Stomatitis in adults and children: signs, treatment, prevention


What is stomatitis?

Stomatitis is an inflammation of the oral mucosa. According to statistics, about 20% of the population of our planet faces it. In adults and children, it can take the form of an independent disease or act as a symptom indicating pathologies of the body. In both cases, treatment is carried out comprehensively and under the supervision of a doctor.

What does the disease look like?

Stomatitis is not difficult to recognize. The initial stage of the disease is characterized by the appearance of mild swelling of the oral mucosa. It becomes redder, drier and shiny. A plaque may appear on its surface, and at the site of future lesions the patient feels an unpleasant itching or burning sensation.

As the disease develops, small ulcers and wounds appear on the mucous membrane - painful oval or round lesions. Their location may be the inside of the lips, cheeks, palate, tonsils, or mucous membrane under the tongue. Their appearance can be seen in the photo at the end of our article.

Signs and symptoms of stomatitis

The symptoms of acute stomatitis are very similar for different types of this disease, although there are differences that make it possible to more accurately diagnose the disease. The location of the rash does not always indicate the form or causes of the pathology. The symptoms of stomatitis on the tongue or in the throat are generally the same; much more important is the nature of the manifestations, the presence of rashes - small blisters or one large ulcer. The severity of the inflammatory process allows us to judge whether the disease is milder, catarrhal, or more severe. For example, the symptoms of catarrhal stomatitis include only:

  • redness and swelling of the mucous membrane,
  • soreness, sometimes bleeding gums,
  • bad breath,
  • increased (or, on the contrary, decreased salivation),
  • Sometimes a white sticky coating appears.

But at the same time, there are no rashes or ulcers, the temperature rises very rarely and slightly, the lymph nodes are not enlarged. It would seem that this indicates the stability of the immune defense and an easy and quick cure, however, even this form of stomatitis needs treatment, otherwise, once neglected, it can become more severe, ulcers will appear, a bacterial infection will join, which will spread to neighboring organs, causing serious complications.

So, let us highlight the symptoms of the disease characteristic of stomatitis:

  • redness and swelling of certain areas of the mucous membrane,
  • blisters, blisters or sores (not always),
  • pain, burning, itching in the affected areas, which intensifies when touched, eating, talking,
  • bad breath,
  • plaque (white or grayish-yellow) on the affected areas,
  • fever, chills (not always, more often in children than in adults),
  • signs of intoxication - weakness, headache, nausea (not always).

Symptoms of stomatitis in newborns are slightly different. Most often this is:

  • temperature increase,
  • baby's refusal to breastfeed,
  • restlessness and moodiness of the baby,
  • small blisters or sores on the oral mucosa.

The most common causes of stomatitis in newborns are the herpes simplex virus (65%) or the Candida fungus (30%). In the case of herpes, blisters with transparent contents appear on the mucous membrane, which soon burst, forming ulcers. With candidal stomatitis, white dots appear that merge to form a solid white coating. Since damage to the mucous membrane causes pain and burning, the baby refuses to eat, which is very dangerous, as it leads to weight loss and dehydration.

Temperature with stomatitis

The question of whether there can be a fever with stomatitis usually worries the parents of a sick child, who are trying to understand whether it is worth seeing a doctor. Yes, with stomatitis in children, the temperature very often rises. In general, the signs of stomatitis in children are usually more pronounced than in adults, due to the fact that the child’s immune system still reacts to infections and inflammation quite violently.

But even in adults with stomatitis, the temperature may rise, especially with a more severe course of the disease.

You need to know how long the temperature lasts for stomatitis. Usually this is several days, but depending on the cause of the disease and the severity of its course, this time may be shorter or longer. In any case, you should definitely consult a doctor - correct diagnosis and proper treatment can shorten this period and prevent the disease from developing into a complicated form.

Which doctor should I contact if I have signs of stomatitis?

Which doctor treats stomatitis? At the first signs of stomatitis, you should go to a doctor who treats diseases of the oral cavity - a dentist. He will determine the type of disease and its causes, prescribe treatment, and, if necessary, refer you for tests or to a specialized doctor to clarify the diagnosis.

