How dangerous is smoker's stomatitis and is it possible to smoke with this disease?


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.

Treatment of candidal stomatitis

A type of stomatitis that is caused by a special type of fungus – Candida albicans. Very often, candidal stomatitis begins with glossitis, which is why its second name is stomatitis on the tongue. Treatment in this case requires fairly prompt treatment, since in adults it is quite painful and is accompanied by a burning sensation in the mucous membrane and sore throat. On the inner surface of the lips and cheeks, as well as on the tongue, characteristic foci of inflammation appear, covered with a white cheesy coating.

Treatment methods

  • Treatment of common diseases (if detected).
  • Antimicrobial therapy.
  • Preventive rinses.

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%.

Types and forms of stomatitis

What types of stomatitis are there? Depending on what is taken as the basis for the classification, various forms and varieties of this disease can be distinguished. For example, according to the degree of damage to the mucous membrane, a distinction is made between catarrhal (superficial) stomatitis and ulcerative stomatitis.

According to the causes of occurrence, traumatic stomatitis, bacterial, candida, viral, prosthetic, drug, allergic and radiation are distinguished. The nature of the course of the disease and the presence of relapses make it possible to determine such forms of stomatitis as acute and chronic stomatitis.

To accurately determine the type of stomatitis in a particular case, it is necessary not only to carefully examine the oral cavity, but also to conduct tests for the presence of certain pathogens, and also take into account the presence of allergic reactions in the patient, chronic diseases (such as diabetes or gastritis) , pathologies of the immune system.

Chronic

Chronic stomatitis usually occurs as a continuation of advanced acute stomatitis and is characterized by a long course with periodic remissions and exacerbations. By origin, this is most often viral (herpetic) stomatitis. After treatment, the virus remains in the body and when the immune system is weakened again (due to stress, illness or other reason), it is activated and leads to relapse of stomatitis.

Chronic recurrent stomatitis can be not only viral in nature, but also bacterial, allergic, and candidiasis. The causative agents of many diseases are constantly present in the body, or easily enter it from the external environment. And if stomatitis was caused by an allergy to some substance or exposure, then it is very likely that with each contact with this allergen the stomatitis will return again.

Treatment of chronic stomatitis always includes the use of specific therapy aimed at suppressing the pathogen: antibacterial, antiviral, antifungal. It is also necessary to eliminate foci of infection (for example, carious cavities) and complete sanitation of the oral cavity with professional hygiene.

Bacterial

Bacterial stomatitis is caused by pathogenic microorganisms (for example, streptococci or staphylococci) that enter the oral cavity or are already in it (for example, in carious cavities, in the thickness of tartar) and infect the mucous membrane. This is facilitated by injury to the mucous membrane with sharp edges of teeth, rubbing dentures, or other objects.

Treatment of bacterial stomatitis involves the use of antiseptic and antibacterial agents. If the cause of stomatitis is a denture, then it should be cleaned with special means (for example, in an ultrasonic bath), or replaced with a more comfortable one.

Angular

Angular stomatitis is associated with the appearance of cracks in the corners of the mouth (“jams”). The main causes of this disease are lack of vitamins and bacterial (or fungal) infection. This type of stomatitis is characterized by damage to the outer surface of the lips.

Treatment for angular stomatitis depends on the type of infection. For fungal infections, fungicidal ointments and preparations are used. The streptococcal variety requires the use of antibacterial agents. Treatment is complemented by taking vitamins, eliminating their deficiency and raising the level of immune defense.

Viral

Viral stomatitis is caused by infection of the body with a virus. Most often (in about 80% of cases) this is the herpes virus. But besides it, stomatitis can be caused by almost any virus - chickenpox, measles, influenza, adenoviruses or rotaviruses. Typically, the onset of the disease is typical for a viral infection of this type - it may be fever, chills, runny nose, cough, or swollen lymph nodes. But after 1-3 days, characteristic symptoms of viral stomatitis appear: blisters form in the mouth, which later turn into ulcers, swelling of the gums, bleeding, and putrid breath may occur.

Viral stomatitis can be considered a complication of the underlying viral infection. Its causes (in addition to the virus itself) are reduced immunity and poor oral hygiene - the presence of untreated caries, periodontal disease, gingivitis.

Treatment of viral stomatitis involves first of all treating the underlying disease. In addition, the affected areas of the mucosa can be treated with local antiseptic drugs, anti-inflammatory and wound healing agents. Often in such cases, antiviral ointments or gels are prescribed, and vitamins, immunomodulators, and adaptogens are prescribed to maintain and strengthen the immune system.

