It is generally considered to be an immune reaction, brought on by a virus, or mechanical trauma such as biting the cheek, or catching the cheek in a dental appliance etc. It is also considered to be related to food sensitivity and nutrient deficiency. .
Canker sores may be an indicator of endogenous nitrosation. High nitrite intake with frequent canker sores correlated with the development of esophageal cancer.
Signs & Symptoms
Structure & Function:
Immune System Support &
L-acidophilus* Folic acid 400 mcg Iron* Lactobacillus acidophilus* Vitamin B complex* Vitamin C 500-1000 mg Zinc 15-25 mg
* Please refer to the respective topic for specific nutrient amounts.
All amounts are in addition to those supplements having a Recommended Dietary Allowance (RDA). Due to individual needs, one must always be aware of a possible undetermined effect when taking nutritional supplements. If any disturbances from the use of a particular supplement should occur, stop its use immediately and seek the care of a qualified health care professional.
A diet eliminating allergens is one approach. Sensitivity to gluten is often present, hence the diet should eliminate grains.
Deficiencies have been found for the following nutrients: iron, folate or vitamin B12.
Zinc supplementation, together with any other deficient nutrients, is effective in some patients.
Aconitum Napellus tinct.
Arnica montana tinct.
Arsenicum Album (burning)
Over-the-counter homeopathic remedies may be single strength (of fairly weak potency e.g. 6X ) or a blend of several weaker strengths (6X, 8X, 10X).
This may comprise a single remedy, or several remedies.
Doses are administered on a 3 times daily (tid), between meals,schedule and continued for 3 days.
Liquid preparations usually use 8-10 drops per dose.
Solid preparations are usually 2 or 3 pellets per dose.
Children use 1/2 dose i.e. 1 pellet.
If there is aggravation of the symptoms, stop taking the remedy and consult a homeopath.
Murphy, R. : Homeopathic Medical Repertory. Hahneman Academy, Pagosa Springs, Colorado. 1993.
Murphy, R. : Lotus Materia Medica. Hahneman Academy, Pagosa Springs, Colorado. 1995.
Pert, J.C.: Homeopathy for the Family. The Homoeopathic Development Foundation, London. 1985 edition.
Note: The misdirected use of an herb can produce severely adverse effects, especially in combination with prescription drugs. This Herbal information is for educational purposes and is not intended as a replacement for medical advice.
Herbal Mouthwashes may relive the pain e.g. Thymol (from Thyme).
Das, SK et al., Deglycyrrhizinated liquorice in apthous ulcers. J Assn of Phys of India (JAPI). 1989, 37:647.
Hoffmann, D: The New Holistic Herbal. Element, 1983. Third edition 1990.
Aromatherapy - Essential Oils
Geranium Essence, Peppermint Essence, Tea Tree Essence.
Related Health Conditions
High rates of recurrence are experienced in patients with celiac disease.Abstracts
Eversole, R.L. et al: Effects of suspected foodstuff challenging agents in the etiology of recurrent aphthous stomatitis. Oral Surg. Oral Med. Oral Pathol. 1982, 54(1): 33-38.
Field, E.A. et al: Clinical and hematological assessment of children with recurrent aphthous ulceration. Br. Dent. J. 1987, 163: 19-22.
Gertenrich, R.L. & Hart, R.W. : Treatment of oral ulcerations with Bacid (Lactobacillus acidophilus). Oral Surg. 1970, 30(2): 196-200.
Hay, K. D. & Reade, P.C.: The use of an elimination diet in the treatment of recurrent aphthous ulceration of the oral cavity. Oral Surg. 1984, 57: 504 - 507.
Itin PH & Lautenschlager: S Viral lesions of the mouth in HIV-infected patients. Dermatology, 1997, 194:1, 1-7.
James, A.P. R. : Common dermatologic disorders. CIBA Clin. Symp. 1967, 19(2): 38-64.
Lake RI et al., Genetic factors in the aetiology of mouth ulcers. Genet Epidemiol, 1997, 14:1, 17-33.
Lisciandrano D et al., Prevalence of oral lesions in inflammatory bowel disease. Am J Gastroenterol, 1996 Jan, 91:1, 7-10.
Little, J.W.: Food allergens and basophil histamine release in recurrent aphthous stomatitis. Oral Surgery, 1982, 54: 388 - 395.
Merchant, H.W. et al: Zinc sulfate supplementation for treatment of recurring oral ulcers. South. Med. J. 1977, 70(5): 559-561.
Murray, M.T. & Pizzorno, J.E.: An Encyclopedia of Natural Medicine. Prima Pbng, Rocklin, CA.
Olson, J.A. et al: Serum vitamin B12, folate and iron levels in recurrentt aphthousulceration. Oral Surg. Oral Med. Oral Pathol. 1982, 54(5): 517-520.
Palopoli, J. & Waxman, J.: Recurrent aphthousstomatitis and vitamin B12 deficiency. South. Med. J. 1990, 83:475-477.
Porter, S.R. et al: Hematologic status in recurrent aphthousstomatitis compared to other oral disease. Oral Surg. Oral Med. Oral Pathol. 1988, 66(1): 41-44.
Rogers-MA: Consumption of nitrate, nitrite, and nitrosodimethylamine and the risk of upper aerodigestive tract cancer. Cancer-Epidemiol-Biomarkers-Prev. 1995 Jan-Feb; 4(1): 29-36.
Ship, I.I. et al: Recurrent aphthous ulcers. Am. J. Med. 1962,32: 32 - 43.
Ship JA: Recurrent aphthous stomatitis. An update. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 1996 Feb, 81:2, 141-7.
Webster-Cyriaque J et al., Epstein-Barr virus and human herpesvirus 8 prevalence in human immunodeficiency virus-associated oral mucosal lesions. J Infect Dis, 1997 Jun, 175:6, 1324-32.
Werbach, M. R.: Nutritional Influences on Illness: A sourcebook of clinical research. Keats Pbng. New Canaan, CT.
Wilson, C.W.M. : Food sensitivities, taste changes, aphthous ulcers and atopic symptoms in allergic disease. Ann. Allergy, 1980, 44(5): 302-307.
Wray, D. et al: Recurrent aphthae: treatment with vitamin B12, folic acid and iron. BMJ 1975, 2: 490 - 493.
Wray, D. et al: Nutritional deficiencies in recurrent aphthae. J. Oral Path. 1978, 7:418 - 423.
Wray, D. et al: Gluten-sensitive recurrent aphthous stomatitis. Dig. Dis. Sci. 1981, 26(8): 737-740.
Wray, D. et al: A double blind trial of systemic zinc sulfate in recurrent aphthous stomatitis. Oral Surg. 1982, 53(5): 469-472.
Wray, D. et al: Food allergens and basophil histamine release in recurrent aphthous stomatitis. Oral Surg. Oral Med. Oral Pathol. 1982, 54(4): 388-395.
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