Aphthas

Aphthas

The aphthous ulcers are small conditions or ulcers that form on the form in the soft tissues of the mouth or at the base of the gums.. In most cases disappear on their own in one to two weeks..

Unlike cold sores, canker sores do not form on the surface of the lips and are not contagious.

Mouth ulcers are generally bothersome and can 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 doctor or the dentist..

What are canker sores?

Canker sores represent the clinical clinical expression of recurrent recurrent aphthous stomatitiswhich is the most frequent ulcerative pathology in the oral cavity. It appears as an oval, whitish lesion of variable size: there are those of less than one centimeter in diameter, also called, minor aphthous ulcers, and of more than one centimeter or major aphthous ulcers. There are also herpetiform aphthous ulcerswhich appear as clusters of punctiform ulcerations.

The oral mucosa sites that are most frequently affected are those made up of non-keratinized tissuei.e. 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 not yet are not entirely clear, there may bethere may be more than one factor underlying the infectioninfection, with the following being identified triggering factors that favor the onset of inflammation: genetics, stress, nutritional deficiencies, microbiological agents (among which oral streptococci are predominant), oral streptococcus (among which oral streptococci predominate), immune factorsendocrine 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 triggers 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 most cases, individual ulcers last 7 to 10 days. last between 7 and 10 daysand appear between 3 and 6 times a year.

Although most develop on the keratin-free epithelial keratin-free epithelial surfaces in the mouth more severe and less common forms can 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, painful red, painful sores that 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 appears in about 24 hours..

Open canker sores may show a white or yellow white or yellow coatingas well as a "halo" surrounding them. In most cases they appear alone, but it is not uncommon to find them in small groups.

Symptoms range from mild discomfort discomfort to pain that interferes with food and fluid intake. food and fluids.

Usually, there are 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 with over-the-counter pharmaceutical products, preferably recommended by the doctor or pharmacist.

For a local application of this type of product, usually in gel form, it is advisable to first dry the area with a gauze pad.It is advisable to first dry the area with a gauze pad. Then apply a small amount of the product, 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.

Last Avoid eating or drinking for at least 30 minutes so that the product is not immediately dragged away and has time to act. 


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Prevention of canker sores

It is not always possible to prevent aphthous ulcers and stomatitis.as 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 occurrence of the problem in those who are predisposed to the appearance of aphthous ulcers:

  • 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.

More information and references

Help guide

Guide to dry mouth and canker sores

Consult

Frequently Asked Questions

Many triggers can be recognized such as: contact with dirty objects and pets; minor trauma to the mouth, such as accidentally biting the cheek; vigorous use of the toothbrush; acidic or spicy food or hormonal imbalances.

Canker sores can usually last up to a couple of weeks, but discomfort begins to subside by the fifth day. In the case of recurrent ulcers, they may appear 3 to 6 times during the year.

Tests are not necessary to diagnose canker sores. The physician or dentist can identify them with a simple visual examination. In some cases, tests are necessary to check for the presence or absence of associated diseases, especially if the canker sores are severe.



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