If manifestations of stomatitis are noticeable in a child, then you should contact your local pediatrician.

Diagnosis of stomatitis

Successful healing requires correct diagnosis of stomatitis. Only a doctor with the necessary knowledge and professional experience can accurately determine the type of disease, establish the causes and propose treatment tactics taking into account the individual characteristics of a particular patient.

On the one hand, this disease has very characteristic symptoms and stomatitis is relatively easy to diagnose. On the other hand, stomatitis may be concomitant with another, more serious disease. The effectiveness of the medications and treatment methods used directly depends on the correct identification of the causes that caused stomatitis.

Treatment of stomatitis in adults

Adults usually tolerate stomatitis more easily than children, however, stomatitis in adults also requires treatment, since if it is neglected, it can become more severe, cause serious complications, and become chronic.

Treatment of stomatitis in adults should always be based on identifying the causes of the disease. If the cause is an allergy, then it is necessary to identify the allergen and eliminate contact with it. If the cause is a bacterial or viral infection, then a course of antibacterial or antiviral therapy should be administered. Depending on the specific diagnosis, the most effective painkillers, antiseptic, anti-inflammatory and healing agents in a particular case are selected. To the question - how to treat stomatitis in adults? — the dentist must answer. In no case should you self-medicate, as this can have the opposite effect and lead to a worsening of the situation.

Treatment of stomatitis includes:

  • Elimination of the cause of the disease (allergy or viral infection, bacterial contamination).
  • Local treatment - rinsing with antiseptics and herbal decoctions, using anti-inflammatory and healing gels.
  • Suppression of acute conditions - reduction of high temperature, pain relief.

In addition to systemic treatment aimed at suppressing infection, antihistamines are often used, and local treatment - rinses, applications, ointments and gels, the purpose of which is to clean the surface of the mucous membrane from plaque with microorganisms, prevent the proliferation of pathogenic microflora, reduce inflammation, eliminate pain, and stimulate regeneration of damaged tissue.

How to rinse

Mouth rinsing for stomatitis is aimed at mechanical removal of dead epithelial cells, mucus containing pathogenic microflora, as well as the death of harmful microorganisms and suppression of their reproduction.

One of the best antiseptics is Miramistin - it has not only antimicrobial activity, but also antiviral activity (including against both herpes simplex viruses). It also restores local immunity of the mucous membrane.

The second rinse option is chlorhexidine. It has less antiviral protection, but more actively suppresses bacteria, and most importantly, it leaves an indelible layer of the drug on the mucous membrane, which prolongs the rinsing effect.

Furacilin and other antiseptics give good results. Hexoral contains not only an antiseptic, but also anti-inflammatory and analgesic components.

Rinsing with herbal decoctions helps with stomatitis: chamomile, sage, calendula, eucalyptus, etc. But you need to understand that these remedies are auxiliary, not primary - you should not rely on them alone in the treatment of such a serious disease as stomatitis.

Soda for stomatitis

Rinsing with soda for stomatitis has two advantages: first of all, soda softens and helps remove mucus and bacterial plaque. In addition, it creates an alkaline environment, which is destructive for many harmful bacteria, fungi and viruses.

Soda solution for stomatitis does not cause burning or pain, has no contraindications, and is suitable even for children. To prepare it, you need to dissolve 1 teaspoon in 200 ml of warm water. The solution will help reduce swelling and pain, soothe the mucous membranes, and slow down the development of harmful microorganisms.

Stomatitis during pregnancy

Stomatitis occurs very often in pregnant women. The reason for this is weakened immunity, lack of vitamins, and hormonal changes in the body. It is necessary to treat this disease only under the supervision of a doctor, since only a doctor can prescribe medications that will not harm the health of the mother and her unborn baby.

To avoid stomatitis during pregnancy, it is necessary to visit the dentist in advance and perform a complete sanitation of the oral cavity - cure caries, remove tartar, and solve all other problems. And also regularly and carefully care for your oral cavity throughout the entire period of pregnancy, take care of your health and follow all doctor’s recommendations.

