Mouth ulcers are painful areas in the mouth and gums. They are also known as canker sores.
While mostly harmless, mouth ulcers can be extremely uncomfortable and make it difficult for some people to eat, drink, and brush their teeth.
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There are three main types of mouth ulcers. These include:
Herpetiform ulceration (HU)
Herpetiform ulcers are a subtype of aphthous ulcers and get their name because they resemble the sores associated with herpes. Unlike herpes, HU is not contagious. HU ulcers recur very quickly, and it may appear that the condition never gets better.
This type can range in size from about 2 millimeters (mm) up to 8 mm across. These ulcers typically take up to 2 weeks to get better and will cause minor pain.
Bigger than minor ulcers, major ulcers are often irregular in shape, may be raised, and penetrate deeper into the tissue than minor ulcers. They can take several weeks to go away and are likely to leave scar tissue when they clear.
Ulcers can be painful, and the pain can be made worse by food, drink, and poor oral hygiene.
HU lesions may:
- appear as extremely painful ulcers in the mouth
- recur very quickly, so infections seem continuous
- increase in size, eventually coming together to form a large, ragged ulcer
- take 10 or more days to heal
- appear anywhere in the mouth
They tend to be found in more females than males and are more common in older adults.
Symptoms of minor and major ulcers include:
- one or more painful sores that may appear on the cheeks, the roof of the mouth, or the tongue
- the appearance of round lesions that have red edges and are yellow, white, or gray in the middle
During more extreme outbreaks of mouth ulcers, some people may experience fever, sluggishness, and swollen glands.
The exact cause of mouth ulcers is still not known and varies from person-to-person. Still, there are some common causes and several factors that may aggravate mouth ulcers, including the following:
- quitting smoking
- citrus fruits and other foods high in acidity or spice
- braces, poor-fitting dentures, and other apparatus that may rub against the mouth and gums
- stress or anxiety
- hormonal changes during pregnancy, puberty, and menopause
- medications including beta-blockers and pain killers
- genetic factors
Some people may develop ulcers as a result of a different medical condition or a nutritional deficiency.
Conditions such as celiac or Crohn’s disease, vitamin B12 or iron deficiency, or a weakened immune system may all trigger ulcers to form.
Are mouth ulcers cancerous?
Mouth cancer and mouth ulcers are distinctive in their symptoms. However, as mentioned earlier, new or persistent ulcers require checking.
There are some fundamental differences between mouth ulcers and what might be cancer:
- Mouth ulcers are often painful whereas mouth cancer is not.
- Mouth ulcers will clear up in about 2 weeks, whereas mouth cancer will not go away and will often spread.
- Mouth cancer patches may be rough, hard, and not easy to scrape off.
- Mouth cancer is often a mix of red and white areas or large white areas that appear on the tongue, the back of the mouth, the gums, or on the cheeks.
- Mouth cancer is often linked to heavy drinking or tobacco use.
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NET WT. 4.6 oz (130g)
Brush teeth after meals, have regular dental check-ups and avoid between meal treats.
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