from http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Mouth_ulcers?OpenDocument visited on 4 October 2007
A mouth ulcer is the loss or erosion of part of the delicate tissue that lines the inside of the mouth (mucous membrane). Some of the causes include certain drugs, chemicals and infectious diseases such as herpes or thrush. The most common cause is mechanical injury, such as accidentally biting your cheek. In most cases, mouth ulcers are harmless and resolve by themselves in a few days without the need for medical treatment. Aphthous ulcers are recurring ulcers with no known cause that affect around 20 per cent of the population. See your doctor if your mouth ulcers don’t clear up within a few days, or if you are troubled by frequent attacks.
SymptomsThe symptoms of a mouth ulcer depend on the cause but may include:
A round sore or sores inside the mouth
Swollen skin around the sores
Problems with chewing or toothbrushing because of the tenderness
Irritation of the sores by salty, spicy or sour foods
Loss of appetite.
A range of causes
Mouth ulcers can be caused by a wide range of factors including:
Accidental biting of the cheek.
Injury from a toothbrush (such as slipping while brushing).
Constant rubbing against misaligned or sharp teeth.
Constant rubbing against dentures or braces.
Poor oral hygiene.
Burns from eating hot food.
Irritation from strong antiseptics, such as a mouthwash.
Oral thrush infection.
Herpes simplex viral infection (cold sore).
Reaction to certain drugs, such as chemotherapeutic agents.
Autoimmune diseases (for example, lichen planus).
A range of other infections including hand-foot-mouth syndrome.
Certain diseases including tuberculosis, AIDS, diabetes mellitus and inflammatory bowel disease.
Cancer of the lip.
The cause of aphthous ulcers isn’t known
Around one in five adults suffer from recurring bouts of aphthous ulcers, which are mouth ulcers with no known cause. The tongue, gums or mouth lining can be affected. Crops of these tiny off-white ulcers tend to sprout during times of emotional stress or the menstrual period. This has led some researchers to suggest that aphthous ulcers may be caused by an immune system reaction, since the immune system is affected by stress and hormones. The underlying trigger may be a virus or an allergic reaction. Another name for aphthous ulcer is canker sore.
Possible complicationsUntreated, mouth ulcers can occasionally lead to complications including:
Inflammation of the mouth (cellulitis)
It is important to establish the cause of the mouth ulcers. Some of the investigations may include:
Physical examination - mouth ulcers look different depending on their cause. For example, if the ulcer is large and yellow, it was most likely caused by trauma. Cold sores inside the mouth tend to be very numerous and spread around the gums, tongue, throat and inside of the cheeks. A fever also suggests the ulcers may be caused by a herpes simplex infection.
Blood tests - to check for signs of infection.
Skin biopsy - a small tag of tissue from the ulcer is taken and examined in a laboratory.
Treatment optionsMost mouth ulcers are harmless and resolve by themselves in a few days. Other types of mouth ulcers, such as the aphthous variety or those caused by herpes simplex infection, need medical treatment. It isn’t possible to speed the recovery of ulcers, but the symptoms can be managed and the risk of complications reduced. The range of treatment options includes:
Avoid spicy and sour foods until the ulcers heal
Drink plenty of fluids
Regularly rinse your mouth out with warm, slightly salted water
Keep the mouth clean
Take pain-killing medication, such as paracetamol
Apply antiseptic gel to the ulcers
Use a medicated mouthwash
Use steroid gels or tablets
Treat aphthous ulcers with anti-inflammatory drugs
Treat ulcers caused by the herpes simplex virus with anti-viral drugs
Treat oral thrush with anti-fungal drugs.
Suggestions on how to reduce the likelihood of mouth ulcers include:
Brush your teeth at least twice every day.
Visit your dentist regularly.
Brush your teeth very gently, taking care not to slip with the brush.
Eat a well balanced and nutritious diet.
Make sure that underlying conditions, such as diabetes mellitus and inflammatory bowel disease, are managed appropriately.
Where to get help
Things to remember A mouth ulcer is the loss or erosion of the delicate lining tissue of the mouth (mucus membrane).
The most common cause is mechanical injury, such as accidentally biting your cheek.
In most cases, mouth ulcers are harmless and resolve by themselves in a few days without the need for medical treatment.
Aphthous ulcers are recurring ulcers with no known cause that affect around 20 per cent of the population.
If your mouth ulcers don’t clear up within a few days, or if you are troubled by frequent attacks, see your doctor.
Want to know more?
For references, related links and support group information, go to More information.
This page has been produced in consultation with, and approved by:
(Logo links to further information)
This page has been produced in consultation with, and approved by:
North East Valley Division of General Practice
Copyight © 1999/2007 State of Victoria. Reproduced from the Better Health Channel (www.betterhealth.vic.gov.au) at no cost with permission of the Victorian Minister for Health. Unauthorised reproduction and other uses comprised in the copyright are prohibited without permission. • This Better Health Channel fact sheet has passed through a rigorous approval process. For the latest updates and more information visit www.betterhealth.vic.gov.au.
Fact sheet currently being reviewed.
Last updated: August 2006
This fact sheet, like all fact sheets on the Better Health Channel, has passed through a rigorous and exhaustive approval process. It is also regularly updated. For more information see our quality assurance page.
A villa for rent in Azaiba
متابعة :- سعود بن جميل الغنبوصي - حسن بن سالم الكثيري - صالح بن محمد العزري:-- أعلنت وزراة الإسكان عن فتح طلبات الأراضي التجارية والسكنية ا...
العَشْر الأواخر مِن رمضان تتميّز بِفضائل كثيرة وكذلك ليلة القدر، نريد أن نعرف هذه الفضائل، وكيف يُمكِن لِلمسلم أن يتحرّى فيها ليلة القدر ؟ ...
قام بالتغطية - زكريا فكري مليونين و 694 ألف نسمــة تعـداد سكان السلطنة منهم 743 ألف وافد أعلن أمس معالي أحمد بن عبد النبي مكي وزير الاقت...
تحت رعاية سماحة الشيخ اأحمد بن حمد الخليلي وبحضور معالي الشيخ عبد الله بن محمد السالمي وزير الأوقاف والشؤون الدينية وجمع من المهتمين ورجال ا...
بواسطة باريس: الشرق الأوسط | الشرق الأوسط – منذ 12 ساعةً قليلون كانوا قد سمعوا خلال الشهر الماضي باسم أنجيل لييبي. أما اليوم فإن ه...
إصدار مركز موشيه ديان لدراسات الشرق الأوسط وإفريقيا. جامعة تل أبيب. 2000 قراءة في كتاب عوزي رابي نهاد الشيخ خليل كاتب ومترجم فلسطيني صد...
زاهر بن حارث المحروقي سلطنة عمان Zahir679@gmail.com الشرر الذي تطاير والذي يبدو أنه ليس صغيرا بل هو مرشح لأن يكبر هو ...
يمكن الإستعانة بفريق مكافحة التسول وإبلاغه عن وجود متسولين عن طريق الهواتف التالية + 968 24 569 475 + 968 24 794 949 + 968 24 707 405 + 96...
Dispute concerning delimitation of the maritime boundary between Bangladesh and Myanmar in the Bay of Bengal (Bangladesh/Myanmar) Sp...
تقرير - سيف الخروصي وعاصم الشيدي تطابقت آراء علماء الشرع وعلماء الفلك على مصداقية قرار لجنة تحري هلال شهر ذي الحجة في السلطنة بعد أيام من بع...