Suffering from painful canker sore part 1

typWhat is a canker sore

A canker sore mouth is a non traumatic ( not caused by injury to the mouth)  ulceration that affects oral mucosa or skin of the mouth. Another more scientific term for this is an apthous ulcer. This is probably the most common ulcers found in the mouth. The incidence of canker sores range from 20% to 60%, depending on the population studied. Prevalence or higher occurrence rate tends to be higher in professional persons, in those in upper socioeconomic groups and in those who do not smoke. This canker sores are thought to be an immunological disease.

Canker sores symptoms

There are three types of canker sores or ulcers that has generally been identified : minor, major and herpetiform ulcer. All of these three are believed to be part of the same disease spectrum, and are also believed to have the same cause. The differences between these three forms are essentially clinical and corresponds to the degree of canker sore pain felt by the patient. All forms present as painful recurrent ulcers. Patients usually has prodormal symptoms ( non-specific symptom (or set of symptoms) that might indicate the start of a disease before specific symptoms occur ) of tingling burning sensation in the mouth before the appearance of the canker sore. The canker sores are not preceded by vesicles and characteristically appear in the sulcus and cheek of the mouth. Canker sore on lips and canker sores tongue are also common sites for occurrence. The only areas in the mouth that this canker sores rarely occur at are the gums and hard section of our palate, this landmarks of occurrence can help us separate canker sores from secondary herpetic ulcers which may look similar to a canker sore. However, do note that for patients suffering from AIDS, canker sores can occur anywhere in the mouth. Are canker sores contagious ? Please note that canker sores are not contagious, it is an immune disease caused by the own individual’s immune reaction not by a contagious canker sore virus.

Types of Canker Sores

minor canMinor Apthous Ulcer (minor canker sore)

It is the most commonly encountered form of canker sores. This type typically appears as a single oval ulcer, less than 0.5 cm in diameter, it is covered by a yellow fibrinous membrane and surrounded by a  erythematous halo (red colored ring). Multiple canker sores may be seen at one time in the mouth. When canker sores occur on the tongue  , or canker sores tongue , canker sore pain tends to be out of proportion form the size of the lesion.This type of minor canker sores last for about 7-10 days and heal without any scar formation. You can have one to five of them in your mouth at a time. Recurrence rate varies among individuals. Periods of freedom from canker sores vary from moths , days, to years.

major canMajor Apthous Ulcer ( major canker sore)

It was previously not thought to be a canker sore.Previously they thought that it was under Sutton’s disease. Major canker sores are now regarded as the most severe expression of apthous stomatitis (or mouth ulcers). Major canker sores are more than 0.5 cm in diameter. I t is also more painful and persist or last longer than minor canker sores. Because of the depth of inflammation, major canker sores appear like huge moon craters in the mouth and heals eventually with scar tissue formation. This major canker sore may take up to 6 weeks to heal and sadly as soon as one canker sore heals, another one starts. Therefore, there can be as many as one to ten ulcers on the mouth at a time. Such patients would experience significant canker sore  pain and discomfort, in fact overall health may be effected because of difficulty in eating and psychological stress. Major canker ulcers mostly occur on movable tissues in the mouth. Therefore, cheeks and sulcusus are common areas.

herpetHerpetiform ulcers (herpetiform like canker sores)

This type of canker sores presents clinically as recurrent crops of small oval shaped ulcers. It is like cluster forms of small ulcer’s looking like herpetic vesicles, but they are in no way associated with herpes viruses. Hence the name herpetiform ulcers. There can be ten to one hundred small canker sores in the mouth.  Although movable mucosa is predominantly affected, the palate and gums might be also a possible site for appearance of this canker sores. There might be considerable canker sore pain felt and healing generally occurs in one to two weeks. Unlike herpes infections, there are no fluid filled vesicles present and exhibit no virus infected cells.

7 thoughts on “Suffering from painful canker sore part 1

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  3. Lily

    its been almost a week now and i have about ten canker sores in my mouth they are on the top left corner of mouth mouth, inside the cheek and they goo all away around to the top and and the gums beside it. Its really pain full, and im not sure if they are going to go away!! I need help! Anything, that will sooth the pain or get rid of them faster then the naturel healing process cause its driving me crazehhhhhh

  4. samantha

    lily, you sound like yo have a serious canker sore problem. maybe for your case you might need some steroids to stop the ulcers, the best thing you can do is go see your dentist if not maybe some temporary relief with chloraseptic spray might help

  5. Belina

    I have about ten canker sores under my tongue in a line on both sides, plus probably 5 more around the edge of my tongue that brush against my teeth plush two more between my gum and bottom lip. I wen to go see my doctor but she didn’t see it at it’s worst like right now,,, how long will it take to heal, I got it four days ago???!?!?!?!? It REALLLLLLLLLY HURTS, I almost can’t eat or talk(I can’t move my tongue or it hurts :'(

  6. samantha

    you should see a dentist. to really reconfirm if its canker sores
    avoid toothpaste with sodium lauryl sulphate ingriedients
    avoid crispy or spicy food.

    there is the usual over the counter topicals like orobase.
    tetracycline mouth washes are also good. avoid chlorhexidene mouthwashes.
    if that does not work and the pain is extremely unbearable, ur physician or dentist can prescribe some topical steroids for you.

    ps : can be caused by stress or B12 or iron deficiency as well
    but better go to a dentist to have a look

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