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    Aphthous Ulcer in Children

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    Aphthous Ulcer in Children

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    4 views10 pages

    Aphthous Ulcer in Children

    Uploaded by

    pranjalimegha91986

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
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    Aphthous Ulcer in children

    Dr Tahmida Hoque
    Aphthous ulcers (canker sores) are small sores inside the mouth.
    They are often found inside the lips, on the back part of the roof of the mouth
    (soft palate), on the cheeks, or on the tongue.

    Causes

    •Weakened immune system


    •Allergies to food, such as coffee, chocolate, cheese, nuts, and citrus fruits
    •Stress
    •Viruses and bacteria
    •Mouth injury
    •Poor nutrition
    •Certain medicines
    •Irritation from orthodontic braces

    Aphthous ulcer are often first seen in children and teens between ages 10 and
    19. For about 3 in 10 children affected, canker sores come back for years after
    the first outbreak. They can’t be spread from 1 child to another.
    The diagnosis of aphthous ulcers (canker sores) is primarily clinical.
    Patients typically describe a prodromal stage of a burning or pricking
    sensation of the oral mucosa 1-2 days before the ulcer appears.
    Patients with recurrent aphthous ulcers (RAUs), or canker sores,
    often mention precipitating factors, such as local trauma or food
    hypersensitivity.
    Symptoms
    Each child may feel symptoms a bit differently. Below are the most common symptoms of
    aphthous stomatitis:

    Painful sores in the mouth, often inside the lips, on the cheeks, or on the tongue

    Sores that are white or gray with a red border

    Trouble eating or talking because of the sores

    No fever (in most cases)

    Aphthous ulcer often heal in 7 to 14 days. They tend to come back.


    An ulcer is defined as a complete breach of the epithelium, which becomes covered with a
    fibrin slough and appears as a white lesion surrounded by erythema.

    If a mucosal lesion lasts over 14 days, it is considered chronic, otherwise it is regarded as an


    acute ulcer .

    Recurrent ulcers are defined as similar episodes with intermittent healing and are described
    as recurrent aphthous stomatitis (RAS).

    RAS are subdivided into minor, major and herpetiform aphthae :

    Minor aphthae represent the most common variety of RAS (80–85%), which vary between 3
    and 10 mm in size and typically involve nonkeratinized oral mucosa (lips, cheeks, floor of the
    mouth, ventral and lateral surface of tongue).

    During an episode of minor aphthae, a maximum of 5 ulcers occur and last for 10–14 days
    before they heal without scarring.
    Major aphthae are larger (exceeding 10 mm) and deeper as minor aphthae, they persist
    longer (over 6 weeks) and can leave a scar after healing. Clinically they impress with
    substantial pain, fever, dysphagia and malaise.

    10% of RAS classify as herpetiform aphthae, the least common type. It is defined as
    multiple recurrent crops of at least 10 (up to 100 ulcers may be present at the same time)
    small ulcers of 2-3 mm but may fuse into larger ulcers (as seen in viral infections, thus the
    name).
    Treatment
    Treatment will depend on your child’s symptoms, age, and general health. It will also
    depend on how severe the condition is.
    The goal of treatment is to help ease symptoms.

    Treatment may include:


    •Drinking more fluids
    •Taking acetaminophen for any fever or pain
    •Getting proper oral hygiene
    •Using medicines on the skin to help ease the pain of the sores
    •Using mouth rinses to help with the pain
    Child may feel better by not eating spicy, salty, or acidic foods. These foods may
    make the mouth more irritated.
    Key points about canker sores in children

    •Aphthous ulcer are small white or gray sores with a red border that are seen in the
    mouth.
    •They are often found inside the lips, on the cheeks, or on the tongue.
    •Experts don't know the exact cause. But they may be linked to things such as food
    allergies, stress, poor nutrition, or certain medicines.
    •The sores are different from other sores. They are often diagnosed simply with a
    physical exam.
    •Treatment may include oral medicine or medicine for the skin to ease pain.
    Antibiotics may be prescribed for secondary infections.

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