Recurrent aphthous stomatitis (episodic mouth ulcers)

Patients should be instructed to avoid:[1]Scully C. Clinical practice. Aphthous ulceration. N Engl J Med. 2006 Jul 13;355(2):165-72. http://www.ncbi.nlm.nih.gov/pubmed/16837680?tool=bestpractice.com

• Oral trauma (e.g., from sharp and/or broken teeth, dentures and orthodontic appliances, and biting during chewing), and seek assessment and appropriate dental treatment

• Recognized trigger foods

• Acidic foods and drinks.

Corticosteroid use and oral candidiasis

Prolonged use of topical corticosteroids can encourage overgrowth of candidiasis. All topical corticosteroids should be used for as short a term as possible. Other factors for opportunistic fungal infections should be addressed (e.g., diabetes, smoking, dentures, asthma inhalers).

Teeth staining with prolonged use of chlorhexidine and pain on rinsing

Pain on rinsing with chlorhexidine would warrant dilution 50/50 with water.

To prevent staining, make sure teeth (or dentures) are thoroughly brushed before chlorhexidine is used.