Canker sore - Oral aphtha

Very low urgency
Very common-
This is a round, well-defined, relatively painful ulcer or superficial wound on the oral mucosa (inside of the cheek or lip, gums and/or base of the tongue), with a whitish surface and a red base. It usually disappears within 7-10 days but tends to recur (reappear). The cause is unknown but it could be viral or triggered by stress, vitamin deficiency, hormonal changes or food allergies. It is not contagious. Some mouthwashes improve symptoms and accelerate healing. Unless there are doubts regarding the diagnosis or associated additional symptoms, medical attention is not considered necessary as only a clinical examination will be carried out (to rule out candidiasis).
Bibliographic references
  1. Durso SC. Manifestaciones bucales de enfermedades. Harrison. Principios de Medicina Interna. Volumen 1. 19º Edición: 237 y 239.
  2. Castel Rodó T. Enfermedades localizadas de la boca (labios, mucosa bucal, lengua, encías y dientes). Farreras Rozman. Medicina Interna. Volumen 1. 12º edición: 32
Author
Dr. Sara Vitoria
Copyright
© TeckelMedical 2026

Symptoms

    Mouth ulcer or sore


    Painful ulcer


    Ulcer with well-defined borders


    Pain in mouth


    Ear pain

Symptoms to watch out for

Persistence of symptoms for more than two weeks after initial treatment
High fever (102.2 ºF or more)
Bleeding in canker sores

Self-care

Use over-the-counter creams, pastes, or gels with benzocaine, fluocinonide, or hydrogen peroxide.
Avoid rough, spicy or acidic foods that may cause pain and irritation.
Apply ice to canker sores twice a day.
Brush your teeth twice a day or after every meal.
Consult your primary care physician for corticosteroid mouth rinses or local anesthetics if you have several aphthous ulcers.