How long does it take for stomatitis to go away in adults? Can he pass on his own?

What determines the speed of recovery?

With timely consultation with a doctor and proper treatment, the acute form of stomatitis can be cured in 3-7 days.

Optimistic forecasts are not always justified: too many factors influence the duration of the disease. Among them:

• reasons that caused the disease. So, for careless handling of the fork you will have to pay with 2-3 days of discomfort. But allergic stomatitis will not go away until the doctor identifies the allergen;
• correct diagnosis . Treatment of viral stomatitis is fundamentally different from fungal stomatitis, and prescriptions for the catarrhal variety have nothing to do with the list of measures necessary to treat the nicotine form;
• treatment literacy . And here only the professionalism and experience of the doctor will help;
• accuracy of compliance with recommendations . An interrupted course of antibiotic therapy, ignoring the need for further examination by other specialists, omissions in taking medications - all this prolongs the course of the disease;
• state of immunity . The lower the body’s protective function, the higher the likelihood of developing stomatitis and the longer the recovery period.

At the first symptoms: burning of the mucous membranes, unpleasant itching, the appearance of small but painful ulcers on the palate, inner surface of the lips or cheeks, you need to consult a dentist as soon as possible. After all, the main danger of stomatitis is its transition to an advanced form. And then treatment will take a long time and not always successfully. The risk factors here are:

• taking medications
  that reduce immunity and disrupt intestinal microflora, for example, antibiotics;
• vitamin deficiency
  , including seasonal;
• weakened immunity
  . That is why it is absolutely impossible to let stomatitis take its course in infants, elderly people and pregnant women;
• disruptions and restructuring of the hormonal system
  . And again, expectant mothers are targeted, and along with them, teenagers in the transition period;
• chronic diseases of the gastrointestinal tract, oral cavity, endocrine system
  .

Even constant stress at work or misunderstandings in the family can cause stomatitis and its transition to a chronic form. Moreover, to completely cure the disease in this case, the efforts of the patient and the dentist are not enough. You will need to completely change your habits, diet, establish sleep and rest patterns, and even consult a psychologist.

Causes of stomatitis

The mechanism of stomatitis, unfortunately, has not yet been fully identified, so there are many causes of the disease:

• microorganisms that cause infection, acting directly on the oral mucosa;
• diseases of the gastrointestinal tract;
• diseases of the cardiovascular system;
• general weakening of the immune system;
• avitaminosis;
• metabolic disorders;
• nervous disorders;
• malignant tumors;
• hormonal fluctuations;
• various injuries in the form of abrasions of the oral mucosa;
• anemia;
• heredity.

Among the causes of stomatitis there are also local factors. Elementary lack of oral hygiene, caries, dysbacteriosis, poorly made or poorly installed dentures, the consequences of using medications, nicotine and alcohol consumption, as well as allergic reactions to products. Of particular note is the use of toothpastes containing sodium lauryl sulfate. Various studies have proven that they provoke the occurrence of stomatitis and its exacerbation.

How many days does it take for stomatitis to go away?

Dentists, like doctors of other specialties, really don’t like asking patients about recovery time. But statistics on the cure of various forms of the disease still exist. And the patient has the right to know how quickly he will restore his health.

Aphthous (bacterial) stomatitis

Causes:

The causative agents of aphthous stomatitis are streptococci, staphylococci, gonococci, mycobacteria, Helicobacter pylori.

Features of the flow:

This form of stomatitis got its name from the name of superficial ulcers on the mucous membrane - aft. They are formed at the slightest decrease in immunity, for example, in spring or autumn, if an untreated bacterial infection is lurking in the patient’s body.

In addition to damage to the mucous membranes of the mouth, acute bacterial stomatitis causes fever and inflammation of the submandibular lymph nodes. The most unpleasant thing about the disease is its very rapid transition to a chronic form and constant relapses.

Treatment:

It is simple to classify aphthous stomatitis, as well as to cure its acute form. For this purpose, rinses with antiseptics (Chlorhexidine, Furacillin), antipyretics (Paracetamol), and antibiotics (Amoxicillin, Lincomycin) are prescribed.

