DefinitionDifferent types of sores can appear anywhere in the mouth, including the inner cheeks, gums, tongue, lips, or palate.
Alternative NamesAphthous stomatitis
Common CausesMouth sores may be caused by irritation from:A sharp or broken tooth or poorly fitting denturesBiting your cheek, tongue, or lipBurning your mouth from hot food or drinksBracesChewing tobaccoCold sores are caused by the herpes simplex virus and are very contagious. Usually, you will have tenderness, tingling, or burning before the actual sore appears. Cold sores usually begin as blisters and then crust over. The herpes virus can live in your body for years. It only appears as a mouth sore when something triggers it, such as:Another illness, especially if there is a feverHormone changes (such as menstruation)StressSun exposureCanker sores are NOT contagious. They can appear as a single pale or yellow ulcer with a red outer ring, or as a cluster of these sores. Women seem to get them more than men. The cause of canker sores is not clear, but may be related to:A weakness in your immune system (for example, from the cold or flu)Hormone changesStressLack of certain vitamins and minerals in the diet, including vitamin B12 or folateLess commonly, mouth sores can be a sign of an illness, tumor, or reaction to a medication. This can include:Autoimmune disorders (including systemic lupus erythematosus) Bleeding disordersCancer of the mouthInfections such as hand-foot-mouth diseaseWeakened immune system -- for example, if you have AIDS or are taking medication after a transplant
Drugs that may cause mouth sores include aspirin, chemotherapy, penicillin, sulfa drugs, and phenytoin (used for seizures)
Home CareMouth sores often go away in 10 to 14 days, even if you don't do anything. They sometimes last up to 6 weeks. The following steps can make you feel better:Avoid hot beverages and foods, spicy and salty foods, and citrus.Gargle with salt water or cool water.Eat popsicles. This is helpful if you have a mouth burn.Take pain relievers like acetaminophen. For canker sores:Apply a thin paste of baking soda and water to the sore.Mix 1 part hydrogen peroxide with 1 part water and apply this mixture to the sores using a cotton swab.For more severe cases, treatments include fluocinonide gel (Lidex), anti-inflammatory amlexanox paste (Aphthasol), or chlorhexidine gluconate (Peridex) mouthwash.Over-the-counter medications, such as Orabase, can protect a sore inside the lip and on the gums. Blistex or Campho-Phenique may provide some relief of canker sores and fever blisters, especially if applied when the sore first appears.To help cold sores or fever blisters, you can also apply ice to the sore.
Call your health care provider ifCall your doctor if:The sore begins soon after you start a new medicationYou have large white patches on the roof of your mouth or your tongue (this may be thrush or another type of infection)Your mouth sore lasts longer than 2 weeksYou have a weakened immune system (for example, from HIV or cancer)You have other symptoms like fever, skin rash, drooling, or difficulty swallowing
What to expect at your health care provider's officeYour doctor will perform a physical examination, focusing on your mouth and tongue. You will be asked questions about your medical history and symptoms. Treatment may include: A medicine that numbs the area when applied such as lidocaine may be used to relieve pain. This should be avoided in children.An antiviral medication to treat herpes sores (although some experts don't believe medication will make the sores go away sooner)Steroid gel applied to the soreA paste that reduces swelling or inflammation (such as Aphthasol)A special type of mouthwash such as chlorhexidine gluconate (such as Peridex)
PreventionYou may reduce your chance of getting common mouth sores by:Avoiding very hot foods or beveragesReducing stress and practicing relaxation techniques like yoga or meditationChewing slowlyUsing a soft-bristle toothbrushVisiting your dentist right away if you have a sharp or broken tooth or misfitting denturesIf you seem to get canker sores often, talk to your doctor about taking folate and vitamin B12 to prevent outbreaks.To prevent cancer of the mouth:Do not smoke or use tobacco.Limit alcohol to two drinks per day.Wear a wide-brimmed hat to shade your lips. Wear a lip balm with SPF 15 at all times.
ReferencesDaniels TE. Diseases of the mouth and salivary glands.In: Goldman L, Schafer AI, eds.Cecil Medicine. 24th ed.Philadelphia,PA: Saunders Elsevier; 2011:chap 433.