In life, some people work overtime, get anxious, or after several heavy meals, they will have mouth ulcers. Some people have repeated ulcers, which can't help but make people worry a little more: will they develop oral cancer?
In fact, dangerous ulcers often have some commonalities, such as often appearing in certain parts of the mouth.
"Life Times" (search for "LT0385" within WeChat to follow) interviews experts to remind you of the high incidence of cancerous ulcers and teach you scientific prevention.
Experts interviewed
Chen Qianming, dean of the School of Stomatology of Zhejiang University
Sun Weilian, chief physician of the Department of Stomatology, the Second Affiliated Hospital of Zhejiang University School of Medicine, attending physician Wang Xiangjian
Cancerous ulcers often grow in the "danger triangle"
Mouth ulcers, commonly known as "aphthous ulcers", are manifested as one or more, round or oval, yellow-white ulcers in the mouth, which are between wheat grains and soybeans, and generally heal themselves in 1 to 2 weeks, but will recur.
Whether mouth ulcers will become cancerous is a concern for many people. From the perspective of "part", its safety can be easily judged by the following methods:
Safer ulcers with immobilized sites
When the "mouth sores" are severe, although there have always been ulcers in the mouth, they will generally occur in a new place after a short period of healing in a certain place, and this kind of ulcer that will be good will generally not become cancerous.
Dangerous ulcers are often located in the "triangle"
True cancerous ulcers generally appear in a single person, the location of the disease is fixed, and it is often located in the "danger triangle" in the mouth, that is, the tongue and abdomen at the edge of the tongue, the side of the corner area (both sides of the cheek), and the soft palate complex.
Of course, not all mouth ulcers growing in this area will become cancerous, but if there is a mass in the "dangerous triangle area", or unprovoked pain, bleeding, etc., it is necessary to go to the oral mucosa department in time.
Some people have repeated mouth ulcers that can last for 1 to 2 months or more. This type of recurrent mouth ulcer, also known as "recurrent aphrota ulcer", is often painful and patients are often afraid that the ulcer will become cancerous.
In fact, recurrent mouth ulcers do not have a tendency to become cancerous, and there is no need to worry too much. This type of ulcer has the characteristics of "red and yellow concave pain":
Red: there is a red band of congestion at the edge of the ulcer;
Yellow: the surface of the ulcer is covered with a yellow-white pseudofilm;
Concave: central depression, shaped like a "crater" or "crater";
Pain: There is a pronounced burning pain, often recurrent.
Dangerous ulcer "appearance" is also similar
In addition to the location, dangerous mouth ulcers also have some commonalities in "appearance", such as uneven edges and shapes like cauliflower.
Uneven and weak pain
Benign ulcers are more regular in form, round, oval or bared, with neat and clear edges, a smoother, softer to the touch, and a burning sensation.
Malignant ulcers are irregular in morphology, ill-defined, undulating, granular, hard to the touch, and less painful.
With other facial symptoms
When benign ulcers attack, there are fewer other complications. If it is accompanied by maxillofacial enlargement, lymph node adhesions, etc., it may be a malignant mouth ulcer.
Does not heal for more than 2 weeks
Mouth ulcers are self-healing conditions that usually heal themselves in 7 to 10 days.
If the ulcer has not healed for more than 2 weeks, or if it has recurred more than 2 times in 1 month, it is necessary to seek medical attention in time.
Poor response to drugs
Benign mouth ulcers can accelerate healing under drug treatment, and malignant ulcers do not respond significantly to drugs and will even continue to deteriorate.
If the drug is used more than 8 times, or there is no sign of regression or healing after a week of continuation, it should be treated in a regular hospital as soon as possible.
If you have an ulcer, you can do it quickly
If you already have a mouth ulcer, what can you do to speed up healing?
Rinse mouth in light salt water
It is recommended to use warm drinking water configuration, the concentration is about equal to normal saline (0.9%), that is, 4.5 grams of salt + 500 ml of water, mix well.
It is also possible to use mouthwashes containing chlorhexidine, but it is not recommended to use mouthwashes containing "alcohol", which can easily cause discomfort.
Do not rub salt, white wine, or garlic directly on the ulcer, as it will irritate the affected area.
Rational use of the drug
If the pain is unbearable, the drug can be used under the guidance of a physician.
Powder: Suitable for large areas of mouth ulcers, common ice boron powder, tin powder belong to this category, take 1 to 2 times a day.
Ulcer spray: More suitable for multi-point, diffuse mouth ulcers.
Ulcer patch: can block irritation, such as dexamethasone acetate oral patch, butyron oral ointment.
Lozenges: Lozenges come in handy when the ulcer area is further enlarged, and these drugs are more effective in treating recurrent and herpetic mouth ulcers.
Gargles: patches, large areas, more dispersed ulcers, you can use gargles, the more commonly used are compound borax, herbs containing gargles.
Preventing mouth ulcers starts with 6 things
In daily life, the chance of developing mouth ulcers can be reduced by the following methods.
1
Prevents external damage
Inappropriate dentures, tooth stumps, melon seeds, eating hard things, etc., will increase mechanical friction and damage the oral mucosa.
Eating too quickly, too fast, accidentally biting yourself, may also induce mouth ulcers, life should pay attention to avoid.
2
Pay attention to oral hygiene
Developing good habits, such as brushing your teeth twice a day and rinsing your mouth in time after meals, can effectively reduce the relevant pathogenic bacteria in the mouth, thereby reducing mucosal damage.
3
Cut back on unhealthy eating
Eat less grilled, pickled, spicy and irritating foods to avoid overheated foods that damage the mucous membranes.
4
Balanced nutrition, eat more fruits and vegetables
Deficiencies of vitamins and trace elements, such as iron, zinc, B vitamins, folic acid, etc., can also induce mouth ulcers. Life should be balanced and balanced, and eat more fresh fruits and vegetables and whole grains in moderation.
5
Do not stay up late and avoid decreased immunity
Frequent insomnia, staying up late, overwork, mental stress, etc., will make the immunity decline, the disease from the mouth.
It is recommended to ensure at least 7 hours of sleep per day; at the same time, at least 3 to 4 outdoor exercises per week, each time for more than half an hour, to enhance physical fitness and improve resistance.
6
Reject anxiety and have a stable mindset
Overall, the lesions of mouth ulcers are not easy to change, ulcer-prone people do not have to be nervous and anxious, and cooperating with treatment and regular life can help improve symptoms.
People who are prone to mouth ulcers should pay more attention to maintaining an optimistic psychological state. ▲
Editor of this issue: Zheng Ronghua
Wait, click on it and go