Inflammation of the mouth and gums treatment. Heavy metal poisoning

Stomatitis - inflammation of the oral mucosa - a pathological process developing on the internal surfaces oral cavity in the presence of certain etiological factors. The disease occurs at any age, but children are more susceptible to it due to their developmental characteristics. jaw apparatus and a craving for testing foreign objects by the tooth. Inflammation of the oral cavity is treated by a dentist or, if the patient is in childhood, pediatrician.

Stomatitis is considered only a superficial pathological process. Purulent-necrotic pathology that affects the deep layers of the tissues of the oral cavity, gums and jaw bones does not apply to stomatitis. In this case we are talking about gingivitis, subperiosteal abscess, soft tissue phlegmon. Stomatitis can be an independent disease or be secondary in nature, being one of the symptoms of internal diseases such as:

  1. weakened immunity;
  2. herpetic infection;
  3. fungal infection;
  4. the presence of a source of infection from which pathogenic microflora is carried throughout the body by blood

Primary inflammations in the mouth usually respond to local treatment. Secondary stomatitis requires complex therapy, mainly aimed at eliminating the underlying disease.

Causes of stomatitis

The basis of primary inflammation of the oral mucosa is the entry of an infectious agent into the “gate” of infection. The role of the pathogen can be played by:

  • fungi;
  • viruses;
  • bacteria.

Non-infectious causes of stomatitis exist. We are talking about damage from chemical or physical factors(acid burn, thermal burn). However, in this case, the traumatic agent only creates an entrance gate, violating the integrity of the mucous membranes. As a rule, already in the first minutes after injury, it is possible to identify some types of pathogenic and opportunistic bacteria in the lesion.

Damage to the internal surfaces of the mouth is often mechanical. The reasons for this phenomenon lie in the presence of sharp tooth fragments, children’s attempts to bite foreign hard objects, and incorrectly selected dentures. Bacteria enter microtraumas obtained in this way. Inflammation of the oral mucosa develops. With secondary stomatitis, the presence of an entrance gate of infection is not necessary. The microflora is brought in by blood from the main infectious focus.

Predisposing factors


Normally, the entry of a small amount of bacterial flora into a wound does not lead to inflammation. Triggered defense mechanisms that destroy the pathogen. In order for the process to continue for any significant time, the degree of intensity defensive reactions should be reduced. This occurs in the following pathological conditions:

Inflammation of the oral cavity can also be of autoimmune origin. In this case, the patient’s body begins to produce antibodies against its own tissues, destroying them.

Symptoms and diagnosis

Symptoms of inflammation of the inner mucous membrane of the oral cavity are divided into general and local signs. To the number local symptoms include:

  • the appearance in the mouth of small ulcers covered with a white coating and bordered by areas of hyperemia;
  • swelling of the oral mucosa;
  • bleeding gums;
  • soreness of the mucous membranes when touched;
  • bad breath;
  • burning sensation;
  • increased salivation.

As a rule, when trying to separate the white plaque, the patient experiences sharp pain. The exposed surface of the ulcer bleeds by capillary type. Foci of the disease are most often located on the cheeks, inner surface of the lips, soft palate. Viral stomatitis appears in the form of small blisters with serous contents that cover the mucous membrane. Swelling and pain are noted.
General symptoms develop with severe stomatitis and high prevalence of inflammation. The symptoms that arise are similar in adults and children and are mainly due to intoxication. TO general symptoms Stomatitis includes:

  1. an increase in the patient’s body temperature sometimes up to 39°C;
  2. pain in muscles, joints;
  3. weakness, fatigue, tearfulness;
  4. headache;
  5. reduction or complete loss of performance;
  6. aches throughout the body;
  7. flying pains in bones.

Intoxication during stomatitis is caused not only by the release of bacterial waste products into the blood, but also by the disintegration of necrotic tissue. At the same time, in people with chronic kidney disease, accompanied by a decrease in their excretory capacity, the general intoxication syndrome is most pronounced.

Due to intoxication and pain during swallowing, the patient may refuse to eat. In such cases, an adult should be given liquid foods. In the case of infants, it may be necessary to switch to parenteral (intravenous) nutrition or place a nasogastric tube to introduce food directly into the stomach.

Treatment

For inflammatory processes in the oral cavity, treatment can be general and local.

Local treatment

Necrotic inflammation of the oral cavity requires careful treatment of foci of pathology. The ulcers are washed with a solution baking soda. Sterile sodium bicarbonate infusion solutions sold in the United States can also be used for treatment. glass bottles 200 ml each. Contact with ulcers should be done with a sterile or clinically clean gauze pad. It is worth noting that cotton wool is not used to treat ulcerations. Microscopic lint may remain in the wound, which will complicate the process.

After treatment and removal of the white plaque, the ulcers are treated with antiseptic solutions. For this, miramistin, chlorhexidine, octenisept, and a weak solution of potassium permanganate can be used. Some recipes can be used traditional medicine(decoction of chamomile). Such treatment leads to the fact that the inflammatory process subsides, giving way to regeneration.

After antiseptic treatment, the ulcers are treated with agents that accelerate recovery. Solcoseryl can act as a regenerating drug, sea ​​buckthorn oil. In case of severe pain, ointments with anesthetics (lidocaine, Kamistad) can be prescribed. Viral nature stomatitis is an indication for prescribing antiviral drugs (acyclovir) to the patient.

Local treatment of stomatitis also includes sanitation of lesions chronic infection in the mouth. Sick teeth are filled, damaged teeth are removed or restored. If this is not done, the mucous membrane will become inflamed again and again.

General treatment

General therapy is used for severe stomatitis. Patients are prescribed the following groups of drugs:

  • antibiotics (amoxiclav, metronidazole, ciprofloxacin);
  • antiviral (acyclovir, Zovirax);
  • vitamins (complivit, injectable monovitamins);
  • agents that improve blood microcirculation (pentoxifylline, trental);
  • immunostimulants (levamisole).

In addition to the above, general therapy should be aimed at correcting the underlying disease. Depending on the diagnosis, patients are prescribed immunomodulators, chemotherapeutic agents, antihistamines, etc. The question of how to treat the underlying pathology is decided individually.

