What are Canker Sores?

A canker sore is a small, shallow open wound (or ulcer) in your mouth that can make eating and talking uncomfortable. They’re also known as aphthous ulcers.

Most canker sores go away on their own without any treatment in a week or two. Check with our dentists if you have unusually large or painful ulcers or canker sores that don’t seem to heal.

Expert's Opinions

  • Dr. Manan Dhulia Dental Director of Sabka dentist says “Canker Sores are mouth ulcers that last for 7 - 10 days. They are triggered by various reasons like nutritional deficiencies, local trauma, stress, etc.”
  • Dr. Reena Waghela Dental Director of Sabka dentist says “Canker Sores can be associated with symptoms like burning or itching. However, they regress and heal themselves within one week.”
  • Dr. Jena Shah Dental Director of Sabka dentist says “Canker Sores do not require any treatment. The pain is tolerable with slight dietary modification such as avoiding hot, spicy or acidic foods and beverages.”

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What are the symptoms of canker sores?

Aphthous ulcers typically begin as reddened, flat macules on mucosa which develop into ulcers that are covered with a yellow-grey fibrinous membrane that can be scraped away. A reddish ring surrounds the ulcer. They occur inside your mouth, under your tongue, inside your cheeks or lips. You will experience pain or burning sensation in your mouth a day or two days before the sores appear.

There are three main categories due to which canker sores occur, including minor, major and herpetiform sores.

Minor canker sores

  1. Minor canker sores are the most common
  2. They are usually small.
  3. They are oval-shaped with a red edge.
  4. Heal without scarring in one to two weeks.

Major canker sores

  1. Major canker sores are less common
  2. Are larger and deeper than minor canker sores.
  3. Are usually round with defined borders, but may have irregular edges when it becomes large
  4. It can be extremely painful.
  5. May take up to six weeks or more to heal and can leave extensive scarring.

Herpetiform sores

  1. They are pinpoint-sized
  2. Occur in clusters of 10 to 100 sores, but may merge into one large ulcer
  3. Have irregular edges
  4. Heal without scarring in one to two weeks
  5. Consult your doctor if you experience.

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What causes canker sores in the mouth?

The exact cause of canker sores is hard to determine, though researchers suspect that a combination of factors contributes to outbreaks, even in the same person.

Possible triggers for canker sores include:

  1. A small injury to your mouth from any dental issues such as accidental biting of the cheek, overzealous brushing or sports mishaps.
  2. Toothpaste and mouthwashes containing sodium lauryl sulfate.
  3. Canker sores cause due to the eating of chocolates, coffee, strawberries, eggs, nuts, cheese, and spicy or acidic foods.
  4. Poor nutrition lacking in vitamin B-12, zinc, folate (folic acid) or iron.
  5. Some people may have an allergic response to certain bacteria in their mouth. Helicobacter pylori, the same bacteria can lead to peptic ulcers.
  6. Hormonal changes during menstruation.

Why do people get canker sores?

Anyone can develop canker sores. But, they may appear frequently among teens and young adults, and especially in females.

Often people with recurrent canker sores have a genetic disorder. This may be due to family history or to a shared factor in the environment, such as certain foods or allergens.

Canker Sores Diagnosis

Canker sore as a rule aren’t kidding. Call your dental specialist in the event that you have:

  • Bizarrely enormous bruises
  • Bruises that spread
  • Bruises that most recent 3 weeks or more
  • Outrageous torment in spite of maintaining a strategic distance from trigger nourishments and assuming control over-the-counter agony medicine
  • Inconvenience drinking enough liquids
  • A high fever with infection

What gets rid of canker sores fast?

