Mouth sores (mouth ulcers or aphthous stomatitis)

Mouth sores (mouth ulcers or aphthous stomatitis)

    * Introduction
    * Symptoms and Diagnosis
    * Treatment
Mouth sores are superficial or deep ulcers that can appear anywhere on the mucous membrane of mouth. Are the most encountered types of mouth ulcers. At least one in five people develop oral thrush in a certain stage of life. Women are affected more often than men. Canker sores usually appear between ages 10 and 40 years. Have a recurring character. Remission period between the appearance of aphthae may be days, weeks, months or years. Canker sores are appearing increasingly more rare in adult age.
Canker sores are usually found in mobile areas of the oral cavity, such as language or the inside of the lips and cheeks and gums. The ulcer begins as a small red swelling and burning feeling sensitive to the range one day. Ruptured sores are covered with a white or yellow membrane and bounded by a red halo. In general, these sores heal in two weeks without scarring. Fever is rare and the sores are rarely associated with other diseases. Usually a person has one or several at the same time AFTA. Most people experience first AFTA around the age of 10-20 years. Children under 2 years may also develop pathological condition. Aphthae appellant frequency varies considerably. Some people have only one or two episodes per year, while others continue to present serious sores.
Case aphthae is not well known and is believed to be multifactorial. Are not due to a bacteria or a virus, although allergy to a certain type of bacteria found in the mouth may trigger them. May be the manifestation of an allergic reaction to certain foods. Research suggests that canker sores may be caused by a weakened immune system using antibodies to destroy its own cells lining the mouth. Lack of vitamins and can cause micorelemente aphthae. Stress and emotional trauma or local mucosal damage by brushing, dentures or hot foods, smoking may all be predisposing factors for the occurrence of aphthae. Other possible causes include autoimmune diseases, mouth sores, menstrual period.
No treatment is required for afetele mouth. There is no treatment that they prevent the onset or recurrence. It may take only general measures include avoiding salty foods, which irritate, avoid reaching aphthae with drinks or food by chewing unilateral elimination of possible causes that may cause canker sores (high brush, dental appliances, hot foods). You can apply topical or oral chlorhexidine baths to relieve pain and help ulcers to heal more quickly. Pasta with steroids may relieve pain and imflamatia. Topicele AFTA should be applied daily directly to reduce irritation by eating and brushing. Certain diseases are associated with frequent occurrence of oral thrush: Crohn's disease, celiac disease, Bechcet disease, systemic lupus erythematosus and HIV / AIDS.
Pathogenesis of oral thrush
Aphthae etiology is unclear. These may be the manifestation of various disease etiologies. Canker sores appear to be infectious, contagious or sexually transmitted. Immune mechanisms seem to play a role in people genetically predisposed.
Discover the predisposing factors include: Hematin-deficit: up to 20% of people with iron deficiency, folate or vitamin B -Malabsorption in intestinal disease: 3% of patients experiencing these sores especially celiac disease, Crohn's disease, pernicious anemia, acrodermatitis herpetiformis -Stopatul smoking may precipitate or exacerbate thrush -Trauma: biting lining, wearing braces, brushing strong, hot food, salty, acidic -Endocrine factors in some women: canker sores are related to the level of progesterone in the luteal phase of menstrual cycle, ulcers can be reversed temporarily in charge Food-allergies, sodium lauryl sulfate ulceration in a detergent containing some hygiene products, flavor agents, essential oils, benzoic acid, thyme, gluten, milk, nuts, coffee, chocolate, potatoes, cheese, citrus, spices -Immune deficits: In patients with HIV / AIDS, cyclic neutropenia, disease Bechcet -Drugs, especially NSAIDs, alendronate and Nicorandil can cause damage similar to canker sores -Viral infections were associated with the development of sores herpes virus, varicella zoster virus, human papilloma virus, cytomegalovirus, Epstein-Barr virus, herpes simplex virus 1 and 2, Helicobacter species, streptococci.