Antibiotics for stomatitis

In all cases, antibiotics are prescribed only by a doctor. They are effective only against bacterial infections and the forms of stomatitis caused by them (for example, with Vincent's ulcerative necrotizing stomatitis). Viral types of stomatitis cannot be cured with antibiotics. The success of treating stomatitis with antibiotics directly depends on correct diagnosis and accurate selection of the most effective drugs and dosages in a particular case.

Causes of stomatitis

The mechanism of stomatitis is not yet fully understood. But scientists are inclined to believe that the root cause of its development is the reaction of the human immune system to various irritants. At some point, the immune system ceases to recognize the potential threat of internal and external factors, which causes its atypical reaction, as a result of which “aggressive behavior” of lymphocytes is observed. The attack of lymphocytes against irritant molecules leads to lesions of the oral mucosa.

A variety of factors can provoke an atypical reaction of the immune system. The most likely of them are the following irritants:

  • Pathogenic microorganisms that live in the mouth.
  • Improper oral hygiene.
  • Various damage to the mucous membrane, for example, burns from eating too hot food or mechanical injuries from seeds, nuts, crackers and other hard foods.
  • General dehydration due to high fever, blood loss, vomiting, diarrhea, or thirst.
  • Poor quality treatment of teeth and gums.
  • An allergic reaction to dental structures in the mouth - braces, implants, crowns, bridges, etc.
  • Long-term use of medications.
  • A diet depleted of beneficial vitamins and elements.
  • Smoking.
  • Malignant formations of the oral cavity, respiratory organs or undergoing a course of chemotherapy.
  • Hormonal imbalances in the body, for example in pregnant women or children during puberty.
  • The presence of chronic diseases or allergies.
  • Severe stress.

Interesting to know! Frequent stomatitis in adults can be caused by the use of toothpaste containing sodium lauryl sulfate, a substance added to oral care products to form a thick foam. According to recent studies, it dehydrates the oral mucosa and makes it vulnerable to various types of irritants. Patient observation data confirms the fact that avoiding the use of sodium lauryl sulfate paste can reduce the risk of developing stomatitis in adults by 81%.

Treating stomatitis with home remedies

FacilitiesDescription
Hydrogen peroxideRinsing with a solution of hydrogen peroxide helps reduce discomfort and has an antiseptic effect.
Baking sodaTreatment of stomatitis in adults with soda is recommended when the disease is detected in the initial stages. A solution of the substance (a spoon in a glass of water) is recommended for rinsing.
Decoctions of chamomile, rose hips and calendulaThey have disinfecting properties and contain vitamins and nutrients to maintain oral health.

Symptoms of the disease

Stomatitis can occur at any age. In the early stages, its course is accompanied by swelling, redness and dryness of the oral mucosa. The main sign of the disease is the presence of one or multiple ulcers and their appearance.

  • Oval or round ulcer shape.
  • Small sizes.
  • Smooth edges.
  • The presence of a thin grayish or white film in the central part of the ulcer.
  • The ulcer is surrounded by a slightly reddish halo.
  • The mucosal tissue around the lesion has a normal, healthy appearance.

The slight itching or burning sensation that the patient experienced at the beginning of the disease is replaced by pain. The ulcers hurt when eating, talking and smiling broadly. Any touch to them causes pain, which complicates hygiene measures and leads to bad breath.

On average, the disease lasts from 4 to 14 days. Its clinical picture depends on the individual characteristics of the organism, the form and type of the disease. During this period, in addition to the main signs of pathology, other symptoms of the disease may be observed.

  • Increase in temperature - during the first days, until characteristic ulcers appear (in severe forms of stomatitis, the elevated temperature persists throughout the entire illness).
  • General malaise and fatigue.
  • Chills.
  • Headache.
  • Lack of appetite (especially in children).
  • Enlarged lymph nodes (in rare cases).

Important to remember! Severe inflammation, toothache or high temperature for a long time indicate a severe form of stomatitis or the development of its complications. In this case, immediate medical attention is required, and if necessary, hospitalization of the patient is possible.

