Causes, stages, symptoms and treatment of aphthous stomatitis in adults. General principles of treatment of the chronic form. How does aphthous stomatitis manifest?

Ulcerative or aphthous stomatitis is a disease of the oral cavity in which aphthae form on the mucous membrane. These are round or oval ulcerations measuring 3–5 mm. They cause severe pain in a person, especially while eating. Aphthae have a thin red border and a white-yellow coating. They are located on the palate, tongue, inner cheeks and lips.

Disease severity

The entire process from the moment a single ulcer appears until it is completely healed can take up to 1.5–2.5 weeks. Treatment aphthous stomatitis in adults it is selected taking into account the advanced stage of the disease. It occurs in four main stages:

Treatment of aphthous stomatitis in adults

The goal of treatment is to eliminate the cause of the disease. For this purpose, etiotropic therapy is carried out - antiviral, antibacterial or antifungal. At the same time symptomatic treatment. It is aimed at weakening the signs of aphthous stomatitis, accelerating the healing of aphthous stomatitis and preventing relapses of the disease. Throughout the treatment you must follow following rules:

• Avoid spicy, sour and too hard foods, as they irritate the mucous membranes oral cavity. Include liquid and puree foods in your diet.
• Brush your teeth with extreme care to avoid damaging the inside of your mouth.
• Use separate dishes if fungal, viral or bacterial infection oral cavity.
• To brush your teeth, use a toothpaste that does not contain sodium lauryl sulfate, as it irritates the oral mucosa.

Oral treatment

When the stage of inflammation of aphthae passes, they become covered with dense crusts. When they are removed, severe pain occurs and bleeding occurs. To prevent such processes it is necessary special processing. Technology for its implementation:

1. Rinse your mouth with a decoction of chamomile or oak bark, a solution of Furacilin, hydrogen peroxide or salt (1 tsp per 1 liter of water).
2. Moisten a cotton swab with sea buckthorn oil. Treat the sores with it, pressing lightly on them.
3. When the dry crusts become soft, you need to rinse your mouth with an antiseptic: Miramistin, Chlorhexidine or a pale pink solution of potassium permanganate. This is necessary to disinfect the oral cavity.
4. Lightly dry the oral mucosa by blotting it with cotton swabs or a bandage.
5. At the end of the procedure, lubricate each sore antimicrobial ointment. At the final stage of the disease, healing agents should be used for lubrication:
   • Vinylin;
   • Carolin;
   • Olazol;
   • Solcoseryl;
   • Stomatophyte;
   • Mundizal gel.

Cauterization

Moxibustion is indicated only for adults. It is prohibited for children due to possible development painful shock and burn of the mucous membrane. It is believed that after cauterization of aphthae, they dry out and heal faster. The main remedy for the procedure is a solution of brilliant green (zelenka). It is applied to each ulcer using cotton swab.

The procedure is repeated when the drug is completely absorbed and the mucous membrane is no longer green. Other cauterization products:

• Potassium permanganate. Several crystals of potassium permanganate are placed on the ulcer. After about 30 seconds, rinse your mouth warm water.
• Hydrogen peroxide. Wipe each ulcer with a gauze swab soaked in it. This is done no more than 5 times a day.
• Iodine. It is applied not to the ulcer itself, but around it. The wound is treated up to 5 times a day.

Drug therapy

The main method of treating aphthous stomatitis in adults is local therapy. To treat the oral mucosa, use following forms release of drugs:

• solutions;
• sprays;
• pastes;
• gels;
• ointments.

Etiotropic therapy can be carried out using tablet medications. More often this is necessary in advanced cases of stomatitis. Main groups of drugs:

Folk remedies for aphthous stomatitis in adults

Because the medicinal properties plants have a cumulative effect; they need to be used until the ulcers heal.

