Question 1

What is an aphthous ulcer?

Accepted Answer

An aphthous ulcer is a painful, non-contagious ulcer that usually develops on the soft lining inside the mouth [6].

Question 2

Are aphthous ulcers caused by herpes?

Accepted Answer

No. Recurrent aphthous stomatitis is different from herpes simplex and is not contagious [6].

Question 3

How long does a minor aphthous ulcer usually last?

Accepted Answer

Most minor ulcers heal without scarring within approximately one to two weeks [6].

Question 4

When should a mouth ulcer be checked?

Accepted Answer

An ulcer that persists beyond two to three weeks, repeatedly occurs in one location or has hard, irregular or bleeding features requires assessment [6].

Question 5

What can cause recurrent mouth ulcers?

Accepted Answer

Possible contributors include trauma, stress, medicines, iron or vitamin deficiency, coeliac disease, inflammatory bowel disease, Behçet disease and immune disorders [6].

Question 6

Can aphthous ulcers be contagious?

Accepted Answer

Typical aphthous ulcers are not infectious and cannot be passed to another person [6].

Question 7

How are aphthous ulcers treated?

Accepted Answer

Treatment may include avoiding trauma, gentle oral care, protective or analgesic products and prescribed topical corticosteroids [6].

Question 8

Can acupuncture cure recurrent aphthous ulcers?

Accepted Answer

No cure can be guaranteed. Acupuncture may be considered adjunctively after dental and medical causes have been assessed [6].

Question 9

Which TCM patterns may be considered?

Accepted Answer

Patterns may include Heart Fire, Stomach Fire, Yin deficiency, Spleen Qi deficiency, Qi-Blood deficiency and Liver constraint transforming into Heat [6].

Question 10

Can herbs be placed directly on an ulcer?

Accepted Answer

Only products specifically formulated and professionally recommended for oral use should be applied. Caustic powders and undiluted oils can burn the mucosa [6].

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