Ulcerative stomatitis, symptoms and treatment. Ulcerative stomatitis: treatment with medication and folk remedies

This is the most common disease of the oral mucosa. Ulcerative stomatitis is one of the clinical forms of the disease.

Ulcerative stomatitis symptoms

The disease is accompanied by:

bad breath;

a burning sensation in the mouth with ulcerative stomatitis;

an increase in temperature (slightly above normal);

if you do not start treatment on time, then an increase in lymph nodes;

weakness, headache.

Ulcers as the main symptom ulcerative stomatitis

The disease is characterized by the formation of ulcers on the entire surface of the mucous membrane. These sores become gray and painful, especially when eating. In some cases, ulcers penetrate deep into the tissues. They can also combine to form large ulcerative surfaces. The spread of the necrotic process to the jaw bone in ulcerative stomatitis can cause osteomyelitis of the jaw.

Most often, people with diseases of the gastrointestinal tract, as well as stomach ulcers and chronic enteritis, suffer from the disease. Often, ulcerative stomatitis occurs in people with blood diseases, in the treatment of the cardiovascular system, with infectious diseases and poisoning with salts of heavy metals.

Symptoms of ulcerative stomatitis of various forms

Depending on the nature of the course of the disease,

• acute,
• subacute,
• chronic ulcerative stomatitis and its recurrence.

Differ in severity

and severe forms. diseases

How do the symptoms of ulcerative stomatitis develop?

First comes weakness headache, joint aches, burning sensation and dryness in the mucous membrane, the temperature rises, the gums bleed. Depending on the form of the disease, this period can last from several hours to several days.

At the next stage, the symptoms of the disease progress without treatment: weakness and headache increase. Due to the slightest touch, pain in the mouth increases sharply, and eating becomes almost impossible. there is an unpleasant putrid odor from the mouth.

With symptoms of stomatitis, ulceration of the mucous membrane begins, most often from the gums, ulceration gradually spreads to other parts of the mucous membrane. Ulcers can reach deep into muscle tissue, tendons and even bones. In this case, osteomyelitis develops in the affected area of \u200b\u200bthe jaw bone. Over time, the gums become covered with necrotic masses of gray, white-gray or gray-brown color.

Ulcerative stomatitis treatment

Local therapy for symptoms of the disease consists in drug treatment of the mucous membrane affected by ulceration. Then antiseptic treatment is carried out (hydrogen peroxide, potassium permanganate solution are used). Necrotic mucosal tissue is surgically removed. The above local treatment of ulcerative stomatitis should be carried out in conjunction with general therapy.

Treatment of ulcerative stomatitis with drugs

In the treatment, antibiotics, antiseptics (potassium permanganate, hydrogen peroxide, Furacillin), antihistamines and pain relievers are used. The oral cavity is rinsed with a 3% solution of hydrogen peroxide, a 0.1% solution of potassium permanganate, a solution of Furacilin (1: 5000).

To relieve pain in the treatment of ulcerative stomatitis, various ointments and powders are used, in the composition of which Anestezin must be present, which has the most analgesic effect. In cases where stomatitis is a symptom of a specific somatic disease, treatment should be aimed at eliminating the underlying disease.

To improve tissue healing, stimulants of reparative processes and preparations of keratoplastic action (containing vitamin A, sea buckthorn oil, rose hips, Kalanchoe juice, aloe) are prescribed. It is necessary to consume various vitamins, especially vitamin C and rutin (kiwi, citrus fruits), B vitamins (liver, meat, milk, eggs, vegetables and fruits).

Competent and timely started treatment usually promotes healing of surfaces covered with ulcers in 8-10 days. After the abatement of acute inflammatory processes, a thorough sanitation of the oral cavity must be carried out.

Causes of ulcerative stomatitis

The causative agent of the disease is fusospirillary infection caused by Vincent's spirochete and fusiform bacillus. Usually they are normally present in the mouth between the teeth, in the canals of decayed teeth. When a person suffers from inadequately prescribed treatment, psychological stress, trauma, hypothermia, the infection causes the development of the disease. Also, local irritants can provoke symptoms of ulcerative stomatitis:

poor hygiene oral cavity,

sharp edges of decayed teeth,

teething of wisdom teeth,

improperly made dentures can also lead to stomatitis.