Treatment of stomatitis in adults at home can be carried out by the following means:

• At 0.5 tbsp. boiled water take 1/3 tsp. soda and 0.5 tsp. salt. At severe pain Rinse your mouth with the solution every 2 hours.
• Pour 1 tsp. chamomile flowers with a glass of boiling water. Let cool to room temperature, strain, add 1 tsp. honey Rinse your mouth up to 3-4 times a day.
• Pour a tablespoon of crushed oak bark into a glass of water, boil and simmer for 15 minutes. over low heat. Cool, then strain. Rinse your mouth with the resulting solution. Repeat up to 3 times a day.

Aphthous stomatitis in children and adults is a type of stomatitis, the development of which is associated with infection of the body with the herpes simplex virus.

Another name for the disease is. As a result of the activity of the pathogen, aphthae appear in the mouth - pathological foci. They make it difficult to eat and cause discomfort to the patient.

It is necessary to treat aphthous stomatitis, because it signals other disorders in the body - colitis, gastritis, helminthic infestations, hormonal instability, malignant neoplasms and other pathological conditions.

Causes of aphthous stomatitis

Aphthous stomatitis is caused not only by herpes. Among the reasons for its development, doctors highlight the recent incidence of influenza, chicken pox or measles, weakening of the body’s defense reactions and associated dental ailments - caries, gum inflammation, pulpitis. In some cases, AS is associated with abnormal digestive processes, diseases of the stomach or intestines.

In adult women, aphthous stomatitis can appear during pregnancy and menopause, when the body undergoes hormonal changes. In adolescent children, they are registered in adolescence for the same reason – changes in hormonal status.

The development of the disease is also facilitated by factors such as:

• Bad habits.
• Insufficient or excessively thorough oral hygiene.
• Long-term use of toothpastes with sodium lauryl sulfate.
• Nervous overstrain. Severe and frequent stress negatively affects the body, causing its immune capabilities to deteriorate.
• Injury to the oral mucosa. Careless handling of cutlery, presence of poor-quality seals or damaged teeth, the habit of eating too hot food contributes to damage to the thin mucous tissues of the oral cavity and the invasion of pathogenic strains.
• Taking medications that suppress salivation.
• Unbalanced nutrition with deficiency folic acid, zinc, selenium, iron.

Aphthous or herpetic stomatitis is most susceptible to people with very weak immunity. If the body is powerless against the virus, the disease takes a chronic form and periodically recurs.

Clinical signs of aphthous stomatitis

On different stages development, the symptoms of aphthous stomatitis are not the same. In the initial period, the disease manifests itself with signs of ARVI:

As pathology develops, aphthae form in the oral cavity - small individually located or grouped ulcers with a diameter of up to 5 mm. The edges of the ulcers are distinguished by a reddish tint with gray coating. External signs aphthous stomatitis are shown in the photo below.

The presence of defects in the mouth creates discomfort while talking, eating, or any movement of the tongue. The patient complains of increased salivation and the inability to fully perceive taste qualities food.

Aphthae are areas of mucous membrane with impaired integrity, which are clearly demarcated from healthy tissue. The shape of the ulcerations is oval or round.

In children

Herpes stomatitis (aphthous) in children is often diagnosed at the age of 1 – 5 years. During this period, children actively learn the world and drag toys and various objects into the mouth, exposing the oral mucosa to the risk of injury and infection. In addition, young patients are more susceptible to infectious diseases due to imperfect immunity.

As in an adult patient, aphthous stomatitis in a child occurs with signs of acute respiratory viral infection. Attentive parents will also notice drooling and bad smell from the baby's mouth, refusal to eat and anxiety, tearfulness and irritability. Aphthae with herpes stomatitis in children can first form in the corners of the mouth and then spread to the oral mucosa.

At severe course pathology appears nausea, vomiting, indifference to what is happening.

Forms of aphthous stomatitis

Acute aphthous stomatitis spreads by airborne droplets, so the easiest way to pick it up is in a group setting. The causative agent of the disease can be not only a herpes virus, but also a strain of streptococcus, staphylococcus and diplococcus.

Acute symptoms herpetic stomatitis there will be everyone pathological changes, characteristic of influenza, inflammation of the upper respiratory tract, whooping cough, diphtheria, scarlet fever and measles in children:

• Hyperthermia.
• Headache.
• Defecation disorder (constipation, diarrhea).
• Soreness of the lymph nodes on palpation.

