Ulcer Management (Recurrent Aphthous Stomatitis)

It is estimated that 80% of the population suffer from recurrent aphthous ulcers. They are most prevalent in women between the ages of 10 and 20. It is currently thought that they are related to an individual's immune system when the body is exposed to an unrecognized or over abundant chemical. Stop using toothpaste or other oral products containing Sodium Lauryl Sulfate (foaming surfactant). There have been reports of sodium lauryl sulfate increasing oral irritation in some sensitive people. SLS in toothpastes increased the incidence of RAU or recurrent aphthous ulcers compared with toothpaste that do not contain SLS. It is thought that SLS can cause the oral soft tissue to desquamate (separate from itself and lift off) in patients that are sensitive to SLS. This may be because it is an effective denaturant. It is suggested that the denaturing effect of SLS on the soft tissues of the mouth adversely effect epithelium (the mouth's surface covering) and induces an increased incidence of RAU. If someone is plagued with repeated episodes of RAU, it may be prudent to use a fluoride toothpaste with out sodium lauryl sulfate. For such people, manufacturers make toothpastes that do not contain sodium lauryl sulfate (Examples: Rembrandt for cold sore sufferers, Biotene, and Oxyfresh [always read the label]).

Pursue a well rounded healthy diet that may include a standard multivitamin and eliminate the inclusion of: lemons, figs, oranges, tomatoes, apples, pineapples, strawberries, nuts, chocolates, shellfish, vinegar, buckwheat, oats, rye, and barley. Also decrease dietary grain products that are high in glutens. If there is rough or irregular tooth surface, it should be treated.

Home Remedy: mix 50:50 one teaspoon each of Milk of Magnesia and Benedryl Allergy Liquid. Swish for one minute and expectorate. Do not eat or drink anything for 15 minutes. Repeat 4-6 time daily. This mixture can also be placed directly onto an isolated sore with a cotton tipped swab.

Severe outbreaks may require prescription medications. However, it is very important to examine all underlying causations prior to limiting the focus on the ulcers themselves.