Canker sores are painful inflammatory ulcers that appear inside the mouth, particularly on the gums, the edge of the tongue, or the inside of the cheeks. These lesions vary in size (generally 5 to 10 mm in diameter), round or oval, and are characterized by a grayish or yellowish necrotic center surrounded by a bright red inflammatory halo. Canker sores occur in outbreaks and can make swallowing and speaking uncomfortable.
Risk Factors
The mechanism of formation for canker sores is multifactorial and may include:
2 Genetic predisposition: Some individuals, particularly those with a family history of canker sores, have a genetic predisposition. Histocompatibility antigens also play a role in this susceptibility.
2 Nutritional deficiencies: Deficiencies in Vitamin B12, iron, or folic acid can increase the risk of developing canker sores.
2 Mechanical trauma: An accidental bite, ill-fitting dentures, or aggressive tooth brushing can promote the onset of these ulcers.
2 Irritating foods: Certain foods such as nuts, acidic cheeses (Gruyere, Parmesan), or raw unpeeled fruits and tomatoes can trigger or worsen canker sores.
2 Emotional factors: Stress, anxiety, and strong emotions are often associated with an increase in canker sore outbreaks.
Diagnosis
The diagnosis of canker sores is primarily based on clinical examination. Their appearance and evolution, along with the patient's medical history, typically allow for diagnosis. No specific laboratory test is needed to confirm the presence of canker sores.
Treatment
The treatment of canker sores aims to relieve pain, speed up healing, and prevent recurrences.
2 Local treatment: The use of silver-based solutions, in the form of mouthwashes, has anti-infective, anti-inflammatory, and healing properties. These mouthwashes can be performed 2 to 3 times a day for 5 to 7 days.
2 Local analgesics: Gels containing lidocaine or mouthwashes with sucralfate can be used to reduce pain and promote healing.
2 Avoid triggers: It is recommended to reduce the consumption of foods known to trigger canker sores and avoid mechanical trauma in the oral cavity (adjusting dentures, avoiding overly acidic or hard foods).
Prevention
Preventing canker sores involves managing identified triggers. Adopting good oral hygiene, avoiding irritating foods, and reducing stress can limit recurrences. If canker sores are frequent and affect quality of life, preventive treatment may be considered with the help of a healthcare professional.