Stomatitis – inflammation of the oral mucosa

Pain in the mouth can have a variety of causes. There are pathologies accompanied by discomfort and pain in this place. If they persist for a long time, as well as discomfort when eating, you should immediately consult a doctor.

Oral cavity hurts

It is also important to pay attention to such signs of pain as the nature and location of its manifestation. Let's talk about why the oral cavity hurts, what diseases have such a symptom, and also which doctor to see if it occurs.

Mucosal injury

For any person, the cause of pain in the mouth can be ordinary injuries.

Trauma is often the cause of mouth pain.

For example:

• eating something too hot/cold. This injures the mucous membrane, and pain quickly appears in it. Inflammation indicates the presence of injury to the mucosa, caused by temperature exposure, and at the same time incompatible with its integrity. Eating something very hot can cause injury to both the palate and the tongue, as well as the throat;
• rough food, which can leave scratches on the roof of your mouth and on the inside of your cheeks. This causes pain and burning to appear after a day or two;
• A child has more ways to damage his or her mucous membrane than an adult. The baby can scratch it with his thin nail or put something in his mouth, for example, a toy. And if the child is somewhat older, his mucous membrane can be damaged by lollipops and chips.

When choosing a remedy for pain, it is very important to pay attention to the nature of the injury:

• in case of a burn, it is useful to rinse your mouth with warm water and then use Metrogil Denta dental ointment;

"Metrogil Denta"

• In case of mechanical damage, it is recommended to immediately use antiseptics by rinsing your mouth with them. For an adult, it is useful to rinse your mouth with a mixture: 10-15 drops of 3% hydrogen peroxide per glass of water. Decoctions of calendula and chamomile are also good. Also good are the drugs “Rotokan” and “Miramistin”, which fight infection as well as inflammation.

"Miramistin"

The main rule: no self-medication! Therapy must be prescribed by a specialist. Otherwise, you can make the situation even worse. So if symptoms appear, it is recommended to visit a doctor. He will prescribe the best treatment for a particular situation.

Organization of diagnostics

If a person goes to the hospital with complaints of discomfort and pain in the oral cavity, the doctor first conducts a survey to diagnose associated lesions. Then tests are prescribed:

• allergy test;
• bacterial culture from the site of inflammation to identify the type of infection - viral, fungal or bacterial.

A general blood test and blood serum test are required. If necessary, a referral for diagnostics from specialists of a different profile is issued.

Only after a full examination, identification of the etiology and type of the disease is it prescribed how to treat inflammation in the mouth. Independent actions will only aggravate the condition and provoke complications.

• Diseases of the tongue and oral cavity: photos and names of diseases of the mucous membrane in adults, methods of treatment

Dental pathologies

The infection can be acquired by not following the rules of personal hygiene, as well as by contact with an already sick person. The most common pathologies are listed below.

Stomatitis

There are several types of stomatitis that can cause pain in the oral mucosa.

There are several types of stomatitis

• Allergic stomatitis

Gingivitis

This disease is inflammation of the gums. They hurt while eating, talking, and the pain is felt even when at rest. The likelihood of contracting this pathology does not depend on age category.

Gingivitis – inflammation of the gums

With gingivitis, the gums turn red and bleed, pain appears in the mouth, and it begins to smell unpleasant. This disease is treated in a dental clinic.

Herpes

This pathology, which occurs in the mouth, is a consequence of the spread of the herpes virus throughout the body. No part of the mucous membrane in the human body is protected from it. But usually this disease manifests itself on the lips.

Small ulcers form on the mucous membrane of the mouth and in the throat, causing pain. At first these are bubbles with yellow liquid. When they burst, they leave behind wounds. They also cause discomfort.

Herpes most often forms on the lips, however, due to this pathology, pain in the oral cavity may occur

The same sensations are felt at any degree of damage. It is very painful to touch the source of the pathology, to eat, or just to drink. Herpes is treated by an infectious disease specialist.

Here it is important to first remove the inflammation, and only then begin the actual treatment. At home, it is useful to rinse your mouth with a decoction of chamomile and calendula. It would not be superfluous to use Miramistin and chlorhexidine solution.

To defeat the disease, the doctor prescribes specific medications for external or internal use. Self-medication here, as with many other health problems, is harmful.

Important ! Only a specialist has the necessary experience needed to correctly diagnose the disease and determine how far it has gone.

You need to see a doctor who will prescribe appropriate medications

Neuralgia

If inflammation damages nerve endings, the pain spreads widely. With neuralgia of the muscles of the face and jaw, discomfort in the mouth is also possible. Then the pain is felt when the jaw works, which happens while eating, speaking or yawning.