To prevent the disease from becoming chronic, it is important to identify the pathogen. To do this, a bacterial culture of the afts is carried out, and blood tests may be prescribed for the presence of antibodies. And after determining the culprit of the disease, the dentist will hand over the patient to a specialized specialist: a therapist (pediatrician), gastroenterologist, infectious disease specialist or venereologist.

The recovery period with timely initiation of treatment for acute aphthous stomatitis is 7-10 days. When self-medicated, the disease quickly turns into an ulcerative form, which does not heal for months.

Viral stomatitis

Causes:

rarely - causative agents of measles, chickenpox, most often - causative agents of herpes. The infection is transmitted by contact and airborne droplets.

Features of the flow:

The disease is severe, with high fever, weakness, nausea and vomiting. Multiple small bubbles filled with liquid form on the mucous membrane. After 3-4 days they burst and heal. But with weakened immunity, new ones immediately form in their place.

Unfortunately, the herpes simplex virus instantly spreads both in the family and in children's groups. And most of us, without knowing it, are its carriers. While the immune system is in order, the virus quietly sleeps in the nerve ganglia. But if you get cold or nervous, stomatitis is right there.

Treatment:

at high temperatures, it is necessary to adhere to bed rest, take antiviral (Acyclovir, Gerpevir) and antipyretic drugs (Nurofen, Paracetamol). Treatment of the oral cavity with local antiseptics (Chlorhexidine) multiple times throughout the day is mandatory. To prevent infection of all household members, it is important to provide the patient with separate dishes and personal hygiene items.

The recovery time for viral stomatitis is 8-10 days. Local immunostimulants, for example, chewable tablets with echinocea, will help prevent the disease from becoming chronic.

Fungal stomatitis (candidiasis, thrush)

Causes:

The causative agent is the fungus Candida.

Features of the flow

: This form of stomatitis primarily affects children under 3 years of age. Adults are threatened with fungal stomatitis only in the case of a very strong decrease in immunity, for example, with long-term aggressive antibiotic therapy.

A characteristic feature of the disease is a white cheesy coating on the oral mucosa. At the initial stage, it is easy to remove with a regular napkin. Later, this process becomes painful, erosions and minor bleeding occur.

Treatment:

Since fungal stomatitis mainly affects children, doctors often prescribe decoctions of medicinal herbs, such as sage and chamomile, as antiseptics for treating the oral cavity. The treatment regimen must include antifungal drugs (Futsis, Fluconazole, Nystatin, Candida drops) and immunomodulators (Viferon, Interferon).

The recovery time for candidiasis directly depends on the state of the immune system. For some, therapy will help in 4-5 days, for others it will be difficult to overcome the disease in a month.

Catarrhal stomatitis

Causes:

poor oral hygiene, use of other people's personal hygiene items, pockets of infection in the mouth - caries, tartar, trauma to the mucous membrane from hot food, sharp objects, chipped teeth or fillings, biting the cheeks.

Features of the flow:

catarrhal stomatitis occurs more often than others. It does not give such vivid visual symptoms as aphthous or fungal, so it is often detected at a very advanced stage.

Often the only sign of catarrhal stomatitis for a long time is only bad breath. It cannot be removed by diet or careful hygiene. A little later, patients notice increased salivation and inflammation of the gums. After a while, a yellowish coating will appear on the tongue, and bleeding of the soft tissues will begin.

Treatment:

catarrhal stomatitis is perfectly curable. This does not require antibiotics or antifungals. It is enough to rinse your mouth several times a day with either a decoction of sage, chamomile, a solution of calendula tincture, or use the pharmaceutical antiseptic Chlorhexidine. The anti-inflammatory and analgesic drug Cholisal will also significantly speed up the healing process.

When the traumatic factor disappears, the exacerbation process does not last long: 3-5 days. But, if the cause is not eliminated, for example, a chipped tooth, the healing process will take longer each time. Over time, ulcerative necrotic lesions form on the mucous membrane, to combat which the dentist will have to use the entire arsenal of the most powerful medications.

Allergic stomatitis

Causes:

allergens, which can be food and medicine, oral care products, and even the materials from which fillings, crowns, and orthodontic systems are made.