Allergic

Allergic stomatitis is caused by exposure to allergens. In addition to the typical allergens that are well known to us, such as animal fur, pollen, foods such as honey, citrus fruits, etc., allergies can be caused by some medications, dental products and orthodontic structures (for example, acrylic dentures).

It often happens that an incorrectly manufactured prosthesis (for example, with a violation of the proportions of the material components) causes an allergic reaction and, as a result, stomatitis. When replacing the prosthesis with a correctly made one (without excess monomer in the composition), the allergy disappears. Symptoms of allergic stomatitis are redness of the mucous membrane (and with prosthetic stomatitis, this can be not only the areas under the prosthesis, but all parts of the tongue, cheeks, etc., in contact with the prosthesis), swelling, itching, and subsequently small blisters appear, often turning into sores.

When treating allergic stomatitis, it is important first of all to determine the cause of the allergy and remove contact with the allergen (eliminate foods that cause allergies, or replace the denture if this is the cause), and take antihistamines. The rest of the treatment involves the use of local antiseptic, anti-inflammatory and analgesic agents.

Herpetic

Herpetic stomatitis is one of the contagious forms of stomatitis. Moreover, contagiousness persists even for 2 weeks after recovery. In most cases, the herpes virus never completely leaves the infected body. It is in a dormant, inactive form, but can be activated when immunity decreases - due to stress, lack of vitamins, due to a severe respiratory disease. Therefore, herpetic (cold sore) stomatitis is often chronic.

An adult very often does not have a strong reaction to the effects of herpes and damage to the mucous membrane. In children, acute herpetic stomatitis can be accompanied by an increase in temperature, general intoxication; when the bubbles merge, burst and form erosion, the child may feel severe pain, which interferes with eating, drinking, and talking. Most often, rashes appear on the palate, tongue, and inner surface of the cheeks. But often they also affect the lips and gums. The danger of this type of stomatitis is that it can turn into gingivitis, so it must be treated.

Treatment of herpetic stomatitis always involves suppressing the herpes virus. Antiseptics (chlorhexidine) and even many antiviral drugs do not affect the herpes virus. Moreover, antibiotics have no effect on him. Special medications have been developed against herpes - acyclovir, valacyclovir, famciclovir. They should be taken only as prescribed by a doctor, in case of severe herpetic stomatitis.

Among the local antiseptics, you can use Miramistin (effective against both types of herpes viruses) and Hexoral (active only against HSV-1). Anti-inflammatory drugs (cholisal) and wound-healing agents (solcoseryl, actovegin, sea buckthorn and rosehip oil, vitamins A and E) perform well.

Candida

Candidal stomatitis often occurs in children under 3 years of age and is therefore often called childhood thrush. This disease is caused by the fungus Candida. It is distinguished by a characteristic white cheesy coating, which is practically impossible to remove mechanically. When trying to remove it, the patient experiences pain, and under the plaque a bleeding, swollen surface of the mucous membrane is found. At the onset of the disease, a person may feel dry mouth, a burning sensation, and white dots appear that merge to form a continuous plaque.

The decision on how to treat candidal stomatitis should be made by a doctor, especially when it comes to a child. For adults, antifungals and topical medications (such as candida) are almost always prescribed. Treatment of candidal stomatitis in children is often limited to the use of vitamins and immune-strengthening agents. To eliminate symptoms, use alkaline rinses and lubricate the mouth with iodine. Antifungal drugs are used only in cases of severe candidomycosis stomatitis.

Ulcerative

Ulcerative stomatitis is a more severe form of the disease than catarrhal stomatitis. Its peculiarity is that the lesion covers the entire thickness of the mucosa, in contrast to the catarrhal form, where it affects only the superficial layers. Deep damage to the oral mucosa causes great suffering to the patient, and after the ulcers heal, scars often remain. Treatment for ulcerative stomatitis depends on the cause of the disease. If an infection is present, antibacterial, antiviral or antifungal therapy is carried out, as well as a course of restoratives and vitamins. Treatment is carried out with means for topical use - antiseptic drugs (furacilin, chlorhexidine, miramistin), herbal decoctions, healing agents. If the cause is traumatic damage to the mucosa, dental procedures are indicated: removal of decayed teeth, treatment of caries, professional oral hygiene.

