A mouth ulcer is the loss or erosion of part of the delicate tissue that lines the inside of the mouth. There are many things that can cause oral ulcers. The most common cause is injury, such as accidentally biting the inside of your cheek. Other causes include aphthous ulceration, certain medications, skin rashes in the mouth, viral, bacterial and fungal infections, chemicals, some medical conditions and, rarely, an ulcer may represent oral cancer.
𝕀𝕟 𝕞𝕠𝕤𝕥 𝕔𝕒𝕤𝕖𝕤, 𝕞𝕠𝕦𝕥𝕙 𝕦𝕝𝕔𝕖𝕣𝕤 𝕒𝕣𝕖 𝕙𝕒𝕣𝕞𝕝𝕖𝕤𝕤 𝕒𝕟𝕕 𝕣𝕖𝕤𝕠𝕝𝕧𝕖 𝕓𝕪 𝕥𝕙𝕖𝕞𝕤𝕖𝕝𝕧𝕖𝕤 𝕨𝕚𝕥𝕙𝕚𝕟 𝟙𝟘 𝕥𝕠𝟙𝟜 𝕕𝕒𝕪𝕤 𝕨𝕚𝕥𝕙𝕠𝕦𝕥 𝕥𝕙𝕖 𝕟𝕖𝕖𝕕 𝕗𝕠𝕣 𝕒𝕟𝕪 𝕥𝕣𝕖𝕒𝕥𝕞𝕖𝕟𝕥. See your dentist or doctor if your mouth ulcers don’t clear up within two weeks, or if you get them frequently.
Ulcers are characterised by loss of epidermis and basement membrane exposing the dermis also known as canker sore. Oral ulcers occur commonly after a tooth decay. These are seen more commonly in females than males. It can be present on lips, tongue, floor of mouth, gums or palate. It’s important not to ignore an ulcer that you have had for more than two weeks, especially if you use tobacco products and drink alcohol regularly. Dental problems can be prevented and completely avoided if you are responsible for your oral health.
Types of Oral Ulcers in Mouth:
Minor Aphthous Ulcers (MiAUs)
Most commonly found in children. May seen in adults as well. These stress related, self-diagnosed, self-treatable. They last for a very short term, less than a week. Resolves on its own (heal within 10-14 days). They are not contagious. They are small and shallow (< 1 cm) mainly seen on tongue. Presents with mild to moderate pain and may cause discomfort on chewing.
Major Aphthous Ulcers (MjAUs)
MjAUs are less common than MiAUs. Similar in appearance but are larger than 10mm in diameter and also deeper. Scarring occurs and may last for few weeks to few months. Seen on lips, tongue or soft palate. Presents with pain and difficulty in chewing. Frequently found in HIV + patients.
They are small (1-2mm) and are present in multiples. Occurs on lateral and ventral surface of tongue and floor of the mouth. They may coalesce to form larger ulcer with erythema. Most commonly seen in females. Ulcers may last for 7 to 14 days. Affects older age group.
Common Treatment for Oral Ulcers:
- Drink plenty of water
- Avoid hot, spicy, sour food
- Use Topical steroid ointment such as triamcinolone 0.1%
- Use Topical anesthetic gels- such as dologel CT
- Antibiotics- tetracycline
- Apply ice or cold packs
- Anti-inflammatory and analgesic to relieve severe pain
- Medicated gels like gummex, dentogel to applied in small quantity
- Vitamin C, B12 supplements
- Traditional agents like ghee, yoghurt, turmeric, honey
A routine dental checkup is necessary in order to keep a thorough check on the overall health of the oral mucosa. A quick dental advice for treating the oral ulceration prevents flaring of the same. Royal Dental Clinics, Mumbai, has separate waiting rooms, resting areas, consulting rooms and treatment rooms for every patient. Utmost care and comfort is provided to patients and relatives by every staff keeping in mind the safety parameters during this pandemic. To know more, visit www.royalimplant.com