Chronic stomatitis

Chronic stomatitis (in the translation from Greek - "mouth") is an inflammation of the oral mucosa, which brings a lot of unpleasant sensations. Facing him is not particularly difficult, and the variety of reasons for the occurrence of chronic stomatitis, makes us suffer from small sores (aft) of every third inhabitant of our country.

[1], [2], [3], [4]

Causes of chronic stomatitis

The causes of chronic stomatitis are more than enough, but it should be noted that in the first place, it occurs when the patient has not received proper treatment at the acute stage of the disease.

Stomatitis appears against the background of a general weakening of the body: weakened immunity, avitaminosis, hormonal failures, as well as with elementary nervous strains, stresses and depressions; with metabolic disorders, gastrointestinal diseases, cardiovascular system, anemia and tumors.

Not the last role in chronic stomatitis is played by microorganisms, which excite all kinds of infections. It is very easy to find them in the neighborhood with them if you do not observe personal oral hygiene (which is why children are often at risk) and neglect the visit to the dentist (caries and oral dysbiosis are the most frequent factors of chronic stomatitis).

The causes of chronic stomatitis are also "pressing" problems: poorly installed dentures, alcohol consumption, smoking, allergies to food and the consequences of taking medications.

To date, a number of studies have shown that the appearance and exacerbation of chronic stomatitis can be associated with the use of toothpastes based on sodium lauryl sulfate. In fact, against the background of other causative agents of the disease, this scientific fact has practically no chance.

[5], [6], [7]

Symptoms of chronic stomatitis

The main and most striking symptom of chronic stomatitis is the presence in the mouth (cheeks, the inner surface of the lips, the area under the tongue) of one or several painful sores of oval or round shape that have a gray or white color, a red border and a film on the apex apex. In most cases, the patient understands that he is suffering from stomatitis already at this stage, but few people pay attention to the previous symptoms - redness in the mouth, which later swell and begin to ache.

Ulcers hurt, this makes speech and eating habits difficult, besides there are accompanying symptoms:

• Temperature increase.
• Pain sensations around the lymph nodes.
• Headache and irritability.
• Increased salivation.
• Plaque on the tongue.
• Decreased or full of appetite and vomiting.
• Chronic recurrent aphthous stomatitis.

Stomatitis is not "ordinary", it is always recurrent, that is, manifested due to a general weakening of the body.

One of the most severe forms of chronic stomatitis is recurrent aphthous stomatitis (CHRAS). Its causes are diseases of the gastrointestinal tract and liver, rheumatism, viral infections (adenovirus), allergies, staphylococcus and even heredity.

Symptoms of chronic recurrent aphthous stomatitis

With recurrent aphthous stomatitis, general blanching and swelling of the mucous membrane of the oral cavity are observed. Ulcer (aphtha) is usually one, appears on the inner surface of the lips and cheeks, under the tongue (bridle), in some cases - on the gums and sky. This form of chronic stomatitis runs from 7 to 10 days, and after the treatment at the site of the aphtha there is a red speck.

Basically, HRAS does not affect the general condition of the patient, but in some cases, there may be an increase in body temperature, weakness and depressive state.

Despite the relatively short period of the disease, this form of chronic stomatitis is severe, because it will not leave it for a long time. Periods between exacerbations (relapses) of the disease can last several years, months, and in the worst case - several days.

Chronic recurrent herpetic stomatitis

The cause of chronic herpetic stomatitis is a transmitted herpes infection. If we take into account the fact that about 80% of people are lifelong carriers of herpes, then the stable occurrence of this form of chronic stomatitis can threaten almost everyone.

Exacerbation of the disease most often occur in the fall and spring. Overcooling, colds, chronic diseases of ENT organs (sinusitis, tonsillitis), damage to the oral mucosa also contribute to exacerbation of chronic herpetic stomatitis.

There are two forms of chronic herpetic stomatitis:

Light - no more than twice a year (appearance in the mouth of several bubbles resembling ulcers) •

Heavy - more than six times a year (there are many rashes, because of them inflames and swells mucous, increases salivation)

[8], [9], [10], [11], [12]

Symptoms of chronic herpetic stomatitis

As with any other form of chronic stomatitis, rashes (in acute form - aphthae) are painful and greatly hamper speech and food intake. In addition, there are accompanying symptoms:

• General malaise.
• Increase in temperature.
• Toxicosis.
• Enlargement of lymph nodes.

Chronic stomatitis in children

Chronic stomatitis in children is a rather frequent phenomenon. But if an adult can recognize the disease in time, then revealing it in children (especially from six months to three years) requires a careful attitude to the health of his child from the parents.

[13], [14]

Causes of chronic stomatitis in children

Depending on the form of chronic stomatitis in children there are a number of reasons:

• Weakened immunity.
• Chronic diseases.
• Viral diseases.
• Damage and burns of the mucous membrane.
• Damage due to improper cleaning of teeth.
• Neglect of oral hygiene.
• Dirty hands.

Chronic stomatitis in children can be of different origins, so do not take care of home treatment - a visit to the children's dentist is mandatory. But to identify the disease you need to pay attention to the symptoms that are at the first stages of chronic stomatitis common to all of its forms.