Gels and ointments

The use of a variety of creams, gels, and ointments helps reduce pain, prevent the development of complications, relieve inflammation, and speed up the patient’s recovery. They form a protective film on the surface of the mucosa that promotes wound healing.

The effectiveness of ointments such as cholisal, vinylin, kalgel, lidochlor, levomekol has been proven. For the fungal form of the disease, miconase and methyluracil are used. To heal aphthae, sanviritrin and solcoseryl are used.

Below we will tell you about other popular ointments and gels.

Oxolinic ointment

For herpes stomatitis, especially in children, oxolinic ointment is used. It prevents the spread of the disease. The ointment is applied to the inflamed areas of the mucous membrane 3-4 times a day. It is advisable to first rinse your mouth with herbal decoctions or antiseptic solutions.

Metrogil Denta

The modern antiseptic Metrogyl Denta is prescribed for the treatment of aft. The gel is applied with a finger or a cotton swab directly to the surface of the aphthae twice a day. Not used in the treatment of children under six years of age.

Acyclovir (ointment)

The antiviral drug Acyclovir is effective in treating herpes infections. Anti-stomatitis ointment Acyclovir is prescribed for the herpetic form of the disease. Apply to the affected mucous membrane five times a day for a week.

Nystatin ointment

Intended for external use, it is used extremely rarely for the treatment of stomatitis. Nystatin ointment can be prescribed for oral candidiasis if alternative medications are ineffective. Apply a small amount to avoid overdose.

Kamistad gel

An excellent anti-inflammatory and analgesic, Kamistad gel is used in the treatment of all forms of stomatitis. Apply to the affected surface several times a day until complete recovery.

Can stomatitis go away on its own?

As a rule, mild forms of the disease caused by trauma to the mucous membrane, poor oral hygiene or an allergic reaction of the body can go away on their own. Severe stomatitis caused by infection requires qualified treatment. In both cases, it is better not to wait and not to self-medicate. Because the disease not only causes pain and discomfort, but can also lead to generalization of infection and serious complications.

Consequences and complications of the disease

Possible complications arise when the patient ignores treatment for stomatitis. As a result, mild and severe forms of the disease become chronic. The neglected process turns into an ulcerative-necrotic and then gangrenous form of the disease, as a result of which not only the mucous membrane is damaged, but also the soft tissues of the mouth and jaw bones.

Other serious consequences of untreated stomatitis include the following complications.

  • Bleeding gums.
  • Scarring of the oral mucosa, disruption of its elasticity and mobility.
  • Attachment of a secondary infection.
  • Tooth loss.
  • Voice changes – hoarseness, hoarseness.

Important to remember! A small ulcer on the oral mucosa is a potential threat to the entire body. Infection from it can spread to other organs and systems, which will disrupt the functions of the heart, liver, kidneys, gastrointestinal tract and respiratory organs.

Tablets and antifungal drugs

When treating advanced forms of the disease, one cannot do without the use of tablets and antifungal drugs. They have a systemic effect on the human body, reduce inflammation, and promote a speedy recovery.

Among the most popular antibiotics are amoxilav, sumamed, flexmoxin solutab. Additionally, the doctor may prescribe anti-inflammatory drugs - imudon, methyluracil, biseptol.

Nystatin

Used in the treatment of candidal stomatitis. Its effectiveness is questionable. The course of treatment with nystatin is quite long. There are alternative modern drugs that help the patient recover faster.

Fluconazole

A strong antimycotic drug that is effective in the treatment of candidiasis. Fluconazole is prescribed 100 mg per day for 7-14 days for all forms of the disease. For recurrent stomatitis, pulse therapy is used - 150 mg once a week.

Lysobacter

Lizobact lozenges are used for stomatitis, sore throat, and tonsillitis. They have local antimicrobial and antiseptic effects. Prescribed for adults and children over three years of age. Take according to instructions.

Streptocide

Quite rarely used in the treatment of stomatitis due to its dubious effectiveness. Pour streptocide, ground into powder, onto a cotton swab, apply to the sore, and hold for 30 minutes. It is advisable not to swallow.

