aphthous ulcers

Canker sore treatment

Image from ongoing user study.

What are aphthous ulcers?


aphthous ulcers, as well mouth ulcers known are painful lesions that form in the oral mucosa. They can also appear on the gums, tongue, roof of the mouth, and the inside of the lips. They are small, round or oval, yellow-whitish vesicles with a red edge. They are common and can affect people of all ages. They are among the most common diseases of the oral mucosa and occur in various forms. are aphthae CAN'T contagious.

How does an aphtha form?


The painful spots are period or oval. The first symptoms are unpleasant sensations such as burning or tightness. After about 24 hours, the area turns red and a yellow-whitish coating of fibrin, a fibrous protein that is produced during blood clotting, develops. In addition, the aphtha is usually surrounded by a red halo.

Images from ongoing user study. Single case report of a patient with an aphtha in the area of ​​the left upper row of teeth at the level of the front molars. In this case, the aphthous ulcer was problematic for several weeks.

Picture 1 from July 25.08.2023th, XNUMX, Picture 2 from July 15.09.2023, XNUMX.

No conclusions can be drawn about the success of other treatments from this individual treatment case.

Aphthous ulcers: typical spots


– mucous membrane of the oral cavity – tongue (e.g. edge of tongue) – palate – gums –

Main types of aphthous ulcers

minor aphthous ulcers

Minor aphthae (Mikulicz aphthae) are about the size of a lentil and damage can mucous membrane rather superficial. Therefore heals this form without scarring away. They usually exist over the period of a week and heal by the end of the following week himself off.

Number: 1-4 aphthous ulcers at the same time
Size: 2-10mm diameter
Frequency: approx. 85%

major aphthous ulcers

Major canker sores (Sutton canker sores) affect far less people. This form can be up to three centimeters grow large and penetrate deeper into the mucous membrane. It can weeks take a while to heal. Since it is a deeper tissue damage acts, this form heals under Scarring .

Number: 1-2 aphthous ulcers at the same time
Size: 10-30mm diameter
Frequency: 10%

Herpetiform aphthae

Herpetiform aphthae (stomatitis herpetiformis). very rare before. They resemble herpes blisters and appear often am edge of tongue or to the insides for Lips. In this form, the aphthae in large number appear. Your size is only few millimeters (Pinhead size). They owe their name to herpes-like appearance, but they will CAN'T by the herpes virus caused.

Number: 50-100 aphthous ulcers at the same time
Size: 1-2mm diameter
Frequency: 5%



The exact cause of canker sores is not fully understood, but it is thought that several factors may contribute, including:

1. Injuries: Small injuries to the oral mucosa caused by bites or burns can promote the development of aphthous ulcers.

2.Stress: Emotional or physical stress can trigger or aggravate the appearance of canker sores.

3. Nutrition: Certain foods, especially spicy or acidic foods, can cause or irritate mouth ulcers.

4. Hormonal Changes: Some women notice an increase in ulcers during their menstrual cycle.

5. Immune system: A weakened immune system can increase the risk of developing ulcers.

Aphthous ulcers are usually round or oval in shape and may appear whitish or yellowish with a red border. They can occur singly or in groups and are often accompanied by pain. Aphthous ulcers can vary in size, from small lesions to larger ulcers.


aphthous ulcers pain and brennan the Chew, swallow, drink, brush your teeth and sometimes at Speak. A white, skin-like coating with a reddened edge forms on the surface. If the structures burst, inflamed wounds develop that cause burning and sometimes intense pain.

The course and accompanying symptoms can be divided into four stages:

  • prodromal stage: Burning, tingling, roughness and tightness
  • Preulcer phase: Redness and nodules (inflammatory erythema and indurated papules)
  • Ulcerative stage: Fibrin-covered mucosal defect with a raised edge (the fibrin is an endogenous substance that causes the milky-whitish appearance)
  • healing phase


The diagnosis is based on the anamnese (medical history), the Symptoms and the mouth inspection placed. If there is a suspicion that another disease is causing the inflammation, smear, a Blood collection, a tissue sample or Investigation certain organs may be necessary, for example the intestine.

aphthous ulcers in children

At the Oral mucosa from Infants (usually on the hard palate) can develop bednaric aphthae form. These can be opened small injuries trace back through that sucking on the bottle.

Sometimes aphthae develop on the undersurface of the tongue or on frenulum by small children if they frequently cough with their tongue out, e.g. B. whooping cough. In this case, mechanical irritation is the cause.

When to the doctor

- if you go to first time get an ulcer
– if the aphthous ulcers not from heal yourself, strong pain cause, often returndeep mucosal defects cause
- if more symptoms such as B. fever to join

There is one behind every long-lasting mucosal defect Cancer can stuck is a A visit to the practice always makes sense. So can other possible Causes and diseases excluded .

Home remedies for aphthae

Green and black tea contain tannic acid, which has astringent, analgesic, and anti-inflammatory properties. Prepare tea with a tea bag, squeeze lightly and refrigerate for 20 minutes. Gently place the tea bag on the affected area and leave it on for 15-20 minutes. Repeat this 2-3 times a day until the ulcers go away.

Mix 1 teaspoon of honey with ¼ teaspoon of turmeric powder. Apply the paste to the affected area and leave it on for 15-20 minutes. Repeat this 2-3 times a day until the ulcers go away.



Mix 1 teaspoon of baking soda with a little water to form a paste. Apply the mixture to the affected area and leave it on for 20 minutes. Repeat 2 times a day or rinse your mouth with a baking soda mixture 4-5 times a day.

Prevents the formation of further aphthous ulcers by having an antiseptic effect. Mix 5-7 drops of tea tree oil in a glass of water and rinse your mouth 2-3 times a day.

Prepare a solution of 1 tablespoon of crushed licorice root and 600 ml of water. Rinse your mouth with it several times a day.

Extract the juice from an aloe vera leaf and apply it to the canker sores. Repeat this 3-4 times daily.

Boil 1 teaspoon of coriander seeds or leaves in a cup of water. Strain the solution and rinse your mouth with it 3-4 times a day.

The aphthae dry out. Prepare a sage solution by steeping 3 teaspoons of sage leaves in 600 ml of boiling water. Rinse your mouth with it 4-5 times a day or apply powdered sage leaves directly to the canker sores.

Hold an ice cube over the wound to reduce pain.

Chamomile extracts, herbal tinctures of sage, myrrh, cloves, or rhubarb root, and cold or frozen foods such as ice cream may also provide relief. Temporarily avoid hard foods, acidic drinks and spicy foods to avoid irritating the canker sores. Avoid toothpaste with sodium lauryl sulfate (SLS), as it can interfere with canker sores.

Treatment with phlebolysis: 

According to our knowledge, the treatment of aphthous ulcers with radio wave therapy is a very effective treatment option.

Through the targeted application of those affected Areas with electrolysis and high frequency, the pathogens are largely inactivated so that the immune system can trigger healing.

The treatment lasts a few seconds and is experienced by the patient as having little or no pain.

As a rule, the patient also feels a significant reduction in symptoms immediately after the treatment.

Advantages of phlebolysis treatment: 

> gentle and painless method
> immediately visible reaction
> Burns impossible because the tool is cold
> no bleeding
> no risk of infection
> Patient is in no way restricted after treatment 
    Treat canker sores

    Interview with Andreas Oehme, co-developer of phlebolysis.

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    Images from ongoing user study

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