Stomatitis in adults: symptoms, photo and treatment regimen. Allergic form of the disease

Stomatitis is a disease of the mucous membrane in the oral cavity, which has inflammatory character. Illness is the result of a defensive reaction to a variety of stimuli. Inflammation of the oral cavity often manifests itself in children, however, at present, such inflammation is also characteristic of adult patients, as people's health is affected by an unfavorable environmental situation, as well as a massive deterioration in function. immune system.

About the causes, symptoms and features of the treatment of stomatitis, as well as what types of this disease are determined by specialists, will be discussed in this article.

What is stomatitis?

It is now a common problem among the population. At the same time, many patients who develop stomatitis for the first time know what it is only after contacting a doctor. It is important that inflammation of the oral cavity be detected in a timely manner, so that adequate treatment. Therefore, if a person has White spot on the inside lips, soreness and discomfort are noted, it is necessary to quickly seek the advice of a specialist.

Causes of stomatitis

Wikipedia shows that often the causes of stomatitis in adults are associated with the negative effects of a number of bacteria, viruses, pathogens of infectious diseases, leading to the appearance ulcers in the mouth . Nevertheless, answering the question of what causes this disease, it should be taken into account that for the reproduction of pathogenic microflora, the presence of additional factors that provoke the development of the disease is necessary. After all, at normal condition of human health, bacteria are constantly present on the oral mucosa and do not cause negative processes.

Therefore, determining what causes stomatitis, experts identify a number of reasons:

  • An unbalanced diet is an unhealthy diet in which the body does not receive enough B vitamins , iron , zinc and etc.
  • Injuries - if an injury occurred in the oral cavity thermal, mechanical, chemical origin(irritation, burn and blisters, person bitten skin internally, other mucosal damage has occurred). In particular, the cause of stomatitis is often a bite of the cheek, a wound left by a sharp fragment of a tooth, and a wound with solid food. Most often, such an injury passes without a trace, but sometimes, in the presence of others negative factors the disease develops.
  • Ignoring the principles of personal hygiene, consumption of dirty fruits and vegetables, untimely hand washing.
  • Poor quality dental prostheses (incorrectly selected prosthetic material, poorly installed prostheses).
  • Excessive enthusiasm for dental hygiene, in particular, if toothpaste is used, which contains sodium lauryl sulfate . Under its influence, salivation decreases, which ultimately leads to dehydration of the oral cavity. Such abuse leads to the fact that the mucous membrane becomes susceptible to the influence of acids, etc.
  • The use of certain drugs - if a person takes drugs that reduce the production of saliva, as well as diuretic tablets.
  • Mouth ulcers often appear if a person is used to constantly smoking, regularly consuming alcohol.
  • The disease develops after , radiation, the use of other methods of treatment of malignant diseases.
  • The disease occurs against the background of concomitant ailments. If the functions of the body are impaired certain system, the appearance of a sore may be evidence that human health is impaired. For example, sometimes it turns out that patients have formed malignant tumors throat, neck, nose, etc.
  • For diseases digestive system, infection sores may appear on the tongue and in the oral cavity.
  • May result from dehydration after prolonged vomiting, diarrhea, significant blood loss, (long fever bodies).
  • HIV-infected people have an increased risk of developing this disease.
  • During the period , sores can appear as a result of hormonal surges.
  • People who are ill often develop aphthous stomatitis.
  • Those who suffer and, accordingly, use hormones in an inhaler, manifest a candidal type of disease.
  • Frequent manifestations are noted with anemia .
  • The development of the disease is possible after.

Stomatitis in the mouth, classification

Mouth ulcers, causes and treatment are determined, first of all, depending on the causative agent of the disease. There is a certain classification of the disease, depending on which pathogen caused the white spots to appear. What stomatitis looks like in the mouth also depends to a certain extent on the pathogen.

Type of disease Description
Bacterial Manifested as a result of action staphylococci or streptococci . With this form of the disease, purulent rash(easy to see in the photo), subsequently quickly opened. As a result, ulcers and erosions form in the mouth.
Viral Consequences of the virus herpes simplex(herpes stomatitis) Epstein-Barra (herpetic stomatitis). Such pathogens provoke the appearance of blisters, which contain clear liquid. Later, the addition of a secondary bacterial infection. Then they are opened, and erosion appears. Similar mouth ulcers also appear with. How to treat wounds, the doctor determines, having found out the cause of the development of the disease.
Gribkova(candidiasis stomatitis) As a rule, it manifests itself after a course with which the patient is trying to cure other diseases. Fungal stomatitis in the mouth, the photo of which clearly shows a dense one, appears due to the action that the Candida fungus has. After removal of white plaque in the mouth, painful erosions are observed on the tonsils.
Ray Consequence radiation sickness also develops after chemotherapy. Erosions appear in the patient's oral cavity, and the mucous membrane thickens in certain areas.
Chemical A consequence of burns that produces acid or alkali. Later, scarring and deformation of the mucosa occurs.
erosive It manifests itself after the transferred diseases and is characterized by the occurrence of erosion.

