conditions canker-sore


Canker Sore

Condition:Aphthous Ulcer
Other:Canker Sore
ICD-10 Codes:K12


Top 3 natural treatments for canker sores.

1. Elimination diet
2. Chamomile tea (Matricaria recutita) rinse
3. Myrrh (Commiphora myrrh) rinse

Naturopathic Treatments

• elimination diet
• avoid preservatives, additives
• change toothpaste

chamomile tea (Matricaria recutita)
licorice (Glycyrrhiza glabra)
myrrh (Commiphora myrrh)
• alow gel (Aloe vera)

vitamin B12
• deglycyrrhizinated licorice (DGL)
vitamin C
folic acid

Conventional Treatments

• mouth rinse containing dexamethasone
• antibiotics
• xylocaine
• diphenhydramine
• liquid antacids
• 3% hydrogen perozide/water solution gargle
• topical paste containing benzocaine, amlexanox, fluocinonide
• tetracycline syrup
• cimetidine
• colchicine
• debacterol
• corticosteroid creams

Signs & Symptoms

• painful, shallow, small (<1 cm)
• lesions are preceded by burning or tingling
• present on labial or buccal mucosa, soft palate, tongue, floor of mouth
• lesions heal in 1-2 weeks, but tend to recur
• may scar

• lesions are deep, large (>1 cm)
• lesions heal in a month or longer

• cluster of small (1-5 mm) lesions
• painful, round/oval which later coalesce into larger ulcers with irregular borders


• oral cancer
• oral candidiasis
• acute necrotizing ulcerative gingivitis
• hand-foot-mouth disease
• Behcet s syndrome
• Reiter s syndrome
herpes simplex virus
• syphilis
• Vincent s stomatitis
• dental trauma
• chickenpox
• oropharyngeal anthrax
• pemphigus
• angular cheilitis


• chronic oral mucosa inflammation
• idiopathic; may result from hypersensitivity to antigens in oral mucosa;
• tends to recur for years and become secondarily infected by flora


• physical exam
• subjective hx
• seek medical care if ulcers are recurrent or abnormally large, present with high fever, sores extend to the lips, pain is not alleviated by OTC medication, eating or drinking is very challenging;

Must Rule-out:
• celiac disease
• vitamin deficiency (C, folate, B12)
• Behcet's disease
• drug-induced (e.g. nicorandil)
• sodium lauryl sulfate in toothpaste
• infection

Diagnostic Tests
• visual exam
vitamin B12, folate, iron levels
• Tzanck smear
• biopsy
• test for HIV


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