Apthous Mouth Ulcers

Question 1

What are some precipiating factors for developing mouth ulcers?

Answer 1

• Oral trauma (for example excessive tooth brushing).
• Anxiety or stress.
• Certain foods (typically chocolate, coffee, peanuts, almonds, strawberries, cheese, tomatoes, and wheat flour).
• Stopping smoking.
• Hormonal changes related to the menstrual cycle.

Question 2

Investigations aren’t usually needed for apthous ulcers. But if an underlying condition is suspected, what investigations are appropriate?

Answer 2

• FBC
• ESR
• Ferritin, folate and B12.

Question 3

How long do apthous ulcers take to heal? With or without scarring?

Answer 3

10-14 days.

Without scarring.

Question 4

When should you refer an apthous ulcer?

Answer 4

If it persists for more than 3 weeks.

Question 5

What are some treatment options for apthous ulcers?

Answer 5

• Avoidance of triggers
• Symptomatic treatment
  
  • Antimicrobial mouthwash
  • Topical analgesia
  • Short course of hydrocortisone lozenges.