Also, depending on concomitant diseases, allocate syphilitic , streptococcal stomatitis.

Symptoms of stomatitis

As a rule, the signs of stomatitis are the same for any of the types of disease described above. Most often, symptoms in adults are not acute. There are no signs of degenerate intoxication - high temperature, etc. As a rule, the onset of the disease occurs after the appearance of a slight redness - these are the first signs of the disease. Further, the area near the lesion becomes edematous, it swells, pain and burning appear.

In the bacterial form of the disease, the next day, a round or oval sore with smooth edges appears at the site of the focus, and a red spot is a halo around. In the center of the ulcer is a thin white film.

In addition, the patient is concerned strong highlight saliva, bleeding gums , noted bad smell from mouth. The pain worries constantly and is so strong that it interferes with normal chewing, moving lips and tongue.

At acute course disease, body temperature rises sharply, may increase lymph node or more lymph nodes. Pimples with stomatitis are mainly localized on the inside of the lips - upper and lower, on the tonsils, in the sky. Acne can also appear on the tongue, under it.

Stomatitis in adults

Before starting the treatment of stomatitis in adults, the doctor must establish a diagnosis and determine which diseases of the oral cavity occur in a particular case.

Symptoms of all types of stomatitis in adults ( herpetic , aphthous , herpes , ulcerative ) appear gradually. Initially, slight redness and swelling appear on the mucosa. Then an ulcer occurs, the main symptoms of which are as follows:

  • single, round or oval, shallow;
  • a thin, loose white or gray film in the center of the ulcer;
  • smooth edges, reddish halo;
  • the ulcer is painful and creates tangible discomfort.

Such oral diseases usually last 4-14 days. The causes of frequent stomatitis in adults are described above, but if a person has had this disease once, then the probability re-development illness is high. Sometimes symptoms in the mouth in adults and other types of stomatitis appear periodically, acquiring in fact chronic form. In this case, only a doctor should determine the symptoms and treatment in adults of this disease, prescribing medications only after a thorough study.

There is currently no evidence that stomatitis is contagious. However, the latter does not apply to some of its forms.

Treatment of stomatitis

If it appears on the mucous membrane or on the tongue catarrhal stomatitis associated with a violation of the rules of hygiene, then, subject to its light flow, you can treat the disease yourself, having previously found out how to treat stomatitis from a specialist.

It is advisable to treat affected surfaces and dentures soda solution, Lugol spray .

It is equally important to adhere to a diet, since nutrition affects the patient's condition. To restore the microflora, the menu of children and adults should not contain easily digestible carbohydrates.

Treatment of aphthous stomatitis

How to treat this form of the disease depends on the degree of damage. Sometimes, after the appointment of a therapy regimen, aphthous stomatitis in adults is treated at home.

In the aphthous form, the appearance of lesions occurs against the background of a decrease in immunity. Only specialists can determine why mouth ulcers appeared, causes and treatment, as some of them believe that the causes of this type of disease are associated with damage to the mucous membranes. herpetic infection. In the chronic form of the disease, white sores in the mouth of an adult appear periodically and occur on the cheeks, on the inside of the lip, and sometimes in the throat.

With aphthous stomatitis, a person may note as single manifestations (for example, a white sore), and multiple. Unlike herpetic stomatitis, with aphthous stomatitis, rounded white plaques appear, that is, aphthae with a red rim, which is noticeable in the photo. If once again a white sore appears in the mouth, how to treat it depends on whether stomatitis has passed into a chronic form. The disease can last for years, so it is important to immediately determine how to treat mouth ulcers.

With an aphthous form of the disease, treatment is carried out in stages. Initially, aft is processed, for which a solution is used boric acid and a decoction of chamomile. An antiseptic rinse is also carried out with a solution recommended by a specialist. For example, the throat and mouth can be gargled with a weak solution potassium permanganate or . You can do other rinses. Used intravenously sodium thiosulfate for the purpose of desensitization and detoxification. Those who are diagnosed with this disease of the oral mucosa are prescribed funds Prodigiosan , Lysozyme , Pyrogenal . Means Lidocaine Asept contains local anesthetic and effectively acts in the aphthous form of the disease.

Also prescribed multivitamins, antihistamines, sedatives.

Since aphthous stomatitis develops in people suffering from diseases of the nervous, endocrine, digestive systems, it is possible to prevent recurrent stomatitis by curing these diseases.