Candide

The antifungal drug Candide prevents the proliferation of fungi. It is prescribed for the treatment of candidal stomatitis. The solution is applied to the affected surface 3-4 times a day until complete recovery.

Folk remedies

For treatment, you can use traditional medicine. The following juices, decoctions, oils and infusions have proven themselves well.

  • Aloe juice – fresh juice is used to lubricate lesions.
  • Kalanchoe juice - fresh juice for lubricating ulcers.
  • Garlic juice - to lubricate the affected areas of the mucous membrane and lotions, use grated garlic mixed with warm water in a 1:1 ratio.
  • Calendula solution - an alcohol solution is diluted with water for regular mouth rinsing or lotions.
  • Soda solution - for rinsing. To prepare the solution, use 1 tsp. soda per 200 g of warm water.
  • Weak salt solution - for rinsing 1 tsp. salts are dissolved in 200 g of warm water.
  • Oak bark decoction - for rinsing.
  • A decoction of onion peels - for rinsing or lotions.
  • Chamomile decoction - for rinsing.
  • A decoction of flax seeds - for rinsing.
  • Tea tree oil - for preparing a solution for rinsing, 5 - 7 drops per 200 g of water. Can be used in its pure form for lubrication and lotions.
  • Black cumin oil - for preparing a solution for rinsing, lubricating and lotions. 7 – 10 drops per 200 g of water or in pure form.
  • Rosehip oil - for preparing a solution for rinsing, lubricating and lotions. 10 – 15 drops per 200 g of water or in pure form.
  • Sea buckthorn oil - for preparing a solution for rinsing, lubricating and lotions. 15 – 20 drops per 200 g of water or in pure form.
  • Honey solution - for rinsing or lotions 1 tbsp. honey is diluted in 200 g of warm water.
  • Fresh carrot juice - to prepare a solution for rinsing, freshly squeezed juice is diluted with water in a 1:1 ratio.
  • Propolis - a ready-made alcohol solution is diluted with water in a 1:1 ratio and used for rinsing.
  • Raw egg white - for applications or for preparing a solution for rinsing. To do this, beat 1 egg white in 100 g of clean water at room temperature.
  • Silver water – for regular rinsing of the mouth.
  • Kombucha infusion - for rinsing.
  • Lotions made from grated raw potatoes - fresh tubers are rubbed to obtain juice, which is used for lotions.
  • You can gently lubricate the affected areas of the mucous membrane with juices and oils. Solutions and decoctions of herbs are used for regular rinsing of the mouth.

    Important! Before using traditional medicine, you should consult a doctor. Only a specialist can determine the advisability of their use without harm to health. The use of folk remedies does not cancel the main therapy, but only complements its effect.

    How many days does treatment last?

    Correct, competent treatment of stomatitis significantly speeds up the healing process. Depending on the type of disease, it lasts for 3 to 7 days. If after 1 week of treatment the signs of the disease have not disappeared or worsening is observed, then the patient most likely has complications. The following factors may be the probable reasons for its development.

    • The patient self-medicated or did not follow the doctor's instructions.
    • Decreased immunity.
    • The presence of chronic diseases of the body.
    • Regular injury or infection of the oral mucosa.
    • Undiagnosed allergy.
    • Having bad habits - smoking, chewing, etc.
    • Depression or frequent stress.
    • Improper oral hygiene.
    • Uncontrolled use of medications.
    • The use of oral hygiene products containing sodium lauryl sulfate.

    Returning to the question - can stomatitis go away on its own - it should be noted that a seemingly harmless disease can turn into serious problems for the patient. Therefore, you should remember three “don’ts” - don’t

    engage in self-medication,
    do not
    put off visiting a specialist and
    do not
    ignore the recommendations of your doctor.

    How to understand that stomatitis has passed?

    Very simple! A complete cure is indicated by the absence of lesions in the oral mucosa. There are no small ulcers, wounds or plaque on the cheek, palate, lip, tongue or tonsil area. The mucous membrane looks healthy, is well moisturized, does not cause pain and does not create discomfort during eating, talking, smiling and performing hygiene procedures.

