Oral Ulcers

ORAL ULCERS  Mouth ulcers are painful areas in the mouth and gums. They are also known as canker sores. Mouth ulcers range in size, and the exact symptoms of the mouth ulcer will depend on what type of ulcer a person has. CAUSESThe exact cause of mouth ulcers is still not known and varies from person-to-person. Still, there are some common causes and several factors that may aggravate mouth ulcers, including the following:

• Quitting Smoking
• citrus fruits and other foods high in acidity or spice
• biting the tongue or inside of the cheek
• braces, poor-fitting dentures, and other apparatus that may rub against the mouth and gums
• a deficient filling
• stress or anxiety
• hormonal changes during pregnancy, puberty, and menopause
• medications including beta-blockers and pain killers
• genetic factors

Some people may develop ulcers as a result of a different medical condition or a nutritional deficiency.Conditions such as celiac or Crohn’s disease, vitamin B12 or iron deficiency, or a weakened immune system may all trigger ulcers to form.Are mouth ulcers cancerous?Mouth cancer and mouth ulcers are distinctive in their symptoms. However, as mentioned earlier, new or persistent ulcers require checking.There are some fundamental differences between mouth ulcers and what might be cancer:

• Mouth ulcers are often painful whereas mouth cancer is not.
• Mouth ulcers will clear up in about 2 weeks, whereas mouth cancer will not go away and will often spread.
• Mouth cancer patches may be rough, hard, and not easy to scrape off.
• Mouth cancer is often a mix of red and white areas or large white areas that appear on the tongue, the back of the mouth, the gums, or on the cheeks.
• Mouth cancer is often linked to heavy drinking or tobacco use.

  SymptomsUlcers can be painful, and the pain can be made worse by food, drink, and poor oral hygiene.HU lesions may:

• appear as extremely painful ulcers in the mouth
• recur very quickly, so infections seem continuous
• increase in size, eventually coming together to form a large, ragged ulcer
• take 10 or more days to heal
• appear anywhere in the mouth

They tend to be found in more females than males and are more common in older adults.Symptoms of minor and major ulcers include:

• one or more painful sores that may appear on the cheeks, the roof of the mouth, or the tongue
• the appearance of round lesions that have red edges and are yellow, white, or gray in the middle

During more extreme outbreaks of mouth ulcers, some people may experience fever, sluggishness, and swollen glands. When to see a doctorPeople who frequently get mouth ulcers may find it difficult to know when to see a doctor.There are some situations, however, where a person should see a doctor as soon as possible. Some of these circumstances include:

• the appearance of a non-painful ulcer in one or more areas of the mouth
• unusual ulcers that appear in a new spot in the mouth
• ulcers that are spreading
• ulcers lasting longer than 3 weeks.

Others may want to seek medical attention or treatment for their ulcers if:

• they are particularly painful or big
• a fever appears
• they develop after starting a new medication
• secondary bacterial infections

  Mouth ulcers have no known cure and typically recur in the mouth throughout a person’s life.Though the appearance of an ulcer may be inevitable, there are some things people can do to lessen the severity of or reduce the number of times they suffer from an outbreak.Some prevention methods include:

• talking to a doctor about changing medications that are known to cause ulcers
• avoiding foods that can either trigger or worsen symptoms
• keeping the mouth clean with daily brushing and flossing
• avoiding triggers known to cause outbreaks in the past

  TreatmentIn many cases, the pain and discomfort from mouth ulcers will lessen in a few days and then disappear in about 2 weeks with no need for treatment.For people with much more painful or frequent recurrence of mouth ulcers, a dentist may prescribe a solution to reduce swelling and lessen pain. LASERS FOR THE TREATMENT OF ORAL ULCERS:

• Laser treatment of recurrent apthous stomatitis is an easy, fast and pain free procedure.
• Studies have shown that ulcers treated by laser therapy provide immediate pain relief and fewer recurrence in the future.
• Lower -level laser therapy is better in treating Apthous ulcer lesions in comparison to topical medications.
• Although many modalities have been employed to treat the severe discomfort of apthous ulcer, patients have yet to be provided with an immediate , effective therapeutic regimen.
• There are four types of lasers used in treating apthous ulcers: CO2, , ND:YAG , diode and GaAIAs. Although all of them have succeeded in providing immediate pain relief to patients, CO2 lasers have the unique advantage of requiring a very short exposure time ( 5-10 sec)

 How to cure mouth ulcers fast naturallyThere are also things you can do at home to relieve mouth sore symptoms:

• Drink plenty of water.
• Practice good oral hygiene to keep your mouth as clean as possible.
• Rinse your mouth with warm saltwater a few times each day.
• Make a mixture of equal parts hydrogen peroxide and water and rinse your mouth twice a day.
• Avoid hot and spicy foods until the ulcer heals.

 PreventionCan I prevent mouth ulcers?

• While you can’t prevent mouth ulcers altogether, there are things you can do to reduce your risk:

 

• Brush your teeth twice daily and floss once daily for optimal oral health.
• Use a soft-bristled toothbrush to avoid tissue irritation.
• Eat a healthy diet rich in fresh fruits and vegetables.
• Visit your dentist regularly for checkups and cleanings.
• If your provider thinks you have an underlying condition that causes sores, treating your condition can reduce the risk of ulcers returning. Talk to your provider about ways to manage your health.

 Outlook / PrognosisHow long do mouth ulcers last?In most cases, mouth ulcers go away on their own in about 10 to 14 days. If you have a mouth sore that lasts longer than three weeks, schedule an appointment with your healthcare provider. They can recommend treatment and tell you how to get rid of your mouth ulcer.  When should I see my healthcare provider?Anyone can get mouth ulcers. But you should call your healthcare provider if you have: 

• Mouth sores that last for three weeks or longer.
• New sores that appear before the old ones heal.
• Mouth ulcers that affect the outer part of your lips.
• Pain that doesn’t improve with medication.
• Unusually large mouth ulcers.
• Mouth sores that are painless.

What questions should I ask my healthcare provider?If you get severe or frequent mouth ulcers, here are some questions you might want to ask your healthcare provider: 

• Why do I keep getting mouth ulcers?
• Is an underlying condition causing them?
• How can I reduce my risk?
• What mouth ulcer medicine do you recommend?
• Are there any changes I should make to my diet or lifestyle?

 Mouth ulcer vs. canker sore: What’s the difference?“Mouth ulcer” is a broad term that describes any sore or ulceration inside your mouth. As we mentioned earlier, canker sores are the most common type of mouth ulcer. They affect about 20% of the general population. Many people use the terms “mouth ulcer” and “canker sore” interchangeably. You might get a canker sore if you have a folate, vitamin B or iron deficiency. But in most cases, canker sores appear without a known cause and for no apparent reason. They can also recur (return), meaning they come and go over the course of your lifetime. Some people confuse canker sores with cold sores (fever blisters), but they’re very different. A canker sore appears inside your mouth. A cold sore forms outside your mouth, usually on your lips. Canker sores aren’t contagious, but cold sores are.