Canker Sores

Question 1

What are 3-4 non pharm tips for canker sores?

Answer 1

• discussion and avoidance triggers (spicy, hot foods, citrus, trauma)
• prevention: vitamin C, reduce stress
• symptomatic relief with tylenol only (nsaids worsen canker sores), or topical anesthetics (benzocaine)
• continue brushing gently with soft toothbrush (soften in warm water)
• saline rinse BID
• discussion of triggers

Question 2

When should a canker sore be fully healed by?

Answer 2

canker sores should not take longer than 14 weeks to heal. >14 days = chronic canker sore and requires referral.

Question 3

what are 3-4 canker sore red flags?

Answer 3

• immunocomporomised
• diameter > 1 cm
• duration > 15 days
• > 5 ulcers
• pain severe enough that pt is not eating.
• multiple ulcers coalescing.
• signs of infection

Question 4

What is the general treatment for cankers spres?

Answer 4

sx relief only.

non pharm (see above) +

Pharm: topical therapy and acetaminophen prn.