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Canker Sore (Aphthous Ulcer) Treatment

Updated: Sep 1

How to Treat Canker Sores in NYC?

Canker sores — also known as aphthous ulcers — are small but painful lesions that develop inside the mouth. While most canker sores heal on their own in 1–2 weeks, severe or recurrent aphthous stomatitis can interfere with eating, speaking, and overall comfort.


Treatment focuses on relieving pain, speeding up healing, and preventing recurrence. Options include topical gels, medicated rinses, nutritional supplements, and advanced therapies such as Non-Invasive Soft Tissue Diode Laser Treatment. This gentle, in-office procedure promotes rapid healing and provides immediate comfort.


If you live in NYC and struggle with canker sores, schedule a consultation with our team today to discuss your symptoms and receive personalized treatment.


Close-up of a person pulling down their lower lip to reveal a small, painful white canker sore on the inner lip, surrounded by red inflammation.

What is a Canker Sore?

A canker sore is a type of mouth ulcer that forms on the soft tissues inside your mouth — such as the inner cheeks, gums, tongue, or soft palate. They appear as round or oval-shaped shallow ulcers with a white or yellow center and a red border. Unlike cold sores, they are not contagious and don’t occur on the outer lips.


Canker Sore vs. Cold Sore


Feature

Canker Sore (Aphthous Ulcer)

Cold Sore (Fever Blister)

Cause

Not caused by herpes virus; linked to trauma, stress, nutrition, immune factors

Caused by herpes simplex virus (HSV-1)

Location

Inside the mouth (inner cheeks, gums, tongue, soft palate)

Outside the mouth (lips, skin around mouth)

Contagious?

No

Yes

Appearance

White or yellow center, red border

Fluid-filled blisters that crust over

Triggers

Stress, hormonal changes, acidic/spicy foods

Illness, stress, sun exposure

Treatment

Topical gels, rinses, laser therapy

Antiviral medications, topical ointments

A close-up of a person’s lips with a visible cold sore on the lower lip. Unlike canker sores, which occur inside the mouth, cold sores are contagious blisters caused by the herpes simplex virus and typically appear on or around the lips.

Who Gets Canker Sores?

Anyone can develop canker sores, but they are more common in:

  • Teens and young adults

  • Women (due to hormonal fluctuations)

  • People with a family history of recurrent ulcers

  • Individuals with certain health conditions such as celiac disease, Crohn’s disease, or immune system disorders


Symptoms and Causes of Canker Sores


What are the symptoms of canker sores?

  • Round or oval oral ulcers with white/yellow centers

  • Tingling or burning sensation before the sore appears

  • Canker sore pain while eating, drinking, or talking

  • In severe cases: fever, swollen lymph nodes, or feeling unwell


What causes canker sores?

While the exact cause is unknown, contributing factors include:

  • Mouth injury (biting cheek/tongue, ill-fitting dental appliances)

  • Nutritional deficiencies (vitamin B12, folic acid, iron, zinc)

  • Certain foods (acidic foods like citrus fruits, spicy foods, salty foods)

  • Stress and reduced immune function

  • Hormonal changes (menstruation, pregnancy)

  • Sodium lauryl sulfate in some toothpastes

  • Underlying health issues (celiac disease, Crohn’s, HIV/AIDS)

  • Viral infections — though unlike cold sores, canker sores are not caused by HSV


How to Diagnose and Test Canker Sores

A doctor or dentist can diagnose canker sores through a physical exam of the mouth’s lining. In severe cases or if sores are frequent, they may recommend blood tests to check for vitamin deficiency, autoimmune conditions, or allergies. If symptoms resemble other oral health issues such as oral cancer or viral infections, further testing may be done to confirm diagnosis.


How to Prevent Canker Sores

While not all canker sores are preventable, you can reduce the risk:

  • Maintain good oral hygiene – Brush gently with a soft-bristled toothbrush, floss daily

  • Avoid trigger foods – Limit acidic, spicy, or rough-textured foods

  • Manage stress – Use relaxation or stress reduction techniques

  • Prevent nutritional deficiencies – Eat a balanced diet or take supplements

  • Avoid sodium lauryl sulfate toothpastes if you’re sensitive

  • Protect mouth’s lining – Wear mouthguards for sports, address dental appliance irritation


FAQs

What gets rid of canker sores fast?

Laser therapy is one of the quickest ways to heal and relieve pain from canker sores. Over-the-counter gels, saltwater rinses, and avoiding irritating foods can also help.


What is the best medication for canker sores?

Topical corticosteroids, numbing gels (benzocaine), or prescription mouth rinses can reduce inflammation and pain.


What is a canker sore caused by?

hey may be triggered by mouth injury, certain foods, vitamin deficiencies, hormonal changes, or immune system imbalances.


Does salt water help canker sore?

Yes, a saltwater rinse can help clean the sore, reduce bacteria, and promote healing.


Sources

  1. National Institute of Dental and Craniofacial Research. Canker Sores. https://www.nidcr.nih.gov/health-info/canker-sores

  2. American Academy of Oral Medicine. Aphthous Ulcers. https://maaom.memberclicks.net/index.php?option=com_content&view=article&id=84:canker-sores


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Want to make the best choices for your smile and oral health?

Schedule a consultation with Dr. Marc Lazare or Dr. Terese Fay to receive expert, personalized recommendations tailored to your needs.

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