[15]

Symptoms of chronic stomatitis in children

Sometimes it is quite difficult to understand what exactly a child is tormenting. A trip to the children's dentist is inevitable if the child:

• Poor sleep.
• Refuses to eat, explaining this with a pain in his mouth.
• Increased temperature.
• Unpleasant odor from the mouth.
• Reddening of the mucosa, ulcers on it.
• Chronic aphthous stomatitis in children.

Aphthous stomatitis is the most common and, unfortunately, chronic type of disease in children. And if the causes of chronic aphthous stomatitis in adults are obvious, then it's impossible to call them for sure about children.

Possible causes of chronic aphthous stomatitis in children are:

• Infections (unwashed hands, non-compliance with hygiene rules).
• Damage to the mucosa.
• Eating food allergens (chocolate, strawberry, eggs, sometimes coffee).

Symptoms of chronic aphthous stomatitis in children do not differ from those of adults. On the mucosa of the oral cavity, reddening occurs, passing into the vesicles, and later - into ulcers. In addition, the accompanying symptoms are more pronounced than in an adult: the temperature can reach 40 degrees, irritability, sluggish mood, vomiting.

As in the case of adults, chronic stomatitis in children takes 7-10 days.

Treatment of chronic aphthous stomatitis in children

Parents should remember that only a specialist - a children's dentist can diagnose chronic stomatitis. First of all, he will eliminate the true cause of the disease.

Nevertheless, there are several tips that will help alleviate the suffering of the child on their own:

• Anesthesia for children is prescribed in the form of gels and emulsions, which are applied directly to the rashes or aphthae ("Lidochlor", anesthetic emulsion 3-5%).
• It is important for children to treat with ointments not only affected, but also healthy areas of the oral cavity ("Bonafton", "Acyclovir", "Oxolin").
• Rinse with anti-inflammatory solutions (chamomile, manganese, sage broth).
• Often, the doctor prescribes funds to accelerate the healing of wounds ("Vinylin").

In addition, it is necessary to remember the observance of the rules of personal hygiene of the child and activities aimed at improving immunity.

Diagnosis of chronic stomatitis

Diagnosis of chronic stomatitis can be performed solely by a dentist. It is he who will determine the form of the disease and will give recommendations on the treatment.

Do not be afraid of going to the doctor, because chronic stomatitis does not involve surgical intervention and the examination is virtually painless.

• Depending on what kind of stomatitis excruciates the patient, the dentist will send the patient for examination to other specialists to eliminate the true cause of inflammation:
• Gastroenterologist - with chronic recurrent aphthous stomatitis.
• Lor - with chronic recurrent herpetic stomatitis.

[16], [17], [18]

Treatment of chronic stomatitis

Treatment for chronic stomatitis does not require a hospital stay and always takes place at home.

Treatment begins by eliminating the root cause of the disease.

It can be the removal of tartar and plaque, treatment of caries; treatment of the gastrointestinal tract and ARVI (with herpetic stomatitis).

In addition, drug treatment is indicated:

• Ointment "Metrogil Denta" (locally, after brushing teeth twice a day) and adhesive paste "Solcoseryl" (applied to the affected area 3-5 times a day, be sure after eating).
• "Imudon" (one tablet every 2-3 hours, but not more than 8 per day).
• Solution "Stomatophyte" (rinse 10 ml of solution per ¼ cup of water 3-4 times a day).

Irreplaceable in the treatment of chronic stomatitis are alternative means:

• Rinse with herbal decoctions with anti-inflammatory effect (calendula, chamomile, linen).
• Rinse with a solution of drinking soda (1 teaspoon per glass of warm boiled water).
• To heal wounds oil treatment of sea buckthorn or dog rose.

In addition, to kill bacteria and improve immunity, it is recommended to take a broth of dogrose inside

Remember that rinse water should be warm, cold or too hot (like warming up) can only exacerbate the situation. In no case can "help" the healing of aft and try to remove the film from the tip of the ulcer.

During the treatment of chronic stomatitis, you must keep to a diet and drink enough water. Doctors recommend to abandon the irritating mucous membrane of food (sour, spicy, salty and sweet) and drinks (alcohol, concentrated juices).

How to prevent chronic stomatitis?

The main rule of chronic prevention is scrupulous hygiene of the oral cavity and systematic visits to the dentist. Remember that stomatitis is a contagious disease, so the patient must have separate cutlery; a child suffering from stomatitis must have clean toys.

It should be remembered that it is impossible to transfer the disease once: a person who has suffered from stomatitis, if the elementary rules are not followed, most likely, will again face it. Therefore, it is extremely important to destroy the root cause of the disease (lesions of the digestive tract, liver, chronic diseases of the ENT organs, etc.). If the cause of chronic stomatitis in allergies, then you should stop eating allergens.

It is necessary to avoid damage to the oral mucosa, since a recurrence of stomatitis can provoke bacteria that have fallen on the microorganisms.

A healthy lifestyle, the general strengthening of the immune system and the rejection of bad habits will help you to forget for ever what a painful chronic stomatitis is.