Stomatitis is characterized by the open sore in or around the mouth. It usually presents with pain and discomfort. Other associated signs and symptoms are [7]:

• Bad breath
• Burning or tingling in the mouth
• Dysphagia
• Drooling
• Fever, sometimes as high as 38.3 to 40°C (101 to 104°F)
• Pain in and around the affected area
• Restlessness or irritability
• Swollen gums

• Aphthous Stomatitis

  Aphthous stomatitis usually lasts for a few days and causes rarely complications. [symptoma.com]

  What is aphthous stomatitis? Aphthous stomatitis is an illness that causes small ulcers to appear in the mouth, usually inside the lips, on the cheeks, or on the tongue. Aphthous ulcers are also known as "canker sores." [stanfordchildrens.org]

  Your opinion or preference The goal of treatment for aphthous stomatitis is to help decrease the severity of the symptoms. [chop.edu]

  Aphthous stomatitis Other names Recurrent aphthous stomatitis, recurring oral aphthae, recurrent aphthous ulceration Canker sore on the lower lip Specialty Oral medicine, dermatology Frequency ~20% of people to some degree[1] Aphthous stomatitis is a [en.wikipedia.org]

• Xerostomia

  Xerostomia was significantly more common and severe in patients (46.9%) than in healthy controls, whereas the saliva flow rates did not differ. [ncbi.nlm.nih.gov]

  Stomatitis can include oral ulceration, xerostomia, altered taste and taste loss, oral sensitivity, and oral pain with or without lesions being clinically present. r Pathophysiology Oral mucositis The mucosal lining of the mouth is a prime target for [eviq.org.au]

  Most commonly, it is due to: Dry mouth / xerostomia Viral infection Candida albicans infection Trauma including surgery Smoking tobacco Toxicity of chemotherapy drugs – including methotrexate used for psoriasis and other skin disorders Therapeutic radiation [dermnetnz.org]

• Sore Mouth

  Denture Sore Mouth (Denture-Related Stomatitis) Denture sore mouth is also known as sore mouth under plates, chronic denture palatitis, stomatitis prosthetica, denture-related candidiasis, denture- induced stomatitis and denture stomatitis. [exodontia.info]

  Back to full disease list Other Names: Sore Mouth of Cattle and Horses, Indiana Fever Vesicular stomatitis is a zoonotic, viral disease found in livestock. [cfsph.iastate.edu]

  Call your provider if: You have mouth sores and fever or other signs of illness Mouth sores get worse or do not respond to treatment within 3 weeks You develop swelling in the mouth Christian JM, Goddard AC, Gillespie MB. [nlm.nih.gov]

  Canker Sores, CANKER SORES ORAL, Oral aphthae, Oral aphthae, NOS, Sore, Canker, Sore, mouth, canker, Sores, Canker, Stomatitides, Aphthous, STOMATITIS APHHNOUS, STOMATITIS APHTHOUS, Stomatitis, Aphthous, ULCER APHTHOUS ORAL, Ulcer, Aphthous, Ulcer, [dermis.net]

  She complains of a very sore mouth, with white plaques over her palate and tongue; these lesions are quite friable. [ncbi.nlm.nih.gov]

• Halitosis

  This condition can cause bad breath, and unfortunately for people with stomatitis, trying to treat the halitosis can lead to more halitosis. [therabreath.com]

  The intra-oral clinical examination found halitosis, multiple ulcers, necrotizing stomatitis and osteomyelitis located in the maxillary and mandibular regions. [ncbi.nlm.nih.gov]

  Clinical Signs Include halitosis, dysphagia, ptyalism, weight loss, cachexia, bilateral erythematous, ulcerative and/or proliferative lesions of the gingiva, submandibular lymphadenopathy and variable amounts of plaque and calculus accumulation. [en.wikivet.net]

  SHOWING 1-10 OF 41 REFERENCES Critical Analysis of Role of Kavala and Gandusha in the Management of Halitosis Role of Gandusha in Pittaja Mukhapaka (Aphthous Ulcer) –A Randomized Controlled Trial [semanticscholar.org]

• Tongue Ulcer

  Aphthous stomatitis is an illness that causes small ulcers to appear in the mouth, usually inside the lips, on the cheeks, or on the tongue. Aphthous ulcers are also known as "canker sores." The exact cause of this disease is not known. [chop.edu]

  However, each child may have only some of the following symptoms: Painful ulcers in the mouth, usually inside the lips, on the cheeks, or on the tongue Ulcers that are covered with a yellow layer and have a red base No fever (in most cases) Lesions usually [cincinnatichildrens.org]

  Symptoms may include: Ulcers in the mouth, usually inside the lips, on the cheeks, or on the tongue Ulcers that are covered with a yellow layer and have a red base For the full article: http://www.cincinnatichildrens.org/health/info/oral/diagnose/aphthous-stomatitis.htm [medical-dictionary.thefreedictionary.com]

• Follicular Rash

  It rarely causes side-effects like cardiotoxicity or hair loss, but frequently results in many kinds of mucocutaneous reactions, including palmar-plantar erythrodysesthesia, diffuse follicular rash, intertrigo-like eruption, new formation of melanotic [ncbi.nlm.nih.gov]

• Intertrigo

  It rarely causes side-effects like cardiotoxicity or hair loss, but frequently results in many kinds of mucocutaneous reactions, including palmar-plantar erythrodysesthesia, diffuse follicular rash, intertrigo-like eruption, new formation of melanotic [ncbi.nlm.nih.gov]

Due to the characteristics of the open sores associated with stomatitis, the disorder can usually be diagnosed clinically [8]. Laboratory tests are usually not needed to confirm a diagnosis, but during a workup cultures or blood tests may be done in order to rule out any other condition and to find the etiologic factors behind the disorder. 

