: 
  • Contact with dirty objects y domestic animals.
  • Small mouth trauma, such as accidentally biting the cheek, vigorous use of the toothbrush, acidic or spicy food.such as accidentally biting the cheek, vigorous use of the toothbrush, acidic or spicy food.
  • Imbalances hormonal imbalances.
  • The menstruation.
  • Diet low in vitamin B12, zinc, folic acid (folate) and iron..
  • Helicobacter pylori Helicobacter pylori.
  • Chronic inflammatory bowel disease (e.g. celiac disease, Crohn's disease, ulcerative colitis).
  • Immunodeficiency syndromes and immunosuppressive drugs.
 

Symptoms

In the majority of cases, individual ulcers last between 7 and 10 daysand appear between 3 and 6 times a year.  Although most of them are developed in the keratin-free epithelial surfaces of the mouth More severe and less common forms may also affect keratinized surfaces such as the hard palate or the gum area closest to the teeth, among others.  Canker sores usually appear as red and painful sores which can measure up to 2.5 centimeters, although most are much smaller. Sometimes the mucosal area begins to tingle or become inflamed before the actual canker sore appears, ulceration appearing in about 24 hours.  Open canker sores may show a white or yellow coatas well as a "halo" that surrounds them. In most cases they appear alone, but it is not uncommon to find them in small groups.  Symptoms range from a mild discomfort to pain that interferes with swallowing of food and liquids.  Usually, no systemic symptomsi.e., affecting the whole organism. Only in some cases the severe forms can be so debilitating that they even cause weight loss due to malnutrition induced by difficulties in eating normally. 

Treatment

The disorder usually disappears spontaneously without treatment, but there are some suggestions that may help: 
  1. Regular and scrupulous oral hygiene and scrupulous oral hygiene seems to be useful to prevent microbial superinfection.
  2. Avoid spicy foods which can cause burning and delay healing.
Sometimes, the discomfort associated with the presence of canker sores makes it necessary to use appropriate products. Canker sores can be easily treated with over-the-counter pharmaceuticals, preferably recommended by the physician or pharmacist. For a local application of this type of products, please contact us.ually in gel form, it is advisable to first dry the area with a gauze pad. Next, apply a small amount of product with the help of a cotton swab, taking care not to use it again to apply more product after touching the mouth ulcer.  Finally, avoid eating or drinking for at least 30 minutes so that the product is not immediately washed away and has time to act. 

Prevention of canker sores

It is not always possible to prevent canker sores and stomatitis.They are usually caused by factors beyond our control (and often unknown to us). However, we can indicate some small precautions that can reduce the frequency of the problem in those who are predisposed to the appearance of canker sores: 
  • Avoid spicy foods if we suspect that they may increase the possibility of new episodes.
  • Avoid excessively hard and potentially sharp foods (e.g., potato chips and peanuts) to prevent gum lacerations. (e.g., potato chips and peanuts) to prevent the development of gum lacerations.
  • Avoid chewing chewing gum.
  • Use only toothbrushes with soft bristles so as not to irritate the gums; it is also important that they are the right size and not too large.
  • Reduce stress and stress and anxiety.
  • Eating a varied and varied and complete diet to avoid the risk of vitamin and other nutrient deficiencies.
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