The signs of chronic aphthous stomatitis do not differ from the defects accompanying acute form. The only difference is the duration of the disease. IN acute period aphthae heal within 5 days from the moment of appearance without tissue scarring.

If stomatitis is not treated and the predisposing factor is not eliminated, healing of the ulcers occurs within a month. Due to long-term non-healing ulcers, the tissues are partially scarred, but subsequently the process develops again. Adults and children with aphthous stomatitis are prone to chronicity chronic appendicitis, colitis, helminthic infestations.

At allergic origin aphthosis, the sensitivity of the oral mucosa increases to all irritants. The condition of oral hypersensitivity is characteristic of migraine, urticaria and bronchial asthma.

Video:

How to cure herpes stomatitis

Treatment of aphthous stomatitis of a viral nature is carried out at home. Therapeutic regimen for adults, it is based on following a diet with the exclusion from the diet of coarse foods that are harmful to the mouth and allergenic products.

For external treatment of aphthous stomatitis in adults, dentists recommend using boric acid and chamomile. Rinse your mouth with the preparations several times a day.

A solution of furatsilin, potassium permanganate, and hydrogen peroxide is suitable for the same purpose (the peroxide is diluted with water 1:1). You can lubricate aphthae Kalanchoe juice, peach and sea buckthorn oil. If aphthous stomatitis is of an allergic nature, it is treated intravenous injections sodium thiosulfate.

Since therapy for AS in an adult patient lasts from 7 to 30 days, it is important to quickly eliminate pain and discomfort in the oral cavity. The following medications will help the patient with this:

For chronic recurrent aphthous stomatitis, treatment is carried out in the form of mouth rinsing with Chlorhexidine gluconate and treatment with local glucocorticoids:

• Clobetasol ointment.
• Fluocinonide ointment.
• Dexamethasone for rinsing.

Treatment of children

For aphthous stomatitis in children, treatment also begins with diet. If the disease arose as a reaction to taking medicinal product, parents should consult a doctor about the advisability of discontinuing it.

Complex therapy of herpetic stomatitis in children includes antihistamines:

• Cetrin.
• Diazolin.
• Telfast.
• Suprastin.

Local treatment of ulcers is carried out using antiseptics and anti-inflammatory gels (Miramistin, Cholisal). Irrigation and lubrication are done up to 4 r. per day. As soon as the acute phase subsides, Actovegin-gel is added to the treatment. It accelerates the epithelization of aphthae and relieves pain.

Local immunomodulators are prescribed to children: toothpaste with lysozyme, glucose oxidase, lactoferrin. Enzymes strengthen the immunity of the oral cavity and increase the resistance of the mucous membrane to viruses and bacteria.

According to statistics, from 20 to 70% of people encounter aphthous stomatitis in their lives. It's safe to say that this is significantly to a greater extent childhood disease than adult disease. Although aphthous stomatitis can occur at any age in both infants and the elderly.

What is this disease? What are the reasons for its occurrence? Is it possible to avoid the appearance of aphthous stomatitis and is it contagious? How to properly treat the disease? All these questions arise for those who have at least once encountered aphthous stomatitis in their lives.

Basic information

The concept of “stomatitis” only explains that the place of occurrence of the inflammatory process is the oral cavity. There may be several reasons for this phenomenon. Medical term“Aphtha” refers to ulcers on the mucous membrane.

In other words, aphthous stomatitis refers to ulcers formed in the mouth, without specifying the reason for their appearance. Often this is where all the symptoms of the disease end. These small wounds have a yellowish coating and redness around the periphery.

They usually cause great discomfort and painful sensations. Unlike viral infection, in this case the body temperature does not increase even with large quantities sores. Stomatitis can be either a completely independent disease or develop from other diseases, such as:

• chickenpox,
• Infectious mononucleosis,
• infectious pharyngitis,
• infectious laryngitis.

Advice! In some cases, the appearance of stomatitis may indicate that a person is infected with HIV. If you are at risk for this disease, get the necessary tests.

