Advice to distinguish a benign from a more disturbing lesion

Benin. Nevertheless, but painful, the canker sore is an ulceration in the oral cavity which heals “In a week with treatment and seven days without treatment” summarizes Dr. In addition, Wilfrid Guardigli, general practitioner. Furthermore, Most of the time, there is no need to consult. However, it is advisable to worry and see a doctor “When a lesion continues beyond two weeks”warns Dr. Consequently, Charles Collet, Maxillo-Facial surgeon at the intercommunal hospital Center Toulon La Seyne (Chits).

Benin most of the time

Located on the gums. Similarly, the internal side of the cheeks or the lips, and materialized by a red inflammatory crown on a white background, the canker sore therefore does not justify any concern in the majority of cases. Meanwhile, “What is embarrassing is the pain, against which one can prescribe an anesthetic ointment, Renseigne Dr Guardigli. Furthermore, You advice distinguish benign more disturbing can also treat the lesion with simple remedies. Therefore, available without a prescription, such as mouthwash with sodium bicarbonate at 14/1,000, aspirin or anti-inflammatory.“

The causes of this inconvenience are multiple: canker sores can have a traumatic origin – a bite in the. cheek for example. “It can also be of viral origin, especially in children, continues the doctor. But in most cases, it is a small allergy to certain foods such as nuts or Gruyère. It is just necessary to identify them and avoid them to prevent the repetition of aphtoses. ” Another relatively frequent cause: canker sores can constitute a side effect linked to taking certain drugs. chemotherapy in particular,

When to consult?

If it is not generally necessary to consult. this rule suffers some (rare) exceptions: “An canker sore that does not heal or very repetitive aphtoses, Indicates Dr. Guardigli. In this case. the attending physician advice distinguish benign more disturbing will seek an illness that can manifest itself by canker signs and seek associated signs, by prescribing a blood report. For example. it can be a Vascularity or system of system like Behçet (two inflammatory diseases of blood vessels, editor’s note). This can also be a first contact with the herpes virus. a zona or a symptom associated with the foot-hand-mouth syndrome in the small child. “Without improvement spent a week, the canker sore justifies a consultation, to allow a differential diagnosis.

“All lesion From the oral cavity which does not heal. which grows, which bleeds or which hardens must be seen by the attending physician or an specialist in the mouth-ENT, stomatologist, Maxillo-Facial surgeon, dentist (1)- insists Dr. Charles Collet. It may be, not an canker sore, but a cyst, a beginning of abscess, an infectious pathology. advice distinguish benign more disturbing It is above all necessary to eliminate the hypothesis of a potential cancer of the language. the oral floor (epidermoid carcinoma) – linked to the consumption of alcohol and tobacco in 80% of the cases. These are cancers that are treated well if they are treated in time “. reassures the surgeon

It is not a question of being alarmed without reason: “The lesion that must worry, it is the one that does not go away or that does not improve after 15 days. In the case of a recurrent aphtosis. the canopies go away and come back, but not always in the same place.”

1. In the event of doubt about the diagnosis. dental surgeons of the Var can request an opinion from the Maxillo facial surgery service at Sainte Musse hospital in Toulon, through the email address which was communicated to them by the Sainte Musse hospital service.

advice distinguish benign more disturbing