Recurrent stomatitis: treatment causes

The occurrence of unpleasant, painful sores in the mouth worried many patients. At least once, but almost every other experienced discomfort in the mouth. The people accepted that ulcer formation often occur in kids because of the habit to perceive the world through the mouth, not caring about the purity of the items. Doctors partly reject this fact, because ulcers can occur in adult patients. The main cause of the stomatitis is an infection, but not always it caused by a disease of «dirty hands.» Sometimes the local education can be cured at home, but there are forms of stomatitis, which require immediate medical intervention.

The nature of the disease

Recurrent stomatitis involves the inflammatory process in the oral cavity. Once the patient has already suffered ulcerative stomatitis, it is likely that the disease transformirovalsya chronic. The appearance of the disease resembles small ulcers with different localization in the mucous tissues of the mouth. Aphthous education represent deep focal inflammatory fragments of the oral mucosa with marked destruction of the structure of epithelial layers, and in severe cases, destruction of the connective tissue. AFTA (from the Greek. ulcer) may occur both in young and adult patients. There are two main types of aphthous stomatitis:

  • the acute course;
  • chronic aggravation.

A chronic form of stomatitis is always difficult to treat and in many cases cure it completely impossible. Tactics medical procedures aimed at addressing the external and internal manifestations of stomatitis. When adequate treatment to achieve stable remission. Same recurrent stomatitis may occur as an independent, unaffected by other factors disease and secondary symptom of the current pathological process.

The stage of the disease and symptoms

The clinical picture is closely linked with the stages of development of recurrent stomatitis. The flow and nature of the disease is divided into the following stages:

Prodromal phase (precursors). For the stage of development of stomatitis characterized by the appearance of a light pain, tingling and burning sensation in the mouth, especially when eating. In the affected area by visual inspection is determined by redness and swelling of the mucosa.
Rash. The appearance of ulcer formations occurs rapidly, almost a few hours after the precursors. Occurs severe pain in the lesion, the mucous membrane aphthous marked fragments of the round or oval shape. Often ulcers are localized on the inner surface of the cheeks, lips and the side of the tongue.
The extinction of the disease. Unpleasant symptoms begin to disappear about a week after the occurrence of ulcers. After the disappearance of the aphthae rarely leave scar tissue. When conducting inappropriate treatment or failure to comply with the rules of hygiene, such ulcers are much longer and can leave scars (otherwise, aphthae of Seton).
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In some cases, patients may deteriorate overall health, accompanied by fatigue, fever, headaches, emotional instability. Often these signs can be observed in young patients. Adults can also suffer sudden outbreaks of allergies as a result of the activities of pathogenic organisms inside ulcerative lesions.

Classification and types

Recurrent stomatitis is characterized by identificeret from other diseases of the mouth symptoms, severity, extent of localization, but the main parameters of the disease are considered the etiological factors and forms. It is customary to rely on the following causes of disease:

  1. viral or herpetic stomatitis caused by herpes virus;
  2. Candida (or fungal), which causes the fungus Candida;
  3. bacterial stomatitis (aka microbial) caused by bacterial microflora.

Frequent causes of stomatitis is a streptococcal infection, occasionally, the pathogen may be Staphylococcus aureus. Microbial stomatitis may occur for diverse reasons, what is the incidence of stomatitis this form. Chronic Aptos, in turn, may be manifested in four major clinical forms: fibrinous, herpetiformis, necrotic and as one of the manifestations of Behcet’s disease.

Fibrinous form

In other words, a fibrous form called Atami Mikulin, which affects more women of all ages. The first episodes of the disease can be manifestating in age from 10 to 25 years. Subsequent episodes may occur as exacerbations of recurrent fibroid disease. The main symptoms include:

  • swollen lymph nodes;
  • the appearance of persistent low-grade fever;
  • pasty oral mucosa;
  • hypersensitivity of the language;
  • inflammation of the salivary glands;
  • severe pain in region of ulcer formations.

Its the size of aphthae can vary from 3 mm to 1 cm diametrically. The nature of localization can be focal as well, generalizovannoe located (several local centers at the same time). Fibrinous stomatitis is 7-14 days after the formation of aphthous fragment.

Necrotic form (aphthae of Seton)

The illness is severe with formation of deep ulcerative lesions of the mucosa. Aphthous lesions always deform, migrate through the mouth. Often becomes a consequence of the fibrinous form, and is more common in women. Signs of disease are almost always the ulcer is almost healed. Main features:

  1. persistent fever (up to 37.8);
  2. the increase in size of the lymph nodes;
  3. swelling of the language:
  4. slight paresthesia of the mucous membranes.

