Aphthous Ulcer
Presentation
Found on: lip, cheeks, floor of the mouth, sulci, or ventrum of the tongue.
Minor: 2-4 mm diameter (up to x6)
Major: 1 cm or larger (up to x6)
Herpetiform aphthous: 1-2 mm (up to x100)
Heal in 7-10 days
Recur 1-4 monthly
Causes
Genetic
Smoking cessation
Iron, folic acid B12 deficiency
Local trauma ?dental
Food intolerances
Stress/anxiety
Differential disgnosis
Oral herpes
Drug reactions
Oral malignancy
Chicken Pox
Hand foot and Mouth
Management
Treat reversible underlying condition
Avoid trigger factors including trauma
If mild- No treatment required
hydrocortisone oro-mucosal tablets
anaesthetics such as lidocaine
topical analgesic/anti-inflammatory agents such as benzydamine
topical antimicrobial agents such as chlorhexidine gluconate oral solution, or doxycycline rinses.