Stomatitis: Types, Causes and Treatment

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Stomatitis: Types, Causes and Treatment

Stomatitis is inflammation of the oral mucosa. It appears as painful ulcers, red areas or white coatings. It occurs in both children and adults.

Main types

  • Aphthous stomatitis — ulcers with white center and red border. Most common type. Resolves in 7–14 days.
  • Herpetic stomatitis — herpes virus, small blisters that turn into ulcers. May include fever.
  • Candidiasis (fungal) — Candida yeast, white coating on tongue and cheeks. In children and immunocompromised adults.
  • Traumatic — biting, hard food, ill-fitting dentures.
  • Allergic or chemical — toothpaste, medications, food.

Causes

  • Weak immunity, stress, lack of sleep
  • Vitamin deficiency (B12, iron, folate)
  • Poor oral hygiene
  • Mechanical injury or chemical burn
  • Viruses (herpes, coxsackie)
  • Certain medications (chemotherapy)
  • Systemic diseases (Crohn's, celiac)

Home measures

  • Rinse with warm salt water
  • Chlorhexidine mouthwash
  • Avoid acidic, spicy and hot foods
  • Soft brush, gentle hygiene
  • Plenty of fluids
  • OTC anesthetic gels or sprays

When to see a dentist

  • Ulcers persist longer than 2 weeks
  • Many or large ulcers (over 1 cm)
  • Fever
  • Inability to eat or drink
  • Signs of dehydration in a child
  • Frequent recurrences

Professional treatment

By type: antiseptics, antivirals (herpes), antifungals (candida), topical steroids. Addressing the root cause is essential — e.g., adjusting an ill-fitting denture.

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