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If you have braces or other dental appliances, ask your dentist about orthodontic waxes to cover sharp edges. Use a soft brush to help prevent irritation to delicate mouth tissues, and avoid toothpastes and mouth rinses that contain sodium lauryl sulfate.

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Regular brushing after meals and flossing once a day can keep your mouth clean and free of foods that might trigger a sore. To help prevent nutritional deficiencies, eat plenty of fruits, vegetables and whole grains. Avoid any foods to which you're sensitive or allergic. These may include nuts, chips, pretzels, certain spices, salty foods and acidic fruits, such as pineapple, grapefruit and oranges. Try to avoid foods that seem to irritate your mouth. PreventionĬanker sores often recur, but you may be able to reduce their frequency by following these tips: This may be due to heredity or to a shared factor in the environment, such as certain foods or allergens. Often people with recurrent canker sores have a family history of the disorder. But they occur more often in teens and young adults, and they're more common in females. Risk factorsĪnyone can develop canker sores. Unlike cold sores, canker sores are not associated with herpes virus infections.

HIV/AIDS, which suppresses the immune system.

A faulty immune system that attacks healthy cells in your mouth instead of pathogens, such as viruses and bacteria.

Behcet's disease, a rare disorder that causes inflammation throughout the body, including the mouth.

Inflammatory bowel diseases, such as Crohn's disease and ulcerative colitis.

Celiac disease, a serious intestinal disorder caused by a sensitivity to gluten, a protein found in most grains.

Helicobacter pylori, the same bacteria that cause peptic ulcersĬanker sores may also occur because of certain conditions and diseases, such as:.

An allergic response to certain bacteria in your mouth.

A diet lacking in vitamin B-12, zinc, folate (folic acid) or iron.

Food sensitivities, particularly to chocolate, coffee, strawberries, eggs, nuts, cheese, and spicy or acidic foods.

Toothpastes and mouth rinses containing sodium lauryl sulfate.

A minor injury to your mouth from dental work, overzealous brushing, sports mishaps or an accidental cheek bite.

Possible triggers for canker sores include: The precise cause of canker sores remains unclear, though researchers suspect that a combination of factors contributes to outbreaks, even in the same person. See your dentist if you have sharp tooth surfaces or dental appliances that seem to trigger the sores.

Pain that you can't control with self-care measures.

Sores that extend into the lips themselves (vermilion border).

Persistent sores, lasting two weeks or more.

Recurring sores, with new ones developing before old ones heal, or frequent outbreaks.

Often occur in clusters of 10 to 100 sores, but may merge into one large ulcer.

Herpetiform canker sores are uncommon and usually develop later in life, but they're not caused by herpes virus infection.

May take up to six weeks to heal and can leave extensive scarring.

Are usually round with defined borders, but may have irregular edges when very large.

Are larger and deeper than minor canker sores.

Heal without scarring in one to two weeks.

Minor canker sores are the most common and:

There are several types of canker sores, including minor, major and herpetiform sores. You might notice a tingling or burning sensation a day or two before the sores actually appear. They form inside your mouth - on or under your tongue, inside your cheeks or lips, at the base of your gums, or on your soft palate. Ringworm.Most canker sores are round or oval with a white or yellow center and a red border. Centers for Disease Control and Prevention. Learn more about our editorial and medical review policies.ĪAD. We believe you should always know the source of the information you're seeing.

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