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Oral DiseasesApthous Ulcer(Canker Sores)


Apthous Ulcer is a form of mouth ulcer that is non-infectious but tends to recur. It is commonly present on the oral mucosa of the cheeks, lips, tongue and throat.


A. Symptoms


Apthous Ulcer begins with a localised swelling of the affected oral mucosa to form a small round or oval shaped blister. After a day, the blister bursts and becomes a whitish or yellowish ulcer with a red margin. When irritated by spicy, salty or sour food with strong taste, pain will be felt and saliva secretion will be increased.


B. Causes of Apthous Ulcer


To date, the aetiology of Apthous Ulcer has not been confirmed. However, the predisposing factors are known as follows:

  • Oral tissue trauma
  • Stress
  • Problem in endocrine system, i.e. hormonal disturbance
  • Immune system disorder
  • Gut problems
  • Malnutrition (especially the deficiency of Vitamin B12, folic acid, iron, etc.)
  • Wearing an unfit denture

C. Treatment

Apthous Ulcer usually heals within 7 to 14 days. If the situation persists for more than 3 weeks or there is recurrent formation of new apthous ulcers, you should consult a doctor for a body check-up to see if other treatments are necessary.

Apthous Ulcer usually heals up within 2 weeks. To avoid pain, you can:

  • Avoid contacting the area when brushing
  • Avoid eating hard, coarse, hot or spicy food
  • Apply ointment prescribed by the doctor or dentist onto the area to relief pain
  • If you are wearing an unfit denture, you should consult your dentist to make a new denture

D. Method to prevent recurrent Apthous Ulcer

Since the aetiology of Apthous Ulcer has not been confirmed, the only way to prevent recurrence is by eliminating the predisposing factors.