Vincent's ulcerative necrotizing stomatitis is a pathology that develops as a result of infection of the oral cavity with fusiform sticks.

The disease is accompanied by an acute course of the inflammatory process, which affects all mucous membranes, as well as the formation of necrotic tissues. Most often, ulcerative stomatitis with necrotic foci is detected in children on the background.

The pathological process develops against the background of infection of the oral cavity with spindle-shaped rods. These microorganisms are present in the body of almost all people. Pathogenic microflora is activated under the influence of certain factors.

Activation of pathogenic microflora leads to the formation of foci of inflammation in the mucous membrane of the oral cavity. Depending on the course of the disease, it takes the following forms:

• sharp;
• subacute;
• chronic.

Initially, a person manifests acute form pathology characterized by an intense clinical picture. Vincent's stomatitis develops under the influence of the following factors:

The above factors lead to a decrease in local and general immunity, which creates favorable conditions for the development of pathogenic microflora in the oral cavity.

Clinical picture

The main symptom of Vincent's stomatitis is ulcers that form on the surface of the mucous membrane. They can be single or multiple. The rest of the symptoms of pathology depend on the severity of the disease.

At the initial stage (mild) stomatitis manifests itself in the form of:

• pain syndrome localized in the mouth;
• , aggravated by chewing food;
• active work of the salivary glands.

Palpation of the gum tissue also occurs pain... On their surface, areas with hyperemia and edema are formed. In addition to pain, patients also experience burning sensation in the gums, as well as desiccation of the mucous membrane.

The moderate severity of ulcerative stomatitis is characterized by the following symptoms:

At a later stage (severe), the disease is accompanied by the appearance of:

• severe weakness;
• high temperatures reaching 40 degrees;
• attacks of nausea and vomiting;
• pain in the abdomen.

A characteristic sign of stomatitis is a gray-white plaque, which forms on the second or third day of the development of the disease on the mucous membrane. In some cases inflammatory process penetrates deep into tissues, affecting the bone structure.

Ulcerative stomatitis in children is accompanied by the following symptoms:

• increased tearfulness;
• sleep disturbance.

The clinical picture in the chronic form of the disease is characterized by the absence of characteristic symptoms. The patient has bleeding gums and bad breath.

Diagnostics and treatment

Diagnostics is based on conducting an external examination of the oral cavity and collecting information about the current state of the patient.

Additionally, a histological examination of tissues is prescribed. A variety of bacteria such as cocci, fusobacteria, spirochetes and others are found in the surface layer of the gums. In deep tissues, dilated blood vessels and foci of inflammation are revealed.

Ulcerative necrotizing stomatitis is one of the dangerous diseases, the treatment of which takes place under the supervision of a dentist. Pathology therapy is carried out in a complex.

To suppress pain, the following are prescribed:

• Anestezin (the most common drug)
• lidocaine hydrochloride, which is used in extreme cases.

After suppression of the primary symptoms, an operation is prescribed to remove necrotic tissue. The procedure is carried out in several stages:

1. Tampons soaked in a solution of proteolytic enzymes are applied to the affected area. These substances soften the necrotic tissue.
2. Then the affected area is treated with antiseptic and antimicrobial drugs. If there are appropriate indications, hydrogen peroxide is used to remove necrotic tissue. The oral cavity is treated under local anesthesia. It is important that during the procedure, medicinal substances penetrate into the interdental space. For this, a syringe with a blunt needle is used.

The first results of treatment become noticeable about 2-3 days of therapy. By this time, the gums stop bleeding and the necrotic tissue disappears. The epithelium begins to recover on days 4-5.

Treatment of the disease is complemented by the following procedures:

1. Taking antihistamines. They relieve puffiness and suppress inflammation.
2. Taking broad-spectrum antibiotics. These include Augmentin, Penicillin, Ampiox and others. Antibiotics are prescribed for extensive oral lesions and in advanced cases.
3. Taking vitamin complexes. They are needed to strengthen immune defenses and speed up the recovery process.
4. Treatment.
5. Extraction of teeth if indicated.
6. The use of ointments and keratoplastic drugs to accelerate the healing of pronounced tissues.

The treatment of ulcerative stomatitis in children is carried out according to the same scheme that is used in the treatment of the disease in adults.

During the period of acute pathology, bed rest is indicated.

