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May 25, 2013
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Canker Sores (cont.)

Medical Author:
Edmond A Hooker, MD, DrPH
Medical Editor:
Melissa Conrad Stöppler, MD, Chief Medical Editor
Melissa Conrad Stöppler, MD, Chief Medical Editor
Melissa Conrad Stöppler, MD, Chief Medical Editor

Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.

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Canker Sore Prevention

  • Avoid anything that could cause trauma -- even minor trauma -- to the mouth, such as hard toothbrushes and rough foods.


  • Stress reduction: For many patients, stress is a reason for more recurrent attacks, and stress-management techniques may decrease the frequency of attacks.


  • Avoid toothpastes that contain sodium lauryl sulfate if you tend to get canker sores.


  • Do not talk while chewing.


  • Have any irregular dental surfaces repaired.


  • Hormonal factors can sometimes trigger an outbreak in women during the premenstrual phase. Oral contraceptives may be helpful in this regard.


  • If you have a deficiency of iron, folic acid, or vitamin B12, make sure you are taking the appropriate supplements; however, in most cases, this will not produce any improvement in the recurrence of the ulcers.

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Canker Sores - Effective Treatments

The eMedicineHealth physician editors ask:

Please describe what treatments have been effective for your canker sores.

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Canker Sores - Symptoms and Signs

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What symptoms and signs did you experience with canker sores?

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Read What Your Physician is Reading on Medscape

Aphthous Ulcers »

Recurrent aphthous stomatitis (RAS) is a common condition, restricted to the mouth, that typically starts in childhood or adolescence as recurrent small, round, or ovoid ulcers with circumscribed margins, erythematous haloes, and yellow or gray floors.

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