Canker sores often recur, but you can reduce their frequency by following these tips:

  1. Watch what you eat: Try avoiding foods that you are allergic to. Most people are allergic to foods like nuts, chips, pretzels, certain spices, salty foods and acidic fruits, such as pineapple, grapefruit, and oranges.
  2. Choose healthy foods: To prevent nutritional deficiencies, eat plenty of fruits, vegetables, and whole grains.
  3. Follow good oral hygiene: Regular brushing of teeth after meals and flossing once a day will keep your mouth clean. To prevent irritation of delicate mouth tissues, try using a soft-bristled brush and avoid toothpaste and mouth rinses that contain sodium lauryl sulfate.
  4. Protect your mouth: If you have braces or other dental appliances, it may hurt sometimes. If sharp edges of any dental appliance/ restoration are hurting, then apply orthodontic wax to cover it.
  5. Reduce your stress: If your canker sores are related to stress, try some stress-relieving techniques, such as meditation or yoga.

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Can a doctor help with canker sores?

If the ulcer is due to any of the following conditions, then respective treatments at Sabka dentist can help to stop the recurrence of these mouth ulcers.

  • Crooked teeth: If the tooth shape or position of the tooth is hurting the cheeks or lips, your dentist may suggest fixing it.
  • Braces: If you have braces, the sharp edges of the brackets may irritate the cheeks. The dentist will make some adjustments which can reduce the discomfort.
  • Ill-fitted denture: The denture which is not fitting in the mouth properly may create trouble in your mouth and can cause a sore. In that case, your dentist will adjust the denture.

Canker sores usually go away in a short time and hence are not serious requiring medical advice, diagnosis or treatment.

Call your dentist for a medical advice diagnosis if you have:

  1. Very large sores
  2. Sores which seem like spreading
  3. Sores lasting for 3 weeks or more
  4. Pain in spite of avoiding pain causing foods like spicy foods and taking pain medication.
  5. Trouble drinking enough fluids
  6. A high fever

You can try to treat canker sores with some home remedies like

  1. You can use a topical gel or cream to relieve pain
  2. You can rise with warm water containing salt or baking soda

How dentists at SABKA DENTIST can help to Cure Canker Sore?

When you are experiencing recurrent ulcers then you should see the dentist. The dentist will ask about your diet to check your nutritional adequacy. They will visually examine your mouth and check for the signs of plaque, cavities, or gum disease. They may use an X-ray to find out the reason which is not evident from visual examination. Reveal any chronic disease or any ongoing medications. After analyzing your situation, the dentist at Sabka dentist will suggest the treatment according to your situation.

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How long do Canker Sores last?

Minor Aphthous Ulceration lasts for 7 – 10 days, while Major Aphthous Ulceration lasts for 20 – 30 days. There is no scarring.

What foods trigger Canker Sores?

The pain of Canker Sore is often tolerable with dietary modification such as avoiding spicy and acidic foods and beverages.

Can stress cause Canker Sores?

Stress can indirectly cause Canker Sores by affecting the immune system. Students are the usual sufferers and their ulcerations is seen to exacerbate during stressful examination periods. Parafunctional habits like lip or cheek chewing may also become pronounced during periods of stress, and hence mucosa is subjected to minor trauma.

Are Canker Sores viral or bacterial?

Viral antigenic triggers have been implicated as a trigger, which include L forms of streptococci, herpes simplex virus, varicella-zoster virus, adenovirus, and cytomegalovirus. Some people with aphthous stomatitis may also demonstrate herpes virus within the epithelium of the mucosa, but without any infection manifestation. Asymptomatic viral shedding and elevated viral titers could also be the cause. It is also seen as an allergic reaction to certain bacteria in mouth like Helicobacter pylori, etc

What deficiencies cause Canker Sores?

The nutritional deficiencies that may lead to aphthous stomatitis include Vitamin B12, folate, and iron, which can thus cause a decrease in the thickness of the oral mucosa i.e. atrophy.

What autoimmune disease causes mouth ulcers?

Aphthous stomatitis has been associated with autoimmune diseases like systemic lupus erythematosus and inflammatory bowel diseases.

What is the best way to treat a painful mouth ulcer?

Dietary modification should be made during an episode of ulceration. Spicy and acidic foods and beverages should be avoided. Topical analgesics/ anti – inflammatory agent/anaesthetics can aid to alleviate the pain and inflammation. Topical antiseptics can prevent secondary infection.