    Possible complications

    If stomatitis in the mouth is left untreated, it will certainly lead to negative consequences, from gum inflammation to tooth loss. That is why it is extremely important when treating stomatitis to strictly adhere to the recommendations given by your dentist. The list of major potential complications includes the following diseases.

    • Chronic stomatitis.
      Statistically, this is the most common complication. An untreated inflammatory process becomes chronic and recurrent, which means that an infectious focus will always be present in the body.
    • Appearance of scars.
      A symptom such as bleeding gums can be a manifestation of many diseases, but with stomatitis, due to constant non-healing cracks in the oral cavity, scar tissue forms, which in the future may not allow the patient to open his mouth wide.
    • Laryngitis.
      If the infection spreads up the respiratory tract, the patient's voice becomes hoarse and a cough appears.
    • Vision problems.
      With advanced herpetic stomatitis, the target of damage becomes not only the gums, but also the mucous membranes of other organs. Most often, these are the eyes and genitals.
    • Loss of teeth.
      The most dangerous complication of stomatitis. The main threat is the fact that the destructive process can last for many years and may not be noticeable to the patient at first. First, periodontal disease will develop - serious damage to periodontal tissue. And only then, as a consequence, the teeth will gradually become looser until they fall out.

    Types of stomatitis in adults

    The clinical picture of the disease indicates that stomatitis can be mild or severe, have an acute or chronic course. To facilitate the diagnosis and treatment process, experts have developed the following classification of the disease.

    • Allergy is usually a chronic disease that occurs as a result of an allergic reaction of the body to an irritant. In addition to the characteristic ulcers, it may be accompanied by the appearance of white spots, blisters and small hemorrhages on the mucous membrane.
    • Herpetic or herpes - the disease occurs due to the entry of the causative agent of the herpes virus into the human body. Stomatitis of this type is characterized by an acute course. Bubbles appear on the surface of the mucous membrane, which open to form erosions and crusts.
    • Traumatic (bacterial) – a consequence of mechanical trauma to the oral mucosa and infection entering the wound. As a rule, the disease is mild, with symptoms characteristic of stomatitis.
    • Catarrhal and catarrhal-hemorrhagic stomatitis is a mild form of stomatitis, the causes of which are poor oral hygiene, the development of candidiasis, decreased immunity or gastrointestinal pathologies. The disease is accompanied by a typical clinical picture for the disease.
    • Candidal (fungal) stomatitis is an acute form of the disease, the so-called thrush, caused by the activity of bacteria of the genus Candida. It is most common in young children, the elderly, and patients who overuse antibiotics. Accompanied by the appearance of a white coating on the mucous membrane, a burning sensation and an unpleasant taste in the mouth.
    • Ulcerative is a severe form of the disease that occurs independently or as a result of a complication of the catarrhal course of stomatitis. It occurs acutely, with increased body temperature and enlarged lymph nodes. The resulting ulcers are very painful and can unite and form extensive lesions of the mucous membrane.
    • Aphthous stomatitis is a severe form of the disease, occurring acutely or chronically. Accompanied by the appearance of single or multiple gray-white ulcers. The ulcers are surrounded by a red halo and are very painful.

    It is important to know! By analyzing the condition of the oral mucosa, the nature of the ulcers and the patient’s complaints, specialists accurately determine the type of stomatitis and make an accurate diagnosis. Thanks to this, treatment of the disease occurs quickly and without complications.

    Antiseptic preparations and solutions

    Successful treatment involves the use of antiseptic solutions, ointments, and other drugs. They prevent the proliferation of pathogenic bacteria on the inflamed mucosal surface, relieve inflammation, and promote rapid healing of ulcers.

    For the viral form of the disease, medications are prescribed that, in addition to antibacterial properties, increase immunity and have an antiviral immunomodulatory effect.

    Popular immunomodulators:

    • Viferon;
    • interferon;
    • Lafarobion.