Causes of aphthous stomatitis

Medical science has not yet established the exact causes of aphthous stomatitis. The only thing that can be said with certainty is that if a person is prone to the formation of ulcers in the mouth, this will be repeated occasionally throughout his life.

In this regard, persons prone to the disease are given a lifelong diagnosis of chronic recurrent aphthous stomatitis. This type of stomatitis is not at all contagious unless it is accompanied by any viruses.

Medicine has been able to identify some patterns in the appearance of this disease. Except mechanical damage oral mucosa with hard objects, aphthous stomatitis at any age can be caused by:

• genetic predisposition of immunity;
• changes in the physical or chemical properties of saliva;
• lack of necessary substances.

Immune predisposition

Doctors consider the main cause of aphthous stomatitis to be deviations of inherited immunity. Essentially this is autoimmune disease. Viruses and bacteria are only provoking factors.

According to statistics, if two parents have chronic recurrent aphthous stomatitis, the child will also have this disease in 90% of cases. If both parents do not suffer from this disease, then the child has only 20% of it. In any case, since stomatitis is not contagious, the causes should be sought only in the functioning of the human immune system.

Poor saliva protection

The oral cavity is the dirtiest place in the body. There are pathogens of many diseases, microbes of all types. We can say that the mouth is the gateway to disease. But why then are we not infected by all these enemy agents?

Every person's mouth has a powerful defense system. Saliva is the main thing that ensures disinfection of the oral cavity. With its normal quantity and composition, not a single virus or microbe will penetrate the surface membranes of a person.

Problems in the oral cavity arise when, due to some circumstances, the physical or Chemical properties saliva. First of all, such a circumstance is dry mouth.

It is no coincidence that stomatitis occurs more often in children. This is due to the peculiarity of children's thermoregulation. Children regulate heat exchange in their bodies primarily through the respiratory system. Therefore, when their environment has high temperature, and the air is dry, the child quickly becomes dehydrated and has a dry mouth.

Thus, a situation occurs when saliva loses its protective properties. The adult human body exhibits great adaptive abilities, however full protection He also does not have stomatitis caused by dry mouth. A person with chronic aphthous stomatitis will often experience an aggravated form of the disease if they are constantly in a dry environment.

Advice! Create optimal conditions for yourself and your child to prevent dehydration and drying out of the mucous membranes.

1. Drink enough water. Dehydration is indicated by the following symptoms:

• rare urination (less than once every three hours);
• urine is dark in color;
• dry mouth;
• crying without tears (in a child).

1. Provide cool and humid air in your apartment. The best option when the air humidity is between 50 and 70%. It is better to dress warmly than to be in a hot room.

Lack of substances

Very often, the mucous membranes are damaged due to a deficiency in the body:

• gland,
• vitamins B 9 and B 12.

Stomatitis is often one of the symptoms iron deficiency anemia. If sores regularly appear in the mouth, it is necessary to make a general clinical analysis. And if low hemoglobin is detected, it is necessary to carry out a course of treatment with the help of a doctor, after which you can forget about aphthous stomatitis.

Features of treatment

By by and large There is nothing medicine can do about this common disease. Distinctive feature All stomatitis is that in most cases treatment comes down to eliminating the symptoms, not the cause. There is no way to treat the cause yet, as it remains unknown.

Which doctor should you contact?

Initial treatment of acute aphthous stomatitis at the first manifestation or relapse chronic form subject to:

• family doctor,
• therapist
• pediatrician

You should contact a dentist only if stomatitis occurs after his intervention (installation of braces, dentures, etc.). In this case, it is quite reasonable to immediately contact the person who caused the ulcers.

Advice! After contacting your family doctor, general practitioner or pediatrician, it would be a good idea to consult with a dentist, as he is more knowledgeable in matters of oral cavity treatment.

Rules for symptomatic treatment

Medicines for stomatitis are primarily medicines to reduce the severity of symptoms. Pharmacology and ethnoscience has in its arsenal many means to get rid of the painful manifestations of the disease.

The influence of popular folk remedies

Many people of the older generation are convinced that chronic recurrent aphthous stomatitis must be treated with such dyes as:

• blue,
• brilliant green,
• potassium permanganate.

