Recurrent oral aphthous refers to a condition in which all of the inside regions of the mouth, the lining of the cheeks, lips and sublingual region or language  have canker sores, small lesions with around shape.

The basis of the cause can be a combination of several factors. Among the possible causes include accidental bites, excessive brushing with a toothbrush, but also the consumption of acidic, spicy or food that the patient cannot tolerate (e.g. chocolate or eggs), the allergic response to a certain bacteria in the cable oral, Helicobacter pylori infection, hormonal changes associated with the menstrual cycle or stress.

Canker sores may also appear in the presence of certain diseases, such as celiac disease, Crohn's disease and Behcet's syndrome. Even abnormal immune reactions against the healthy cells of the mouth may lead to the formation of these lesions. Finally, canker sores may be associated with the suppression of the immune system resulting from HIV infection, and are not associated with herpes virus infections.


What kind of diseases can be associated with recurrent oral aphthous?

The following diseases may be associated with recurrent oral aphthous:

  • Celiac disease
  • Lichen planus
  • Systemic lupus erythematosus
  • Crohn's disease
  • Pemphigus vulgaris
  • Behcet's syndrome

Remember that this is not an exhaustive list and it is highly recommended to consult your doctor, in case of symptom’s persistence.


What is the therapy for recurrent oral aphthous?

There is no universal remedy against recurrent oral aphthous. Help is given by food, supplements of vitamins and minerals and probiotics that promote the proper function of the immune system.

If the canker sores are many, as a remedy you can try using mouthwash or pastes containing antibiotics, disinfectants or corticosteroids. The paste can be applied directly on the sores to reduce pain and promote healing. Also cauterization should eliminate the sores using a specific tool or a chemical like debacterol or silver nitrate.

In severe cases doctors may prescribe therapies to be taken oral or with a basis of suppress drugs, or otherwise modify, the operation of the immune system.


When is most likely to contact your doctor in case of recurrent oral aphthous?

Typically recurrent oral aphthous heals in 7-15 days, but it often relapses. To reduce this risk you should consult your doctor, so you can identify the cause and evaluate the most suitable treatment to the case.