Features of the flow:

allergic stomatitis is the most severe form of the disease. It begins with slight discomfort: swelling and redness of the mucous membrane. If contact with the allergen continues, erosions form on the gums, tongue, inner surface of the lips and cheeks, and unbearable itching appears.

Over time, it becomes painful for patients not only to talk and eat, but even to breathe air through their mouths. At the same time, the general condition is steadily deteriorating. And if the irritant is not removed, even Quincke's edema and death are possible. Fortunately, sluggish allergic stomatitis is much more common: it does not produce such pronounced symptoms and does not lead to death, although it torments the patient for years.

Treatment:

The main task of the doctor is to identify the causative agent of the allergy. Without this, no drugs will lead to recovery. You can temporarily stop an allergic reaction with antihistamines (Fenistil, Claritin).

The recovery time for allergic stomatitis directly depends on the speed of identifying the allergen and eliminating contact with it. Under the most favorable circumstances, the doctor will overcome the disease in 10-15 days.

How to treat stomatitis?

Any treatment for stomatitis begins with a professional hygienic cleaning procedure, during which tartar and soft plaque are removed. Almost any dental clinic in Moscow provides a similar service. Teeth affected by caries are treated. The mucous membrane is treated with antiseptic rinses. During the day, rinse the mouth with a warm solution of chamomile or calendula decoction. With timely treatment, catarrhal stomatitis disappears in 5–10 days. For ulcerative or aphthous stomatitis, local treatment is combined with general treatment. In addition to professional oral hygiene, antiseptic procedures are carried out in the clinic where stomatitis is treated.

If the presence of herpetic stomatitis is suspected, additional antiviral therapy is carried out. In case of oral candidiasis, treatment is prescribed with antifungal drugs. If the cause of stomatitis is some other disease, for example, the stomach or intestines, then it is necessary to begin to treat the root cause. During the treatment process, you should definitely follow a diet limiting spicy, hot, cold, sour and rough foods. A side effect of taking medications can be a green coating on the tongue.

How long does stomatitis last in children?

In children, just like in adults, the speed of recovery directly depends on the type of disease. Approximate period: 7-14 days. If you consult a doctor in a timely manner and start treatment immediately, this time is enough to cope with the disease.

Often recovery is delayed due to the fault of the parents themselves. For example, they did not monitor the timely taking of medications and the implementation of treatment procedures, ignored the doctor’s recommendation to take additional tests, or turned to a pediatric dentist only after long-term self-medication did not lead to a positive result.

But sometimes even the most responsible parents cannot cope with stomatitis for a long time. Alas, this happens. This disease is insidious and multifaceted, its course depends on many factors, and is often unpredictable even for an experienced doctor.

Stomatitis in adults and children: causes of the disease

Factors that can provoke stomatitis can be divided into the following groups:

• local;
• internal;
• external.

Local include any causes that have a direct effect on the condition of the mucous membrane:

• failure to comply with hygiene rules;
• use of poor quality hygiene products;
• smoking.

Internal are factors associated with internal disorders in the body:

• hereditary factor;
• dysfunction of internal organs (cardiovascular system, gastrointestinal tract);
• deficiency of a number of vitamins and microelements (B vitamins, selenium, zinc, iron or folic acid);
• metabolic disorders;
• allergy;
• hormonal imbalance due to diseases, during pregnancy;
• weakened immunity.

External factors:

• violation of the antibiotic protocol;
• stress;
• severe hypothermia;
• any mechanical damage (for example, after tooth extraction) or permanent mechanical damage to the mucous membrane when wearing low-quality or improperly installed braces or dentures;
• radiation, chemotherapy.

How to understand that stomatitis has passed?

The fact that the disease is a thing of the past is indicated by the complete return of dental health to the level that preceded the disease. This:

• disappearance of ulcers and aphthae;
• stop bleeding gums;
• extinction of the inflammatory process;
• no pain when talking or eating;
• getting rid of bad breath.

Despite the fact that recovery is obvious to the patient, only a doctor can put an end to treatment. As a rule, this does not require additional tests. Treatment regimens have been verified over years of experience, and a routine examination is quite sufficient to confirm a cure.

