- inflammation of the oral mucosa, including acute infections (measles, diphtheria, scarlet fever), skin diseases (lichen planus, exudative erythema, etc.), blood (leukemia, agranulocytosis, hyperchromic anemia, etc.), beriberi (sprue, pellagra, scurvy).


Aphthous stomatitis.

Etiology and pathogenesis of Aphthous stomatitis

Irritation of the epithelium of the germ layer by the herpes virus, which increases mitosis. It is caused by a decrease in the level of immunological protection; it is also considered as a manifestation of systemic damage to the mucous membranes of the gastrointestinal tract. Affects mainly children.

Symptoms of Aphthous stomatitis

Symptoms: malaise, salivation, refusal of food, hyperemia of the oral mucosa, formation on the cheeks, tongue, lips, palate, aft – painful rounded elements with a whitish-gray coating and a bright red rim. Body temperature, up to 40 C. Lymph nodes are enlarged and painful. In severe cases, the aphthae merge and ulcerate. There may be "dropouts" on the skin. The disease lasts 7-14 days. Recovery is complete. The immune system is unstable.

Treatment of Aphthous stomatitis

Salicylates, antihistamines, ascorbic acid, calcium preparations. With pronounced General phenomena, fusion of elements, lymphadenitis – antibiotics, applications of interferon, oxoline ointment. Irrigation of the oral cavity with a solution of hydrogen peroxide (1 tablespoon of 3% solution per half Cup of water), 1% solution of sodium bicarbonate.

Chronic recurrent stomatitis is a periodic rash on the mucous membrane of the cheeks, lips, tongue, and bottom of the oral cavity of one or more elements (aft). The duration of intermissions varies. Complaints depend on the location of the aft. Development cycle up to 3-4 weeks. Rashes recur for many years.

Treatment of Chronic recurrent stomatitis

Treatment is symptomatic-injection of 0.5% novocaine solution under the base of the AFTA, anti-cidive-ascorbic acid, vitamins B1, B2, B12, antihistamines, gamma globulin, pirogenal, prodigiozan, levamizol. From antiviral drugs-bonafton.

Prognosis of Chronic recurrent stomatitis

Afts disappear relatively quickly. Anti-relapse treatment is not always effective.

Prevention of Chronic recurrent stomatitis

Elimination of foci of chronic inflammation. Hardening of the body.

Fungal stomatitis (candidiasis, thrush).

The pathogenesis of Mycotic stomatitis

Dysbacteriosis, usually associated with the use of antibiotics; inhibition of the body's resistance, associated with debilitating diseases, corticosteroids and other medications. Poor oral care contributes to the development of the disease.

The symptoms of Mycotic stomatitis

The mucous membrane is dry, red in color, whitish point formations, soon merging. The resulting white film is then pigmented, usually easily removed, leaving a bright red (undamaged or eroded) surface. Bakteriostaticheski revealed the mycelium of the fungus. The course is prolonged, relapses are possible.

Treatment of Fungal stomatitis

Inside, nystatin, levorin, amphotericin B, ascorbic acid 1 g per day, vitamins Bj, B2, potassium iodide, oral irrigation with 2% sodium bicarbonate solution. For lesions – 10% solution of sodium borate.