diseases

STOMATITIS


Introduction
Stomatitis is inflammation of the mucous lining of any of the structures in the mouth, which may involve the cheeks, gums, tongue, lips, and roof or floor of the mouth. The word "Stomatitis" literally means inflammation of the mouth.

Aphthous Stomatitis, also known as recurrent aphthous ulcers (RAU) or canker sores, is a specific type of stomatitis with shallow, painful ulcers that are usually located on the lips, cheeks, gums, or roof or floor of the mouth. They are usually caused due to nutritional deficiencies especially Vitamin B12, iron.


Cause:
. Poor oral hygiene.
. Local trauma.
. Poorly fitted dentures.
. Stress.
. Positive family history in 1/3 of cases.
. Chronic mouth breathing due to plugged nasal airways can cause dryness of mouth tissues which in turn leads to irritation.
. Drinking beverages that are too hot can burn the mouth leading to irritation and pain.
. Nutritional deficiencies such as deficiency of Vitamin B12, folate or iron can lead to stomatitis.
. Stomatitis is also caused due to cigarette smoking.
. Food allergy.
. Diseases such as herpetic infections, inflammatory bowel disease, gonorrhea, measles, and leukemia may cause stomatitis.
. Thrush which is a fungal infection is a type of stomatitis.
. In cancer patients after receiving chemotherapy

Signs and Symptoms:
. Tiny shallow ulcers on Erythematosus base covered with grayish white exudate. . Pain, redness, swelling and occasional bleeding from the affected area. . Bad breath (halitosis). . Discomfort and pain while eating.

Diagnosis:
Examination of the oral cavity may show redness, tiny ulcers. Patient's history may reveal a systemic disease or medications causing stomatitis or oral appliances may be causing stomatitis.Blood test is done to evaluate the cause. Scrapings of the lining of mouth are sent to the laboratory for microscopic evaluation.

Prognosis:
The prognosis for the resolution of stomatitis is based on the cause of the problem. Depending on the cause it can be treated or avoiding the offending agent. Infectious causes of stomatitis can usually be managed with medication. Good oral hygiene should be maintained.

Treatment:
The treatment of stomatitis is based on the problem causing it. Local cleansing and good oral hygiene are very effective in treating stomatitis.Sharp-edged foods such as peanuts, tacos, and potato chips should be avoided. A soft-bristled toothbrush should be used. Ill-fitting dental appliances or sharp teeth can be corrected by a dentist.

Infectious diseases are treated with medication. Minor mouth burns from hot beverages or hot foods will usually resolve on their own in a week.Aphthous stomatitis is treated by first correcting nutritional deficiencies such as vitamin B12, iron, or folate deficiencies. Systemic problems, such as AIDS, leukemia, and anemia are treated by the appropriate medications.

Use of tobacco should be avoided.

Homeopathic Management:
Homeopathic medicines not only cure stomatitis but they also prevent its recurrence. There are many patients especially who are executives, managers who are constantly under stress due to too many responsibilities, they usually suffer from recurrent stomatitis.

Continuous stress, improper timing of food and nutritional deficiencies are some of the causes. Homeopathy acts on the mental level, brings back the balance in mind and body. Thus you can find that after administering homeopathic medicines the ulcers will heal, pain will reduce and there will be no recurrence.

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