Power features

Successful recovery during and after suffering from ulcerative necrotizing stomatitis is impossible without adherence to a specialized diet. During treatment, the following should be excluded from the daily diet:

• sour and spicy foods (especially citrus fruits);
• berries;
• foods that cause an allergic reaction;
• pickled foods;
• sweet, bitter;
• dry foods.

It follows from the above that the patient's diet during the recovery period should not contain products that irritate the mucous membrane. The diet includes:

Such a diet allows for a relatively short period of time to make up for the lack of trace elements and strengthen the immune system.

Possible consequences

If left untreated, ulcerative necrotizing stomatitis causes the following complications:

• pathology of the genital tract;
• inflammation of the middle ear;
• rhinitis;
• endocarditis;
• pleurisy;
• gastroenteritis.

The long course of the disease contributes to the exposure of the roots and crown of the tooth.

Preventive measures

Disease prevention consists in observing the following rules:

• timely conduct;
• normalization;
• strengthening the immune system, especially during seasonal illness;
• timely treatment of dental and other pathologies, elimination of microtraumas of the mucous membrane.

Vincent's ulcerative necrotizing stomatitis is a serious disease that causes significant damage to the oral cavity.

Pathology develops against the background of a weakened immune defense and requires timely treatment. Lack of therapy leads to exposure of the bone structure, loss of teeth and the emergence of a number of other diseases.

Ulcerative stomatitis (ulcerative gingivitis) - acute illness oral cavity, accompanied by necrosis, ulcerative disintegration of the affected mucous membrane. The disease occurs in children with teeth. Ulcerative gingivitostomatitis is characterized by damage not only to the epithelium, but also to all layers of the oral mucosa. Ulcerative stomatitis is also called ulcerative membranous stomatitis.

Etiology of ulcerative stomatitis so far it cannot be considered definitively established. Most researchers consider the disease to be infectious. The causative agent of ulcerative stomatitis is considered to be fusospirillary symbiosis - fusiform bacillus and Vincent's spirochete. Fusiform bacillus and Vincent's spirochete are in a certain symbiosis in all cases of ulcerative lesions of the oral cavity, and the number of these bacteria is proportional to the severity of the disease. These microbes are found in almost 100% of cases in a healthy oral cavity, but normally they are found in small numbers. In case of ulcerative stomatitis, they prevail over other types of oral microbes. In the normal oral cavity, single spindle-shaped rods and spirochetes are located mainly in the depths of the gingival pockets. These microbes are normally non-pathogenic or moderately pathogenic, and only under special conditions of the body do they become virulent. While recognizing the obligatory participation of fusospirillary symbiosis in the development of the disease, we at the same time believe that ulcerative stomatitis occurs only when, for one reason or another, the body's resistance is weakened, its reactivity changes and the trophism of the oral mucosa is disturbed. In experiments on animals, it was possible to get ulcerative gingivitis and stomatitis only when fusospirillosis was vaccinated after a long injury to the gums of an animal on an inadequate diet, especially with vitamin deficiency.

The leading role in the onset and development of the disease is played by environmental factors, and primarily the sanitary and hygienic social and living conditions, the nature of nutrition, etc. Massive diseases of ulcerative stomatitis were observed among children during the war.

Ulcerative stomatitis develops in children who are sharply weakened by serious illnesses, such as influenza, as well as in children suffering from leukemia, diseases of the stomach and intestines. Ulcerative stomatitis can result from neuro-trophic disorders in the presence of changes in any part of the nervous system, with hypo- and avitaminosis, mainly with a lack of vitamins C, P, complex B, with scurvy, pellagra, etc., with food intoxication and chemicals.

Almost all authors who have studied the pathogenesis of ulcerative stomatitis note a significant role in its occurrence of hypovitaminosis C. All authors note the seasonality of the disease, massive outbreaks in the spring months (April, May), when the body's reserves of vitamin C decrease and its replenishment with ordinary food is not enough. A number of authors point out that vitaminosis plays a role in the development of the disease.

IG Lukomsky is a supporter of the polyhypovitaminous etiological nature of ulcerative stomatitis.

SI Weiss divides ulcerative stomatitis into two forms - necrotic and gangrenous. B.P. Pashkov combines ulcerative and gangrenous stomatitis into one group and examines ulcerative gangrenous stomatitis together with Vincent's angina.

