Mouth sores. Causes and treatment of 3 types of aphthous ulcers.
Some people get frequent sores on the mouth, frequent sores are called aphthous. It can occur anywhere inside the mouth. Mouth ulcers are the most common. One of every five individuals will be impacted eventually in their lives. Women have more than men. It gets better in 10-14 days without treatment. More than 10 to 40 years old people. The frequency decreases with age.
Types of mouth sores or aphthous ulcers
01. Minor ulcers
This is the most common. 8 out of 10 people develop minor ulcers. It can be small, round, or oval. It is generally under 10 mm in size. Its tone is light yellow, however, the region around it is enlarged and red. Usually one but can be up to 5. Lasts 7-10 days and heals without medication, leaving no scars. Minor ulcers are painless.
02. Major ulcer
10 percent of major ulcers. Its size is larger than 10 mm. Maybe one or two at a time. Not more than that. May last from two weeks to several months. It hurts a lot. Even eating is difficult.
03. Herpetiform ulcer
It may affect 1 in 10 people. Small, pinhead shaped, 1-2 mm in size. There are many at once and sometimes they coalesce to form an uneven, lumpy shape. Each ulcer lasts 1 week to 2 months. Aside from the name, it doesn’t share anything for all intents and purposes with the herpes infection or herpes illness.
Causes of mouth sores or aphthous ulcers
The cause is unknown. Not for any infection. In this way, you can’t get it ahead of time. They usually occur in apparently healthy people for no reason.
There is no exact cause but some factors or diseases are responsible for it. For example:
- Trauma: If dentures do not fit properly, uneven toothbrushes can cause trauma.
- Changes in hormone levels: Some happen before their period. For some, it may be after menopause.
- Some may occur after people quit smoking.
- Iron, vitamin B-12, and folic acid deficiency can also occur.
- Sometimes it can be a side effect of some medicines. For example, oral nicotine therapy, nicorandil, anti-inflammatory drugs, etc. It can also be due to allergies.
- This can be due to stress, or anxiety. It can likewise be because of hereditary qualities.
- People with Crohn’s disease, celiac disease, and HIV infection can develop mouth ulcers. But it may not be Apthus type.
Tell your doctor if you have other problems besides aphthous. For example – skin and venereal disease, arthritic pain, and any infection. If another mouth sore is suspected, get a blood test or other investigations.
Treatment for mouth sores
It does not require any medication. It typically gets better all alone. However, assuming the torment is serious or the bruises dry rapidly, the drug might be required. Here are a few meds that can be purchased over the counter without a specialist’s remedy.
Chlorhexidine mouth wash
Chlorhexidine mouthwash is a successful treatment for mouth wounds. It contains an antiseptic agent that helps prevent and reduce bacterial growth, promoting faster healing. To use, rinse the mouth for about 30 seconds, avoiding swallowing. It alleviates discomfort, inflammation, and redness associated with mouth sores. However, long-term use should be limited as it may cause temporary tooth staining. For best outcomes, follow the suggested measurement and counsel a dental specialist or medical care proficient for legitimate direction and to preclude any fundamental circumstances causing the wounds. Overall, Chlorhexidine mouthwash offers a safe and convenient solution for managing mouth sores.
Steroid lozenges are an effective treatment for mouth sores. These tablets contain corticosteroids, which lessen aggravation, torment, and tingling related to mouth injuries. The lozenges are dissolved slowly in the mouth, allowing the steroids to directly target the affected area. This localized application minimizes systemic side effects. They are particularly useful for managing conditions like oral lichen planus and aphthous ulcers. Nonetheless, drawn-out use ought to be checked by a medical service proficient to stay away from likely unfriendly impacts. Overall, steroid lozenges offer a targeted and efficient way to alleviate discomfort and promote the healing of mouth sores.
Pain killer spray, rinse, gel (Benzydamine spray)
Benzydamine spray, rinse, or gel is a common treatment for mouth sores. It is a non-steroidal quieting drug (NSAID) with torment-easing properties. At the point when utilized as a splash or wash, it covers the impacted region, giving quick relief from discomfort and decreasing irritation. The gel form can be directly applied to the sore, soothing discomfort and promoting healing. Benzydamine’s local action minimizes systemic side effects. Be that as it may, it is fundamental to follow the suggested measurement and length of purpose, as unnecessary use might cause an oral disturbance. For persistent or severe sores, consult a healthcare professional for proper evaluation and treatment.
Barrier Paste or Powder (Carmellose Sodium)
Barrier pastes or powder containing carmellose sodium is a treatment option for mouth sores. This product forms a protective barrier over the affected area, shielding it from irritants, food, and saliva. Carmellose sodium, a bioadhesive substance, adheres to the sore, providing relief and reducing pain. It promotes healing by creating a moist environment that supports tissue repair. Barrier paste or powder is especially useful for individuals with oral mucositis, denture-related sores, or irritation caused by orthodontic appliances. Regular application helps manage discomfort and aids in the recovery of mouth sores. For legitimate use, adhere to the directions given or counsel medical care proficiently.
There are some rules to follow if you have an aphthous ulcer
- Use a soft brush. The dentist should be seen if the tooth fitting is not correct. Assuming that any medication is by all accounts impaired, it ought to be changed. For example, nasal sprays or patches can be used instead of oral nicotine therapy (gum or lozenges).
- Straw should be used while drinking. So that the front of the face does not hurt. It is best not to drink hot beverages through a straw, as this might cause throat
- Spicy food, acidic water, and very salty food like crisps should be avoided. They make the pain worse.
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