The oral cavity from the inside is covered with a mucous epithelium, which serves as a protective layer. It ensures the correct response of the body to external stimuli and prevents the penetration of infections into the digestive tract and respiratory tract. If the immune system is not working properly, the epithelium becomes inflamed.
Stomatitis - causes of emergence in adults
The pathological processes in the mucous membranes of the mouth can be caused by both external and internal factors. Stomatitis causes:
- alcohol abuse;
- smoking;
- non-observance of personal hygiene rules;
- allergies;
- dehydration of the oral cavity due to unsuitable toothpaste, brush, rinse aid;
- poor quality or incorrectly installed dentures;
- the use of diuretics and other drugs that reduce the production of saliva;
- any injuries in the mouth;
- irrational nutrition;
- infectious agents (viruses, fungi, bacteria);
- heredity;
- chronic diseases of the gastrointestinal tract;
- hormonal pathology or imbalance in women;
- anemia ;
- diabetes;
- bronchial asthma;
- chemotherapy and radiation during the treatment of cancer;
- AIDS virus;
- prolonged fever;
- vomiting and diarrhea;
- significant blood loss;
- other lesions of the oral cavity.
Stomatitis - Species
In medicine, several forms of the described pathology are distinguished depending on the causes of its occurrence. The main types of stomatitis:
- aphthous;
- Candidiasis;
- herpetic;
- allergic;
- traumatic.
Aphthous stomatitis
Sometimes the type of illness is called ulcerative. It is characterized by the formation in the mouth of small plaques with a red border and a white-gray coating on the center - aft. The disease can occur in acute and chronic form with recurrent relapses. Such stomatitis in adults begins for the following reasons:
- deficiency of vitamins and nutrients in the diet;
- allergic reactions;
- genetic predisposition;
- systemic somatic diseases;
- injuries of the oral cavity;
- infection, more often - viruses.
Candidiasis stomatitis
The presented variant of pathology provokes the same fungi. Their active reproduction in the oral cavity is accompanied by specific and very pronounced symptoms, which helps the doctor accurately determine what kind of stomatitis takes place. The surface of the mucous membranes is covered with a loose, dirty white coating with a curdled structure.
This type of stomatitis is more often diagnosed in children . If it is found in adulthood, the cause of the disease is considered to be extensive damage by fungi of other organs. Because of this, it is necessary to eliminate the candidiasis of stomatitis in a complex way - treatment in adults involves the use not only of local pharmacological agents, but also of systemic drugs. With the late onset of therapy, the disease becomes chronic.
Herpetic stomatitis
The described type of inflammation is provoked by a group of corresponding viruses. Herpetic stomatitis in adults is mild, moderate and severe. It is always accompanied by the formation on the mucous epithelium of small watery vesicles with cloudy contents, which eventually burst. On the spot blisters appear bright red sores with indistinct edges.
This kind of stomatitis is caused by the herpes virus, which penetrates into the body in several ways:
- airborne droplets;
- household;
- contact;
- sexual.
Allergic stomatitis
This form of the disease occurs against the background of direct contact of the mucosal epithelium with the stimulus or as an additional sign of a systemic immune response. In the first case, allergic stomatitis in adults often develops due to dental manipulations using:
- anesthetics;
- metal alloys containing gold, chromium, palladium, nickel and other materials;
- acrylic constructions;
- orthodontic devices;
- professional pastes and rinsers;
- dyes and similar allergens.
Symptom of the generalized immune response is also sometimes a stomatitis - treatment in adults in this situation requires the detection of the main stimulus and blocking any contacts with it. Local therapy is carried out only after the elimination of the main cause of the inflammatory process, in which the role is:
- medicines;
- plant pollen;
- Food;
- animal protein;
- household, building dust;
- mold;
- chemical compounds;
- tobacco smoke;
- ultraviolet radiation and other factors.
Traumatic stomatitis
Mucous membranes in the mouth are very quickly restored, and saliva has an antimicrobial effect. In this regard, bacterial stomatitis is diagnosed in adults rarely, mainly on the background of prolonged or extensive damage to epithelial tissue. The following can lead to its traumatization:
- biting, scratching, cut;
- smoking;
- predilection for low-quality alcohol and its surrogates;
- eating too hot food and drinks;
- piercing (lips, cheeks).
Stomatitis - symptoms
The described pathology in adults is accompanied by external signs, which have different structure and appearance in accordance with the causes of the inflammatory process:
- ulcers;
- abscesses;
- erosion;
- blisters, blisters;
- cheesy plaque;
- burns;
- wounds;
- sites of thickening of the mucosa.
The listed symptoms are more often observed on the inside of the lips, tonsils, cheeks and soft palate. Less common is stomatitis in the tongue and under it. In addition to external clinical manifestations, the disease causes signs of a general nature:
- increased salivation;
- unpleasant odor from the mouth;
- intense pain;
- increased body temperature, sometimes up to 39 degrees;
- swelling, redness of the affected epithelium;
- deterioration of appetite (due to pain syndrome);
- burning sensation in the mouth;
- swelling of nearby lymph nodes;
- bleeding from the gums;
- exacerbation of chronic diseases of the oral cavity.