Contrary to popular belief, these remedies not only do not help the sick person, but can also aggravate the situation. Their application requires direct contact of a finger or bandage with the resulting ulcers. This can injure these already painful formations and prolong their healing time.

Advice! Until the mouth ulcers have healed, it is better not to brush your teeth with a toothbrush, as this can cause injury to the mucous membrane.

The influence of some other folk remedies:

• Products containing alcohol especially aggravate the situation, delaying the healing process.
• Two percent soda solution, which is popular in the treatment of stomatitis of various natures, will also not bring much relief.

Pharmacological agents

In order to eliminate severe symptoms aphthous stomatitis is actively used:

• gels containing local anesthetics,
• antiseptic compounds,
• solutions with anesthetics (ledocaine, benzocaine).

Fighting symptoms will not speed up recovery, which in any case will occur in 7 to 14 days. It is carried out in order to avoid ending up in the hospital with problems such as:

• dehydration,
• exhaustion,
• heat.

Painful mouth sores can make it difficult for a person to eat and drink and can be emotionally draining. And if an adult understands the need to take food and water, although this may cause him great discomfort, then it will be extremely difficult to force a child to endure pain.

The importance of rinsing

Gargling is an excellent way to treat the symptoms that recurrent canker sores create. To carry out this procedure you can use:

• saline solution (1 teaspoon regular or sea ​​salt per liter of water);
• soda solution (in the same ratio);
• special medications for rinsing.

Medical science considers the very fact of rinsing to be effective. By and large, there is no fundamental difference in what to rinse the mouth with stomatitis. The main task is to remove food debris.

Treatment of dangerous cases

Basically, stomatitis should not be perceived as a big problem, but as a small temporary difficulty. But in some cases the situation can become truly threatening.

1. If the herpes virus has entered the aphthae, you should not do with just rinsing and treating the symptoms. You should consult a doctor who will prescribe an antiviral drug.
2. Infection with staphylococcus also poses a serious danger and requires specific treatment.
3. In cases where severe chronic recurrent aphthous stomatitis is observed, it is necessary to use antiviral drugs. Which ones the doctor decides depending on concomitant diseases patient.

Features of nutrition during the treatment period

There are three basic rules for eating during illness:

1. No solid foods that can injure the mucous membranes of the mouth. All products should be ground in a blender or purchased ready-made baby formulas and purees.
2. No hot food. Products ingested should be no warmer than body temperature (ideally no hotter than 30 o C).
3. After each meal, it is necessary to rinse your mouth well so as not to create a reason for the growth of bacteria.

You should also not eat food with increased content:

• acids,
• salt,
• spices

Advice! If it is very difficult to even swallow semi-liquid food and water, actively use a straw.

Although the nature of aphthous stomatitis is unknown, you can be sure that it is not contagious and does not require treatment. special treatment. In most cases, we cannot influence the recovery time, which usually does not take more than two weeks.

All we can do is to partially or completely eliminate the symptoms so that we can eat and drink normally, stick to our diet and rinse our mouth well.

Aphthous stomatitis can only be cured quickly and effectively complex therapy. It includes taking immunomodulatory and antihistamine drugs, external treatment with antiseptics and antimicrobial agents, diet and physiotherapy.

As a rule, one aphthae is formed, less often 2 - 3. They are white or gray, yellowish in color, round in shape, with a red rim, measuring from 0.5 to 1.5 cm in diameter. The ulcers are painful, making it difficult to talk and eat. Within 1 – 2 weeks they disappear completely. However, they can acquire a sluggish chronic nature or develop into an ulcerative-necrotic form of stomatitis.

The main symptom of aphthous stomatitis is ulcers on the mucous membrane.

Additional Information! The key difference between aphthous stomatitis and herpetic stomatitis is the nature of the formation. When infected with the herpes virus, multiple small blisters appear, which after 2–3 days burst and ulcerate.
Symptoms of the disease differ at different stages of the disease:

Prodromal period. Characterized by:

• high temperature – 37.5 – 39.0°C;
• headache;
• increased sweating;
• chills;
• rapid fatigue;
• enlarged lymph nodes;
• redness and inflammation of certain areas of the oral mucosa.