Ulcerative stomatitis sometimes gives complications: rhinitis, inflammation of the middle ear, damage to the genital tract. There are also gastroenteritis, pleurisy, endocarditis.

The forecast is favorable. Correctly performed treatment leads to recovery. Healing after treatment entails scarring of the gums, exposing the crown and part of the tooth root. In children younger age the prognosis is less favorable than in older children. In the first, stomatitis is more protracted.

Treatment. For the treatment of ulcerative stomatitis, antibiotics are currently used mainly. Local treatment is aimed at eliminating all local irritants and treating ulcerative foci of the mucous membrane by the type of wound treatment. Local treatment should begin with abundant irrigation of the oral cavity with a weak antiseptic solution of potassium permanganate, hydrogen peroxide, chloramine, furacilin, etc. Irrigation is carried out under pressure, for which a universal dental unit, Esmarch cup or a water syringe are used. You can also use an injection syringe with a blunt needle. The interdental spaces should be washed especially thoroughly. Subsequent interventions consist in the removal of tartar, plaque on the teeth, careful but thorough removal of necrotic decay products. The acute period of ulcerative stomatitis requires active surgical treatment of the affected tissue. Surgical treatment of ulcerative foci is performed under anesthesia. Long-term rinsing of the mouth with a 2% novocaine solution is often sufficient. Novocaine is absorbed through the damaged mucous membrane and gives an analgesic effect.

It is advisable to remove necrotic plaque with cotton swabs dipped in a solution of penicillin in novocaine or microcide in novocaine. The treatment of the foci is carried out until the bottom of the ulcer is exposed. This creates access to oxygen in the air to the inflamed tissue and suppresses the vital activity of the anaerobic flora. After the treatment of the affected areas and a thorough toilet of the wound surface, local applications of microcide or penicillin solutions are applied. Other antibiotics can be used for this purpose, including broad-spectrum antibiotics. PT Maksimenko recommends combining penicillin, streptomycin, gramicidin. Before using an antibiotic, you should check the sensitivity of the macroorganism to it.

Antibiotics should be used after a preliminary check of the sensitivity of the microflora of the ulcer focus to it. If microflora is resistant to this antibiotic, another should be used. It is known that topical use of antibiotics, in particular penicillin, promotes the emergence of penicillin-resistant strains of staphylococcus and, in addition, causes sensitization of the body to the drug to a much greater extent than intramuscular administration.

On the 2-3rd day after the local treatment, pains, bleeding of the gums stop or significantly decrease, the fetid odor from the mouth decreases or completely disappears, ulcers are cleared of necrotic decay. In mild cases, epithelialization begins on the 3-4th day, in severe cases, it begins on the 5-8th day, in chronic cases - on the 6-8th day. During this period, treatment should be given to children who know how to rinse the mouth, frequent rinsing of the mouth with lilocyme, which promotes faster healing. You can use abundant soda rinses, which increase the emigration of leukocytes from the gums, and increase local immunity. In recent years, in the treatment of ulcerative gingivitis, after three surgical treatment (depending on the severity of the process) of the affected areas, we apply a hardening therapeutic bandage to the gums. A protective medical dressing significantly speeds up the process of epithelialization and healing.

General treatment, especially indicated in acute severe ulcerative stomatitis, is antibiotic therapy. Prescribe penicillin in novocaine solution intramuscularly at 100,000 IU every 4 hours for 2-3 days. With an average severity of ulcerative stomatitis, it is enough to administer penicillin for 2-3 days. Instead of penicillin, you can prescribe per os tablets of tetracycline, biomycin, etc., which give a good therapeutic effect.

Mandatory restorative treatment. Regardless of the form of ulcerative stomatitis, shock doses of vitamin C are prescribed (0.3 g 3 times a day for a week), vitamins of the B complex, vitamin K (0.015 g 3 times a day for 3-4 days).

Pyramidon with analgin is prescribed as a pain reliever. In the acute period, bed rest is shown, non-irritating, liquid, high-calorie food.

In the acute period of ulcerative stomatitis, surgical interventions, including the extraction of teeth, are contraindicated.

Ulcerative stomatitis is an infectious and inflammatory disease of the oral cavity. A characteristic feature of the disease is the appearance of ulcers on the mucous membranes of the mouth. Often, the disease manifests itself in children. Due to their weakness of immunity, the habit of gnawing everything, pulling into the mouth.

