As healing is spontaneous, treatment is directed towards
decreasing the pain associated with mouth ulcers and using
agents which protect the area from trauma and encourage
healing. As the cause has an immune component, the use of
mild topical steroids can be used to decrease the inflammation
and facilitate healing.
Patented Triple Action gel for fast pain relief with no stinging or burning!
Fast pain relief with no alcohol and no Benzocaine
Non-prescription (OTC Over The Counter) Aloe Vera based site specific gel.
Treats Mouth Sores and Canker Sores without stinging or burning.
Protective barrier promotes healing.
Prevents irritation of exposed nerve endings.
Lasts for hours.
Keep out of reach of children
Kenalog in Orabase is a commonly used topical corticosteriod.
Dexamethasone mouthwash can used as a rinse for multiple
ulcerated areas. Both Kenalog and dexamethasone require
a doctor’s prescription. Mouth rinses containing the antibiotic
tetracycline have been shown to speed the healing by reducing
the incidence of bacterial infection and unpleasant discomfort
associated with canker sores. Research has shown that rinsing
several times a day with tetracycline mouth rinse can reduce
the pain within 24 hrs and speed healing down to 5-7 days.
It is critical to avoid tetracycline if you are pregnant
and do not give it to children. It is well documented that
tetracycline can permanently stain the teeth during a
Oral steroids or other immuno-suppressive drugs may be
required in recurrent severe cases of canker sores. These
drugs have undesirable side effects and should only be administered
under close supervision of a physician or dentist.
Over the counter topical medications, some of which contain
benzocaine and other soothing agents help reduce the discomfort
of canker sores. Another remedy is to apply a diluted hydrogen
peroxide solution (1 part hydrogen peroxide and one part
distilled water) with a cotton swab on the canker sore. Follow
this up with a small dab of milk of magnesia on the canker
sore 2-3 times a day. Milk of magnesia is not only a soothing
agent, but appears to help healing.
As canker sores are an open wound they are prone to bacterial
infection and irritation which would delay healing. It is
therefore important to have good oral hygiene and avoid
hot or spicy foods to minimize further irritation. Mild
mouth washes such as salt water or non-alcoholic mouth washes
may aid in hygiene and increase comfort. To reduce the frequency
of outbreaks it is recommended to use a soft toothbrush,
avoid spicy and hard foods like tortilla chips, reduce your
daily stress and maintain a balanced diet and healthy lifestyle.
You must consult your physician if you are not sure if
you have true canker sores, if your mouth sores are accompanied
by fever, weakness and swollen lymph nodes or if your ulcer
does not heal. Tests may include blood and allergy tests.
The only definitive diagnosis is to have a biopsy of the
For a full list of medications for canker sores please