    Effective for candidiasis:

    • clotrimazole;
    • vitaon;
    • trypsin.

    To disinfect the oral cavity, use:

    • aekol;
    • chlorophyllipt;
    • iodinol;
    • hexoral.

    Below we will tell you how to treat stomatitis at home, what medications are prescribed to disinfect the oral cavity and relieve inflammation.

    Iodinol (blue iodine)

    Iodinol (blue iodine) has been successfully used to treat oral diseases. It is considered a safe antiseptic, suitable for adults and children. Used for rinsing, smearing, and applications. You should rinse your mouth with iodine for a week.

    For children, it is preferable to lubricate the affected surface with a cotton swab dipped in the medicine.

    Zelenka

    The classic method of treating stomatitis is drying and disinfecting ulcers using ordinary brilliant green. It should be applied to the inflamed areas with a cotton swab 2-3 times a day.

    Using brilliant green too often causes the mucous membrane to dry out!

    To get rid of green marks, you need to brush your teeth thoroughly.

    Methylene blue (blue)

    In dentistry, an aqueous solution of blue is used to treat candidal stomatitis; an alcohol solution causes a burn to the mucous membrane. A cotton swab dipped in blue is used to lubricate all the sores in the patient’s mouth. The procedure should be carried out after each meal, after rinsing the mouth with a herbal decoction.

    Lugol's solution

    Lugol's solution has antimicrobial properties - an effective drug widely used for tonsillitis, sore throat, and inflammation of the tonsils. It is successfully used in dentistry. The inflamed mucous membrane is treated with a cotton swab soaked in Lugol's solution. Carry out the procedure until complete recovery.

    Fukortsin

    Fucorcin is an effective antimicrobial and antifungal drug. It promotes rapid healing of aphthae, destruction of pathogenic microbes and fungal spores.

    Fukortsin is intended for external use; the oral cavity should be treated with extreme caution!

    The medicine is carefully applied to the cleaned surface with a cotton swab. Do not lubricate healthy areas of the skin with the solution.

    Hexoral

    For candidiasis and herpetic stomatitis, hexoral, an antiseptic antimicrobial drug, is available in the form of liquid and spray. Twice a day you need to treat the inflamed surface with hexoral, do not swallow the medicine! The course of treatment is 5-7 days.

    Which doctor should I contact for stomatitis?

    If you notice the first signs of damage to the oral mucosa, you should immediately consult a dentist. After differential diagnosis of the disease and an accurate diagnosis, it is possible to observe it with a general practitioner or other specialized specialist, for example, an allergist.

    Do not ignore preventive visits to the dentist.

    It is enough to visit a specialist 1 – 2 times a year, which will allow you to promptly identify any dental problem at an early stage of development. This means that its elimination will be quick, easy and without complications.

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    Sprays and aerosols

    Inhalation with sprays for stomatitis is rarely used. They are indicated if instant results are needed. The medicine is immediately absorbed into the mucous membrane, so relief comes quickly.

    Medicines in the form of a spray or aerosol should absolutely not be used in the treatment of children under 6 years of age, as they may inhale the drug.

    Below we will introduce you to some fast-acting medications.

    Bioparox

    The inhalation drug Bioparox is used both for the treatment of diseases of the ENT organs and in dentistry. Has anti-inflammatory and bacteriostatic effects. It contains the polypeptide antibiotic fusafungin. Apply to the surface of the oral cavity 2 times a day.

    Tantum Verde spray

    The anti-inflammatory pain reliever Tantum Verde is available in the form of a spray and rinse solution. The only spray that is approved for use by infants. Used in the treatment of respiratory diseases. In dentistry it is prescribed to quickly relieve the symptoms of stomatitis.

    Ingalipt

    The combined drug has a disinfecting and anti-inflammatory effect. Effective in various forms of the disease. Ingalipt is applied to the affected areas of the mucous membrane 3-4 times a day. The course of treatment is 5-7 days. Before use, it is recommended to rinse your mouth with boiled water.