There are many different factors that trigger stomatitis. Every responsible parent should be aware of the symptoms, first aid, treatment of the child. An important aspect is prevention, without such knowledge it is impossible to protect the baby's health.

Causes of occurrence

The ulcerative type of the disease is called Vincent's stomatitis. The fact is that the disease is a symbiosis of the spirochete and the fusiform bacillus, it is these pathogens that provoke the development of the disease. Another name for the pathology is aphthous stomatitis. Science today cannot fully answer the question: why does stomatitis appear? Scientists isolate the provoking bacteria, several factors that push the disease to develop.

Associated problems that provoke ulcerative stomatitis in children:

• hypothermia of the body or severe overheating;
• neglected carious dental cavities, periodontal diseases;
• lack of useful vitamins, minerals;
• diseases of the gastrointestinal tract;
• trauma to the oral mucosa;
• reduced immunity, as a result of the course of various kinds of infectious ailments;
• unbalanced diet, eating a lot of sweets (children have a big sweet tooth);
• taking aggressive drugs (antibiotics). The child's body is sensitive to various potent drugs;
• malignant tumors;
• child mental health problems, severe stress;
• an allergic reaction to a certain food product;
• poor oral hygiene.

All of the above factors, to some extent, negatively affect immunity. Favorable conditions are created for the development of the fusiform bacillus, Vincent's spirochete, they displace the beneficial microflora, start the pathological process.

Signs and characteristic symptoms

Ulcerative stomatitis in a child's mouth is almost always the same: the oral mucosa in small areas turns red, swells, there is a burning sensation, discomfort. Children often do not tell their parents about the problems that have arisen, when adults notice that something is wrong, the red spots have already turned into a full-fledged ulcer.

They necessarily have a gray color, with white films, a red halo can be traced around. The rest of the mucosa may look quite healthy. In this case, the child feels a burning sensation, pain, the process of eating and drinking is difficult. Parents should carefully monitor the child's behavior: poor appetite does not always mean the baby's whims, acute pains force the child to abandon the stimulus. Typical places of dislocation of ulcerative stomatitis: cheeks, lips, area under the tongue.

Advice to parents! Regularly check the condition of the baby's oral mucosa, detection of the disease in the initial stages has a beneficial effect on the child, significantly reduces the duration of treatment, the number of medications.

Signs of stomatitis in a child are conventionally divided into three stages:

• lightweight. Increased salivation, bad breath, bleeding gums during a meal. On examination, the gum tissue is swollen, during palpation, unpleasant pain is felt;
• average. The contour of the gingival margin is distorted, it becomes covered with necrotic crusts that constantly bleed. The usual staleness of breath develops into a fetid odor from the mouth, pus forms in the periodontal pockets. Additional symptoms: general weakness, constantly elevated temperature body (up to 38 degrees), noticeably enlarged lymph nodes, they are painful, mobile;
• heavy. The condition is constantly changing, characterized by sepsis: nausea, vomiting, temperature reaches 40 degrees, up to loss of consciousness. In this case, you must immediately call an ambulance for the child.

The disease rarely reaches the last stage. In most cases, parents notice the course of ulcerative stomatitis in time, they turn to a specialist.

Diagnostic methods

The basis of diagnostic measures is a visual examination by a pediatrician of the baby's oral cavity, a conversation with a small patient, identifying all complaints, and drawing up a general clinical picture. In some cases, laboratory tests (smears and others) are prescribed to identify the pathogen.

A blood test is prescribed to detect glucose levels. Recently, the incidence of diabetes in childhood, doctors are trying to prevent the development of the disease or identify it in the initial stages.

Methods and rules of treatment

Children's aphthous stomatitis is a fairly common problem that even infants are susceptible to, with a complete intolerance to their body's breast milk. It is not recommended to carry out treatment on your own, the best option is to consult a doctor.

