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mouth ulcer

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Mouth ulcer

Alternative Names
canker sore, oral ulcer, denture sore, ulcerative stomatitis

What is going on in the body?
The mouth is sensitive to many irritations. Problems in other parts of the body can also cause sores in the mouth. Although most mouth sores will go away by themselves and are of little concern, some are much more serious. These ulcers can help the doctor or dentist decide if the person has a possible underlying systemic disease.

Examination by a doctor or dentist is necessary for any sore or ulcer that lasts more than a week.

What are the signs and symptoms of the disease?
  • soreness
  • swelling around the ulcer
  • difficulty chewing
  • mild fever
  • soreness when brushing or using mouthwash
  • visible sores in the mouth


What are the causes and risks of the disease?
There are many causes of mouth ulcers. They range from minor irritants to mouth cancer. A partial list of causes (not in the order of seriousness) include:

  • accidental cheek, lip, or tongue biting
  • irritations from a visit to the dentist
  • burns from food that is too hot
  • burns or irritations from medications (example: aspirin burn)
  • sore from a tooth coming in
  • sore from an impacted tooth
  • accidental damage from brushing
  • allergy to foods
  • allergy to medications
  • reactions to tobacco products
  • reactions to drug use
  • denture sores
  • irritation from orthodontic appliances
  • localised irritation from a medical illness (example: Parkinson's disease)
  • electrical burns
  • viral disease (oral herpes)
  • HIV
  • serious medical illnesses that weaken the person
  • some sexually transmitted diseases
  • cancer of the mouth or lips
  • chemotherapy or radiation treatments
What can be done to prevent the disease?
Keeping the mouth clean (good oral hygiene) will help prevent some mouth ulcers and can stop existing mouth ulcers from spreading or becoming more infected.

How is the disease diagnosed?
Since many of these sores look alike, diagnosis must be done by a doctor or dentist. Any ulcer of the mouth or lips should be seen by a dentist or doctor if present for more than a week.

What are the risks to others?
A few mouth ulcers are contagious. All sores should be considered catching until a doctor or dentist is seen.

What are the treatments for the disease?
  • Keep area clean and clear of food scraps.
  • Clean area gently with a very soft brush and mild (1 & 1/2%) hydrogen peroxide or warm salt water solution (1/2 teaspoon salt in full glass of warm water)
  • Do not use any medications before checking with a doctor or dentist.
  • See a doctor or dentist if the ulcer lasts more than a week.
How is the disease monitored?
If ulcers recur, see a health professorial. Most oral ulcers are preventable but some are signs of a more serious illness.

Author: Marvin Goldfogel, DDS
Reviewer: HealthAnswers Australia Medical Review Panel
Editor: Dr David Taylor, Chief Medical Officer HealthAnswers Australia
Last Updated: 1/10/2001
Contributors
Potential conflict of interest information for reviewers available on request


This website and article is not a substitute for independent professional advice. Nothing contained in this website is intended to be used as medical advice and it is not intended to be used to diagnose, treat, cure or prevent any disease, nor should it be used for therapeutic purposes or as a substitute for your own health professional's advice.  All Health and any associated parties do not accept any liability for any injury, loss or damage incurred by use of or reliance on the information.

 

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