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admin | What Treats Bv | 15.10.2013
As with all disorders of the mouth, an accurate diagnosis by a trained healthcare professional is required before treatment is started. Some conditions that can mimic canker sores include traumatic injury, autoimmune conditions, viral infections (such as herpes simplex and herpes zoster [shingles]), and most importantly, oral cancer. The discomfort and severity of canker sores can roughly be categorized as mild, moderate, or severe. In general the goals of treatment are threefold: to decrease pain, speed healing, and prevent recurrence. A large number of therapeutic agents are available, including both prescription and over-the-counter (OTC) preparations. Below is a brief discussion of the many choices available for the treatment of canker sores.
Other Approaches include the use of mild cautery or caustics to deaden nerve endings and decrease symptoms. Final Cautionary Note: Because canker sores can be caused by systemic abnormalities and also be confused with other pathologic conditions that present as ulcers, it is important to seek professional attention if lesions do not resolve within two weeks. Topical pain-relieving creams, rubs, and spraysThese medications are applied directly to the skin over the joints to relieve pain.
NonSteroidal Anti-Inflammatory Drugs (NSAIDs)Unlike acetaminophen, NSAIDs treat both arthritis pain and inflammation.
In addition, oral ulcers can be associated with a number of systemic conditions in which the oral ulcers represent only a small part of the underlying problem.
Mild disease is characterized by its infrequent occurrence, short duration, and lack of severe symptoms. Currently, no available therapy meets all these goals, although most therapies do provide some benefit to those affected. Individuals with advanced training in Oral Medicine have additional expertise in managing more severe cases. This information is not a substitute for professional medical advice, diagnosis, or treatment. It's important to remember that even though these medications can be purchased without a prescription, they are still medications.


While all NSAIDs work similarly, each is a different chemical and therefore you may respond differently to different NSAIDs.
The health information contained herein is provided for educational purposes only and is not intended to replace discussions with a healthcare provider.All decisions regarding patient care must be made with a healthcare provider, considering the unique characteristics of the patient.
A general rule of thumb recommended by health care professionals is that any ulcer that lasts for more than 10 to 14 days should be evaluated by a dentist and biopsied if necessary. Fortunately, most patients who experience canker sores experience mild disease (see right).
The method selected depends upon the site of the lesion(s), accessibility for treatment, severity, duration, and success with previous treatment regimens. They generally provide relief as long as they are in place, but it can be difficult to keep them adherent for sustained periods. However, benzocaine is a known allergen and should not be used by patients with hypersensitivity. The foaming of the oxygen exerts a mechanical action that loosens debris and cleanses the wound.
In many instances, topical therapy with a potent corticosterioid may be prescribed to reduce the immune response in the area. If you have or suspect you may have a health concern, consult your professional health care provider. While acetaminophen is generally known as an over-the-counter medication, at higher doses it is available by prescription. While there is no formal classification to distinguish between moderate and severe disease, the presence of four or more canker sores per year with annoying but non-debilitating symptoms can be classified as moderate disease. If needed, an expert in Oral Medicine may be consulted concerning the need and feasibility of more advanced treatment protocols. When protective coatings are combined with a therapeutic agent, a two-fold benefit is obtained. A professionally applied or prescribed product Debacterol® is also available for nerve deadening. Finally, in some cases the use of systemic corticosteroids or other immunosuppressive drugs may be warranted.


Since 1972, the Food and Drug Administration (FDA) requires that all new OTC agents must be safe and effective.
The assessment of your particular situation may be extensive and necessitate consultation with other health care professionals. Severe canker sores are often more widespread, more painful, and interfere with the patient’s ability to eat and speak.
The occlusive prevents external stimulation of the wound site and also holds the therapeutic agent in place. Hydrogen peroxide when obtained as a 3% solution should be diluted with equal amounts of water before application either directly to the ulcer or as a mouthrinse. For example, your dentist may order dietary surveys and blood tests to help rule out the presence of food sensitivities or other systemic causes. Strategies for identifying potential allergens include observing any relationship between the intake of a particular food or beverages and development of canker sores. Unfortunately, individuals with severe disease often suffer frequent to constant recurrence.
Sodium bicarbonate, either as a solution (½ to 1 teaspoon in 4 ounces of water) or as a paste, can also be used to for wound cleansing.
Many individuals are intolerant of wheat products (gluten), nuts, tomatoes, and various fruits. Two frequent food additives that are associated with canker sores are the spice cinnamon and benzoic acid (a common preservative found in foods and soft drinks).
A trial elimination of a suspected food substance or additive is a sound approach to identifying potential allergens.



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