Treatment of aphthous stomatitis


Aphthous stomatitis is considered one of the most common diseases of the oral cavity; treatment of this disease should be started immediately. Otherwise, it will go into a chronic form. Chronic aphthous stomatitis cannot be completely cured.

The problem of aphthous stomatitis

Description of the disease and its causes

Aphthous stomatitis is an inflammation of the oral mucosa. The main sign of this disease is the destruction of the surface layer of the mucous membrane. In this case, the so-called aphthae are formed – small painful ulcers of the erosive type. They can be single or multiple.

The disease most often occurs in childhood or adolescence, but adults also suffer from it. Especially women, in men this disease is much less common.

Stress is one of the causes of aphthous stomatitisThere are many reasons for the appearance of aphthous ulcers in the oral cavity. The main ones are:

  • immune response, weakened immunity;
  • hormonal fluctuations;
  • viral and bacterial infections;
  • allergic reaction;
  • hereditary predisposition;
  • digestive system diseases;
  • diseases of the teeth and gums;
  • trauma to the oral cavity, causing damage to the mucous membrane;
  • malnutrition, lack of vitamins and minerals;
  • disorders of the central nervous system, stressful situations.

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Diagnosis of aphthous stomatitis

Aphthous ulcers – a characteristic symptom of this disease are found during examination of the oral cavity. To clarify the clinical picture, the doctor conducts an anamnestic conversation, clarifying the information necessary to determine the cause of the disease. If necessary, the patient undergoes laboratory tests. For example, an analysis of a smear from the oral cavity to determine the causative agent of the disease. The main difficulty in diagnosing aphthous stomatitis is the similarity of its clinical manifestations with the symptoms of herpetic stomatitis.

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Symptoms of aphthous stomatitis

In order of development, the described ailment goes through the following stages, characterized by certain symptoms. The first stage is prodromal. It is characterized by the appearance of such general symptoms as:

Headaches - a symptom of aphthous stomatitis

  • hyperthermia;
  • chills;
  • headache;
  • loss of appetite;
  • general weakness;
  • inflammation of the cervical and occipital lymph nodes.

Specific symptoms at this stage of the development of aphthous stomatitis:

  • dryness and gloss of the mucous membrane of the oral cavity, gums and tongue;
  • redness of certain areas;
  • the appearance of aft;
  • pain

The second stage is aphthous. The main symptom at this stage of the disease is the occurrence of aft. Afta, as a rule, is round in shape, with a diameter of not more than 5 mm. In the center of the afta, a dense, grayish-yellow coating forms. The edges of the sores are indicated by a clear narrow line of red. During the active appearance of aphthous rashes, a marked increase in general symptoms and painful intraoral sensations occurs. The pain is especially worse while talking or eating.

The third stage is healing. It begins 10-15 days after the appearance of the first signs. Healing is characterized by easy separation of fibrous tissue, healing of ulcers (without scars), and a decrease in hyperemia (redness).

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Disease treatment

Treatment of aphthous stomatitis is carried out in an integrated manner. All appointments are made in order to eliminate not only the clinical manifestations of the disease, but also to eliminate the cause of the disease. The healing process must be completed. Stop taking medication and conducting medical procedures only with the permission of the attending physician.

Taking medications to treat aphthous stomatitisFor oral administration, drugs are prescribed:

  • antihistamines;
  • desensitizing;
  • antiviral;
  • immunomodulatory;
  • vitamin
  • painkillers;
  • antipyretic;
  • antibiotics.

To raise the level of vitamins and minerals, patients are prescribed B vitamins: B1, B6, B12, as well as nicotinic and folic acid.

In especially difficult cases, the patient is prescribed corticosteroids for a week.

Local therapy for aphthous stomatitis includes:

  1. Rinsing the oral cavity with antiseptic solutions.
  2. Treatment of aphthae with special aerosols, sprays and ointments to reduce pain. They need to be applied to damaged areas up to 6 times during the day.

To anesthetize aphthous wounds, the following can be used:

  • olive oil anesthetic emulsion;
  • novocaine solution (weak);
  • adhesive solcoseryl-dental paste.

In women, during the period of gestation, the treatment of aphthous stomatitis is mainly carried out with decoctions and infusions of medicinal plants.

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Traditional medicine for aphthous stomatitis

At home, treatment can be carried out using traditional medicine. For local treatment of the described ailment, traditional medicine recommends the use of infusions and decoctions of herbs such as:

Chamomile broth for the treatment of aphthous stomatitis

  • calendula;
  • chamomile;
  • knotweed;
  • St. John's wort
  • oak bark;
  • thyme;
  • nettle;
  • yarrow.

Herbs are brewed with boiling water in a proportion of 1 tbsp. 200 ml spoon, insist for 60 minutes. Filter. Top up with boiling water to the original volume and use for rinsing. You can use the rinse juice of fresh cabbage or carrots, half diluted with boiled water.

For oral administration, drops or tablets of the herb Echinacea purpurea are used. For healing, aphthous ulcers can be lubricated with sea buckthorn oil or undiluted myrrh (resin of the same tree). Mirra can also be used to treat the oral cavity. To do this, add myrrh (2 drops) and calendula or yellow root (3 drops) to warm boiled water (50 milliliters). Stir and apply to the oral mucosa daily every 3 hours.

You can make an ointment from the following ingredients:

  • honey, 1 tsp;
  • protein of 1 egg;
  • sunflower or sea-buckthorn oil, 1 tsp;
  • novocaine 0.5%, 1 ampoule.

All these elements need to be mixed thoroughly and periodically apply the resulting ointment to the damaged areas of the mucosa.

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Treatment of the disease in children

Aphthous stomatitis in childhood often occurs with hypersensitivity to products such as:

Sea buckthorn oil for the treatment of aphthous stomatitis in children

  • citrus;
  • sugar;
  • chocolate;
  • garlic;
  • wheat.

Children should in no case be independently treated for aphthous stomatitis. When the first signs of the disease appear, you should immediately show the child to the doctor. The doctor will draw up a course of treatment based on the examination and give parents appropriate instructions.

As a rule, pediatric aphthous stomatitis is treated with antipyretic, analgesic, antihistamines and general strengthening agents for oral use. Microelements, vitamins, probiotics are very useful for strengthening the children's immune system and the rapid healing of aphthae.

For local treatment, antiseptic solutions, gels, decoctions and tinctures of medicinal plants are used. A good effect for the treatment of children is the use of keratoplastic drugs such as rosehip or sea buckthorn oil.

If aphthous stomatitis in a child becomes chronic, a course of physiotherapeutic procedures is prescribed, such as:

  • drug photophoresis;
  • helium-neon laser.

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Special diet and preventive measures

Diet during treatment is very important. Patients should eat hypoallergenic foods with a minimum amount of salt. Seasonings, sauces, spices and other annoying foods must be discarded. Spicy, sour, salty dishes, hot drinks should also be excluded from the diet.

Food should be taken in small portions in mashed form, slightly chilled. Food should contain a large amount of vitamins and minerals. When treating aphthous stomatitis, children benefit from yogurts with live bacteria.

The basis for the prevention of aphthous stomatitis is the following measures:

  1. Careful oral care, personal hygiene.
  2. Refusal to use too hard toothbrush.
  3. A balanced diet with enough micronutrients, vitamins and other beneficial substances.
  4. Exclusion from the diet of allergens and irritating foods.

It is also necessary to regularly visit the dental clinic for examination and maintain immunity at a high level.

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