    Ambassador

    Effective in the treatment of ulcerative, aphthous, catarrhal stomatitis. Proposol contains propolis, glycerin and ethyl alcohol, so it has antimicrobial and anti-inflammatory effects. Spray in the mouth 2-3 times a day for a week.

    We have told you different ways to cure stomatitis at home. It is advisable to consult a doctor about prescribing certain medications.

    You should not take a large number of different medications at the same time. It is enough to choose one or two of the most effective products plus a variety of rinses.

    How to distinguish stomatitis from other diseases?

    The main sign of stomatitis is the presence of characteristic ulcers, the tissue around which looks healthy. The disease is rarely accompanied by systemic symptoms and, as a rule, recurs from time to time. For a competent specialist, it is not difficult to distinguish stomatitis from other ailments.

    For a sore throat

    When you have a sore throat, your body temperature always rises. In this case, it is not the ulcers themselves that hurt, but the throat area. Upon visual examination, the tonsils appear swollen, inflamed and red.

    For herpes

    The problem is that herpetic stomatitis is one of the manifestations of herpes. A viral disease is accompanied by the formation of characteristic blisters that burst and dry out. In the presence of other types of stomatitis, the nature of the ulcers is completely different.

    For cancer

    Ulcers due to cancer of the oral mucosa do not go away on their own even after treatment. Over time, they increase in size and may bleed and become painful.

    From thrush

    Candidal stomatitis is thrush caused by the activity of bacteria of the genus Candida. In all other cases, the nature of the disease will be different and can be easily distinguished from thrush by the presence of characteristic ulcers.

    For syphilis

    When infected with syphilis, a red spot appears on the surface of the mucous membrane. Gradually it thickens, takes the form of a dense nodule and ulcerates - a typical hard chancre is formed, which is completely different from ulcers with stomatitis.

    What consequences might you face?

    Most often, the disease goes away within two weeks, but with complicated pathology, the disease can lead to dangerous consequences .

    The most common are:

    • loss of teeth;
    • bleeding gums;
    • damage to the hard/soft palate;
    • ulcers;
    • periodontal disease;
    • risk of damage to other areas of the mucous membrane (eyes, genitals);
    • general intoxication;
    • hoarse speech;
    • laryngitis;
    • fungus.

    Remember! The most dangerous consequence of the disease is fungus. When it enters the bloodstream, it spreads harmful microorganisms throughout the body.

    Recommendations during treatment

    Treatment of stomatitis should be carried out comprehensively - local therapy, taking medications appropriate to the type of disease, and strengthening the immune system. During the treatment period, you must adhere to the following recommendations.

    • Compliance with the diet - you need to exclude from the diet spicy, salty, sour, too sweet, smoked, hot, cold and any dishes that are traumatic to the mucous membranes.
    • Maintaining oral hygiene . To maintain it, it is necessary to use antiseptic agents that you regularly rinse your mouth with.
    • Taking vitamin-mineral complexes that strengthen the body's protective functions.

    If the doctor has diagnosed the presence of candidal stomatitis, then you should not drink milk or consume fermented milk products, which activate the activity of pathogenic fungi.

    Any medications should be used only as prescribed by a doctor. Especially antibiotics.

    It is important to know! It is not recommended to cauterize emerging ulcers with pure alcohol solutions. The only thing that is allowed is treating the lesions with a weak solution of iodine or potassium permanganate.

    Prevention

    To avoid the occurrence of stomatitis and its relapses, you should adhere to the following recommendations.

    • Maintain oral hygiene.
    • Avoid using products containing sodium lauryl sulfate.
    • Protect the oral mucosa from injury.
    • To treat teeth and gums, contact experienced, qualified specialists.
    • Balance your diet with healthy foods.
    • Strengthen immunity.
    • Be attentive to your physical health and psycho-emotional state - if necessary, seek help from specialized specialists.

    And do not forget that herpes stomatitis can be transmitted from person to person - follow the rules of hygiene.

    Photo of stomatitis


    Author: Elena Grunina Dentist-therapist, endodontist. Work experience more than 9 years. The information is for reference only. Before treatment, consultation with a doctor is necessary.
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