Before going to the doctor, you can take the following measures that will alleviate the baby's condition and will positively affect the recovery process:

• exclude sour, fried, sweet, any foods that irritate the mucous membranes of the mouth from the child's diet;
• give up possible allergens, sometimes it is the products that cause allergic reactions (citrus fruits, chocolate, onions, garlic, berries, sour apples). Immediately after taking these products, even in the form of juice, the ulcers increase in size, begin to bleed, giving the little patient sharply negative sensations;
• if you lose appetite, try to feed your child with liquid mashed soups. If the baby refuses to eat an incomprehensible liquid mass, decorate the soup with a small piece of boiled carrots, herbs, lay out a funny figure;
• an excellent meal option is dairy products. Give your child only natural curds, yoghurts without additives. Beneficial bacteria that live in kefir, milk increase immunity, reduce pain in the oral cavity;
• bed rest + plentiful drink - the key to a quick recovery.

Drug therapy

Treatment of aphthous stomatitis in children consists in the use of local therapy using antiseptics, pain relievers. In advanced cases - complex treatment with antiviral drugsthat act on the causative agent of the disease. Without eliminating the root cause of the disease, stomatitis will return with greater force, only external signs will disappear.

How to treat stomatitis in children in the mouth? List of approved medicines:

• Miramistin - a remedy for stomatitis is excellent for rinsing a child's mouth, has a neutral taste, is especially effective on early stages development of stomatitis. The recommended course is 5 times a day for one week. The approximate cost of a 50 ml bottle is 200 rubles;
• Cholisal-gel - medicine for stomatitis effectively kills pathogenic microflora, relieves pain, copes with inflammation of the oral mucosa. This gel is used even for babies, it is easy to use and easy to use. Some children do not know how to rinse their mouths, for them the ideal option is to apply a special gel with a cooling effect. The average cost of Cholisal-gel is 330 rubles per 10 g;
• Dentinox gel - copes well with pathogenic bacteria, acts 15 minutes after application, is an almost natural preparation, contains chamomile extract, quickly relieves pain. Distinctive feature - Dentinox is well fixed on the mucous membrane, is not washed off with saliva;
• Vibukrol (candles) - are used to alleviate the general condition of the baby, lower the temperature, cope with infections, help to quickly restore the normal well-being of the child. It is allowed to use the drug from three months. The active components of Vibukrol will not harm the body of the crumbs, they act for a long time, it is better to put candles at night.

Important! Before using any drug, consult your pediatrician, unconditionally follow his instructions.

Folk remedies and recipes

How to treat stomatitis in children at home? Natural products:

• decoction of chamomile. Pour 200 g of raw materials with boiling water, simmer on the fire for 10 minutes, leave the finished product for one hour. After the required amount of time has elapsed, strain the medicinal product, let the child rinse the mouth with the ready-made product three times a day. The course of treatment is 10-12 days;
• herbal mixture. Mix 50 g each of dried chamomile, mint, sage, pour 500 ml of boiling water, simmer over low heat for 25 minutes. At the end of cooking, strain the resulting broth, let's rinse the little patient's mouth twice a day after a meal. Duration of treatment is two weeks;
• oak bark. Pour one hundred grams of raw materials with 700 ml of hot water, boil for half an hour, do with the medicinal product in the same way as with the previous means;
• saline solution. Is the most popular safe remedy in the fight against various ailments of the oral cavity. It is used by adults, children, it has no contraindications. Dissolve a tablespoon of table salt in a glass of water, let the child rinse his mouth for five minutes. The duration of use is ten days.

In addition to local therapy, the doctor will definitely prescribe a course of vitamins, special children's drugs will replenish the crumbs' body with useful substances, strengthen immunity, speed up the healing process, and prevent the development of relapses.

Aphthous stomatitis is a fairly common ailment that causes a lot of inconvenience to the baby. Having experienced it once, no one wants to face the problem again. It is possible to prevent the disease only by adhering to the following instructions:

• limit the baby's communication with children who are sick or have already had ulcerative stomatitis;
• make sure your child has a balanced diet, it should contain fresh fruits, vegetables, dairy products, cereals, lean meat. Limit your intake of sweets, fast food, and soda. It is quite difficult to keep track of everything that the child eats, just teach the child from childhood to proper nutrition;
• temper the body of the crumbs, but within reasonable limits, actively rest, go in for sports together;
• teach children to regular, proper oral hygiene, preferably after each meal, rinse your mouth with herbal decoctions with them. It is best to show a good example, then there will be no question about the need for the procedure.

Ulcerative stomatitis in children responds well to treatment, the prognosis in most cases is positive. The main thing is to determine the disease in time, to quickly deal with it. The best option is to listen to useful tips, in general, do not get sick, take care of the baby's health!