Treatment of catarrhal stomatitis

The clinic of this form is such that for successful treatment it is necessary to eliminate the cause of its manifestation. If affected areas appear on the mucosa, they must be carefully treated with antiseptic solutions -, Chlorhexidine . The use of applications with lidocaine or benzocaine is practiced with severe pain.

The remedy, etc., is widely used, with which it is possible to anoint the lesions after the appointment of this remedy. If after taking these drugs the condition does not improve, it is advisable to go to the hospital. For the period of treatment, it is worth abandoning the toothbrush so as not to irritate the gums. Practicing and applying folk remedies: from stomatitis helps sea buckthorn oil, honey, etc.

Treatment of herpetic stomatitis

This type of disease manifests itself most often, because the carrier of the virus is the vast majority of the population. However, stomatitis on the lip or on other parts of the mucosa appears when a person has a deterioration in immunity.

antiviral drugs :
  • Oksolin .

To prevent the disease from turning into chronic stomatitis, the use of immunostimulants is indicated, vitamin complexes.

It should also be taken into account the fact that sores in the mouth of this type are contagious and can be transmitted through close contact, for example, through a kiss. Therefore, if a person has a bubble on the gum, or in the mouth white sore how to treat and what its nature is, the specialist must determine. It is not necessary to deal with such manifestations on your own - smear with brilliant green, drink antibiotics and practice other unconfirmed methods.

Treatment of allergic stomatitis

Approximately one third of the population manifests a variety of allergic reactions associated with the action of certain allergens. It is with them that stomatitis in the tongue or in other places of the mucosa can be associated.

In this case, the causes of the sore are contact with dentures, drugs, etc. Since this manifestation is not considered a separate disease, how to treat a sore on the tongue, as well as how to treat a wound, depends on the nature of the allergic reaction.

Treatment in adults is reduced to the use of antihistamines -,. Prevention comes down to eliminating the allergen.

There is also the so-called prosthetic stomatitis , which is subdivided into the following types: allergic and bacterial . In the case of a bacterial form, stomatitis on the gums is manifested by reddening of the mucous membrane of the prosthetic bed. With an allergic form, redness can spread further, for example, stomatitis in the throat appears, etc.

Ulcerative stomatitis, treatment

What to do with stomatitis depends on its form. The ulcerative form manifests itself, like a number of others, against the background of a deterioration in immunity, poor oral hygiene, etc. unpleasant symptoms- the appearance of ulcers, bad breath, fever. If such stomatitis appears in the sky or the place where the pimple was previously inflamed and hurts, in another place of the mucosa, it is necessary to initially determine why the sores appeared in the sky in the mouth, and then how to treat the disease.

A mild form of the disease can be cured with local funds. It will be enough to practice a sparing diet and plentiful drink, grind the sharp edges of the teeth and remove tartar. For rinsing practice the use of solutions hydrogen peroxide , chlorhexidine , furatsilina , also decoctions of herbs. To speed up the process of epithelization, regenerating agents are prescribed.

If the disease does not go away after a few days, but lasts a long time, detoxification and antibiotic treatment. Sometimes vitamins are also prescribed, general treatment, physiotherapy. If the focus, which has become inflamed, is treated in a timely manner, then the ulcers close after 6-8 days. If the disease persists long time, then it is likely to become chronic.

A characteristic sign of stomatitis are painful ulcers that appear in the mouth. When they occur, it is advisable to immediately be examined by a doctor and accurately establish the form and pathogen inflammatory process to choose the right suitable means how to treat stomatitis in adults.

There is also a need for sanitation of the oral cavity - the dentist will remove all carious defects, clean periodontal pockets, since they are the first sources of pathogenic bacteria. Their presence greatly slows down the healing process, and if you manage to get rid of stomatitis, the result will be temporary and reappearance stomatitis against the background of favorable conditions will not take long.

Oksana Shiyka

Dentist-therapist

Sometimes the ulcers are so painful that the patient cannot eat normally, do the usual things. In such situations, you can resort to additional local anesthetics in the form of Anestezin, Novocaine, Lidocaine Asept.

You can enhance the therapeutic effect with such tablets and lozenges for resorption:

  • Lizobaktom - strengthening of local immunity, elimination of viruses, bacteria;
  • Faringosept, Grammidin - antibacterial effect;
  • Anaferon - the fight against viruses;
  • Hyporamine with sea buckthorn - antiviral and antifungal effects;
  • Decamine caramels are suitable exclusively for the treatment of candidal stomatitis.

Acceleration of periodontal tissue regeneration is achieved by:

  • Solcoseryl - thanks to dental paste, trophism and regeneration of the mucous membrane improves;
  • Carotolina in the form oil solution- acts as an antioxidant;
  • Vinilina - to accelerate epithelialization and healing;
  • Aekola;
  • Propolis spray for adults;
  • great fit various means from stomatitis based on sea buckthorn and rosehip oils.

