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
- 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.
- 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.
- 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
- 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.