Dental Problems

Recurrent Aphthous Stomatitis

RAS (Recurrent Aphthous Stomatitis) is a common disorder that is characterized with recurring ulcers on the oral mucosa . It represent different pathological states with almost similar clinical manifestations. These include hematologic deficiencies, psychological abnormalities and immunologic disorders.

Stages in Recurrent Aphthous Stomatitis

Recurrent Aphthous Stomatitis occurs in several stages

Minor aphthae:

  • In this stage, the lesion size will be between 3mm to 10mm that is, 0.1-0.4inch.
  • 80% of the recurrent aphthous stomatitis cases are diagnosed with this type.
  • The lesions appear as an erythematous halo with grey or yellow color and the patient will have extreme pain.

Major aphthae:

  • It can be said as the next or advanced stage of minor aphthae, with lesion size more than 10mm.
  • 10% of the cases are diagnosed with this stage
  • These lesions are more painful, often cause difficulty while eating food.

Herpetiform aphthae

  • Numerous small lesions of 1-3mm diameter are formed as a cluster.
  • This is the most severe form, and palliative treatment will be done as a cure.
  • Below 10% of cases are based on this type of stomatitis.

Causes of Recurrent Aphthous Stomatitis (RAS)

  • Heredity is the primary etiology for RAS, Children are more likely to get RAS if there are positive to RAS.
  • Nutritional disorders and local trauma are the main causes.

Treatment for Recurrent Aphthous Stomatitis

Unless if the case gets worsen, home care and prevention techniques are the main treatments for Recurrent Aphthous Stomatitis

  • Chlorhexidine mouthwash reduces most of the pain, generally used twice or thrice a day depending on the severity.
  • Choline salicylate gel or the benzydamine spray can be used to numb the are for easy eating, it also helps in reduce the soreness.
  • Steroid lozenges can be used to reduce the pain quickly.
  • Corticosteroids can be used as a mouthwash or applied as a paste to treat aphthous stomatitis.

It is very important to concentrate on the prevention techniques as the recurrence period will be very short.

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