Procedures for local treatment they quickly help to get rid of stomatitis, but subject to constant sequential processing of the mouth according to the instructions. To bring the moment of recovery closer, you should resort to the recommendations of general treatment.

Oksana Shiyka

Dentist-therapist

The essence of general treatment is to eliminate global causal factors illness, improve immune defense, take off general symptoms, prevent the consequences.

In the fight against the herpetic form of the disease, taking antiviral medications is mandatory, since it is pointless to simply rinse your mouth with solutions based on Chlorhexedine and herbs. Amexin, Viferon tablets are prescribed.

It is worth noting that the reception antibacterial drugs needed only for ulcerative stomatitis and they must be prescribed by a doctor. Antibiotics do not have any effect on pathogens of herpetic, allergic, candidal forms of inflammation.

allergic form

Occurs on almost any irritant that the human body does not perceive - an allergic response to flower pollen, wool, food, medicines, hygiene products, dentures. This variety is not individual disease Therefore, it is necessary to eliminate the allergen with antihistamines.

To eliminate the allergic form of the disease, classical methods are necessarily enhanced antihistamines. It is recommended to take Tavegil, Suprastin, Claritin.

Herpetic form

Refers to viral stomatitis and is diagnosed most often in practice. The causative agent of the disease is the herpes simplex virus, which is found in the body of almost every person, but in a latent in a safe way. Its activation is often triggered against the background of low immunity, stress, hypothermia, chronic diseases, periodontal tissue damage.

It is worth remembering that with such a lesion of the mouth, you can not kiss, use common dishes, since herpetic.

aphthous form

It occurs for a variety of reasons, but the classic treatment regimen has the following approximate form:

  • antihistamine medicines for stomatitis in the mouth;
  • antiseptic rinses and anti-inflammatory gels for the treatment of aft. For example, the initially affected area is treated with Miramistin, and then lubricated with Holisal or Stomatofit-A;
  • when the soreness of the aft disappears, healing agents should be connected to the therapy;
  • increase in immune forces;
  • in the presence of dental diseases rehabilitation is being carried out.

Candidal form

As a rule, such stomatitis mainly affects children. If it appeared in an adult, then this may indicate a very weakened immune system, diabetes, tuberculosis. Also, inflammation sometimes occurs as a reaction to steroid hormones.

The cure for stomatitis antifungal action necessary in case of candidal type of disease. If they are not included in the complex of procedures, then it will not work to cure stomatitis in the mouth. Levorin, Nistanin, Diflucan, Amphoglucamine, Amphotericin, Fluconazole, Pimafucin tablets are directed to fight yeast-like fungi.

To cure this ailment, you need to use antifungal drugs for local and oral administration, treat the mouth and prostheses with soda solution, borax, Lugol. Be sure to adjust the diet during therapy - you can not eat any carbohydrate foods.

An important role is played by measures aimed at strengthening defensive forces organism. Upon agreement with the doctor, you can take immunostimulants in the form of Cycloferon, Immunal, Polyoxidonium, Immudon, and vitamin-mineral complexes are also useful.

That's all. Now you know how to treat stomatitis in the mouth in any of its forms. If you have any questions, please take a look. good video, which will surely close them:

FAQ


First of all, one that does not hurt the gums during use. At the same time, the quality of oral hygiene depends more on whether the teeth are brushed correctly than on the shape or type of toothbrush. Concerning electric brushes, then for ignorant people they are more preferred option; although you can brush your teeth with a simple (manual) brush. In addition, a toothbrush alone is often not enough - flosses (special dental floss) should be used to clean between the teeth.

Rinse aids are additional hygiene products that effectively clean the entire oral cavity from harmful bacteria. All these tools can be divided into two large groups– treatment-and-prophylactic and hygienic.

The latter include rinsing agents that eliminate bad smell and promote fresh breath.

As for therapeutic and prophylactic, these include rinses that have an anti-plaque / anti-inflammatory / anti-caries effect and help reduce the sensitivity of hard dental tissues. This is achieved due to the presence of different kind biologically active ingredients. Therefore, the rinse aid must be selected for each specific person on an individual basis, as well as toothpaste. And since the product is not washed off with water, it only fixes the effect. active ingredients pastes.

Such cleaning is completely safe for dental tissues and less traumatic. soft tissues oral cavity. The point is that in dental clinics a special level of ultrasonic vibrations is selected, which affects the density of the stone, disrupts its structure and separates it from the enamel. In addition, in places where tissues are treated with an ultrasonic scaler (this is the name of the device for brushing teeth), a special cavitation effect occurs (after all, oxygen molecules are released from water droplets, which enter the treatment zone and cool the tip of the instrument). Cell membranes pathogens are torn apart by these molecules, causing the microbes to die.