In this case, symptoms include more pain during certain activities. The source of pain is inside the tissue, in the muscle, not on the mucous membrane. A visual inspection will not show anything here.

• Stomatitis medicine for children

With this problem, therapy comes down to restoring damaged nerves and muscles. To make a correct diagnosis, you should undergo an x-ray of the affected area of ​​the face, and also consult with an oral surgeon.

For neuralgia of the muscles of the face and jaw, it is also recommended to consult an oral surgeon

Next, the specialist prescribes therapy, focusing on how severe the case is. Neuralgia is usually treated using antibiotics, as well as some specific remedies.

Worth knowing ! It happens that patients are hospitalized.

Sialometaplasia

Benign lesion of the palatine salivary glands. At first, you can suspect something is wrong by noticing not too large seals on the hard palate, similar to nodules. The growth of the affected areas occurs quickly, and their dimensions can reach up to 20 mm. With this pathology, the patient feels aching pain and pulsation where the ulcers are localized.

People aged 40-50 years are susceptible to this pathology. Moreover, more than half of the patients are men. The disease occurs due to one of the following reasons:

• damage to the mucosa;
• vasospasm;
• injections for dental procedures.

Sialopetaplasia is a benign lesion of the palatine salivary glands.

Important ! With this pathology, the most important thing is to make a correct diagnosis. This is because its symptoms can easily be confused with other ailments.

Be that as it may, you should always identify the very cause of pain in the oral cavity. Only then can a specialist prescribe the necessary therapy and give certain recommendations on how to keep the mouth clean and prevent relapses.

Causes of the pathological process

Inflammation of the gums and swelling of the cheek can develop due to tissue injury and the penetration of pathogenic bacteria into the wound. Inflammation can lead to:

• pericoronitis,
• complex tooth extraction or other traumatic dental surgery,
• chipping of a tooth with the formation of a sharp edge that damages the gums,
• advanced caries and pulpitis,
• tartar,
• cyst,
• poor quality filling or prosthetics.

The inflammatory process develops faster in people with reduced immunity, diabetes, and chronic diseases of the gastrointestinal tract. Also at risk are patients with complex malocclusions.

First aid for stomatitis

The most common cause of pain in the oral cavity is stomatitis.

Note! All of the medications listed are suitable only for relieving pain, but not for treating stomatitis itself. So you should still contact the dentist as soon as the opportunity arises.

The doctor will prescribe a comprehensive treatment for pathologies

The hospital uses complex treatment. This includes physiotherapy, as well as the following types of medications:

• anti-inflammatory;
• antibacterial;
• antiviral;
• proteolytic enzymes.

To alleviate the symptoms of this disease at home, painkillers are useful, as well as mouth rinses to get rid of inflammation.

It is also useful to use painkillers at home:

• How to rinse your mouth for stomatitis in adults

• "Analgin";
• "Tempalgin";
• "Panadol";
• paracetamol;
• aspirin.

Important ! The latter is also good as a means to combat inflammation.

To relieve discomfort, it is recommended to use painkillers

Prevention

In general, it is quite difficult to avoid this disease in the presence of predisposing causes; you can only take some general measures to possibly prevent the disease or complication in the form of stomatitis.

Since the herpetic virus, especially in acute primary forms, is extremely contagious, a certain isolation of the patient is required to prevent the spread of infection by airborne droplets and contact. The difficulty here is that there is a rather long incubation period, up to 26 days, and the first signs of stomatitis may escape attention.

Other preventive measures are of a general nature and consist of proper and complete oral hygiene, regular professional cleanings in a dental clinic (removal of soft and hard plaque), timely treatment of mucosal injuries, and measures to generally strengthen the immune system.

Posted in Useful information | Tags: teeth, diabetes, care

How to treat?

Before choosing a course of treatment for stomatitis, the specialist finds out where this pathology came from in this case. To save a patient, for example, from catarrhal stomatitis, tartar is removed, teeth are treated and filled. To relieve him of ulcerative stomatitis, the doctor conducts a thorough examination of the body for problems with the blood, gastrointestinal tract, heart and blood vessels. And with aphthous stomatitis, the sick person is examined for allergies and rheumatism.

The course of therapy depends on the nature of the pathology

Along with treating the disease, the specialist prescribes local therapy, which means rinsing the mouth with chlorhexidine - 0.05% or 1% solution. The following drugs are also used when rinsing:

• aminocaproic acid;
• herbal decoctions;
• methylene blue.

A gentle diet will help speed up treatment.

Here are the foods to avoid:

• spicy;
• roast;
• rough food.

Here are some things you should increase your consumption of:

• porridge;
• pureed soups;
• vitamins (special emphasis on A and C).

Important ! After eating, you should rinse your mouth thoroughly. First with clean warm water, then with medicine.