More details about ulcerative stomatitis in children in the following video:

What is ulcerative stomatitis? Ulcerative stomatitis is an acute illness of the oral cavity. Ulcerative stomatitis additionally causes other diseases: necrosis, ulcerative decay of the mucous membrane. Ulcerative stomatitis usually occurs in children who already have teeth. It affects not only the epithelium of the mouth, but all layers of the mucous membrane. In another way, it is called ulcerative membrane stomatitis.

Studying stomatitis

Ulcerative stomatitis has not been fully studied. Many experts refer it to a number of infectious... The causative agent is fusospirillary symbiosis - fusiform bacillus and Vincent's spirochete. In 100% of cases of a healthy oral cavity, they are detected. The norm happens in the smallest number of people. The disease occurs absolutely when pathogens prevail over other microbes. In most cases, such microbes are simply dormant; in a small number of people, they wake up. The fusiform bacillus can manifest itself only when certain changes occur in the body. For example, during the weakening of the body's resistance, changes in reactivity or the trophism of the mucous membrane is disturbed.

Studies have been carried out on animals, which have shown that ulcerative stomatitis occurs with gum injury... At the same time, the animals were on a diet, and they lacked vitamins.

In order to prevent the possibility of manifestation of ulcerative stomatitis, all rules and norms of hygiene, both personal and surrounding areas, must be observed. There must be proper nutrition, living conditions, as well as environmental factors. Frequent manifestations of the disease were found in the war period.

It is known in medicine that stomatitis often occurs in children with severe illnesses, such as the flu, stomach or intestines. In addition, the possibility of stomatitis manifestation arises when the nervous system is disturbed, during vitamin deficiency, especially a lack of vitamins P, C and complex B. Poisoning with chemicals or food, pellagra and scurvy is also the cause of the occurrence.

Many authors who, to one degree or another, studied stomatitis, concluded that hypovitaminosis C plays an important role in the development of ulcerative stomatitis. Mostly observed outbreaks during the spring thaw season... This is usually May and April. It is during this period that children experience a lack of vitamin C, which is not replenished with ordinary foods.

Despite the different opinions about ulcerative stomatitis, in turn, a conclusion must be drawn. The conclusion still remains that this is an independent disease, which is subdivided into different forms. Forms of stomatitis depending on the course of the disease:

Forms of stomatitis, depending on the severity:

1. Lightweight;
2. Heavy;
3. Average.

Renowned experts in the study of ulcerative stomatitis

1. B.P. Pashkov. In his book he considers 2 sides of the coin: ulcerative stomatitis and gangrenous stomatitis. Then he combines them into one together with Vincent's angina.
2. I. G. Lukomsky. It is clear from his statements that he is a supporter of the fact that the nature of stomatitis is the lack of vitamins in the body.
3. S.I. Weiss. Author S.I. Weiss divides stomatitis into 2 parts: gangrenous and necrotic.

Symptoms

In most clinical cases, ulcerative stomatitis has the form of manifestation - ulcerative gingivitis... At first, stomatitis will cover the gums around one or more teeth and then gradually disperse along the entire edge of the gums. Ultimately, all areas of the gums are covered, leaving only small gaps. It happens that both jaws are affected. There is no manifestation in edentulous areas such as pockets or papillae.

In young children, stomatitis can begin in places where new teeth are about to appear. In adolescents, this happens in the places of the lower wisdom tooth. In such places, usually the mucous membrane creates a "hood", which means that they are easily exposed to disease. Stomatitis can also occur in the area of \u200b\u200btartar manifestations, caries. As a result, it is not difficult to understand that the area of \u200b\u200borigin usually falls on areas where the most favorable habitat and development of such diseases.

Many patients complain about itching, burning pain in the gumsas well as dry mouth. The gums swell in the initial period, there is swelling and redness. Stomatitis is also associated with pain. Strong pain visits a person during the chewing process, in other cases it is aching and teething pain. On the second or third day, the disease manifests itself in the form of a gray-white plaque. Plaque is a structureless tissue that contains a huge number of microbes, non-living leukocytes. The gingival papillae should have, as it were, sections. On the inflamed mucous membrane, there is a thick layer of necrotic decay. If you remove it, then the mucous membrane will bleed.

