
Sometimes, small and shallow open wounds appear in the
mouth. Those wounds are most widely known as canker sores, or aphthous ulcers.
The main types of canker sores include the following.
- Minor canker sores: These are the sores that usually appear 3 to 4 times in a year. They are 1 centimeter in length and they heal within a week without scarring.
- Major canker sores: These canker sores are not very common. These are the bigger sores and they can last up to 2 weeks. You can get them treated with scarring.
- Herpetiform canker sores: These are the rarest canker sores and they appear as clusters of tiny ulcers. Just like minor canker sores, these sores heal in a week.
Reasons and risk factors
The exact risk factors that lead to the development of
canker sores are unknown. However, there are a few things that might cause
canker sores. Those factors include:
- Stress
- Injury to the tissues
- Foods higher in acidity
- Use of non-steroidal anti-inflammatory drugs like ibuprofen
- Allergy to certain foods
Complex canker sores might result due to following risk
factors:
- Weaken immune system
- Vitamin and mineral deficiency
- Gastrointestinal disease
Canker sores vs. cold sores
Many people mistake canker sores with cold sores. They are not
the same actually. Cold sores are fluid-filled blisters which are caused by
viral infections; and so, they can be highly contagious. Cold sores usually
occur outside of the mouth, unlike the canker sores which are developed inside
the mouth.
Symptoms of canker sores
- A painful sore on your tongue, on the soft palate, or inner cheek is more probably a canker sore.
- This sore can result in tingling or burning sensation in the area where it is at.
- These sores are round in shape, and white or gray in color with red edge or border.
- Severe canker sores can result in fever, fatigue and swollen lymph nodes.

Diagnosis
While these sores are not dangerous, you may need to call
your dentist because you do not want to mistake any other infection with canker
sores. It is going to be worth mentioning here that canker sores share
similarities with the symptoms of some serious infections. You need to consult your dentist after noticing following signs:
- Unusually large sores
- Sores that seem spreading
- Sores lasting 3 weeks or more
- Extreme pain
- Trouble drinking water
- High and persistent fever
Treatment
You do not have to do anything special to get the canker
sores treated. They get healed on their own. However, there are certain methods
that can be helpful if you want to get relief from the pain those sores are
causing. Those treatment methods include mouthwashes, oral medications such as the
ulcer drug sucralfate (Carafate) and the gout drug colchicine (Mitigare), and
certain nutritional supplements.
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