Vesicular

Vesicular stomatitis is most often enteroviral. It is usually transmitted from animals (or from people who are carriers of the virus) - by airborne droplets, contact and fecal-oral routes. Children most often suffer from it. One of the characteristic symptoms of this disease is a rash on the palms and soles (sometimes also on the face around the mouth, on the buttocks and genitals) - this is vesicular stomatitis with exanthema.

Watery rashes are quite painful and cause itching, which causes severe discomfort to the child, often leads to refusal to eat, and disrupts sleep. With proper timely treatment, the disease goes away without a trace, leaving lasting lifelong immunity. Unfortunately, there are several types of Coxsackie virus, so a person who has had vesicular stomatitis can become infected again with a different type of virus.

Treatment is mainly symptomatic and includes isolating the patient (to avoid infecting other people), taking painkillers, treating rashes with local antiseptics, using applications and rinses, taking vitamin complexes, and in some cases, antiviral and antihistamine drugs.

Aphthous

Aphthous stomatitis is characterized by the formation of aphthous stomatitis on the oral mucosa - one (less often two or three) round ulcers up to 1 cm in size, surrounded by a bright red border and covered with a gray-yellow coating. Touching them is very painful. Itching or burning is often felt before ulcerations appear. Other symptoms rarely appear - slight fever, weakness.

The cause of aphthous stomatitis is reduced immunity, the presence of foci of infection (chronic tonsillitis, pharyngitis, etc.), gastrointestinal diseases, allergic reactions (including to sodium lauryl sulfate contained in some toothpastes), trauma to the mucous membrane (biting), increased concentration of nitrates in food or drink.

If the situation of decreased immunity, exposure to infections or allergens is repeated, the disease may recur, taking on the character of recurrent aphthous stomatitis. With a mild course of the disease, there are no more than 2-3 relapses per year. More frequent attacks indicate a severe form of the disease.

Treatment of aphthous stomatitis involves eliminating contact with allergens, incl. Avoid toothpaste with sodium lauryl sulfate and avoid allergenic and acidic foods. Antihistamines are also often prescribed.

When deciding how to treat aphthous stomatitis, the doctor must conduct a thorough diagnosis and establish the cause of the disease. In accordance with this, a selection of antiseptic drugs (for example, miramistin or chlorhexidine), anti-inflammatory gels (for example, cholisal) and wound healing agents (solcoseryl) is made.

The severe course of chronic aphthous stomatitis often involves the use of more serious medications and methods: laser treatment, immunomodulators, glucocorticoids, but such drugs should be prescribed exclusively by the attending physician.

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.

Causes

Frequent causes of this disease are associated with the negative influence of infectious diseases and bacteria that lead to oral ulcers .

However, it should be taken into account that the proliferation of pathogenic microorganisms requires additional factors that cause the development of the disease.

Keep in mind! When determining the main causes that provoke the onset of the disease, experts identify the following factors:

  • long-term smoking;
  • oral injuries (burns and blisters, bitten tongue, wound from a broken tooth);
  • poor nutrition;
  • lack of vitamin B, zinc and iron;
  • eating unwashed vegetables and fruits;
  • non-compliance with the principles of oral hygiene;
  • diuretics, as well as all drugs that reduce salivation;
  • poorly installed dentures;
  • alcohol consumption;
  • intoxication of the body.

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.

Prevention of stomatitis

Preventing a disease from occurring is much easier than treating it. Considering that the main risk factors for stomatitis most often are decreased immunity and poor oral hygiene, as well as bad habits, we can name the key points for preventing stomatitis:

  • regular teeth cleaning and visits to the dental office,
  • taking care of the immune system - avoiding stress, taking multivitamins, eating fruits and vegetables,
  • getting rid of bad habits (primarily smoking),
  • take care of your health and try to prevent the development of chronic diseases.

When visiting a dentist to install orthodontic structures, dentures, or crowns, you must carefully choose a clinic to avoid allergies or rubbing of the dentures.

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.

    Treatment of bacterial stomatitis

    This type of stomatitis is also called prosthetic stomatitis, since it occurs due to unsatisfactory care of the orthopedic structure, when many pathogenic microorganisms accumulate in the area of ​​​​contact between the prosthesis and soft tissues. After treating foci of inflammation, it is necessary to carry out complete cleaning and antibacterial treatment of the prosthesis or replace it. This type of stomatitis should not be confused with allergic stomatitis, which develops against the background of an allergy to the prosthetic material. In this case, the prosthesis must be changed to a hypoallergenic one.