The resulting inflammation can cover almost the entire oral cavity. it gums, tongue, cheeks and lips... A tooth mark usually appears on them. In rare cases, the necrotic process can reach the periosteum of the bone. The ulcers are the color of gray dirt. In this case, it is better to refrain from speaking with interlocutors, since a very sharp disgusting smell will come from the mouth. The rotten smell from the oral cavity is obtained due to the breakdown of proteins provoked by the spindle-shaped stick and Vincent's spirochete. When protein breaks down, the tissue releases hydrogen sulfide and ammonia.

During illness lymph nodes may swellwhich cause pain when feeling. In addition, profuse salivation begins, sometimes 2-3 liters per day. Due to bleeding from tissues, saliva takes on a pink tint. At the same time, the saliva is thick, viscous, emitting a stench. Any movement in the mouth causes severe pain.

Each person experiences this pain differently. Sometimes it is a slight body temperature, and sometimes from 38 and above. In severe forms of the disease, a person often becomes depressed due to constant anxiety, loss of appetite and sleep.

Acute period lasts from 10 to 15 days... With good and high-quality treatment, it decreases significantly. Usually after 4-5 days. When correct treatment the disease recedes and the process of restoration of the oral epithelium begins. Usually epithelialization begins at the edges of the ulcers. In this case, it is imperative to continue treatment. It's not worth retreating at the very beginning of improvements.

The main feature of stomatitis is the possibility of a relapse or chronic form.

Complications

Complications are as follows:

• Inflammation of the middle ear.
• Pleurisy.
• Gastroenteritis.
• Disease of the genital tract.
• Rhinitis.
• Endocarditis.

Correct treatment leads to positive results. Of course, the incisors will remain on the gums. The root of the tooth or its crown may even be exposed. For young children, the prognosis is not so favorable. Sometimes the disease can take a long time.

Ulcerative stomatitis: treatment

In treatment, the main medicine is antibiotics... Topically used drugs to heal oral wounds. In this case, topically applied drugs that have an antiseptic effect. Preparations:

1. Furacilin.
2. Potassium permanganate.
3. Hydrogen peroxide.
4. Chloramine, etc.

Irrigation with topical preparations should be done under pressure. Moreover, if there is no special dental unit, you can use an ordinary syringe with a blunt needle. Small holes between the teeth should be carefully processed. Further, the treatment process includes: removal of tartar and necrotic decay. Decay must be removed all, but with great precision and accuracy. In acute manifestations, treatment is transferred to the surgical hands. The surgeon should treat all affected areas. A similar treatment is carried out under anesthesia. Often it is enough to rinse your mouth with 2% novocaine solution. Novocaine passes inside through the affected areas of the epithelium and has an analgesic effect.

Before you start taking an antibiotic, you need to check the microflora of the ulcer for sensitivity. As indicated by the sensitivity, one or another type of antibiotic is used.

After prescribing treatment for 2 or 3 days the manifestation of the first results begins. First, the gums stop bleeding. Secondly, the ulcerative foci are cleared of decay. Thirdly, the smell from the mouth disappears. Fourthly, the pain is not so strong. On day 3 or 4, epithelial replacement begins. In severe forms, it begins on day 5. For chronic on 6-8 days. Children who can rinse their mouths should rinse with lilocyme. This solution will allow the wounds to heal faster. Soda rinses will also have a good effect. Soda improves immunity and increases the release of leukocytes from the gums. After surgical treatment, hardening tissue is placed on the gum, which will also contribute to the speedy healing.

For severe forms, doctors prescribe intramuscular injection of penicillin with novocaine, 100 thousand units every 4 hours. In this case, the treatment is 2-3 days. With an average form of the disease, it is enough to inject intramuscularly penicillin for 2-3 days. In this case, penicillin can be replaced by tetracycline and biomycin tablets.

Additional components are also needed in the treatment. In this case, it does not matter what form of the disease occurs.

Additional complex for treatment:

• Taking vitamin C (0.3 grams 3 times a day). The course is 7 days.
• Taking vitamin K (0.015 grams 3 times a day). The course is 3-4 days.
• Taking vitamin B.

The analgesic agent during the treatment can be pyramidon with analgin.

During the acute period of the course of the disease, doctors recommend keep to bedand also needs proper nutrition. Eat plenty of liquid foods that are high in calories.