Stomatitis - treatment
Therapy of the examined inflammation is developed by the dentist individually. The doctor decides what to treat stomatitis after finding out the exact reasons for its occurrence. An integrated approach involves the use of local and systemic drugs, including:
- rinsing solutions;
- gels, creams and ointments;
- sprays;
- pills;
- herbal remedies.
What to rinse your mouth with stomatitis?
This procedure is necessary for antiseptic treatment of the oral cavity, elimination of festering or fungal deposits, normalization of microflora on the epithelium. As a conditioner, it is important to choose a hypoallergenic solution that has antiviral activity, so Chlorhexidine is rarely prescribed for stomatitis. This medicine dentists recommend only for the prevention of bacterial complications of the inflammatory process.
Effective means:
- Miramistin ;
- boric acid;
- hydrogen peroxide;
- Furacilin;
- potassium permanganate;
- Clotrimazole (with a candidal form of pathology).
Ointment for stomatitis
To decontaminate and accelerate the healing of erosions, ulcers or aft in the oral cavity, highly concentrated local remedies are needed. Applying ointments, gels or creams after antiseptic rinses is an effective way to cure stomatitis even at an early stage of its progression. Light forms of the inflammatory process stop in just 9-10 days of daily procedures.
Before the beginning of the therapeutic course, it is important to find out what caused stomatitis - treatment in adults includes local drugs with antiviral, immunomodulating, antibacterial, antifungal and even corticosteroid components. Effective ointments, creams and gels:
- Lidochlor;
- Kamistad ;
- Holisal;
- Metrogil Denta;
- Dactarine;
- Acyclovir;
- Zovirax;
- Levorin;
- Actovegin;
- Candide;
- Viru-Merz Serol;
- Mycosis;
- Viferon;
- Solcoseryl;
- Carotolin;
- Bonaphoton and others.
Spray from stomatitis
At an average and a serious stage of an inflammation the frequent disinfection of an epithelium is necessary. One of the options, how to treat stomatitis in the home - regular treatment of mucous membranes with sprays. Such solutions have a low concentration of active substances, but they are applied directly to the damaged areas and are not washed away, therefore they retain their activity for a long time.
Stomatitis - local treatment in adults with the help of sprays:
- Hexatidine;
- Lugol;
- Inhaliptus;
- Stomatidin;
- Hexoral;
- Oracept;
- Cameton and analogues.
Tablets from stomatitis
Systemic treatment is developed exclusively by a specialist individually. Capsules and tablets from stomatitis in adults are selected depending on the cause, which provoked a pathological immune response in the form of inflammation. When the virus origin of the disease requires the use of appropriate medications:
- Viferon;
- Cycloferon ;
- Amiksin;
- Lavomax;
- Kipferon and others.
Antifungal agents are prescribed if candidal stomatitis is diagnosed - treatment in adults involves the use of such tablets:
- Leviourin-M;
- Diflucan;
- Fluconazole;
- Nystatin;
- Terbisil and analogs.
Antibiotics are used in exceptional situations when local antimicrobial therapy has proved ineffective or stomatitis has been complicated by the addition of an intensive bacterial infection. Effective and safe drugs for adult dentist patients:
- Sumamed;
- Amoxiclav ;
- Lincomycin;
- Cephalexin;
- Kanamycin and other tablets with a wide range of activity.
Folk remedies for stomatitis
Certain types of plant raw materials have a pronounced antiseptic and wound-healing effect. Doctors often recommend herbal decoctions to relieve stomatitis - home treatment with rinses based on natural ingredients helps relieve pain and instantly reduce inflammation. The basis of such recipes are plants with disinfectant and soothing properties.
Mortar for daily rinses
Ingredients:
- linden color - 5 g;
- baking soda - 0,5 tsp;
- chamomile flowers - 5 g;
- water 180 ml.
Preparation and use
- Mix the flowers of lime and chamomile.
- Pour the herbal raw material with a glass of boiling water.
- Insist means 2-3 hours.
- Strain the solution.
- Add soda to the liquid.
- The resulting product rinses the oral cavity after each meal.
Stomatitis - treatment in adults at home ointment
Ingredients:
- pulp of aloe - 1 teaspoon;
- olive oil - 5 ml;
- lemon juice - 0.5 tsp.
Preparation and use
- Sprinkle the aloe vine and grind it in a meat grinder, grind it with a blender.
- Juicy pulp mixed with lemon juice and butter.
- The resulting mass is used as an ointment in the presence of ulcers, erosions and wounds in the oral cavity.
Prevention of stomatitis
An adult should regularly visit a hygienist to remove soft and hard dental deposits, strictly follow the doctor's recommendations for gum care. The stomatitis in a mouth often arises against a background of neglect of the standard rules of cleaning and disinfection of mucous membranes. Other measures to prevent disease:
- Refusal to smoke and abuse of alcoholic beverages.
- Balanced diet.
- Selection of a suitable toothpaste , rinse aid, brush, flosser.
- Installation of only high-quality prostheses, braces, plates and other orthodontic structures.
- Timely treatment of chronic pathologies.
- Elimination of contacts with allergens.
- Complete rest, stabilization of emotional state.
- Control of hormonal background.