After eating you need to rinse your mouth

Treatment for stomatitis usually takes from five days to one and a half weeks. But if the disease is started, it will last longer, becoming more and more severe.

Treatment

The primary diagnosis of the disease based on clinical manifestations is carried out by a dentist, who also carries out local symptomatic treatment based on the primary diagnosis. But in complex and unobvious cases, laboratory diagnostics are carried out, and doctors of other specialties (allergists, dermatologists, immunologists) are brought in for treatment.

Local symptomatic treatment usually involves the use of rinses with solutions of painkillers and antiseptic drugs (including herbal origin), the use of drugs for tissue regeneration (after the acute phase subsides), if necessary, the elimination of irritating and provoking factors (removal of dental plaque, hard deposits, treatment dental caries).

Local drug treatment is carried out only after an accurate diagnosis has been established (the cause of stomatitis) and usually includes treatment with antiviral, antibacterial, antifungal drugs in the form of ointments and applications.

General treatment is carried out, as a rule, in a hospital and is aimed at eliminating the internal causes of stomatitis (treatment of internal pathologies), taking therapeutic drugs according to special regimens, and physiotherapy.

Traditional therapy

Herbal decoctions, used mainly for rinsing, have some anti-inflammatory and at the same time anesthetic effects for stomatitis.

First. Onion peel infusion:

• chop dry onion peel;
• 3 tsp. pour the resulting mixture with 500 ml of hot water;
• boil;
• leave for 7-8 hours;
• strain

Second. Horse sorrel decoction :

• Signs of stomatitis in adults and its treatment

• chop horse sorrel roots;
• 1 tbsp. l. pour the resulting mixture with 1 tbsp. water;
• boil for 15 minutes;
• strain.

Third. Calendula decoction:

• Pour boiling water over calendula flowers in the proportion of 1 tbsp. l. flowers for 1 tbsp. water;
• leave for 15 minutes;
• strain.

Traditional medicine methods are also effective in combating oral pathologies

Fourth. Nettle infusion:

• finely chop nettle leaves;
• 1 tbsp. l pour 2 tbsp. boiling water;
• let stand for half an hour;
• strain;
• use if the gums are bleeding and the oral cavity is “decorated” with ulcers.

Fifth:

• Pour 1 part of onion juice into an enamel-coated container;
• dissolve 1 part honey in a hot bath;
• pour onion juice with 2 parts water and honey;
• cool;
• Make lotions and compresses from the result in case of inflammation of the gums and oral mucosa.

Sixth:

• 2 tbsp. l. St. John's wort and 1 tbsp. l. pour chamomile into porcelain dishes;
• pour boiling water;
• stir, close the lid;
• hold for 1.5 hours;
• strain through a sieve.

St. John's wort and chamomile help eliminate inflammation

Seventh:

• 1 tbsp. l. chop sage leaves and calendula flowers;
• put them in a pan covered with enamel;
• pour one and a half cups of boiling water;
• stir;
• put in a water bath;
• Cook over medium heat for 10 minutes, covering with a lid;
• cool to ambient temperature;
• strain through cotton cloth.

Eighth:

• 1 tsp each fresh onion juice and Kalanchoe juice, as well as 3 tbsp. l. pour water into porcelain dishes;
• stir.

Ninth:

• 1 tbsp. l. Brew one and a half cups of boiling water for green tea;
• wait 40 minutes;
• at this time dissolve 1 tbsp. l. honey in the bath;
• strain the tea;
• add honey;
• mix.

Tenth:

• 2 tbsp. l. plantain pour 1 tbsp. boiling water;
• close the lid;
• hold for 15 minutes;
• strain through a fine sieve;
• cool.

You need to rinse your mouth with decoctions regularly

Important ! You need to rinse your mouth with such decoctions every two hours every day.

