A B C D E F G H I J K L M N O P R S T U V W

APTHOUS ULCERS

How do Apthous Ulcers occur ?

Some people seem to be prone to develop repeated aphthous ulcers, while others may have similar damage to the cheek but without having an ulcer developing from it. This may depend on the general resistance of the body and on the type of bacteria normally in the mouth. Stress appears to lower the resistance of the mouth to such ulcer formation.

Why do Apthous Ulcers occur ?

Some people seem to be prone to develop repeated aphthous ulcers, while others may have similar damage to the cheek but without having an ulcer developing from it. This may depend on the general resistance of the body and on the type of bacteria normally in the mouth. Stress appears to lower the resistance of the mouth to such ulcer formation.

Treatment Involved for Apthous Ulcers

If subject to repeated ulcers, it is worth discussing the problem with a dentist or oral hygienist. Identifying food allergies can be difficult but the type of food known to bring about an ulcer may become obvious to you after some time. The aim of treatment is to reduce the pain and inflammation. Local anaesthetic lozenges or gel can be used as often as necessary to reduce discomfort, and can be purchased from your pharmacy. Some people benefit from the anti-inflammation effects of hydrocortisone. This can be administered in the form of pellets which are sucked. Tetracycline is sometimes very effective. A capsule containing 250 mg of this antibiotic is prized open. Half the yellow powder content is put into a tumbler which is approximately one-third filled with warm water. Rinse your mouth with this solution, on each occasion keeping the liquid in contact with the ulcer for 5 minutes at a time. This method often reduces the period of pain to 1 or 2 days.

During Treatment of Apthous Ulcers

Most aphthous ulcers improve after 6 or 7 days and have disappeared within 2 weeks. Large ulcers may take up to 30 days to heal, especially if there is continued irritation.

After Treatment of Apthous Ulcers

All ulcers eventually heal, although the period of pain is often longer if nothing is done to reduce the inflammation.

If Apthous Ulcers are Left Untreated

Some patients observe that meticulous hygiene prevents repeated aphthous ulceration. This involves washing the hands frequently and avoiding contact between hands and mouth. Regular antiseptic mouthwashes have not been shown to be of real benefit. Tetracycline can stain growing teeth, and therefore should not be used in children under age 12. Local anaesthetics can cause allergy if used for a prolonged period. Steroid (cortisone-like) drugs and tetracycline can both cause an infection by yeast organisms (thrush) in the mouth if used for an excessively long period.