It turns out that ultrasonic cleaning has a complex effect (provided that really high-quality equipment is used) both on the stone and on the microflora as a whole, cleaning it. And you can't say the same about mechanical cleaning. Moreover, ultrasonic cleaning is more pleasant for the patient and takes less time.

According to dentists, dental treatment should be carried out regardless of your position. Moreover, a pregnant woman is recommended to visit a dentist every one to two months, because, as you know, when carrying a baby, the teeth are significantly weakened, they suffer from a deficiency of phosphorus and calcium, and therefore the risk of caries or even tooth loss increases significantly. For the treatment of pregnant women, it is necessary to use harmless anesthesia. The most suitable course of treatment should be selected exclusively by a qualified dentist, who will also prescribe the required preparations that strengthen tooth enamel.

Treating wisdom teeth is quite difficult due to their anatomical structure. Nonetheless, qualified specialists they are successfully treated. Prosthetics of wisdom teeth is recommended when one (or several) neighboring teeth are missing or need to be removed (if you also remove a wisdom tooth, then there will simply be nothing to chew on). In addition, the removal of a wisdom tooth is undesirable if it is located on the jaw in right place, has its own antagonist tooth and takes part in the chewing process. You should also take into account the fact that poor-quality treatment can lead to the most serious complications.

Here, of course, much depends on the taste of the person. So, there are absolutely invisible systems attached to the inside of the teeth (known as lingual), and there are also transparent ones. But the most popular are still metal braces with colored metal / elastic ligatures. It's really trendy!

Let's start with the fact that it's just unattractive. If this is not enough for you, we give the following argument - the stone and plaque on the teeth often provoke bad breath. And that's not enough for you? In this case, we move on: if the tartar “grows”, this will inevitably lead to irritation and inflammation of the gums, that is, it will create favorable conditions for periodontitis (a disease in which periodontal pockets form, pus constantly flows out of them, and the teeth themselves become mobile). ). And this is already a direct path to loss healthy teeth. Moreover, the number of harmful bacteria at the same time increases, due to which there is an increased cariousness of the teeth.

The service life of an accustomed implant will be tens of years. According to statistics, at least 90 percent of implants function perfectly 10 years after installation, while the service life is on average 40 years. Tellingly, this period will depend both on the design of the product and on how carefully the patient takes care of it. That is why when cleaning without fail you need to use an irrigator. In addition, it is necessary to visit the dentist at least once a year. All these measures will significantly reduce the risk of implant loss.

Removal of a tooth cyst can be performed therapeutically either surgical method. In the second case, we are talking about the extraction of a tooth with further cleaning of the gums. In addition, there are those modern methods to save the tooth. This is, first of all, a cystectomy - quite complex operation, which consists in removing the cyst and the affected root tip. Another method is hemisection, in which the root and a fragment of the tooth above it are removed, after which it (part) is restored with a crown.

As for therapeutic treatment, then it consists in cleaning the cyst by means of root canal. It is also a difficult option, especially not always effective. Which method to choose? This will be decided by the doctor together with the patient.

In the first case, professional systems based on carbamide peroxide or hydrogen peroxide are used to change the color of teeth. Obviously, it is better to give preference to professional bleaching.

  • what is stomatitis
  • types of stomatitis
  • causes of stomatitis
  • symptoms of stomatitis
  • stomatitis treatment
  • stomatitis treatment at home
  • prevention of stomatitis

What is stomatitis

Stomatitis is an inflammation of the oral mucosa. In the mouth, it affects the mucous membranes of the tongue, lips and cheeks. It can be confused with glossitis (inflammation of the tongue), cheilitis (inflammation of the lips), gingivitis (inflammation of the gums).

Types of stomatitis

Stomatitis are: aphthous, herpetic, ulcerative and allergic.

Aphthous stomatitis

It can be acute (from a virus) and chronic. Acute differs from chronic in common manifestations: temperature and general weakness.

Aphthous stomatitis photo:

Chronic is more often accompanied by the appearance of aphthae in the anterior region of the oral cavity on the inner surface of the lip and tongue. Ulcers can be single and multiple up to five pieces. Sizes from 3 to 7mm. It practically does not cause general ailments.

The causes of chronic stomatitis are more often diseases of the gastrointestinal tract, allergic reactions and overall decline immunity. Relapses are possible.

Treatment with antibacterial agents, antihistamines and to increase immunity.

Herpetic stomatitis

The reason for it is the herpes virus, which is in the body. It is believed that most of the population is a carrier of the herpes virus, which does not manifest itself in any way. But with a decrease in immunity, it is activated. Most often, the disease resolves within 2 weeks. In adults common manifestations in the form of temperature and weakness usually does not happen. There may be an increase in lymph nodes.