Often the patient’s well-being returns to normal after 2-3 days, the ulcers heal, and the pain recedes. It is important not to stop treatment at this point. Antibiotics, antiviral and antifungal drugs are taken in courses for a reason. Their duration directly depends on the life cycle of pathogens. To completely destroy some it will take 5 days, others – 20. And only a doctor can determine the duration of treatment!

If you ignore the prescriptions and stop taking the medications, stomatitis will return at the first slight decrease in immunity. And it will be more difficult to cure him.

Types of stomatitis: how to distinguish them from each other and why they are dangerous

Classification of stomatitis depending on etiology:

• bacterial - caused by various types of bacteria (streptococcal, syphilitic, tuberculosis, etc.);
• viral - occurs against the background of diseases such as herpes virus, influenza, enterovirus infection, measles;
• fungal - caused by the development of a fungal infection;
• radiation - the result of radiation (damages tissue during radiation sickness);
• chemical - acquired as a result of burns of the mucous membranes with aggressive chemicals (hydrogen peroxide, other alkalis or acid);
• medicinal - an allergic reaction of the mucous membrane to taking some medications.

Depending on the form, stomatitis in the oral cavity is divided into the following types:

• catarrhal;
• ulcerative stomatitis (ulcerative-necrotic Vincent);
• aphthous;
• gangrenous.

We will tell you in detail about the most common, as well as the most dangerous types of stomatitis.

Can stomatitis go away on its own?

Stomatitis can go away on its own without treatment, especially if we are talking about the catarrhal form. For example, while eating, the cheek was injured by a bone, and untreated caries caused infection of the wound. But the human immune system is in perfect order, and even if any infections are sleeping in the body, the defense system does not give them the slightest chance to wake up.

In this case, stomatitis will actually go away on its own in 5-7 days. But if you add at least rinses with antiseptics, recovery would occur within 3-4 days. But it’s not even the speed of healing that’s important, but the guarantees. So, if you consult a doctor in a timely manner, in 99% of cases the patient will be healthy within 2 weeks.

In the absence of treatment, the probability of forgetting about the problem in such a short period of time is less than 50%. For one simple reason: there are at least 5 varieties of the disease, and several times more pathogens. And only a doctor can determine the culprit of stomatitis.

If symptoms of stomatitis appear in a child, the parent’s task is to immediately seek professional help. For adults, we can recommend the following: if stomatitis does not go away on its own, there is no point in delaying visiting a doctor for longer than 7 days. Without medication, the disease will not go away.

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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Viral stomatitis

About 80% of all stomatitis in children is caused by herpes viruses3,5. In approximately 70% of cases, the disease develops in children aged 1 to 3 years3,4.

The disease can occur in mild, moderate and severe forms.

With mild herpetic stomatitis, the general condition is practically not disturbed. Body temperature does not exceed 37-37.50 C. Symptoms of inflammation are limited to swelling of the gums and usually the simultaneous appearance of single painful herpetic blisters and erosions on the mucous membrane (no more than 6). After 1-2 days, the contours of the lesions are blurred, the rashes turn pale, and the erosions heal without scarring3.

With moderate stomatitis, the child’s temperature reaches 38-390 C and lasts until rashes continue to appear. General intoxication manifests itself in the form of weakness, headache, nausea. The child becomes capricious, lethargic, refuses to eat and play3.

As the temperature rises, the oral mucosa becomes red and swollen, and the gums begin to bleed. The number of herpetic elements reaches 20-25, repeated rashes are accompanied by fever3.

Severe stomatitis in children looks like a common acute infectious disease and is accompanied by severe intoxication: fever 39-400 C, chills, headache, aching muscles and joints, heart rhythm disturbances, nosebleeds, nausea and vomiting. The number of herpetic elements can reach 100; they are located not only in the mouth, but also on the skin of the face, on the eyelids and conjunctiva of the eyes, and earlobes. In addition, upper respiratory tract symptoms may be present.3

Treatment includes treating the affected area with painkillers and antiseptic drugs, antiviral therapy, drinking plenty of fluids, a balanced diet and proper nutrition3,5.