For stomatitis, a certain diet is required. Products consumed should not cause irritation of the mucous membrane and aggravate the course of the disease.

  1. citrus;
  2. fried foods;
  3. spicy food;
  4. excessively salty foods;
  5. acidic components;
  6. crackers; cookies, waffles, chips;
  7. hot dishes;
  8. alcohol.

The patient's table should consist of:

  1. slimy soups;
  2. dairy and fermented milk dishes;
  3. chilled tea, decoctions of medicinal plants;
  4. cottage cheese, yoghurts;
  5. soft cereal porridge;
  6. vegetable juices.

Before consumption, it is recommended to grind the products until smooth using a blender. After eating you need to rinse your mouth with a decoction medicinal herbs or an antiseptic. The absence of such treatment leads to the retention of food particles between the teeth and the active proliferation of bacteria in the oral cavity. A gentle diet should be maintained until the ulcerations are completely healed.

As an alternative nutrition option for stomatitis (especially in childhood), specialized nutritional mixtures (nutrison, nutridrink) can be used.

Such formulations have a certain specialization, being intended for patients with diabetes mellitus, anorexia, etc. In order to feed a patient suffering from stomatitis, you should choose neutral formulations that are as close in content as possible to natural food.

Prevention of stomatitis

Prevention of primary stomatitis is quite simple and should be carried out by every person who cares about their health. Inflammation of the oral cavity usually develops due to poor personal hygiene. Therefore, the first and most important rule To prevent the disease in question is to regularly brush your teeth twice a day with a soft toothbrush. However, dentists do not recommend using a paste that contains sodium lauryl sulfate.

We should not forget that the causes of stomatitis are often a lack of vitamins. You should regularly, in spring and autumn, undergo a preventive course of vitamin therapy, eat seasonal fruits and non-irritating vegetables. If you already have vitamin deficiency, you should consult a doctor to prescribe appropriate treatment.

It is necessary to monitor the health of the oral cavity, prevent the formation of microtraumas, and promptly treat diseased teeth, if any are present in the oral cavity. You should also pay attention to other somatic diseases that can cause stomatitis. With the aim of timely detection and treatment of foci of pathology is recommended once a year, and after 40–45 years, 2 times a year to undergo a preventive examination.

Forecast

The prognosis for primary stomatitis is favorable. Recovery occurs on average 2–3 weeks after the onset of the disease. If the mucous membrane is inflamed for a longer period, the patient must undergo a comprehensive examination for the presence of diseases that provoke stomatitis. Prognosis for the secondary form of inflammation directly depends on the main diagnosis and prognosis for it.

Treatment of inflammation of the oral mucosa largely depends on the type of pathogen that caused the lesion. That is, it is first necessary to diagnose and establish the etiology of the disease, and only then begin drug therapy.

Classification of inflammatory diseases and their signs

Any inflammatory process in the oral cavity is called stomatitis. The disease is characterized by the appearance of plaque, redness of the mucous membrane and the appearance of ulcers, aphthae or other rashes on it. Plaque and rashes can be localized on the gums, tongue, lips, palate or inner cheeks. The disease is accompanied by fever and lymphadenitis. The patient has severe pain in the oral cavity, it is difficult for him to chew food and drink water.

The causative agent of stomatitis can be the fungus Candida albicans, the herpes virus, bacteria, injury or allergies.

There are several types of inflammation of the oral cavity:

  • Catarrhal. May be accompanied by swelling, redness, the appearance of pustules or numerous erosions in the mouth and lips, plaque on the mucous membrane, increased salivation, pain in the mouth, and bleeding gums. Catarrh develops due to caries, chipped crowns, tartar and lack of sufficient hygiene.
  • Traumatic. It is characterized by redness, hyperemia, irritation of the mucous membrane and the appearance of erosions. Occurs due to various mechanical damage.
  • Herpetic. Occurs due to infection or activation of the herpes virus. In addition to traditional changes, lymphadenitis, general weakness and a strong increase in temperature are observed.
  • Candida(thrush). Occurs due to the activity of the fungi Candida albicans. The disease is characterized by hyperemia of the tongue, the inner surface of the cheeks, gums and the appearance of abundant white plaque. Most often, candidiasis affects infants.
  • Aphthous. Manifested by the appearance of ulcers. First, the mucous membrane swells, turns red, and then aphthae appear on it, covered with a serous coating. The formations are painful when touched with the tongue.
  • Allergic. Represents the body's reaction to any irritant: drugs, food, dyes. This type of inflammation is characterized by standard manifestations of allergies: swelling, pain in the mouth, severe itching, pinpoint burning, the appearance of reddened spots on the lips and on the inside of the cheeks.

Signs of glossitis

Inflammation of the tongue is considered separately from other forms of stomatitis; this pathology even received its own name - glossitis. The disease often accompanies various dental pathologies and indicates the presence of infection in the body. The following signs indicate that a person has an inflamed tongue:

  • pain and swelling of the tongue;
  • violation of taste perception;
  • swelling of individual papillae of the tongue;
  • the appearance of spots on the tongue;
  • redness of the tongue;
  • increased salivation;
  • the appearance of rashes and ulcers.

Multidirectional folds, a cheesy or varnish coating, purulent pimples with a bright border and other formations may appear on the tongue. Any change in the appearance of the tongue should alert you and be a reason to immediately consult a doctor. Especially if it becomes painful to swallow or there are problems with pronunciation.

Signs of gingivitis

It's called gingivitis pathological inflammation gums, which occurs due to an abundance of plaque, tartar, taking oral contraceptives, immunosuppressants, or irritation during teething (baby or wisdom teeth). All of these factors lead to gum inflammation only if a person systematically ignores hygiene rules. That is, the growth of new teeth is not always accompanied by an inflammatory process.

Gingivitis can be recognized by swelling, redness, bleeding, hyperthermia and tenderness of the gums. Sometimes the connection between the gum and tooth is disrupted, causing it to become loose. Almost always, gingivitis is accompanied by halitosis - bad breath.

