Why Does My Child Have Canker Sores?

Even though canker sores are usually nothing to worry about, if you have ever had one, you likely know how uncomfortable they can be. In this article, we will examine the following frequently asked questions:

Canker Sores: What Are They?

Canker sores in children: what causes them?

Canker Sore Treatment for Children

Canker Sores: What Are They?

It is a small, round, painful sore that has a red border and a white, yellow, or gray center, and is also known as an aphthous ulcer. Children’s cheeks, lips, floor of mouth, and tongue are among the soft tissues inside the mouth that can develop aphthous ulcers.

The severity of canker sores can vary:

Usually, minor aphthous ulcers are less than 5mm in diameter and heal within one to two weeks. This type of canker sore does not leave scars.

It takes up to six weeks for major aphthous ulcers to heal, and they may leave scars.

Canker sores called herpetiform aphthous ulcers are small, often only 1 to 3 millimeters in diameter, often occurring in groups. The ulcers can join together to form large, irregularly shaped sores that can be quite painful. They can sometimes be massive, with up to 100 ulcers present at the same time. Although they look similar to sores caused by the oral herpes virus, herpetiform aphthous ulcers are not contagious and are not caused by the virus.

Children’s Canker Sores: What Causes Them?

Researchers believe that canker sores in children are caused by a combination of various different factors working together. Nobody knows precisely what causes these sores. Stress, for example, may trigger canker sores in some people, but most children don’t get canker sores every time they feel stressed. As a result, stress may not trigger canker sores alone, but rather work with other factors to trigger them.

The following are just a few examples of factors that may increase the chances that a child will develop an aphthous ulcer:

A canker sore can develop after soft tissue in the mouth has been injured. For example, a canker sore might appear inside a child’s cheek after the child eats hard, sharp food that scrapes the inside of the cheek.

Deficiencies in certain nutrients, including iron, Vitamin B12, and folic acid, may lead to recurrent aphthous ulcers.

For some people, toothpaste containing sodium lauryl sulfate (SLS) can cause canker sores. Switching to a toothpaste without SLS can help these people.

Some people develop canker sores due to stress, which is believed to be a precipitating factor.

Children with a family history of canker sores are more likely to get them.

The elimination of gluten from the child’s diet may reduce the number of canker sores the child gets or even eliminate them entirely in children with celiac disease.

Some people have reported anecdotally that hard, salty and/or highly acidic foods may trigger canker sores, although there is not much research to support this.

Canker Sore Treatment for Children

Most children with canker sores heal on their own relatively quickly and do not require treatment. Avoid foods that are highly acidic, salty or spicy during the healing process to minimize your child’s discomfort. Such foods can irritate the sore.

If you have a young child experiencing the unfortunate pain of a canker sore, honey may be an effective home remedy. Research suggests it could help expedite the healing process for ages one and up, though medical advice should always be sought if your baby has a sore on the inside of their mouth. With children under one year old, honey is not recommended due to botulism risks. Nonetheless, canker sores in this age group are rare. It’s worth consulting a pediatric dentist to ensure the sore is nothing to worry about.

Children over the age of one may also need to visit their pediatric dentist or pediatrician:

Your child’s pediatric dentist can help if a canker sore is causing significant discomfort. The dentist can cauterize the ulcer with silver nitrate or a special type of laser, or prescribe a topical treatment.

Make an appointment with your child’s dentist if your child has had a canker sore for weeks that has not healed, or if you are concerned about a canker sore. It may turn out to be something more serious than you thought.

A visit to your child’s pediatrician may help you determine whether your child has any systemic causes (such as celiac disease or a vitamin deficiency) that may be causing canker sores.

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