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Consequences of advanced stomatitis

Complications of stomatitis are scary and varied. So, if treatment is not started in time for an infant, he will refuse to eat, which in turn will lead to weight loss and growth retardation. Lack of treatment for the disease at any age is guaranteed to reduce immunity, and is likely to provoke a sore throat or pharyngitis. Herpes stomatitis often results in decreased vision. And ignoring the aphthous form of the disease is fraught with scarring of soft tissues and even limiting the mobility of the jaw bones.

If bacterial stomatitis is left untreated, the disease very quickly turns into an intractable ulcerative form. If viral and fungal stomatitis is not treated, it will return again and again due to stress, colds, and vitamin deficiency. Well, the allergic form of the disease can even lead to death.

Symptoms of stomatitis

Light redness of the oral mucosa is the first symptom of stomatitis. Over time, they swell and a burning sensation appears. If treatment is not started at this stage, the redness is replaced by small oval or round ulcers, grayish or white, with a red halo and a film on top. Moreover, the tissue around them looks absolutely healthy. Mouth ulcers are very painful and make eating difficult. They appear on the inner surface of the cheeks and lips, under the tongue. In most cases, mild stomatitis manifests itself as one ulcer.

The appearance of several ulcers of larger size and depth, which sometimes merge into one, are signs of more severe forms of stomatitis. The appearance of ulcers is accompanied by fever, inflammation of the lymph nodes, general deterioration of health, headache, loss of appetite and constipation. Acute stomatitis is accompanied by severe pain in the mouth, which interferes with eating and speaking. In addition, there may be excessive salivation, a coating on the tongue, a bright red mouth, irritability, and vomiting after eating.

Why can stomatitis not go away for a long time?

If stomatitis is difficult to treat, most likely the disease has already become chronic or recurrent. The reason for this, with proper prescriptions and compliance with all doctor’s recommendations, may be:

• immunodeficiency states;
• chronic diseases of the nasopharynx: sinusitis, pharyngitis, tonsillitis;
• chronic diseases of the gastrointestinal tract: dysbacteriosis, colitis, gastritis, gastric ulcer;
• permanent injury to the gums and tongue from dental plaque, dentures, the edge of a chipped tooth or poorly fitting braces;
• allergies to toothpaste, mouthwash, medications, filling material.

Constant stress and depression have a detrimental effect on your health. They seriously reduce immunity, provoking the development of many diseases, including stomatitis.

Bad habits, such as smoking and eating seeds, also interfere with recovery. In both cases, the mucous membrane and tongue are constantly injured by hot smoke or the sharp edge of sunflower seeds.

Traumatic stomatitis

Inflammation of the mucous membrane in the mouth can be preceded by trauma: mechanical, thermal, chemical, radiation1,6.

Small children who put everything in their mouths can injure the mucous membranes with the sharp edges of toys or household items. Injuries often occur due to inept use of cutlery as a result of falls. In older children, stomatitis may be associated with a thermal burn, blows to the teeth, or the bad habit of chewing a pencil or pen. Sometimes the cause of inflammation is dental diseases and their treatment: sharp edges of damaged teeth and fillings, braces and aligners1.

When stomatitis develops in a child on the gum, on the inner surface of the cheek or in another place, the mucous membrane becomes red and swollen, and a painful erosion or ulcer may appear in the area of ​​damage. Since there are many microorganisms in the mouth, there is always a risk of a bacterial or fungal infection1.

If the mucous membrane is constantly injured, painless whitish or whitish-gray layers may form on it.

In children under 1 year of age, stomatitis can be the result of using the wrong nipples: long, tight, irregularly shaped. The resulting Bednar aphthae are located in the area of ​​the transition of the soft palate to the hard palate and are round erosions or ulcers1.

Treatment of traumatic stomatitis in children includes:

• elimination of traumatic factors;
• rinsing the mouth, irrigating the mucous membranes and treating wounds with drugs with an analgesic and antiseptic effect1.

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What to do if stomatitis does not go away?