Causes of inflammation of the oral mucosa

Most often, inflammation of the mucous membrane of the mouth and tongue occurs due to reduced immunity and poor oral hygiene. The mucous membrane, which is not given due attention, becomes susceptible to various pathogens - bacteria, viruses, fungi - and therefore easily becomes infected. Also occurs when the tongue is injured or inside cheeks sharp object, a tooth fragment, a chemical substance or hot food - under the influence of irritating factors, the susceptibility of the mucous membrane to infections increases.

Predisposing factors are needed for primary infection; if the pathogen is in the body in a vegetative state or has already infected other cells and tissues, then special “entry gates” for the penetration of bacteria or fungi are not required. Pathogenic microflora will be brought into the oral cavity with the bloodstream from the main infectious focus.

In adults, pain may be localized in the area of ​​the oral mucosa due to smoking. Nicotine is a highly irritating factor. It corrodes the mucous membrane and provokes its inflammation and hyperemia. Stomatitis occurs more often in adults who smoke than in non-smokers.

Factors that provoke inflammation in the oral cavity

Factors that provoke the development of inflammation in the oral cavity include:

Some medications may have side effects, sometimes called medicinal disease. Most often, such complications are associated with the use of:

  • antibiotics of all groups;
  • pyramidon;
  • sulfonamides;
  • novocaine;
  • drugs containing iodine, phenol and heavy metal compounds.

Side effects of drugs are due to their chemical structure and often manifests itself against a background of weakened immunity and concomitant diseases. Most often, taking such drugs leads to the development of catarrhal or allergic stomatitis.

In children, irritation of the mucous membrane in the mouth often occurs due to intestinal dysbiosis or vitamin deficiency resulting from prolonged antibacterial therapy. Dysbacteriosis, which developed while taking antibiotics and sulfonamides, leads not only to candidiasis, but also to changes natural color tongue to black. That is why, in parallel with the treatment of the soft tissues of the oral cavity, it is necessary to restore the functioning of the gastrointestinal tract.

How to treat oral cavity inflammation

Inflammation of the soft tissues of the oral cavity occurs due to various reasons, so the disease can be effectively treated only after adequate diagnosis. Sometimes mouth ulcers can be cured with diet and folk remedies.

Therapeutic diet

To make mouth ulcers heal faster, you should stop smoking or reduce its intensity. It is necessary to remove from the diet foods that cause allergies and lead to irritation of the mucous membrane:

  • citruses: tangerines, oranges, pomelo, grapefruits;
  • hot coffee and tea;
  • dishes with pepper (black, red, chili);
  • over-salted dishes.

During the treatment period it is worth switching to salt-free diet to avoid problems with irritation of the soft tissues of the oral cavity. In addition, it is recommended to rinse your mouth with antiseptic solutions after each meal.

Traditional medicine

If the soft tissues of the oral cavity are inflamed and painful, it is necessary to properly moisturize them. Frequent rinsing will help relieve inflammation and hyperthermia, and get rid of infection. In case of inflammatory process on the mucous membrane, it is recommended to use such folk remedies:

If you don’t have any anti-inflammatory herbs on hand, you can rinse your mouth with plain water or periodically suck on a piece of ice: the cold will reduce the intensity of blood flow to the infected area, which will relieve pain, redness and inflammation.

Inflammation of the soft tissues of the oral cavity can be treated with aloe juice. This plant has amazing anti-inflammatory and antibacterial properties. Aloe juice should be applied directly to the affected area 3 times a day. For better effect You can make aloe lotions on the inflamed area or rinse your mouth with plant juice dissolved in water. Such measures will help restore the integrity of the mucous membrane.

When ulcers appear in the mouth, people usually do not go to the doctor, but if the canker sores are painful, swollen, there are many of them, and they do not go away within 12–14 days, it is worth visiting the clinic. Treating such pathologies on your own is dangerous.

What medications treat inflammation?

The choice of medications depends solely on the type of infection that caused the pathology. For any infectious lesion, it is useful to take painkillers or rinse the mouth with such agents. They will help reduce pain and inflammation of the oral mucosa, but will not eliminate the cause of the disease. Anesthetics combat symptoms only; they cannot restore the condition of the oral mucosa.

You can purchase over-the-counter medications that effectively treat mouth ulcers regardless of their etiology:

  • Corticosteroid ointment Triamcinolone.
  • Blistex.
  • Campho-Fenik.
  • Zovirax.
  • Denavir.

For a viral infection, it is recommended to take medications based on acyclovir. They will help relieve painful symptoms, restore tissue integrity and cure the disease in initial stage. Such drugs are allowed to be taken by both adults and children, but before purchasing them, you must familiarize yourself with the contraindications and consult a specialist.

A doctor should prescribe medications. With improper drug therapy, the inflamed mucous membrane in the mouth can cause generalization of infection.

Any inflammatory processes in the oral cavity require timely treatment. If you ignore the inflammation of the mucous membrane, the infection can spread to other tissues and organs.

Inflammatory diseases of the oral cavity are among the most common reasons why patients turn to local otolaryngologists, therapists, and pediatricians. Particularly widespread diseases of this type are observed among children and people of young, working age.

Today, a very important issue is the search for the most optimal methods and means for treating such patients.

Types of mouth diseases

Inflammation of the oral mucosa can result from various influences - traumatic, allergic or infectious. Inflammatory changes of the oral mucosa also occurs with a lack of vitamins, various diseases of the gastrointestinal tract, cardiovascular and endocrine systems.

In addition, this type of inflammation is often observed with blood diseases and/or intoxication of the body with heavy metals. It is important to note that very often inflammation of the oral cavity becomes the first sign of serious illness.

This disease can develop when the mucous membrane is injured by sharp edges of teeth, hot food, or dentures. First, swelling and redness occur in the damaged area, and then a painful ulcer and erosion appears in this area, which can fester if left untreated. Long-term use of a denture that is not fitted correctly can cause the growth of areas of the oral mucosa and the formation of papillomas on its surface.

Infectious inflammation of the oral cavity, as a rule, is one of the signs of a general infectious disease that also affects the oral mucosa. Most often it appears when herpetic infection. Infections of the mouth and throat are characterized by a rise in body temperature, swelling and redness of the mucous membrane, as well as the appearance of a large number of small blisters.

