Aphthous Stomatitis: Facts, Stats and New Research for Dental Professionals

The Latest Research and Science Around Aphthous Stomatitis

Wondering what’s new in the scientific and medical communities regarding aphthous stomatitis? Here are some links to additional reading materials so you can catch up on the latest:

The oral microbiota of patients with recurrent aphthous stomatitis [1]

A few years ago Sahlgrenska Academy and the University of Gothenburg conducted research around recurrent aphthous stomatitis, or RAS, in search of new insight. The study found that the composition of the oral microbiome was different for patients with recurrent aphthous stomatitis, compared to healthy controls. These results were confirmed in another study, published in the Journal of Dental Research a while later. However, it remains unclear whether these microbial differences cause aphthous stomatitis, or if the latter triggers a shift in the oral microbiome.

Genome wide analysis for mouth ulcers identifies associations at immune regulatory loci [2]

Researchers from the UK, Australia and USA tried to find specific genetic loci that could explain the fact that aphthous stomatitis have a clear heritable component. In their study, published in Nature Communications, several loci were identified. Interestingly, many of those were located in (or close to) genes that are involved in T cell immunity. This provides further support for the commonly accepted theory that the immune system plays an important role in the etiology of aphthous stomatitis.

Epithelial Cell Apoptosis in Recurrent Aphthous Ulcers [3]

Comparing healthy epithelium to that affected by recurrent aphthous ulcer, this study from the Journal of Dental Research points to a cellular apoptosis sequence that may lead to the formation of the typical peripheral inflammatory halo that surrounds aphthous ulcers..

Recurrent aphthous stomatitis treatment (RAS; aphthae; canker sores) with a barrier forming mouth rinse or topical gel formulation containing hyaluronic acid: a retrospective clinical study [4]

A study published in BMC Oral Health in 2019 investigated the treatment effect of one of our own mouthrinses (GUM^® AftaClear rinse) and a gel (GUM AftaClear gel) – both containing hyaluronic acid – on recurrent aphthous stomatitis. After one week, the lesions had reduced significantly for both appliances, with 77% for the mouthrinse and 81% for the gel. They even observed complete lesion resolution in 60% (mouthwash) and 56% (gel) of the cases. Importantly, 44 out of 45 participants reported an improvement in quality of life during the treatment. 

Is Optimal Management of Recurrent Aphthous Stomatitis Possible? A Reality Check [5]

The title of this article alludes to a question that’s pertinent to patients and dentists everywhere. Can recurrent aphthous stomatitis truly be managed effectively, given what we currently know? The authors reviewed a wide range of existing studies, but concluded, “Due to limitations in the number of evidence-based trials and the insufficient data to support or refute the efficacy of the therapies prescribed, larger evidence-based clinical studies and literature reviews are needed to further improvise the optimal methodology for the effective management of RAS.”

Helping Patients Overcome Aphthous Stomatitis

As the final article above reaffirms, there is no known cure for aphthous stomatitis at this time. Obviously, this is not what patients dealing with the discomfort caused by aphthous stomatitis want to hear, especially if they experience the condition on a regular basis. Therefore, the focus should be on supportive care – solutions that offer pain relief or promote wound healing – rather than curative treatment. There are a number of effective solutions you can discuss with them, and GUM offers an array of products specifically designed to address the issue.

Treatments for Aphthous Stomatitis

Most dentists already have an assortment of recommended treatments for aphthous stomatitis, and products on hand to provide for their patients.

For faster and more substantial and effective pain relief and wound healing, interventions are generally aimed at the application of topical products. There are a number of products that can help. Our GUM AftaClear line provides immediate relief and accelerates the healing of aphthous stomatitis thanks to a unique combination of ingredients. GUM AftaClear products are available in three different versions to suit patient preferences:

• Spray GUM AftaClear: ideal for specific site application and for the acute treatment of the canker sores, orthodontic abrasions, denture irritations, minor burns or other small lesions of the mouth
• Gel GUM AftaClear: ideal for the acute treatment of the canker sores, irritations, minor burns or other small lesions of the mouth
• Mouthwash GUM AftaClear: ideal to prevent the recurrence and/or progression of the canker sores, orthodontic abrasions, denture irritations, minor burns or other small lesions of the mouth.

Each of these products serves a similar purpose: creating a protective barrier on the ulcer to provide pain relief and stimulate healing.

Whether or not they are using an oral care product to treat their mouth sores, remind patients to do what they can on their own to avoid irritating or worsening the wound (i.e., avoid biting down on it, and try not to eat spicy foods or drink alcohol).