When the disease does not subside, the main thing is to be patient. If additional tests have not been done yet, now is the time to do them. If the dentist recommends seeing a gastroenterologist or otolaryngologist, you need to listen to him. He doesn't do this because he wants to get rid of the patient. It’s just that in some cases it is more effective to fight the disease not alone, but with a team of specialists. The main thing is to identify the cause of the disease. And, unfortunately, in rare cases this can take months.

Ulcerative (necrotizing) gingivitis

This is nothing more than an advanced form of catarrhal stomatitis in adults, in which most of the oral mucosa is affected by ulcerative and erosive foci, redness, swelling and bleeding of the gums, a slight increase in temperature to 37.5°, pain in the gums. In more severe cases (in the absence of timely effective treatment), stomatitis on the cheek can develop into extensive ulcers (up to 6 cm in diameter), deep tissue necrosis (mucous and even muscle), temperature rise to critical values, transition to the chronic stage, loss teeth.

How many days it takes to treat ulcerative stomatitis depends on the severity of the disease and individual factors. With the use of modern methods and remedies against the disease, you can quickly get rid of the disease (in 5-10 days).

How to prevent relapse?

If once stomatitis has already made itself felt, it is worth making some changes in your life that will help avoid relapse:

• do not put off dental treatment until later;
• do not ignore nasopharyngeal diseases;
• treat gastrointestinal problems in a timely manner;
• supplement your oral hygiene with a rinse and irrigator;
• Make a habit of eating vegetables or fruits at every meal;
• take a course of multivitamins twice a year;
• avoid injuring the oral mucosa with hot and cold foods;
• take care not only of your physical, but also of your mental health: get enough sleep, rest on time, pamper yourself.

It is especially important if you are prone to stomatitis to choose a competent dentist. At the first visit, you need to tell him about past problems so that the doctor can prevent the development of the disease. For example, be as careful as possible when removing tartar or immediately prescribe gum treatment with Metrogil Denta gel when installing a prosthesis.

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.

Causes

The causes of stomatitis in the mouth in adults are of the following types:

• Due to non-compliance with the rules of oral hygiene or improper care of it - rotting of food waste residues in damaged teeth or in gaps with an abnormal structure of the dentition, mechanical impact on the epithelium with a hard brush or rapid movements and strong pressure while brushing the teeth.
• Due to sudden and systematic changes in temperature in the oral cavity.
• Chemical exposure - brushing teeth with toothpastes that contain sodium lauryl sulfate or contain a lot of fluoride; sharp contrast between alkaline and acidic foods. For example, eat boiled meat with a sour apple or fresh wild berries after flour.
• Increased acidity in the mouth;
• Infectious agents: bacteria – cocci; viruses – herpes, ARVI, influenza; pathogenic microflora in the gastrointestinal tract - dysbacteriosis (not so much the microorganisms themselves, but putrefactive and or inflammatory processes due to their vital activity).
• Non-infectious pathogens - pneumococci, fungi except candida. Candida is classified as both infectious and non-infectious, depending on the quantity and location.
• Pathology with concomitant diseases: with diabetes, as a complication of periodontitis, other diseases whose symptoms are inflammatory processes in the body.

Immune nature:

• Autoimmune diseases - when antibodies attack healthy cells;
• Arthritis;
• HIV - in late stages or during exacerbations, or during manifestations of other diseases due to reduced immunity by the immunodeficiency virus.
• Taking medications or folk remedies that interfere with salivation or failure to replenish the body with fluid in a timely manner after taking them.

Often, stomatitis in adults occurs from a high temperature: 39.5 or higher, which lasts 5 days or more. After the temperature normalizes or drops to subfebrile levels, the disease goes away in 3-5 days, and in case of reduced immunity - 7-10 days.

Prosthetic stomatitis

If an adult who has had dental prosthetics develops stomatitis, then most likely the disease is associated with wearing the prosthesis.

Symptoms of prosthetic stomatitis:

• the tissue under the crown is inflamed;
• soft tissues become painful;
• an ulcerative or necrotic focus of inflammation has formed (in rare cases).