    Treatment methods

    • Anti-infective therapy.
    • Mouth rinse.

    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.

    Treatment of stomatitis at home

    I would like to immediately note that treating stomatitis with folk remedies at home is possible, but you need to understand that in many cases it is impossible to do without a visit to a specialist and the use of antibiotics. Ignoring these points can lead to worsening of the disease and longer rehabilitation. In addition, on the Internet you can find a whole lot of “revolutionary” recipes for stomatitis, so you need to be able to separate the wheat from the chaff and understand which remedies can really help, and which are the fruit of the inflamed imagination of “couch healers”. Below we publish the most common methods of preventing and treating stomatitis with folk remedies, but please note that only an experienced specialist can draw up an optimal treatment plan.

    In the case of children, treatment of stomatitis with folk remedies at home is used quite often. This is especially justified as a preventive measure, since the child’s body is more susceptible to the influence of the external environment. The most popular remedies are considered to be all kinds of decoctions, for the production of which chamomile, calendula, burdock, propolis and blackberry leaves are used. A homemade ointment is also used to treat stomatitis, which is made from novocaine, egg white and honey. Be that as it may, if your child shows signs of stomatitis, it is best to immediately take him to a specialist who can make the correct diagnosis and plan treatment.

    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.

    Stomatitis caused by fungi

    Candidal stomatitis is a fungal disease caused by fungi of the genus Candida.10 Young children and the elderly are more often affected; people with diabetes and xerostomia (dry mouth), pregnant women and people with weakened immune systems are also at risk. Elderly people wearing removable dentures often get sick.

    The main symptom of fungal stomatitis is a burning sensation and the presence of a white, cheesy coating, when removed, a swollen, red mucous membrane appears. The general condition of adults with candidal stomatitis is practically not affected.

    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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    Treatment approach

    Treatment of this pathology is not difficult. It is based on several points .

    The first is to eliminate the irritant, that is, quit smoking . If this is not possible, then try to reduce the number of cigarettes and focus your energy on improving oral hygiene .

    The second is to temporarily stop eating hot and spicy foods, hot foods and drinks .

    Eliminate sour foods, sugar, and ice cream from the menu. Gradually, the inflamed mucous membrane will begin to return to normal.

    However, you need to approach the treatment of the disease thoroughly; for this there are two ways to eliminate the disease - drug treatment and traditional methods.

    Drug treatment

    A popular remedy for the treatment of stomatitis is the antiseptic “Chlorhexidine” - it gently cleanses the mucous membranes and has a disinfectant effect.

    The drug "Cholisal" effectively relieves pain thanks to tsetalkonium and choline in the composition. The product is applied in the form of compresses to the inflamed areas at least twice a day.

    Stay up to date! Gel "Alveolite" - reduces the intensity of inflammation, anesthetizes the surface of the mucous membrane.

    Oxolinic ointment - eliminates the symptoms of infection. The product is applied not only to ulcers, but also to the entire oral cavity.

    Traditional methods

    The best folk remedies for treating the disease in the early stages are herbs and plants (calendula, chamomile, yarrow, anise, sage, oak bark, flax).

    In addition to herbal decoctions, folk remedies involve the use of raw potatoes, honey, garlic, cabbage and carrots .

    These ingredients are used to make ointments to reduce pain.

    Folk remedies are also used for oral administration. For example, rosehip decoction - it destroys pathogenic bacteria, improves immunity and fights inflammation.

    On average, treatment of stomatitis occurs within 5-8 days , depending on the degree of the disease. The ulcers heal well and there are no marks left at the wound site.

    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.

    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.

    Treatment of aphthous stomatitis

    A distinctive feature of this type of stomatitis is the appearance of so-called aphthae on the oral mucosa. These are small round ulcers with redness at the edges, the touch of which causes unpleasant painful sensations. Often occurs as a result of the activity of microorganisms (in particular, staphylococcus). Treating aphthous stomatitis at home is only recommended if it is not caused by a more severe illness. Often aphthous stomatitis occurs with problems with the immune system, liver and gastrointestinal tract.

    Treatment methods

    • Allergy therapy.
    • Antiseptic therapy (treatment of aphthae with anti-inflammatory solutions, gels and ointments).
    • Dental treatment and sanitation of the oral cavity (after dental treatment, stomatitis occurs less frequently than in the presence of carious lesions).
    • Immunotherapy.
    • Diet.

    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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