Aphthous stage. Noted:

• one or more whitish spots on the lips, cheeks, palate, tonsils;
• decreased appetite;
• deterioration general condition, apathy.

Healing stage. Occurs 7–10 days after the onset of the disease. Its signs are:

Causes

The key factor in the development of aphthous stomatitis in adults is a decrease in general immunity. Other reasons merely contribute to the onset of the disease. These include:

• disruption of the microflora of the oral cavity due to local diseases: tartar, caries, periodontitis, gingivitis, inflammation of the tonsils;
• the use of toothpastes based on sodium lauryl sulfate - the ingredient dries out the mucous membrane, making it susceptible to irritants;
• injuries and: damage due to biting, rubbing with dentures, fillings, scratching from chipped teeth, hot or cold foods, chemical substances, rough and tough foods;
• stress, lack of sleep, physical and psycho-emotional stress – weaken the body’s defense mechanisms;
• unbalanced diet with a significant lack of selenium, iron, zinc, folic acid, vitamins C and group B;
• allergies to foods or medications;
• hormonal changes in women during menstruation, pregnancy, menopause;
• immunodeficiency disorders;
• staphylococcal infection;
• organ pathologies gastrointestinal tract and circulatory system.

The hereditary factor plays an important role.

Important! The hereditary factor plays an important role. So, if one of the parents was sick, the risk of developing the disease in the child is over 30%.

Forms of aphthous stomatitis and their manifestations

Aphthous stomatitis can occur in two forms:

• acute– its appearance is associated with the presence of a viral infection;
• chronic– characterized periodic relapses that occur when immunity decreases.

In addition, there are several types of pathology:

Diagnostics

Examination of a patient with aphthous stomatitis consists of a clinical examination and questioning. In this case, a key role is given to the nature of the formations in the mouth. Based on these data, the form, stage of the pathology and treatment method for the patient are determined. Occasionally laboratory tests are carried out.

Important! When there is a suspicion that aphthae appeared due to oncological processes, prescribe a biopsy, chemical and general tests blood.

The disease must be differentiated from other varieties: herpetic, bacterial or candidal stomatitis.

Treatment

Aphthous stomatitis must be treated comprehensively. Therapy consists of five key actions: external treatment of ulcers, strengthening defense mechanisms, exclusion of allergens, diet and physiotherapy.

Mostly treatment is carried out at home. However, examination by a specialist, regular visits and observations are required.

Treatment of aphthous stomatitis is carried out comprehensively.

Additional Information! Aphthous stomatitis is rarely cured completely. In most cases, the doctor’s actions are aimed at achieving stable remission.

Local processing

First of all, they try to remove the acute pain syndrome and eliminate external manifestations diseases. Prescribed:

The products must be used in combination up to 4 times a day. First, rinse the mouth with antiseptic solutions, then dry the mucous membrane with a swab and lubricate it with gels. After absorption (after a couple of hours), they are treated with sprays and a lotion is made.

Antiallergic drugs

Antihistamines are indicated when stomatitis is caused by food, bacterial or drug allergies. Suprastin, Clemastine, Tavegil, Loratadine, Diazolin, Fecosofenadine are prescribed.

Strengthening the immune system and nervous system

Therapy for aphthous stomatitis necessarily includes drugs to strengthen the body's defenses. Apply:

• immunomodulators – “Immunal”, “Imudon”, “Amexin”;
• vitamin complexes with a high content of vitamins C and group B, folic acid, zinc, iron, selenium.

IN complex treatment It is important to strengthen the immune system.

It also needs to be stabilized psycho-emotional state patient. Must be taken sedatives. If there are neurological abnormalities, tranquilizers and sedatives are prescribed.

Diet

To cure allergic form aphthous stomatitis, it is necessary to exclude all allergens:

• citrus fruit;
• chocolate, nuts;
• berries: strawberries, wild strawberries;
• cereals with high content gluten: buckwheat, wheat, rye, barley;
• pineapples;
• tomatoes;
• seafood, cheeses;
• any spices and food additives.