The main cause of the pathology is bacteria that get under the orthopedic structure, as well as an allergy to the orthotic material. Treatment is antiseptic and anti-inflammatory and can last up to 2 weeks.

Gangrenous stomatitis (noma)

This type of pathology is very dangerous. Severe form of stomatitis belongs to the category of wet gangrene. With this disease, there is damage to the soft tissues of the oral cavity, progressive destruction of the tissues of the cheeks, tongue, gums (mucosa, submucosa), and face. The etiology is not fully understood, but there is an assumption that anaerobic infection influences the development of pathology. Most often, gangrenous stomatitis occurs in children with weakened immunity after infectious diseases. A huge number of cases are observed in African countries.

The disease develops rapidly: inflammation, formation of a bubble with hemorrhagic fluid - blue spot stage - swelling and hardening of the affected tissues (vitreous edema) - formation of a rotting wound. From the appearance of the first signs of inflammation to large-scale damage and the beginning of the process of rejection of necrotic tissue, only 3 days can pass. The disease occurs against a background of high temperature, the inflammatory process can affect large areas, involve the maxillary sinuses, jaw bone, gums, lead to tooth mobility, severe intoxication, and death.

The treatment is complex, aimed at fighting infection, intoxication, general strengthening of the body, in parallel with taking medications, local treatment is prescribed (antiseptic treatment, rinsing, ointments).

Diagnosis of stomatitis

Effective diagnosis allows you to accurately determine the form of the disease and prescribe the correct treatment, which speeds up the recovery process as much as possible. Since stomatitis has quite eloquent symptoms, in many cases a general clinical picture is enough for a doctor to make a diagnosis. An examination and anamnesis are taken.

In addition, laboratory diagnostic methods are used:

• general blood analysis;
• bacterial sowing;
• viral culture;
• cytological studies;
• PCR diagnostics;
• tissue biopsy;
• subcutaneous tests with yeast allergen.

There are many types of stomatitis, and some of them may require additional diagnostic tests:

• immunological;
• serological reaction;
• gas chromatography for fungal metabolites;
• molecular biological diagnostics;
• immunofluorescence method, etc.

Aphthous or recurrent stomatitis

A very common form that affects both adults and children (the incidence rate among children is slightly higher). A sign of pathology is the formation of round ulcers with a red outline, which look like a cold. Aphthous stomatitis spreads on the gums, lips, and cheeks from the inside, that is, in any part of the oral cavity. It can occur in both acute and chronic forms. The chronic form is more common, of allergic or infectious etiology, develops against the background of systemic diseases and weakened immunity.

If the patient has been diagnosed with aphthous stomatitis, treatment will be complex (general + local therapy). How long it will last and what medications will be used depends on many factors, including the causes and nature of the disease.

Candidal stomatitis

The most famous type of disease (often called “thrush”). The cause of the pathology is a fungus of the genus Candida. It is believed that candidal stomatitis is a disease of infants, but this is not so. Even adults can “catch” it, especially women in old age (when the body’s resistance is weakened) through hypothermia, contact with carriers of the infection, or treatment with antibiotics.

Symptoms of candidiasis: a cheesy white coating on the tongue, on the mucous membrane of the cheeks and palate. When plaque is removed, areas of inflammation may bleed. The duration of the incubation period for candidal stomatitis can reach 20 days. Treatment is carried out using anti-inflammatory, antifungal drugs, as well as nutritional correction.

Stomatitis, treatment: the best remedy is prevention

Fighting a disease is always more difficult than preventing it. By following simple rules of oral care, you can maintain the health of your gums, teeth, and even protect your children from transient (contagious) stomatitis.

For effective prevention of stomatitis, doctors at Amel Dental Clinic recommend:

• follow the rules of hygiene - brush your teeth regularly and effectively, rinse with balm after each meal;
• have your teeth professionally cleaned to remove plaque every 3-4 months;
• change your toothbrush on time;
• rinse the mouth after taking liquid antibiotics;
• Get regular dental check-ups;
• take care of a balanced diet;
• take care of your health - maintain a healthy lifestyle, receive timely treatment for gastrointestinal pathologies, cardiovascular and infectious diseases;
• strengthen the immune system.