Aphtha is a painful ulceration that occurs when the vesicle formed in the epithelium bursts. They are lesions that are erythematous around, covered with yellow-white fibrin in the middle, bleeding and soft on irritation. The incidence is low in the presence of keratinized mucosa and in smokers.
The etiology of aphtha is defined as an immunological reaction that develops in epithelial cells against various microorganisms. In order for such a reaction to develop, the microorganism must enter through a defect in the epithelium and the person must be predisposed to this reaction. Causes such as stress and related parafunctions, hard food consumption or hard toothbrush, prosthesis and mechanical irritation of teeth are effective in the formation of epithelial defect. Gastrointestinal disorders, hormonal changes such as menstruation, chemical irritation of some foods such as tomatoes, eggplant, walnuts, and especially genetic predisposition are factors that facilitate the formation.
There may be other reasons under the persistent aphthae. Do they just come out in the mouth? Are there recurrent lesions on the legs, in the groin area? Have you had any visual impairment in your eyes recently? Because such symptoms are also encountered in Behçet’s disease and should not be neglected.
The treatment of aphtha is usually symptomatic, and the use of local anesthetic and antiseptic solutions aims to relieve the patient. In the application of tetracycline powder, which is covered with an adhesive gel, the pain is quickly reduced and epithelialization is accelerated (aphtha cure).
In case of aphthae, Immunex and Zn capsules can be recommended considering the decrease in resistance in the immune system. Protefix wound gel (aphtha ointment) may be recommended if it is formed due to the prosthesis.
Can use B vitamin complex. Although there is no solution, sour, bitter and spicy food and beverages should be avoided during this period.
Kenakort orabase and mouthwashes can be used to relieve pain.
Prophylactically, regular 1% Chloromin-T mouthwashes increase keratinase and prevent the recurrence of aphthae to a large extent.
When we look at aphthous treatment as an alternative medicine, it is thought that eating a handful of Black Mulberry once a year reduces the formation of aphthae.