Important! If the disease appears while taking medications, you need to consult a doctor. He will recommend safe analogues.

During the treatment process, it is important to adhere to a diet.

A special diet should be followed for any type of stomatitis. Food should be of moderate temperature; spicy, salty, sour, and spicy foods should be removed from the diet. You can eat cream soups, cereals, steamed vegetables and meat, unsweetened teas, non-acidic compotes and jelly.

Additional measures: physiotherapy and sanitation

Sometimes the treatment of aphthous stomatitis in adults is supplemented with physiotherapeutic procedures: electrophoresis, phonophoresis, laser therapy. To eliminate sources of streptococcal and staphylococcal infection, carry out comprehensive sanitation of the oral cavity.

There is no specific prevention of aphthous stomatitis. Preventive measures are aimed at general strengthening body, increasing immunity, refusing bad habits, compliance good nutrition, timely disposal of systemic pathologies and dental diseases.

When painful ulcers appear on the oral mucosa, the patient suspects aphthous stomatitis. This is the most common dental disease, which is inflammatory in nature, is prone to rapid spread. Aphthous ulcers significantly reduce appetite and deprive the clinical patient of sleep and rest.

How to treat aphthous stomatitis

If a patient has aphthae on the tongue, it is necessary to urgently consult a dentist, determine the etiology of the pathological process, find out the final diagnosis, and immediately begin conservative therapy. Drug treatment brings together local and indoor application individual pharmacological groups, according to medical indications. This:

• antiseptics for mouth rinsing (Furacilin, Chlorhexidine, hydrogen peroxide);
• local anesthetics for acute pain syndrome (preparations with novocaine and lidocaine);
• antihistamines orally (Tavegil, Fenistil, Suprastin);
• desensitizing drugs (Claritin, Diazolin, Claridol);
• antiviral medications (Kagocel, Arbidol, Ergoferon);
• Antibiotics and steroids are prescribed extremely rarely, in complicated clinical situations.

Acute stomatitis

The disease progresses spontaneously, requiring immediate medical attention. In acute form it is necessary to suppress inflammatory process, eliminate redness of the mucous membrane, get rid of the pain attack that increases during the chewing function. If you quickly respond to the problem and select effective remedy for treating ulcers, positive dynamics are ensured without potential health complications.

Treatment in children

IN childhood treatment involves taking medications and therapeutic diet, which eliminates irritation of the oral mucosa. Parents of a sick child will have to temporarily remove sour, spicy, hot, and smoked foods from the daily menu, otherwise the acute pain syndrome will only intensify. Nutrition for aphthous stomatitis should be gentle, welcome boiled products in a warm form, natural vitamins. Drug treatment is as follows:

1. When the temperature rises, it is necessary to give the child antipyretic syrups based on paracetamol, as an option - Panadol, Nurofen, Ibuprom.
2. If white sores occur and are painful, it is best to use teething gels as a local anesthetic, for example, Dentinox, Kalgel, Dentol.
3. To eliminate signs of inflammation, Miramistin solution or herbal infusions, for example, chamomile, calendula, lemon balm.
4. Treatment includes taking antihistamines, as an option - Fenistil (drops), Zyrtec, Zodak.
5. Multivitamin complexes: Pikovit, VitaMishki, AlfaVit.

Treatment for adults at home

Productively eliminating aphthous stomatitis in older people can be done in much the same way as treating oral stomatitis in children. The list of approved medications has been significantly increased, but methods of superficial self-medication are still excluded. Use of medications official medicine can be safely supplemented with folk recipes, which are also different high efficiency with obvious signs of inflammation. A complex approach has the following form:

• painkillers for local application: Lidocaine Asept, Hexoral, Lidochlor, Anestezin (powder form);
• antiseptic gels: Kamistad, Cholisal, Actovegin;
• regenerating agents: sea ​​buckthorn oil, Vinilin, Solcoseryl;
• vitamin complexes: mandatory presence of folic acid;
• sprays for healing aphthae: Lugol, Kameton, Ingalipt.

