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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. Precipitating Factors for Canker Sores: A number of conditions have been repeatedly identified immediately preceding the outbreak of canker sores in relatively large number of patients. They are large sized painful ulcers which are mostly seen on keratinized mucosa that is the tongue, lips and cheeks. Age: Canker sores can occur in people of any age group but it is more likely to occur in teenagers.
Site of occurrence of canker sores-They are normally found inside the mouth unlike the cold sores which are mostly seen outside the mouth.
Symptoms of canker sores- Canker sores start with a burning or tingling sensation and in a few days they form a red spot followed by an open ulcer which are very painful. Histological features of canker sores- Fibropurulent membrane covering over ulcerated epithelium is present.
Treatment of canker sores: There is no treatment for canker sore and there is no treatment to stop the recurrence but there are ways to ease the discomfort. Key ingredients in Smyle Mouth Ulcer Gel are Khadir,Irimed, Tagar, Rasana, Kushtha, Lodhra, Yashtimadhu, Karpoor & Sharkara. 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.

They can also occur on vagina, penis, rectum, anus, larynx with associated rheumatoid arthritis. They are small in size about 0.5 cm and are most commonly found on the non-keratinized mucosa.
These are multiple up to 100 in number and of pinhead sized initially but later may coalesce to form larger ulcers. They can occur any where but most common sites are inner lining of the cheek, lip tongue and the roof of the mouth that is the soft palate. Trauma due to braces is common cause of aphthous ulcers so brackets can be covered with wax to prevent injury to the oral mucosa in cases of patients with frequent occurrence of canker sores.
But if there is ulcer in the mouth and it is there for more than 2 weeks, then it is advised to consult a doctor.
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.
These oral lesions are grayish white, oval or round in shape having eroded surface and is surrounded by red inflamed area.
Studies have shown that susceptibility to outbreaks of recurrent canker sores is inherited in some patients. If the denture are causing irritation then that can be adjusted, if sharp teeth are there they can be rounded off. 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.
Some times the secondary infection occurs then it requires antibiotics for the secondary infection.
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. These ulcers are covered with grayish membrane and are surrounded by red inflammatory halo. One can apply benzocaine ointment which can numb the area and there is temporary pain relief. 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. In some persons, there is single or two episodes of canker sores a year, while in others there may be a continuous series of these sores.
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. One can do rinses with that and it helps in healing and chances of secondary infection decreases.

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  3. ele_bele_gelmisem 14.12.2013 at 18:21:49
    Monitor all sufferers who receive steroids.
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    Honey is a whole treatment of natural origin and over get cold sores.