Herpetic stomatitis photo:

First, small bubbles with liquid form, which then burst. Forming small sores arranged in groups. On the internal surfaces lips and cheeks, tongue and palate. Often merge with each other, forming irregular shapes. Covered with white gray coating.

Priority for treatment in antivirals.

Candidiasis stomatitis (thrush)

Caused by the fungus Candida, which is constantly present in the normal microflora of the oral cavity. With a clear decrease in immunity, it actively multiplies, causing this type of stomatitis.

Candidiasis stomatitis photo:

Manifestations differ from other types of stomatitis - cheesy spots and plaque form on the mucous membrane or tongue. When removed, reddened erosive areas are visible. It is accompanied by dryness in the mouth, cracks and seizures in the corners of the mouth.

Treatment is necessarily antifungal! drugs.

Ulcerative stomatitis

The main reason is again a decrease in immunity. But in combination with poor hygiene oral cavity, periodontitis and large volumes of tartar. It is accompanied by an increase in body temperature, general malaise, a pronounced unpleasant odor.

Ulcerative stomatitis photo:

Damage to the mucosa is not punctate, but occupying large volumes, with a light gray coating. Often in the area of ​​the teeth.

For treatment, use antibacterial agents, antibiotics, antihistamines and to increase immunity.

Allergic stomatitis

May be an allergic reaction to an irritant. Then it will be similar to aphthous stomatitis. Or be a reaction to the prosthetic material.

Allergic stomatitis photo:

Allergic stomatitis can be from a plastic component of a removable denture made according to the old technique. Or on the metal of the prosthesis or crown. Such cases are isolated. But in practice, even allergies to gold came across.

Treatment requires antihistamines.

Causes of stomatitis

very varied. There is no one factor that would be the only one for the occurrence of inflammation of the oral cavity.

bacteria or viruses
are always found in stomatitis. Especially in ulcers on the mucosa. But the oral cavity always has an extensive and diverse microflora. There should be a strong additional impact on the harmoniously tuned microflora of the oral cavity. After all, usually stomatitis does not occur.

Let's explain. In the oral cavity is CONSTANTLY from birth great amount streptococci, staphylococci, fungi, spirochetes... They affect each other. holding back overdevelopment some one.

The body itself contributes to this - the antibacterial part of saliva helps to maintain the dynamic balance of microorganisms living in the oral cavity. Restraining their reproduction, but not completely destroying them. Since another microflora will immediately take its place. Which will become pathogenic (destructive) for the body.

Saliva does not destroy the microflora, but ensures its quantitative and qualitative constancy. It is this balance between all bacteria that is called NORMAL MICROFLORA of the oral cavity!!!

This microflora, together with the antibacterial components of saliva, is involved in protection against microorganisms coming from outside. Destroying them. And in case of getting into areas that are difficult to be washed out with saliva (cavities from caries, pockets with periodontitis ...) it inhibits the development of this microflora. Don't let it multiply and spread further.

If there is a significant imbalance in the microflora of the oral cavity, then this will definitely lead to inflammation of its mucous membrane - to stomatitis. These factors are:

  • acute or permanent injury to the mucous membrane: excessive diligent brushing of teeth, rough food, etc.
  • decreased immunity from common colds, beriberi, chronic diseases, malnutrition before exposure to serious diseases (anemia, radiation exposure in cancer, HIV).
  • reduced immunity from stress has been proven definitively. Moreover, stress can be both constant and from a sudden stressful situation.
  • entry into the oral cavity a large number microorganisms (dirty hands, unwashed food...).
  • conditions for finding bad microflora in poorly accessible areas (cavities from caries, tartar and plaque, leakage of crowns, lack of proper brushing of teeth)
  • uncontrolled intake of drugs that affect the quantity and quality of saliva. Reducing its antimicrobial effect.
  • oppression normal microflora antibiotics. Pathological is activated and grows strongly.
  • exposure to hormonal surges in women, children and adolescents.
  • previous dehydration of the body, therefore, a decrease in the amount of saliva: prolonged vomiting, blood loss, diarrhea, etc.
Diseases of the gastrointestinal tract, allergies, viral infections
It has long been noted that the oral cavity is a mirror of the body. All changes in it are reflected in the mucosa in the mouth. This is so for all kinds of diseases gastrointestinal tract(gastritis, pancreatitis, etc.), and allergic reactions. After all, the wounds on the oral mucosa are not single - the same or similar are located throughout the digestive system from the mouth to ... After all, stomatitis with wounds also appears with chicken pox, allergies to drugs or flowering.

Autoimmune Influences
it is believed that the cause of stomatitis is possible with autoimmune disorders. When the cells of the human immune system try to fight their own cells, causing the appearance of wounds on the mucosa. More often, the cause of stomatitis is a banal decrease in immunity.