Allergic inflammation of the oral cavity can be expressed in the form of normal swelling and redness, or in the form of blisters and ulcers. The disease can affect both the entire mucous membrane and its individual sections. Most often, such a disease is the body’s “response” to various medicines. In this case, the oral cavity hurts, there is pain when eating, a burning sensation, dryness and itching. In some cases, atrophy of the taste buds of the tongue is noted.

Infectious-allergic inflammation of the oral cavity is manifested by the appearance of characteristic painful aphthae on the mucous membrane of the cheeks and lips, the lateral surfaces and the tip of the tongue. As a rule, their manifestation is accompanied by disturbances in salivation, increased lymph nodes, rise in body temperature and severe pain. Very often the cause of this disease is serious illnesses organs of the gastrointestinal tract. It is worth noting that such oral diseases most often appear in children and young people.

In case of heavy metal poisoning, inflammation of the oral cavity is catarrhal in nature. The most noticeable symptoms of this disease are swelling and redness of the oral mucosa with areas of gum pigmentation. In some cases, ulcers develop quickly and are characterized by a persistent course. In addition to severe pain and sensation metallic taste in the mouth, as well as disorders of salivation, is also impaired general state body, severe weakness, apathy, digestive problems, etc. appear.

How is the treatment implemented?

When treating this disease, specialists focus on the complete elimination of the damaging factor. It should be noted that doctors treat inflammation of the oral cavity only together with the underlying disease, which caused inflammation of the mucous membrane.

A careful study of the patient's chart reveals what caused the inflammation.

If the patient does not have chronic diseases, mechanical damage or fungal infections, then an X-ray examination is performed to identify internal periodontal inflammation. As a rule, if there is an underlying disease, in combination with other drugs that treat it, the doctor will also prescribe a mouth rinse. Very often, the oral cavity is also cleaned to remove plaque.

An anti-inflammatory agent for the oral cavity is used in the presence of symptoms such as redness, ulcers, swelling or aphthae of the oral mucosa, painful sensations when eating, etc. Timely treatment This disease restores the structure and color of the mucous membrane in the mouth. As a rule, treatment of such a disease takes from 1.5-2 weeks to 1 month.

It can cause various complications if treated incorrectly or untimely.

Types of inflammation

Before starting treatment, the doctor must determine the type of inflammation, whether there are the following types:

There may be inflammation in chronic diseases:

  • pathologies of the gastrointestinal tract, endocrine system;
  • hormonal disorders;
  • alcohol abuse, long-term smoking;
  • immune failure;
  • Hormonal disorders occur during pregnancy;
  • diabetes of any form;

How to treat?

First, you need to establish the cause of inflammation of the mucous membrane, visit a doctor, and undergo all prescribed examinations. Self-medication can lead to disastrous results.

  1. The doctor will interview and examine the patient to identify possible concomitant diseases.
  2. He will prescribe tests: an allergy test, bacterial culture from the site of the rash to find out the form of infection: fungal or herpetic.
  3. Will do general analysis blood and blood serum.
  4. If necessary, he will write out a referral for examination by other doctors.

Only after all the research and determination of the cause of the disease and the type of pathology, the attending physician will be able to prescribe a treatment regimen. Unqualified assistance can aggravate the inflammatory process, which means the general condition of the patient.

Ideally, the mucous membrane in the mouth should be: Pink colour, smooth and uniform structure.

  1. Will be removed pain syndrome and anti-inflammatory drugs will relieve swelling, produce them in various forms ah: ointments, gels, sprays, tablets. Particularly effective: Asept, Kamistad, Lidocaine, Cameton, etc.
  2. For aphthous type of inflammation, you need to use antiallergic drugs: Suprastin, Cetirizine, Loratadine, Claritin.
  3. Aphthae are treated with Cholisal gel. It has an analgesic effect. You can restore the epithelial layer with the help of drugs: gel - Actovegin, pastes - Solcoseryl, you can buy sea buckthorn oil or rosehip oil at the pharmacy.
  4. If the mucous membrane is affected by a virus - Interferon, Tebrofen, Oxolinic ointment. First, the affected mucosa must be treated with any antiseptic, and then lubricate with ointment: 3-4 times a day.
  5. If the pathogen is bacterial in nature, then you will need ointments with antibiotics included in them: Tetracycline ointment, Elugel. Oral antibiotics can also be prescribed along with ointments: Metronidazole, Cefazolin, Amoxiclav, etc.
  6. There are drugs that can immediately provide: anti-inflammatory and antimicrobial effects - these are Metrodent, MetrogilDenta, Mundizal-gel, etc.

ethnoscience

Since ancient times, traditional medicine has helped people cope with many diseases.

Ordinary oak, or more precisely, its bark, heals the mucous membrane well:

Pour boiling water over it and keep in a water bath for half an hour. When it cools down, strain, add boiled water, bring to the original volume. Rinse your mouth: morning and evening.

Wonderful remedy from walnut leaves:

Place the leaves in a glass container, pour boiling water over them, wrap them well and leave overnight.

In the morning, strain, and when rinsing, observe the following proportions:

  • 3 tsp. dilute the infusion in 200 ml of boiled water.

Rinse 2-3 times a day, the course of treatment is up to half a month.

  1. Freshly squeezed carrot, potato or cabbage juice diluted with water: 1:1.
  2. Aloe or Kalanchoe juice in the ratio of water: 1:3, but you can simply chew the leaves.
  • 2 tbsp. l. medicinal sage;
  • 1 tbsp. l. common agrimony;
  • 1 tbsp. l. calendula.

Mix all the herbs, take 2 tbsp. l. collection, pour 1 liter of boiling water. You can drink (small sip) 6-7 times a day.

Buy calendula tincture at the pharmacy: 2 tsp. mix with water.

Flax seeds: 1 tsp. Pour boiling water over the seeds and boil for 10 minutes.

Prevention

  1. Watch your diet.
  2. IN for preventive purposes use - Oxolinic ointment.
  3. Stop smoking and drinking alcoholic beverages.
  4. If you have health problems, try to eliminate them in a timely manner.
  5. Take vitamins regularly.
  6. Strengthen your immune system.

