Treatment
Aphthous ulcers usually resolve on their own within 1 to 2 weeks. Treatments for aphthous ulcers are not usually necessary. However, treatment options for especially painful or persistent aphthous ulcers may include the following:
Oral Pain Relieving Rinses or Gels
An oral rinse, such as viscous lidocaine may be used every three hours or before meals. This provides short-term relief from pain caused by aphthous ulcers. In addition, over-the-counter, anti-pain oral gels can be applied directly on the sores usually four times daily to numb the area and relieve pain temporarily.
Oral Antibiotic Rinse
For multiple sores, a liquid form of the antibiotic tetracycline can be used as an oral rinse four times daily for 10 days. The liquid can coat the ulcers and prevent new ulcers from forming. Sometimes, as a side effect, this treatment can cause an oral infection called candidiasis , or thrush, which is easily treated.
Corticosteroids
For severe outbreaks of minor or major aphthous ulcers, steroids may be taken. It is usually in the form of a liquid oral rinse after meals and at bedtime. Steroids help reduce inflammation of the mouth caused by severe sores.
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