Symptoms of stomatitis in adults

The appearance of single or multiple ulcers. Solitary, grouped in several rows or scattered throughout the oral cavity - on the inner surfaces of the lips, cheeks, tongue and palate. Allergic stomatitis can occur without the appearance of ulcers - redness of the mucosal areas.

First, redness occurs on the mucosa. There may be a burning sensation or pain. Then there is a local increase in volume and a round or oval sore with smooth edges is formed. Not deep. If they are very close, they can merge with each other. Forming irregular shapes. central region the ulcer is covered with a white or gray coating. Red edges. The main part of the oral mucosa is not discolored.

Ulcers are often very painful. Especially when chewing or simply touching.

In adults, stomatitis can occur without general changes. So it is with severe weakness, an increase in body temperature up to 39 degrees, an increase in lymph nodes.

The inflammation of the oral cavity passes from 4 days to two weeks. Depending on the type of stomatitis and its treatment. There are no traces on the mucosa from sores.

Treatment of stomatitis in adults

It is ideal to carry out treatment under the supervision of a doctor, and not self-medicate! Depending on the type of stomatitis and the causes of its causes, a treatment plan is selected. It is divided into general treatment and local.

Local treatment of stomatitis

It is designed to eliminate symptoms in the oral cavity - soreness, swelling, healing of the mucous membrane, reduction and normalization of the microflora of the oral cavity. Usually, several drugs are used for treatment. First one, then the following:

antiseptic rinses necessary to reduce the amount of microflora in the oral cavity. It is with them that treatment often begins. They will not work for allergic, herpetic and candidal stomatitis. They can only prevent infection of mucosal defects. Rinses are essential for aphthous and ulcerative stomatitis.

  • hydrogen peroxide 1.5% additionally mechanically cleans the surfaces of ulcers and mucous membranes from bacterial plaque
  • weak solution of potassium permanganate
  • Furacilin
  • Chlorhexidine 0.05% works well for ulcerative and aphthous forms
  • Miramistin helps with all stomatitis, but better with herpetic
  • 1% clotrimazole solution for candida
treatment of the oral cavity with solutions and sprays:
  • Stomatidine in solution or spray has an antimicrobial and antifungal effect.
  • Lugol in solution or spray. The solution is more efficient
  • Ingalipt spray antibacterial and immunomodulatory action
  • Geksoral spray more wide range impact compared to Ingalipt
oral gels
It should be noted that for the oral cavity it is necessary to use gels, not ointments. Since the ointment will not stick to the mucosa. Therefore, they will not affect the mucosa in any way!
  • Holisal gel against bacteria, viruses, fungi. Has anti-inflammatory and anesthetic effect
  • Kamistad gel is an antimicrobial, analgesic and anti-inflammatory drug
  • Viferon gel - a pronounced antiviral effect
  • Apply Candida in the form of an ointment or solution thin layer. Only with candidal form!

removal of tartar and plaque. If they are on the teeth, then any even very intensive treatment will only lead to a temporary effect. May provoke later deeper problems of the oral cavity. That's why professional cleaning teeth is the most effective and effective treatment or its beginning.

painkillers for removal pain oral cavity. Novocaine, lidocaine in low concentrations or sprays. Many mouthwashes, gels, and oral tablets contain anesthetics.

absorbable tablets and lozenges:

  • Lizobakt enhances local immunity affects both bacteria and viruses
  • Faringosept - antibacterial action
  • Anaferon antiviral action
  • Grammidin is rational for bacterial inflammation. There is an option with an analgesic effect
  • Imudon - immunomodulator, increases the antibacterial properties of saliva
  • Hyporamine based on sea buckthorn has antiviral and antifungal effects
  • Decamine caramel: 1-2 caramels every 3-4 hours - only for candida
healing preparations that accelerate the healing of the mucosa is best used after using previous remedies. Effective herbal decoctions: chamomile, sage, St. John's wort and calendula.
  • Solcoseryl-gel does not contain antibacterial components, but has a good healing effect
  • Sea buckthorn and preparations based on it well accelerate healing
  • Preparations based on vitamin A, rose hips contribute to the rapid regeneration of the mucosa
diet without annoying coarse food, without sharp and hot.

sanitation of the oral cavity- so that there are no carious defects, periodontal pockets and other cavities. Being a depot for pathogenic microflora. Where neither drugs nor saliva reach them. Where they can safely increase their number and wait for the next favorable factors. Again causing stomatitis and other oral diseases.

Local treatment will lead to recovery, but for a speedy cure, a general effect on the body is also necessary. Some stomatitis (herpetic, candidal) cannot be cured without it. If the symptoms subside on their own, relapses will periodically appear.

General treatment of stomatitis

affects the elimination of global causes of the disease, increased immunity, removal common symptoms(temperature, weakness) and prevention of complications.

