Oral Ulceration (Mouth Ulcers)
Description
Oral ulcerations appear as necrotic or eroded areas on the oral mucosa. Most ulcers are idiopathic (aphthous) or of viral etiology (herpes simplex virus, herpes zoster). Other less common causes are fungi, parasites, or bacteria. A tumor or autoimmune disorder should be considered for those lesions that are persistent.
Symptoms
Pain or discomfort in the mouth, open mouth sores, mouth sores with raised edges.
Tests
A history and physical exam will be performed. Blood tests or a skin biopsy of the ulcer may be needed to confirm the cause of the problem.
- CBC
- Chem 12
Treatment
The goal of treatment is relief of symptoms. If the cause is known specific treatment will be administered. Gentle, thorough oral hygiene may relieve some of the symptoms. Topical antihistamines, antacids, corticosteroids, or other soothing preparations may be recommended. An anesthetic (lidocaine) to swish and spit may be prescribed.
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