Take care of your oral cavity: don’t just brush your teeth, but do it right:

  1. Clean at least 2 times a day.
  2. Choose a toothbrush and toothpaste responsibly: the brush should be made of natural bristles, not hard, choose a toothpaste without sodium lauryl sulfate.
  3. Floss regularly.
  4. Rinse your mouth not only with water, but also use: pharmaceutical rinses, herbal decoctions (eucalyptus, sage, chamomile). Chew pieces of propolis, it is also a good antiseptic and additionally cleanses.
  5. Visit the dentist 2 times a year, even if nothing bothers you, he will advise you and, if necessary, eliminate traumatic mucous membranes.
  6. Unsuitable dentures: they must be made only from high-quality materials and must be made only after preliminary fitting.
  7. Removes stone, broken and sharp edges of teeth, eliminates sources of infection: periodontal pockets, carious teeth etc.

Take care of your health, lead a healthy lifestyle, give up bad habits, these simple rules will help you not only keep your oral mucosa healthy, but also live a long and happy life!

DO NOT THINK OF BLEACHING YOUR TEETH AT THE DENTIST! There is a chance to damage the enamel and make the situation worse.

Inflammation of the oral mucosa: causes and treatment

What can cause inflammation of the oral mucosa and what treatment should be prescribed for it, how to correctly identify the cause of inflammation of the oral cavity - all this will certainly be of interest to those who have at least once encountered this disease for one reason or another. We will also tell you what bad habits can cause inflammation of the oral mucosa.

Types of inflammation of the oral mucosa

Inflammation of the oral mucosa is a key symptom in diseases such as:

In all these diseases, the symptoms will be the same: pain in the mouth, in the gum area, on the lips, cheeks or strong pain in the throat. Often inflammation of the oral cavity is accompanied by suppuration if it is not treated in time. In mild cases, rinsing with medicinal herbs, teas, antiseptic solutions and, less often, antibiotics are usually used, but these are prescribed only by a doctor.

Inflammation of the mucous membrane in the mouth belongs to the group of dental diseases. As a rule, the mucous membrane tends to become inflamed due to certain changes in the human body, which should be paid attention to. In isolated cases In this case, injuries to the shell or its burns are considered, for the treatment of which, if we are not talking about serious injuries, you can use folk remedies like the same rinses.

Why the oral mucosa becomes inflamed: causes and treatment

Inflammation of the mucous membrane in the mouth - very frequent illness, which dentists encounter almost every day. Naturally, in order to prescribe the correct treatment to the patient, you must first determine the cause of such inflammation. The most common causes of inflammation in the oral cavity are:

  • poor oral hygiene;
  • advanced caries and its untimely treatment;
  • presence of tartar;
  • incorrectly made dentures for teeth and other reasons.

Also, the mucous membrane in the mouth can become inflamed due to chronic diseases such as:

  • diabetes;
  • pathological stomach problems;
  • problems with immunity;
  • hormonal disorders;
  • smoking;
  • abuse alcoholic drinks;
  • hormonal disorders during pregnancy and much more.

Naturally, when a patient comes to the doctor for an appointment with an inflamed mucous membrane in the mouth, the doctor is obliged to do a detailed examination and interview the patient to identify concomitant ailments, also take tests, allergy tests, and can, if necessary, prescribe an examination with other doctors. And only after all the circumstances have been clarified, he prescribes a treatment regimen, since incorrect treatment can only aggravate both the inflammatory process and the general condition of the patient.

So, for example, if inflammation of the mucous membrane began due to mechanical damage, then only antiseptic treatment of the injury site is suitable as treatment. If the reason inflammatory process If there is a burn in the mouth or frostbite, anti-inflammatory drugs and even painkillers are added to the antiseptics if the inflammation is accompanied by pain.

If the cause of the disease is the interaction of the oral cavity with chemical active substance, which often happens in children, the mouth should be immediately rinsed with a neutralizing agent, washed with special baths, antiseptic drugs are used and pain-relieving applications are applied to the site of damage to the mucous membrane.

Another treatment will be when the inflammatory process was caused by an infection that appears against the background of diseases such as:

In such cases, treatment includes general therapy, including taking immunomodulatory drugs, antiviral agents, vitamins and other things, as well as local treatment.

To treat inflammation, antifungal and antibacterial drugs, if it was caused by Candida fungus or other harmful microorganisms.

Sometimes treatment includes filling or tooth extraction if such a need arises due to injury or severe disease.

In cases where the cause of inflammation is poor oral hygiene, the doctor may prescribe professional cleaning and conduct a hygiene lesson for the patient. If the inflammation is not too painful and does not have severe form, then like this preventative measure will be quite sufficient.

If inflammation is accompanied by the appearance of swelling or ulcers on the mucous membrane, and pain occurs when eating, then you should consult a doctor and begin treatment, otherwise the inflammation can become chronic and affect the lungs, bronchi and other organs.

Why is the mucous membrane injured?

Sometimes a person may complain of pain in the palate. Often such pain occurs when the mucous membrane is injured while drinking too hot drinks like tea or coffee. The skin on the mucous membrane is very thin and vulnerable, often its integrity is compromised due to ingestion of too hard food. Pain, as a rule, does not begin immediately, but after a few days. Thus, harmful microbes enter the resulting wound and the inflammatory process begins. To prevent this, you need to use oil solution vitamin A and rinse the cavity with herbal infusions.

Often, problems with the mucous membrane can arise if you overuse citrus fruits and even seeds, if you chew them with your teeth rather than your hands. So, you should control the consumption of sour fruits and other foods with “sourness”. If the mucous membrane is damaged, it should be treated with a thin layer of retinol ointment or antiseptic.

Why does the mucous membrane peel off?

Peeling of the mucous membrane in the mouth is one of the symptoms of stomatitis or due to problems with neurology. The most common reasons for this phenomenon are the following:

  • constant neuroses and stress, a constant load on the brain, quite often occurs among students during the session, when after passing it they have dental problems;
  • chemical burn mucous membrane, which can be provoked by vodka or low-quality alcohol in large doses;
  • burn from hot food;
  • diseases of the gastrointestinal tract, however, they cause stomatitis extremely rarely.

