Short Communication - Journal of Clinical Dentistry and Oral Health (2023) Volume 7, Issue 5
Oral Lesions in Pediatrics: Exploring Mouth Ulcer Etiology
Department of Orthodontics, Inga University, Brazil.
- *Corresponding Author:
- Debria Santin
Department of Orthodontics
Inga University Center Uninga
Received:26-Aug-2023, Manuscript No. AACDOH-23-112754; Editor assigned:29-Aug-2023, PreQC No. AACDOH-23-112754 (PQ); Reviewed:12-Sept-2023, QC No. AACDOH-23-112754; Revised:18-Sept-2023, Manuscript No. AACDOH-23-112754 (R); Published:25- Sept-2023, DOI:10.35841/aacdoh-7.5.165
Citation: Santin D. Oral lesions in pediatrics: Exploring mouth ulcer etiology. J Clin Dentistry Oral Health. 2023;7(5):167
Oral lesions are a common occurrence in pediatric patients, and one of the most prevalent types is mouth ulcers. These small, painful sores can be distressing for both children and parents, affecting a child's ability to eat, drink, and speak comfortably. Understanding the underlying causes of mouth ulcers in children is crucial for effective diagnosis, treatment, and prevention. In this article, we will delve into the etiology of mouth ulcers in pediatric patients, shedding light on the various factors that contribute to their development.
Before we dive into the causes, let's briefly explore what pediatric mouth ulcers are. Mouth ulcers, also known as aphthous ulcers or canker sores, are shallow, round or oval sores that form on the mucous membranes inside the mouth. These ulcers can occur on the tongue, inner cheeks, gums, and even the soft palate. They are characterized by their white or yellowish centers with a red border and can be extremely painful.
Accidental biting of the cheek or lip, sharp or abrasive food, or rough toothbrushing can cause minor trauma to the oral tissues, leading to the development of mouth ulcers. Emotional stress, anxiety, and psychological factors can weaken a child's immune system, making them more susceptible to mouth ulcers. Viruses such as herpes simplex virus (HSV) can trigger mouth ulcers in children. HSV-related ulcers are often referred to as cold sores or fever blisters. Deficiencies in essential nutrients, particularly vitamin B12, iron, and folate, can contribute to mouth ulcers in children. Certain foods, such as acidic or spicy foods, may irritate the oral mucosa and lead to the development of ulcers in susceptible individuals. In some cases, mouth ulcers may be a symptom of an underlying medical condition, such as celiac disease, Crohn's disease, or Behçet's syndrome. Some children may have a genetic predisposition to developing mouth ulcers, making them more likely to experience recurrent episodes.
Diagnosing mouth ulcers in pediatric patients typically involves a thorough examination by a healthcare provider or a pediatric dentist. In most cases, clinical evaluation and a review of the child's medical history are sufficient for diagnosis. Management of pediatric mouth ulcers focuses on alleviating pain and promoting healing. This may include the use of topical analgesic gels, over-the-counter pain relievers, and maintaining good oral hygiene. In cases of severe or recurrent ulcers, healthcare providers may explore underlying causes and recommend specific treatments accordingly.
Preventing mouth ulcers in children involves addressing the underlying causes when possible, Encourage a balanced diet rich in essential nutrients, and avoid foods that may trigger ulcers in sensitive individuals. Teach children stress-reduction techniques and help them cope with emotional stressors. Promote good oral hygiene practices, including gentle toothbrushing and regular dental check-ups. Educate children about the importance of being cautious while eating or playing to prevent accidental trauma to the mouth. Medical Evaluation, if mouth ulcers persist or recur frequently, consult a healthcare provider for a comprehensive evaluation to rule out any underlying medical conditions.
Mouth ulcers in pediatric patients can be painful and disruptive, but understanding their etiology is the first step toward effective management and prevention. While many factors contribute to the development of mouth ulcers in children, a combination of proper diagnosis, management, and preventive strategies can help alleviate their discomfort and improve oral health. Parents and caregivers play a crucial role in supporting children through these episodes and promoting overall well-being.
- Green R, Horn H, Erickson JM. Eating experiences of children and adolescents with chemotherapy-related nausea and mucositis. J Pediatr Oncol Nurs. 2010;27(4):209-16.
- Légeret C, Furlano R. Oral ulcers in children-a clinical narrative overview. Ital J Pediatr. 2021;47(1):1-9.
- Kin-fong Cheng K. Oral mucositis: a phenomenological study of pediatric patients’ and their parents’ perspectives and experiences. Support Care Cancer. 2009;17:829-37.
- Javed F, Utreja A, Correa FO, et al. Oral health status in children with acute lymphoblastic leukemia. Crit Rev Oncol/Hematol. 2012;83(3):303-9.
- Allen G, Logan R, Gue S. Oral Manifestations of Cancer Treatment in Children. Clin J Oncol Nurs. 2010;14(4).