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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Having Canker Sores In Mouth, Not Able To Brush Teeth, Had Cavities Filled. Advice?

My 4 year old daughter developed 2 cancor sores in her mouth. I gave her OTC meds to try to lesson the pain. Knowing it takes a few days to heal, she still complains it hurts and will not let us brush her teeth on the side the sores are AT ALL! Though we understand these sores are very painful, we are concerned that her teeth are not clean in that area and that it could cause other more severe issues. This has gone on for about a week now. Called her pediatric dentist and they suggested a cancor rinse but we can t get her to use it. They said that s about all we can do. We are ready to call her pediatrician to have her mouth looked at. She just had 4 cavities filled so she is proned to them.
Wed, 14 Nov 2012
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Dentist,  's  Response
Hi.. Canker sores or in simple terms Aphthous ulcers are common ulcers which occur in the oral cavity. Aphthous ulcers appear in episodes and therefore are recurrent. These ulcers can be small from a few Millimeters big right upto bigger ones which are a few cm big. Smaller aphthous ulcers are common in the mucosa of the lip, cheek and some times the floor of the mouth. Where as the larger ones are common in the palate. The smaller aphthous ulcers technically called Recurrent aphthous stomatitis minor, disappear on its own by 1 week to 10 days. The larger ones (Recurrent aphthous stomatitis major) do not disappear at times and also leave a scar.

Aphthous ulcers are notoriously painful .. They appear small but can trouble even adults leave aside children..

Children of her age will have a reaction similar to that of your daughter.

Treatment for Aphthous Ulcer are many,
Medico's frequently prescribe Vit B Complex capsules (Once daily for minimum of 10days)
Dentists will give Gels like Quadragel, HexaGel, (They are combination of antibiotics, antiseptics and local anasthetics ) or even Zytee gel (Analgesic gel for pain)
Interesting treatment is trying a Doxacycline tablet, by breaking it and mixing a drop of drinking water making a paste and applying in the area of the ulcer (Has helped many but is sour to taste)

Coming to the point of Cavities,.. Well that can be prevented by some simple tips,
1. Avoiding frequency of intake of sweets
2. Rinsing mouth with water every time after consumption .. (You should check on your child, so that becomes a habit)
3. Brushing twice daily (You should check on her for the same and help her out with it)
4. Visit a dentist regularly every 6 months
5. It will be wise if your child has a topical application of Fluoride done (Its something like a gel placed on customized trays in the mouth for 5 min)
If at this age she has had 4 teeth filled, you do need to be careful. She might be at risk for cavities in the future also..
Take care of her and help her maintain the smile which will last for a lifetime!!
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Dentist,  Dr. Gunjan Gupta's  Response
Hello,
Thanks for your query.
I read your problem,first of all i would like to inform you that apthous ulcer take a time period of 10-12 days to heal completely,so nothing to get worried and continue a proper treatment with patience.
The treatment options for apthous ulcer are-
1. Vitamin B complex.
2.Topical application of gels like-mucopain,dologel,quqdragel,hexagel etc.....
3.Maintain oral hygiene.etc........

As you said that she if having 4 filled teeth at this age,it is not a good sign,you must be more careful.
Please follow following-
1. Maintain oral hygiene.
2.brush twice daily.
3.Regular dental visits after every 6 months.
4.Topical fluoride application
5.Pit & fissure sealants,if needed.
6.Use of fluoride containing tooth paste.etc........
nothing to get worried.
Take Care.
Dr.Gunjan Gupta
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Child Having Canker Sores In Mouth, Not Able To Brush Teeth, Had Cavities Filled. Advice?

Hi.. Canker sores or in simple terms Aphthous ulcers are common ulcers which occur in the oral cavity. Aphthous ulcers appear in episodes and therefore are recurrent. These ulcers can be small from a few Millimeters big right upto bigger ones which are a few cm big. Smaller aphthous ulcers are common in the mucosa of the lip, cheek and some times the floor of the mouth. Where as the larger ones are common in the palate. The smaller aphthous ulcers technically called Recurrent aphthous stomatitis minor, disappear on its own by 1 week to 10 days. The larger ones (Recurrent aphthous stomatitis major) do not disappear at times and also leave a scar. Aphthous ulcers are notoriously painful .. They appear small but can trouble even adults leave aside children.. Children of her age will have a reaction similar to that of your daughter. Treatment for Aphthous Ulcer are many, Medico s frequently prescribe Vit B Complex capsules (Once daily for minimum of 10days) Dentists will give Gels like Quadragel, HexaGel, (They are combination of antibiotics, antiseptics and local anasthetics ) or even Zytee gel (Analgesic gel for pain) Interesting treatment is trying a Doxacycline tablet, by breaking it and mixing a drop of drinking water making a paste and applying in the area of the ulcer (Has helped many but is sour to taste) Coming to the point of Cavities,.. Well that can be prevented by some simple tips, 1. Avoiding frequency of intake of sweets 2. Rinsing mouth with water every time after consumption .. (You should check on your child, so that becomes a habit) 3. Brushing twice daily (You should check on her for the same and help her out with it) 4. Visit a dentist regularly every 6 months 5. It will be wise if your child has a topical application of Fluoride done (Its something like a gel placed on customized trays in the mouth for 5 min) If at this age she has had 4 teeth filled, you do need to be careful. She might be at risk for cavities in the future also.. Take care of her and help her maintain the smile which will last for a lifetime!!