If you have problems with the stomach, the lining begins to peel off completely unexpectedly, so you should immediately consult a doctor, who will actually conduct an examination and prescribe the necessary treatment regimen.

For chemical burns, treatment can be limited to the use of regenerative agents, if they are not too large. But if the problem is a decrease in immunity and nerves, you should start taking immunomodulators, vitamins and sedatives. We also must not forget about rinsing and treating the cavity with special medicines and folk remedies.

It is advisable to take immunomodulatory drugs during the inflammatory process, regardless of the reason that provoked it, since any inflammation is a consequence of a weakening of the body and it should be strengthened and restored.

Piercing and inflammation of the mucous membrane in the mouth: how are they related?

Sometimes the cause of inflammation in the mouth is tongue piercing, which, although extremely dangerous and painful, is still very popular among young people.

The fact is that before this procedure you should sanitize your entire mouth, and also prepare yourself for this operation at least a week in advance by taking a complex of vitamins and minerals.

Sometimes glossitis or an abscess may occur during this procedure, as the body tries to reject foreign body, this can be avoided by carrying out preliminary procedures. However, such piercing for the mucous membrane is an extremely unpleasant thing, because even if everything heals, accidental injuries to the cavity in the presence of piercing in the mouth are quite common and dentists do not recommend piercing anything in the mouth, so as not to have problems with infections and all kinds of diseases of the oral cavity.

Features of inflammation in smokers

We should also talk about inflammation of the mucous membrane in the mouth of heavy smokers. Like piercing lovers, they have a choice - the desire to stand out or health.

The fact is that, despite all kinds of procedures smoking man is not able to protect oneself from stomatitis one hundred percent, since the effect of nicotine is much stronger, it can kill everything useful material, which appear in the body with the same vitamins.

Naturally, stomatitis in smokers occurs much more often than in non-smokers, and treatment of inflammation will simply be useless if a person does not immediately give up this bad habit. Treatment consists of rinsing and treating the lesions with special ointments.

If you quit smoking and receive treatment, inflammation can quickly go away, but if a person continues to smoke, then the inflammatory process can only get worse even with treatment, since nicotine has the property of corroding thin layer mucous membrane and disrupt its protective properties.

Features of stomatitis in diabetics

Treatment of the inflammatory process due to diabetes is extremely difficult; it is necessary to be especially strict about oral hygiene and constantly treat the oral cavity medicinal products, in particular, Metrogyl dent, which makes the shell softer and moisturizes it, which is very important for diabetics.

Preventive measures to prevent any type of inflammation in the mouth are very simple: you need to regularly brush your teeth thoroughly, not only with a brush, but also with floss, to rid the cavity of bacteria and rinse your mouth every time after eating.

You should also carefully monitor your diet and make a choice in favor of healthy food and refuse to eat foods that trigger gastrointestinal diseases. Naturally, you need to give up cigarettes and minimize your consumption of alcoholic beverages. It will not be superfluous to take vitamins, as well as means to strengthen the immune system.

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Restoration of mucous membranes and treatment of throat irritation

Inflammation of the throat mucosa is a symptom indicating mechanical damage or septic inflammation of the oropharynx. The mucous membrane is an immune barrier that prevents the development of pathogens in the airways. Pathological changes in tissue structure caused by inflammation and irritation of the epithelium lead to swelling, pain and dryness in the oropharynx.

Treatment of ENT diseases begins with determining the etiological factors that provoked the appearance of catarrhal processes.

The causative agents of the pathology can be yeast and mold fungi, protozoa, microbes or viruses. In each specific case, the principles of therapy will be fundamentally different.

Untimely relief of inflammation can cause the spread of infection and the development of more severe diseases, such as laryngotracheitis, sinusitis, pneumonia, etc.

Etiopathogenesis

The epithelium that lines inner surface throat, larynx, nasopharynx and airways, performs protective function. It produces a viscous secretion, which includes T-helper cells, macrophages and granulocytes. When the ENT organs become infected, they capture pathogenic cells and destroy them, which promotes recovery.

Irritation of the oropharyngeal mucosa indicates a decrease in local immunity and changes in tissue structure. Pathological processes in the throat can occur for the following reasons:

  • inhalation of polluted air;
  • insufficient air humidification;
  • mechanical damage to the mucosa;
  • decreased body resistance;
  • deficiency of vitamins A, E, B and C;
  • development of respiratory diseases.

When the protective functions of epithelial tissues decrease, malfunctions occur in the glands that produce viscous secretions. A lack or excess of mucus can cause obsessive coughing, drooling, pain, throat hyperemia, etc.

Types of sore throat

Staphylococci, meningococci, Candida fungus, Haemophilus influenzae, Proteus, herpes virus, streptococci, etc. may take part in the development of catarrhal processes in the ENT organs. No results bacterial culture It is not always possible to determine the type of pathogen from the throat based on local manifestations of the disease. Empirical treatment of the disease may lead to serious complications, especially in the case of the development of streptococcal flora.

Based on the morphological structure of damage to the ciliated epithelium, the following types of inflammation of the throat are distinguished:

  • catarrhal – inflammation, which is characterized by tissue hyperemia and the release of serous exudate from the lesions;
  • hypertrophic – pathological change mucous membrane, which is accompanied by thickening of the ciliated epithelium and the formation of an excess amount of viscous secretion;
  • atrophic - inflammatory processes in the throat that occur against the background of thinning of the epithelium and hypofunction of the glands that secrete mucus.

If inflammation is not stopped in time, the infection will spread to the larynx and lower respiratory tract, leading to the development of pneumonia.

Therapy for ENT diseases should begin with eliminating the etiological factors that caused destructive processes in the mucous membrane. Symptomatic treatment aimed only at elimination local manifestations pathology, will not only not bring the desired results, but will also lead to disastrous consequences.

Principles of treatment

How to restore the throat mucosa and cure irritation? Drug therapy ENT diseases involve the use of drugs with antiseptic, antiviral and antibacterial action. It is advisable to include in the complex treatment scheme local drugs– this will prevent excess load on the detoxification organs (kidneys, liver).

To stop catarrhal processes, use:

  • moisturizing inhalations;
  • rinsing with antiseptics;
  • irrigating the throat with sprays.