Antivirals required for herpetic stomatitis. Simple rinses with herbs and chlorhexidine will not bring any results. Amexin, Viferon tablets are used

Antihistamines
needed for allergic stomatitis and severe inflammation of the mucosa:

  • Tavegil
  • Suprastin
  • Claritin

Antibiotics only needed for treatment. ulcerative form stomatitis. For herpetic, allergic and candidal, they will not bring any benefit.

Antifungal drugs needed for the treatment of candidal stomatitis. Without them, other treatments will be ineffective.

  • Nystatin or Levorin 1,000,000 IU after meals 4-6 times a day for 10 days
  • Diflucan capsules 1 time per day, 50-100 mg
  • Amphoglucamine 200,000 IU 2 times a day after meals
  • Amphotericin B in severe and long-term forms, 250 IU per 1 kg of body weight (per course up to 2,000,000 IU)

Raise general immunity with stomatitis has great importance for a speedy recovery. Vitamins can be used dosage forms or vegetable:

Herbal immunomodulators:
ginseng, St. John's wort, seaweed, nettle, wild rose, cranberry, thyme, walnut and pine nuts will not render adverse reactions and strengthen both the mucosa and the entire body. It is better to use them at the healing stage.

Treatment of stomatitis at home

For effective treatment you need to know exactly what type of stomatitis is present. And from this apply the above listed drugs and treatment.

Prevention of recurrence of stomatitis

To prevent the onset of the disease, it must be treated completely. To rule out relapses. Therefore, the general treatment begun must be completed. Don't quit after symptoms subside.

Sanitation of the oral cavity carious cavities, periodontal pockets, etc. did not allow hiding in them pathogenic flora and fauna. It did not cause injury to the mucosa and tongue.

After the end of the treatment of stomatitis, it is rational to continue the started intake of vitamin complexes. And to normalize the microflora of the oral cavity and the entire gastrointestinal tract, use acidophilus or bifidok. Don't let your immune system drop...

Types and symptoms of stomatitis in a child

Traumatic stomatitis. Such stomatitis can affect the oral mucosa at any age, but newborns most often suffer from it. The mucosa can be injured various reasons, for example, due to a pacifier, at the time of treatment of the oral cavity, due to toys, due to burns from hot. Violation of the integrity of the oral mucosa is fraught with the penetration of infection, which is constantly present in the oral cavity.

The child becomes restless, eats and sleeps poorly. In such cases, it should be shown to the doctor so that he prescribes the treatment of the oral mucosa with disinfectant solutions.

Viral stomatitis. This type of stomatitis is also called herpetic. They mainly affect children from one year old and older. The cause of this disease is the herpes virus, which the child becomes infected with from sick persons with the manifestation of rashes on the surface of the lips, on the wings of the nose, through objects used by the patient, for example, through dishes.

Viral stomatitis is characterized severe manifestation illness accompanied by high temperature and the development of blisters in the oral cavity. The latter burst and form sores. Rashes appear for about three days, then the formed sores heal. In addition to these symptoms, the child may be disturbed by nausea, diarrhea, vomiting. The duration of the disease is up to two weeks.

Treatment viral stomatitis carried out with antiviral medicines. Interferon preparations are instilled into the nose, the nose is lubricated with viferon, they are also used rectal suppositories. Edema is removed with suprastin or diphenhydramine. oral cavity treated with enzyme solutions designed to break down proteins. In addition, rinsing the mouth with antimicrobial solutions such as furatsilin is prescribed to exclude the development of a bacterial infection.

Microbial stomatitis. With microbial stomatitis, the baby's lips are covered with a fairly thick crust yellowish color. They stick together and the mouth is difficult to open. Body temperature rises. When bacteria enter the affected oral mucosa, plaque develops and bubbles filled with pus appear.

Fungal stomatitis. The cause of fungal stomatitis is the multiple reproduction of yeast-like fungi of the genus Candida. AT traditional medicine this type of stomatitis is called thrush. Basically, this stomatitis affects children under one year old. Its sign is curdled white coating on the oral mucosa. Babies refuse to eat, become restless, body temperature does not rise. Treatment: mucosal treatment cotton swab dipped in 2% soda solution. The latter is prepared by dissolving a teaspoon of soda in boiled warm water. The oral cavity is treated after the meal procedure. This helps to clear the mouth of milk residues, which are a substrate for fungal growth. A doctor may recommend an antifungal ointment.

Allergic stomatitis. it allergic reaction body on foods that are not suitable for the child's body. To stop the development of such stomatitis, foods should be excluded from the diet, allergic. Symptoms: burning, feeling of dryness, itching, swelling of the oral mucosa. May be accompanied by the appearance of white or red spots on the tongue. Treatment is effective only when the allergen is excluded from the baby's diet. Therefore, you need to be examined by an allergist. The mouth should be rinsed with furatsilin, calendula solution or saline solution.