Recurrent oral ulcerations-2

Management of Minor Recurrent Aphthous Stomatitis

You have been diagnosed with a form of recurrent mouth ulcers known as Minor Recurrent Aphthous Stomatitis (minor RAS).

A number of different treatments are used to treat minor RAS, although there isn't much good evidence to justify their use. Even so, many of these treatments can be useful. Different treatments suit different people. The likelihood of side effects occurring with the treatments discussed below are low:

1.    Avoid precipitating factors where these can be identified:

Some patients are aware of certain situations that are likely to result in ulcers. These include local physical trauma (e.g. from hard foods) and occasionally, when specific foods or drinks are taken.

2.   First-line topical preparations:

These can be purchased over-the counter. Some can be prescribed, but it is often cheaper to buy them than pay the prescription fee. Their use is described in the guidance issued by the NHS information service 'Prodigy' which is reproduced overleaf.

3.   Soft bite guard:

Some patients benefit from a soft bite guard, which fits over either the upper or lower teeth. This is worn at night time. A bite guard can be useful where there is a clear element of physical trauma associated with the ulcers. Your dentist will be able to make this for you if it is indicated.

4.   Second-line topical preparations:

Other topical preparations such as either Betnesol (steroid) mouthwash or Gelclair mouthwash can be prescribed and are useful in some patients with mouth ulcers.

If these approaches do not bring adequate relief, then there are other interventions that can be tried. These should be discussed with an appropriate clinician such as a Consultant in Oral Medicine.