Aphthous Stomatitis (Canker Sores)

Aphthous stomatitis — commonly called canker sores — are painful round or oval ulcers inside the mouth. Most are minor and heal within 1–2 weeks, but recurrent or severe outbreaks may need medical evaluation.

Quick Facts

  • ICD-10: K12.0
  • Contagious: No

Symptoms

  • Painful round/oval ulcers with white or yellow centers and red borders
  • Located on tongue, inner cheeks, lips, soft palate
  • Tingling or burning before the ulcer appears
  • Difficulty eating spicy or acidic foods

Triggers

  • Stress
  • Minor mouth injury
  • Acidic or spicy foods
  • Hormonal changes
  • Vitamin or iron deficiency
  • Certain food sensitivities (gluten in some cases)
  • Sodium lauryl sulfate in some toothpastes

Treatment

  • Topical anesthetics (benzocaine)
  • Topical corticosteroids (triamcinolone in dental paste)
  • Mouth rinses (chlorhexidine, salt water)
  • Vitamin/iron supplementation if deficient
  • Avoid trigger foods and toothpastes
  • Stress management

When to See a Doctor

  • Unusually large or persistent sore (>2 weeks)
  • Frequent recurrent outbreaks
  • Sores accompanied by fever or fatigue
  • Genital ulcers, joint pain, or eye symptoms (consider Behçet's)
Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. If you are experiencing a medical emergency, call your local emergency number immediately.

References

  • American Academy of Oral Medicine. Recurrent Aphthous Stomatitis Resources.