• Antinuclear Autoantibodies

  Kramer and Lakshmanan Suresh, Clinicopathologic significance of in vivo antinuclear autoantibodies in oral mucosal biopsies, Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 124, 5, (475), (2017). [doi.org]

Each treatment plan is fully dependent on the type of stomatitis the person is suffering from [9]. Generally, the condition will resolve on it own, but lifestyle recommendations for the patient may be useful. For example improved oral hygiene including a professional cleaning. The patient should also be told to stay away from sharp-edged or acidic foods while the sores are present. Switching to a softer tooth brush may also be recommended.

If the stomatitis has been caused by irritation from braces, jagged teeth, ill-fitting orthodontia or from chronic mouth breathing, those specific factors might need to be addressed by the appropriate medical professional. Alcohol and tobacco use should be avoided.For pain relieve, acetaminophen is usually recommended. Depending on the cause, several other medications may be used to treat stomatitis. 

Most stomatitis ulcerations are considered to be benign and will resolve themselves without any medical treatment, but the prognosis for stomatitis can vary depending on the type [6].

Aphthous stomatitis usually lasts for a few days and causes rarely complications. Herpes stomatitis, usually takes around 10 days to clear up without any medical treatment, but an oral acyclovir can speed up the recovery time and help with some of the discomfort. In general, neither form of stomatitis poses a significant health risk to the patient, if the underlying etiology if necessary is treated.

There are various factors responsible for the appearance of stomatitis including irritation from braces, jagged teeth harming the soft tissue, cheek biting, and other similar causes [2]. Herpes stomatitis is a direct result of the herpes simplex virus type 1. Aphthous stomatitis has unclear etiologic factors but theories include a predisposition which is associated to a person’s immune system of triggers such as stress or certain deficiencies like a lack of iron, B12, or folic acid. Other viral infections, notrition, smoking, chemotherapy, radiation therapy, menstruation in women, and food allergies are also thought to be linked to stomatitis [3].

Stomatitis, in general, is reported across the world and has a prevalence rate ranging from around 2 percent to 66 percent. It can occur at any age but there are certain variations of the ailment that appear at different stages of a person’s life [4].

Aphthous stomatitis usually affects children and adults and is seen most often in people between the ages of 10 and 19 years of age. Herpes stomatitis is seen more so in children between the ages of one and two and is considered possible anywhere between the ages of six-months-old and five-years-old.

According to research, children from a higher socioeconomic level are more commonly affected by stomatitis than children living in lower socioeconomic groups.

The pathophysiology of the disorder depends on the underlying etiology. Stomatitis initially usually causes erythema of the mucous membrane of the mouth, further developing into open ulcers and fissures [5]. The condition can occur as a single sore or they can appear in clusters. The lesions on examination usually have a yellow or white color at the center coupled with a fibrous texture. The border of the sores is erythematous.

Stomatitis can be prevented if it occurs due to an outside irritant. Improved oral hygiene, better eating habits, and regular dental check-ups can help prevent stomatitis [10].

In order to prevent aphthous stomatitis, it is recommended to avoid any mouth trauma like biting the cheeks or burning the mouth with hot food or drinks. Herpes stomatitis isn’t considered to be preventable since it is due to the herpes simplex virus which can be transmitted from an infected person even when they show no signs of the disorder.

Stomatitis occurs when the soft tissue lining in the mouth becomes inflamed causing redness, swelling, and often times pain [1]. The may have various etioligies, two common forms are aphthous stomatitis and herpes stomatitis due to the herpes simplex virus. 

Stomatitis can occur at any point in a person’s life but is seen more often in children and adolescents. It is associated with poor oral hygiene, side effects of certain medications, infections, allergic reactions, or it may occur as the result of burns from hot food or liquids.

Stomatitis refers to the open sores that can occur on the soft tissue inside the mouth. They are not considered to be contagious and can usually resolve themselves without medical treatment. There are several forms of the ailment, herpes stomatitis and aphthous stomatitis being common ones. Each form has its own causes and prognoses. Note, stomatitis is different than cold sores.

The sores can be painful or cause discomfort during eating and swallowing, but there are no dangers posed from the ailment. The disorder can affect anyone at any stage in life but is most commonly seen in children and adolescents.

If a patient notices that their sores haven’t resolved themselves after two weeks, medical treatment should be sought.

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