MOUTH ULCERS

If, like me, you have suffered from mouth ulcers or canker sores for many years then you will know that there is no real cure or actual prevention. To date, mouth ulcers are quite a mystery, especially to my doctor! Hopefully this website will be useful in collecting experiences, ideas and our own management of mouth ulcers.
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Thursday, May 11, 2006

Prevention

Mouth ulcers normally heal without treatment within seven to ten days. The best start is to make sure you have good oral hygiene and avoid spicy/acidic/salty foods and drinks as they may irritate existing ulcers. In addition, one can treat the pain with several pain-relieving gels like Anbesol, Bonjela, Campho-Phenique, Orabase B, or Kanka, available in drugstores. Some people claim that such gels also accelerate the healing of their sores. Additionally, holding moderatly-concentrated alcohol in the mouth over the area of the ulcer is widely purported to be an effective remedy, presumably because of alcohol's diuretic effect (and, likewise, the more concentrated, the more diuretic), although there is no direct evidence to support this.

Another useful remedy is to use a sticky balm named Dexaltin Oral Paste (Dexamethasone 1 mg/g).

Triamcinolone Acetonide dental paste can be very effective - the steroid reduces the immune system's response in the area of the sore. It is available by prescription only.

Use of a hydrogen peroxide antiseptic mouthwash can help to clean debris and bacteria that can accumulate in an ulcer, thus reducing complications associated with its presence. This treatment is widely available at pharmacies from companies such as Colgate, whose product is called Peroxyl. Recently, the Oral-B product Amosan has become an increasingly popular oral cleanser. A recent double-blind crossover study has suggested that its use may prevent or retard the colonization and multiplication of anaerobic bacteria, such as those which are known to inhabit oral wounds.

Other home remedies vary in efficacy. Certain techniques heal sores for some people, but there are no treatments with widespread medical support. Most seem to be based on an antiseptic (mild antibiotic), an antacid, or both. Antiseptic techniques suggested include the following:

* Gently clean the sores by roughening with a toothbrush and when clean, apply antiseptic
* Swab the sores with sea-buckthorn fruit oil or hydrogen peroxide
* Rinse the mouth with an antiseptic mouthwash (e.g. Listerine). This can relieve pain for a few hours.
* Pouring salt directly on the ulcer can prove effective, however this can be extremely painful and can scar. Avoiding pressure on the ulcer after applying the salt minimizes the pain.
* Apply glyoxide directly to the sores and swish around mouth
* Rinse the mouth with salt water—1 teaspoon of salt dissolved in 1 cup (250 ml) of warm water (aka. a saline solution)
* Take Lysine-L supplements
* Rinse mouth and especially the affected area with sage tea 3 times a day. The improvement can be seen as early as within 24 hours.
* Paint half-strength gentian violet solution on sore.
* Gargle a mouthful of warm vinegar with half tablespoon of salt for about 30 secs, 3 times a day. Extremely painful but healing can be seen in about 2 days.
* Apply oil of cloves using a cotton swab or Q tip. This is initially very painful, but will result in a period of time where the affected area is quite numb, allowing painless chewing or talking.

Antacid techniques suggested include the following:

* Swab the sores with milk of magnesia
* Apply powdered alum directly to the sores—available in the spice aisle at your grocery store (this can be very painful, but is proven to work)
* Make a paste of baking soda and water—apply directly to the sores
* Make a paste of crushed Tums (antacid) and water—apply directly to the sores
* Rinse the mouth with a baking soda-Water mix—1 teaspoon of baking soda dissolved in 1 cup (250 ml) of warm water
* Avoid acidic foods such as tomato, citrus, soft drinks, and vinaigrette salad dressings.

Combination therapies tell you to use the antiseptic first, and then the antacid, i.e., swab sores with hydrogen peroxide and then swab them with milk of magnesia.

A good temporary remedy for the pain of the canker sore is to numb the affected area with ice. Although this may cause intense pain in the beginning, it is highly effective and lasts for about half an hour, depending on the number of ice cubes used and the time spent using said ice cubes.

1 Comments:

Blogger Patsy said...

Hi Oz!I used to get mouth ulcers a lot. And its quite irritating. During my comprehensive oral exam, I showed it to my dentist. Bloomington, IL, thankfully is just 10 minutes drive away from home and its very easy to go to the Dentists Bloomington IL clinic. He told me that, yes it often heals on its own, but if it doesn't any sore that doesn't heal should be reported right away to a specialist. I have to say that I'm very pleased that I have my dentists to help me with my oral care queries. Well, I'm glad I came across your blog coz' I certainly learned a lot especially the usual remedies of mouth ulcers. Thanks for sharing!

6:21 PM  

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