Recurrent

Patient delay may worsen clinical picture. In the absence of timely therapeutic measures and adequate treatment, chronic aphthous stomatitis occurs, prone to systematic relapses. It is problematic to cure this form of the disease, but the main task of the doctor is to reduce the number of attacks. Ulcers need to be smeared special drugs, but the emphasis should be on eliminating the cause of the disease. Otherwise o speedy recovery there is no question.

How to treat oral stomatitis in adults

The first white sores appear on the lip or inner surface cheeks, then the disease affects the entire mucous membrane of the oral cavity, palate, and gums. The patient loses his appetite, behaves nervously and irritably. At this time, the body undergoes pathological processes that need to be addressed in a timely manner. The dentist will tell you what to do with aphthous stomatitis. The range of tablets and ointments is huge, and with the right choice of treatment regimen, they help you recover faster and avoid repeated relapses and complications.

Antiseptics for rinsing

1. Miramistin – affordable drug, which costs 200 rubles at the pharmacy. This is a special solution that has antimicrobial, bactericidal and anti-inflammatory properties. Rinse the mouth up to 5 times a day.
2. Stomatofit is another remedy for topical use, which must be prepared according to the instructions. Rinse your mouth up to 4-5 times a day, and the duration of therapy is up to 2 weeks. The cost of the medicine is 150-200 rubles.
3. Hydrogen peroxide is an antiseptic that is found in every family first aid kit. To prepare the solution, combine a quarter glass of water with 50 ml of peroxide, and then add 1 tbsp. l. table salt and baking soda. Stir and use for frequent rinsing.
4. Chlorhexidine is an effective agent with a stable antimicrobial effect. Use concentrated solution for rinsing the mouth 3-4 times a day for no more than 10 days.
5. To gargle a sore throat, use folk recipes with such active ingredients, like chamomile, lemon balm, calendula, thyme, sage, St. John's wort, mint. Pre-check the absence allergic reaction for the specified ingredients.

Ointment for stomatitis in adults

1. Oxolinic ointment- this is a time-tested remedy for curing stomatitis in the mouth quickly and without consequences. It is necessary to thoroughly lubricate the inflamed aphthae 3-4 times a day, and the duration of treatment is up to 12-14 days.
2. Solcoseryl - gentle medical drug for local use. The medicine is required to lubricate painful ulcers up to 5-6 times a day, and the duration of prescribed therapy is determined individually. Price – 200 rubles.
3. Metrogil Denta – special ointment with bactericidal and antimicrobial effect, which purposefully affects the focus of pathology. Ulcers need to be lubricated up to 5-6 times throughout the day. The cost of the medicine is 200 rubles.
4. Cholisal – universal remedy, which kills germs, eliminates pain, and relieves signs of inflammation. The drug can be used for treatment an unlimited number of times until the anxiety symptoms are completely eliminated.
5. Actovegin is applied to the affected mucous membrane, and such procedures can be performed without harm to health up to 5 times in 24 hours. This accelerates the process of tissue regeneration and healing. The cost of the ointment is up to 200 rubles.

Antihistamines for stomatitis

1. Fenistil - the drug is available in the form of drops and tablets. Daily dose must be used internally in the proportions specified according to the instructions.
2. Tavegil is an antiallergic tablet that is recommended to be taken for a week. Daily norm– 1 pill three times a day.
3. Zyrtec is anti-allergy drops and tablets for oral administration. Take according to age category, course duration – 7-10 days.
4. Suprastin - tablets suppress signs of allergies, relieve inflammation of the oral mucosa. Take 1 pill 3 times a day, course intensive care individual.
5. Hexoral – antihistamine, which has several release forms, is highly effective. Must be used according to the attached instructions.

How to treat aphthous stomatitis in a child

Dr. Komarovsky recommends using for treatment traditional methods, avoid use synthetic drugs with a mild form of the disease. If the stage is advanced, then methods alternative medicine complement ointments, gels and solutions with antimicrobial and antiseptic effect. Before starting treatment, you need to contact your local pediatrician, visit pediatric dentist.

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