Literature

1. Banchenko G.V. Combined diseases of the oral mucosa and internal organs. - M.: Medicine, 1979. - 190 p.
2. Banchenko G.V., Maksimovsky Yu.M., Grinin V.M. Language is the “mirror” of the body: Clinical guide for doctors. - M., 2000. - 408 p.
3. Borovsky E. V., Danilevsky N. F. Atlas of diseases of the oral mucosa. — 2nd ed., revised. and additional - M.: Medicine, 1991. - 320 p.
4. Danilevsky N. F., Leontyev V. K., Nesin A. F., Rakhniy Zh. I. Diseases of the oral mucosa. - M., 2001. - 271 p.
5. Diagnosis, treatment and prevention of dental diseases / V. I. Yakovleva, E. K. Trofimova, T. P. Davidovich, G. P. Prosveryak. — 2nd ed., revised and supplemented. - Mn.: Higher. school, 1994. - 494 p.
6. Dmitrieva L. A., Glybina N. A., Glybina T. A. et al. Experimental substantiation of the use of a new antioxidant drug in the treatment of erosive and ulcerative lesions // Periodontology. — 2012, No. 3 (64). - pp. 52-58.
7. Diseases of the mucous membrane of the mouth and lips / Ed. prof. E. V. Borovsky, prof. A. L. Mashkilleyson. - M.: Medicine, 1984. - 400 p.
8. Diseases of the oral mucosa: Textbook / Ed. L. M. Lukinykh. - N. Novgorod: Publishing House of NGMI, 1983. - 212 p.
9. Karakov K. G., Vlasova T. N., Oganyan A. V., Pisarev G. Yu. Optimization of complex therapy of lichen planus of the oral mucosa // Dentist-practitioner. - 2012, No. 1. - P. 35-37.
10. Karakov K. G., Vlasova T. N., Oganyan A. V., Polyakova O. V. The role of complex therapy in the treatment of herpetic infection of the dental system // Practitioner dentist. - 2012, No. 2. - P. 48-49.
11. Practical guide to anti-infective chemotherapy / Ed. L. S. Strachunsky, Yu. B. Belousov, S. N. Kozlov. - M.: Borges, 2002. - 384 p.
12. Rybakov A. I., Banchenko G. V. Diseases of the oral mucosa. - M.: Medicine, 1978. - 232 p.
13. Therapeutic dentistry: textbook: 3 hours / ed. G. M. Barera. - M.: GEOTAR-Media, 2055. - Part 3. - 288 p.
14. Tretyakovich A. G., Borisenko L. G., Pishchinsky I. A. Differential diagnosis and principles of treatment of diseases of the oral mucosa: educational method. allowance. — 2nd ed., revised. and additional - Mn.: BSMU, 2005. - 66 p.
15. Udzhukhu V. Yu., Minatulaeva M. A., Kubylinsky A. A. Pathogenetic rationale and clinical effectiveness of the use of Lavomax in patients with exudative erythema multiforme // Farmateka. - 2008, No. 9. - P. 60-62.
16. Tsepov L. M., Nikolaev A. I. Medical tactics for erosive and ulcerative lesions of the mucous membrane of the mouth, tongue and lips (Training manual). - Smolensk: SGMA, 2005. - 16 p.

Stomatitis and pediatrics

It is quite difficult to treat stomatitis in representatives of the younger generation. It is very difficult to force them to rinse their mouths, and even more difficult to treat them with medicine. However, patience and affection will allow you to succeed.

Important ! A child with this problem often develops a fever.

With fungal stomatitis, not only ulcers appear, but also a coating reminiscent of curdled milk. During herpes, the ulcers can spread beyond the mouth, now also around it.

In children, stomatitis and other oral pathologies are more difficult to treat

Infants often develop fungal stomatitis, which causes them to be capricious and refuse to eat. Whitish spots on the tongue, reminiscent of curdled milk, can be noticed simply by looking into the baby's mouth. Among the most well-known methods of treating fungal stomatitis is wiping the mouth with a soda solution. To prepare this remedy, you need 1 tsp. Stir soda in a glass of boiled water, wrap gauze around your finger, soak it in the solution, and then wipe the inside of the baby’s mouth.

If the pathology is at the initial stage of development, honey will be useful. They should lubricate ulcers and affected areas of the mucous membrane. But this is only permissible if the baby is not allergic to honey. Syrup from fragrant rose petals is useful. It is done like this: the petals of the plant are washed with cold boiled water, after which they are covered with sugar in a ratio of 1:2 and infused. Heat in a bathhouse for half an hour until all the sugar has dissolved and a pleasant-smelling syrup is obtained, similar in thickness to liquid honey. It is useful to lubricate the baby's ulcers with this syrup every time after he eats.

You can relieve your child of pain in the mouth using honey and various syrups.

Interesting ! Thanks to a wider selection of acceptable medications, stomatitis in older children is easier to treat.

Here are examples of suitable ointments:

• Finely grind 3 garlic cloves, mix in a dessert spoon of yogurt. Apply to sore spots in the mouth three times a day. Due to the pain of this technique, it is not suitable for babies under one year old;
• take tsp. honey and sunflower oil, the white of one egg, an ampoule of novocaine 0.5%. Mix everything;
• Simply place a cut aloe leaf on the ulcer.

Rinsing the child’s mouth with infusions of chamomile and kombucha, fresh cabbage or carrot juice is also useful.

You can treat the oral mucosa with brilliant green, but this must be done very carefully

Separately, it is necessary to mention ordinary brilliant green. It is an excellent drying and antibacterial medicine, but caution is required when using it: it can irritate the mucous membranes.