formation of shallow, painful, tiny ulcers on the mucosa of the mouth that heals without scarring.
Aetiology
- mostly of unknown aetiology
- particularly common in prior to menstruation
- Mechanical injury to the oral mucosa by hard-bristled tooth brushes, sharp food or objects that can scrape or cut mucosa
- iron or Vitamin deficiencies, esp. folic acid and vitamin B12
- nutritional deficiencies
- infections such as Herpes Simplex, Syphilis, Vincent's angina
- associated with Crohn's disease, celiac disease
Clinical features
- General symptoms of Stomatitis
- on examination: numerous small round vesicles on cheeks, lips, and tongue, which soon break and leave little shallow ulcers with red areola.
Prevention
- good oral hygiene
- brushing the teeth at least once a day
- balanced die
Management
- topical anesthetics or salicylate paste provides symptomatic relief
- topical steroids
- tetracycline mouth wash or caoting ulcers with tetracycline oral suspension.
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