The disease is very long, has a wavy character. Necrotic stomatitis in the form can occur up to 2 months, ulcer size greater than 1, see the Appearance of new ulcers appearing on the background of healing, the pathological process be protracted.

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Herpetiformis form

Also, like other forms of aphthous stomatitis herpetiformis occurs more in women. In some cases, aphthous formations may be present in the oral cavity up to several years. A short periods of remission, the disease in a state of deterioration almost always. Of the symptoms release small swelling and the appearance of aphthous multiple fragments from 1 to 3 mm. with the development of the disease erosion merge into one education with a high degree of pain.

Behcet’s Disease

The basis of stomatitis according to the principle of the course of Behcet’s disease are autoimmune (innate) damage to blood vessels. Of the symptoms following should be distinguished:

  • kidney damage;
  • pathology of the cardiovascular system;
  • diseases of the skin;
  • disease of the CNS.

The risk group includes patients with burdened anamnesis clinical, exercise tolerance, often ill with tonsillitis and other viral diseases. The disease often accompanies the men, additionally marked by pain, fever, headaches. Sometimes a disease characterized by loss of appetite and weight. Treatment consists in conducting antibiotic therapy, corticosteroids, pain preparations. To cure the disease completely impossible.

Etiological factors


Recurrent stomatitis refers to polyetiological diseases that can have numerous factors of development. To serve as a trigger to ulcerative can defeat both internal and external factors. The main causes of recurrent aphthous stomatitis is considered to be:

  1. mucosal trauma (chemical and thermal burns, cuts, abnormal occlusion and more);
  2. malnutrition (as a consequence, lack of vitamins);
  3. weak immune response;
  4. allergies (food, medication);
  5. infectious diseases (flu, herpes, SARS and others);
  6. venereal disease;
  7. diseases of bacterial origin (e.g., tuberculosis);
  8. different candidiasis;
  9. alcohol and tobacco:
  10. hormonal disorders;
  11. genetic factors.

Each of these factors could have multiple subspecies. A variety of reasons allows us to conclude the possibility of the appearance of thrush every second patient.

It is very important to conduct a qualitative treatment of primary acute process to completely eliminate the risks of chronic ulcerative stomatitis.

Differential diagnosis of

For the manifestation of recurrent aphthous stomatitis it is important to perform a series of medical events, as chronic ulcerative stomatitis signs similar to syphilis (secondary process), Vincent stomatitis, skin erosion, dermatitis Lorta-Jacob, herpetic stomatitis, and other. Accurate definition of the diagnosis carried out a series of events:

  • a swab of the sores on the mucous membrane;
  • to study the clinical history;
  • visual inspection of the oral cavity of the patient.

About the true causative agent of recurrent aphthous stomatitis, there are many opinions, but unified in the scientific world still did not come. Many diseases of mucosal tissues is significantly similar to each other, so differential diagnosis is very important for the accurate identification and successful treatment.

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The healing process

For each form of disease has its own tactics of dental treatment. For example, if the stomatitis caused by the herpes virus, the medicine must be present antivirals. Of the main products (for all groups) there are the following:

  1. antiviral tablets (Valacyclovir, Acyclovir);
  2. immunomodulators (interferon in any pharmacological form);
  3. antiviral rinse, gel compositions (Miramistin, Holisal-gel, Chlorhexidine water);
  4. antihistamines (Zyrtec);
  5. mouthwash antibacterial (solution of borax, Diflucan, Iodinol, etc.).

All dosages and frequency of treatment procedures, it is important to coordinate with your doctor, especially if it relates to preparations for oral administration. Many medications have contraindications. In certain forms of stomatitis, it is very important to take antihistamines and also anti-fungal drugs.

Preventive measures

After any treatment the patient must take care of the oral health of your mouth. It is important to monitor the quality of food. It is important to exclude goiter, do not use aggressive products (fatty, spicy, salty, exclude alcoholic beverages).

Proper prevention of recurrent disease as a pathological process is important for increasing the period of remission. From the patient requires self-discipline, timely administration of drugs, oral hygiene. Basic prevention measures include:

  • healthy lifestyle;
  • timely treatment of caries and other diseases of the teeth;
  • the elimination of the pathological bite;
  • timely restoration of teeth;
  • vitamins and minerals;
  • the distribution exercise.

Adequate treatment involves proper prevention after the disease. Unfortunately, there is no pill or something that would be cured from a chronic disease once and for all, but together, doctors and patients can achieve stable remission for many years.

When herpes recurrent form is very important to avoid colds and herpes lesions on the lips. This can easily lead to the spread of herpes sores in entire mouth. Stomatitis treatment is always comprehensive and aimed at addressing the internal or external causes of the disease.