You can improve tissue trophism using enzyme drugs(“Papain”, “Lysozyme”), which not only destroy pathogens, but also restore normal pH levels in the mucosa. Immunostimulating agents and mineral-vitamin complexes will help increase the body's resistance, and thereby prevent the recurrence of infectious diseases.

Deficiency of vitamins and microelements is one of the key reasons reduction of general and local immunity.

How to speed up the restoration of tissue integrity in the throat mucosa? The presence of hyperthermia and swelling always indicates acute inflammation ciliated epithelium. Non-steroidal anti-inflammatory drugs (NSAIDs) can relieve pathological processes and discomfort. Most of them not only prevent the synthesis of inflammatory mediators, but also inhibit the activity of pain receptors, which helps eliminate pain.

Review of drugs

How to restore the throat mucosa? Scheme drug treatment ENT diseases are determined only by the attending physician after the patient has undergone an appropriate examination. Pharyngitis, laryngotracheitis, tonsillitis and other diseases can be caused by pathogenic microorganisms of different nature. To eliminate irritation and catarrhal processes in the throat, the following medications can be used:

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Treatment of oral inflammation: how does it go?

Health can be judged by the condition of the oral mucosa internal organs and systems. Treatment of oral inflammation should begin by identifying the causes that led to the pathology.

Inflammation of the oral cavity: types

In medicine, it is customary to classify any inflammation of the oral mucosa as a group of dental ailments. Stomatitis most often develops against the background of pathologies of internal organs and acts as a symptom.

Depending on the cause of development, there are the following types of disease:

  • Traumatic stomatitis. The impetus for development is mechanical damage to the mucous membrane or a burn. A characteristic sign of the disease is swelling and redness, after which erosions appear on the surface. An infection can occur if the damage to the mucous membrane is permanent.
  • Candidiasis (fungal) stomatitis. The pathology is popularly called thrush. It occurs mainly in children of the younger age group and manifests itself in the form of a thick white coating on the inner surface of the cheeks, tongue and palate, under which the mucous membrane is in an inflamed and swollen state.
  • Allergic stomatitis. It develops against the background of an autoimmune reaction of the body to an irritant and is one of the signs of an allergy. Allergic type The disease leads to severe swelling of the mucous surface, causing burning and itching. The rashes have a reddish or white tint.
  • Herpetic stomatitis. Refers to viral pathologies and is transmitted by airborne droplets. Characteristic features rashes appear in the form of small blisters on the inner surface of the cheeks and palate, in place of which erosions and aphthae form over time. Body temperature can rise to 38 °C, weakness and general malaise occur.
  • Aphthous stomatitis. Often affects immunocompromised adults. Small formations (aphthae) on the mucous membrane can be either single or occur in groups. Grayish-white rashes have a red edge. Touching the aphthae causes severe pain.
  • Catarrhal stomatitis. This inflammation of the oral cavity is characterized by swelling of the mucous membrane, the appearance of a white coating and an unpleasant, sometimes even putrid, odor. Increased salivation and bleeding gums are often observed.

Inflammatory process in the oral cavity is the most common reason for patients to visit the dentist and otolaryngologist.

Learn about one of the types of inflammation of the oral cavity from the proposed video.

Causes of oral inflammation

Inflammation of the tissues of the oral cavity can be regarded as the body’s response to the invasion of pathological microorganisms that the immune system has not yet encountered. The development of stomatitis is also provoked by toothpastes containing sodium lauryl sulfate. The substance significantly reduces the production of saliva, which makes the oral cavity defenseless against bacteria. The component used for foaming can cause significant harm to health.

A common cause of mucosal inflammation is mechanical trauma. The delicate membrane can be damaged by eating hard or hot food or accidentally biting the inner surface of the cheek. Constant contact with the sharp edge of a broken tooth and an incorrectly installed prosthesis are also provoking factors. Injuries of this etiology go away on their own after a few days, but with permanent damage, an infection can get into the wound and cause complications.

Signs of stomatitis are most often encountered by parents of children whose immune systems are not yet strong enough and are unable to protect the body from penetration pathogenic bacteria. Similar situation observed in adult patients with various autoimmune diseases. The body's protective functions are weakened by frequent viral and infectious pathologies (flu, herpes), and lack of vitamins.

Constant foci of infection in the mouth and pharynx weaken the protective function of the mucous membrane, which allows bacteria to develop and spread further. Therefore, it is important to establish the etiology of inflammation and select effective method therapy.

Lead to the development of an inflammatory process in the oral cavity chronic pathologies internal organs, constant influence of infection and weakness of the immune system.

Inflammation of the oral cavity: treatment

Without prior determination of the cause pathological condition treatment of the oral mucosa will not lead to a positive result. Therefore, first of all, you need to visit a doctor and undergo an examination. Diagnosis consists of examining bacterial cultures from the site of rash localization, identifying fungal or herpetic infections, and blood serum analysis.

The treatment method must be selected individually and depends on the type of pathology and the age of the patient.

It is necessary to completely avoid spicy, spicy, hot foods for any form of illness. You should also avoid irritation of the mucous membrane tobacco smoke, alcohol and solid foods. After each meal, it is necessary to rinse the mouth with antiseptic solutions: Chlorhexidine, Furacilin, Miramistin.

Anti-inflammatory medications will help relieve swelling and pain. They are produced in the form of a spray, lozenges, gels and ointments. Kamistad, Kameton, Lidocaine Asept are considered the most effective. Drugs with an anesthetic effect can temporarily relieve pain, but it is better not to use them on an ongoing basis.

To treat aphthous type of inflammation, it is necessary to use antiallergic drugs: Claritin, Cetirizine, Suprastin. Painful canker sores can be treated dental gel Cholisal, which has an analgesic effect. To restore the epithelial layer, the drug Actovegin (gel), Solcoseryl paste, sea buckthorn or rose hip oil are applied to damaged areas of the mucous surface.

Overcome stomatitis viral etiology capable Oxolinic ointment, which in addition therapeutic effect It also has a preventive effect.

It must be applied to herpetic rashes up to 4 times a day, after pre-treating the surface with an antiseptic. Tebrofen and Interferon ointments have similar properties.

You cannot do without taking antibiotics for a bacterial type of causative agent of the inflammatory process in the oral cavity. Tetracycline ointment, Elugel, has bactericidal properties. In parallel, antibacterial drugs for oral use can be prescribed, for example, Amoxiclav, Metronidazole, Cefazolin. The drug Metrogyl Denta simultaneously provides antimicrobial and anti-inflammatory effects.

For effective therapy it is necessary to correctly establish the cause and type of pathology.

Oral care

You can prevent the occurrence of an inflammatory process in the oral cavity if you adhere to basic hygiene rules and brush your teeth at least 2 times a day. You should also be careful when choosing oral care products. Preference should be given to toothpaste that does not contain sodium lauryl sulfate.

Dentists recommend using rinses, which can be purchased ready-made or prepared independently, using a decoction of medicinal herbs as a basis. Chamomile, eucalyptus and sage have powerful antiseptic properties.

A hygiene product can also be created from more medicinal components. To do this, you should purchase calamus and propolis tincture, as well as oil, at the pharmacy. tea tree. IN clean water(100 ml) stir the alcohol components (1 tsp each) and essential oil(5 drops). The resulting liquid should be rinsed in the mouth every day.

You should visit the dentist at least 2 times a year and promptly treat diseased teeth and remove stones. Prostheses and brace systems must be made from high-quality materials in individual sizes and in appropriate conditions.

Inflammation in the oral cavity most often develops against the background of diseases of the internal organs, the presence of a constant source of infection, or non-compliance with hygiene rules. Treatment should begin with establishing the causes and types of pathology. In combination with drug therapy It is necessary to use rinses with herbal infusions and choose the right products for gentle oral care.

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Inflammation of the oral mucosa is an extremely unpleasant disease; every second person experiences a similar illness. First of all, it is necessary to find out what the causes of the pathological process are. Only after this the doctor will develop a treatment method. This kind of inflammation key symptom at dental diseases: stomatitis, gingivitis, and mucosal injury. Similar diseases characterized by the same symptoms: pain and unpleasant sensations in the mouth, gums, lips, cheeks or larynx.

Often, inflammatory processes are accompanied by suppuration if they are started without resorting to treatment.

Causes First of all, you need to consult a specialist in medical institution to find out the cause of the malaise. In most cases, the disease can be triggered by poor oral hygiene, leading to the formation of tartar. Risk factors include the presence hereditary diseases such as diabetes mellitus and inborn errors of metabolism. At chronic disorders

Pathological processes in the oral cavity can develop due to mechanical damage to glandular epithelial cells, primarily due to incorrectly placed dentures. The delicate structure can be injured when eating solid foods: crackers, seeds and nuts. Hard and sharp fragments of the peel or shell injure the mucous membrane, causing the formation of wounds where microbes penetrate and provoke inflammation. TO pathological processes May cause oral burns or frostbite. Burns to the mucous membrane can be caused by eating too hot food and drinks, eating sour fruits, which can set the teeth on edge and corrode the epithelial covers, preventing the protective and absorption function of the single-layer epithelium. Symptoms can also appear in allergy sufferers after eating citrus fruits, walnuts and chocolate. Often the cause of the inflammatory process can be infection, for example, herpes, influenza, mumps, chickenpox.

Sometimes the cause of illness becomes popular among young people. cosmetic procedure- tongue piercing. Inflammation can occur even if this manipulation was carried out in compliance with all sanitary and hygienic rules, including preliminary intake of a complex of vitamins and minerals, and then complete reorganization mouth The risk of infection in the mouth increases if there is a piercing due to accidental injuries, up to glossitis or abscess.

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Treatment of mucosal inflammation

During a detailed examination and conversation with the patient to determine concomitant diseases, test results, allergy tests, the dentist will be able to prescribe a treatment regimen.

Get rid of inflammation caused mechanical damage mucous membrane, it is necessary to disinfect the injury site. When the mouth is burned or frostbite, pain is felt. Moreover, it does not appear immediately, but the next day. Anti-inflammatory, regenerating and analgesic drugs are added to antiseptics, since painful sensations are clearly expressed. In this case, an oil solution of vitamin A and mouth rinsing with infusions of medicinal herbs are additionally prescribed.

If a person has received a chemical burn to the oral cavity, his mouth should be immediately washed with neutralizing liquids and antiseptic drugs. Anesthetic applications are applied to the ulcerated areas.

At frequent inflammations In the oral cavity, the cause may lie in poor oral hygiene and the resulting formation of plaque and tartar. The dentist performs professional cleaning. For painful inflammations, filling is performed carious teeth, and, if necessary, their removal.

Medications are used to treat inflammation caused by pathogens.

If the damage to the mucous membrane is caused by a fungal infection (candidiasis or thrush), treatment is carried out systemic drugs(Fluconazole, Fucis) and means local action: Prescribe rinsing with alkaline solutions and the pharmaceutical product Metrogyl Denta. These procedures prevent the proliferation of microorganisms.

If the disease is bacterial in nature, then a course of antibiotics is prescribed (Azithromycin, Clindamycin, Erythromycin). A smear is first taken to determine the sensitivity of prokaryotes to drugs.

If the provoking factor was viral infection, then long-term complex therapy based on immunomodulators, vitamins and antiviral agents, such as Interferon, Cycloferon, Viferon, is assumed.

Neuroses and stress, excessive mental activity, especially among applicants and students during exams, cause problems in the field of dentistry. With anxiety, the oral cavity dries out, becomes dehydrated and constantly cracks. It is necessary to drink plenty of fluids and treat with medicinal products that moisturize the shell so that it becomes softer. In addition, mild sedatives are prescribed. If you are prone to inflammation of the oral cavity, take multivitamins and means to enhance immunity.

Inflammation of the oral cavity may be accompanied by more serious symptoms - the appearance of swelling or ulcers, bleeding, pain when swallowing.

If you hope that everything will go away on its own, or self-medicate, the inflammation becomes chronic and can be localized on the internal organs.

In case of complications, each patient is given a detailed individual treatment plan and treatment is prescribed using modern medical equipment with laser exposure.