Department of Medicine, Surgery and Experimental Sciences, University of Sassari, Sassari, Italy.
Department of Biomedical Sciences, University of Sassari, Sassari, Italy.
Eur J Paediatr Dent. 2022 Mar;23(1):73-78. doi: 10.23804/ejpd.2022.23.01.14.
Recurrent aphthous stomatitis (RAS) is a painful and common ulcerative form that can pose a diagnostic challenge. In fact, similar oral ulcers can appear secondary to a variety of well-defined pathological conditions. Thus, the purpose of this work was to update the current knowledge about RAS METHODS: A narrative review is presented aiming to clarify the extensive differential diagnosis of RAS and its management.
As a first aid in relieving the pain, topical applications of corticosteroids, antibiotics, and analgesics are highly recommended, while systemic therapy of RAS should be used in the case of multiple painful ulcerations compromising the quality of life of the patient. Also, natural anti-inflammatory substances from medicinal herbs, in the form of essential oils and extracts are promising agents in the management of RAS.
复发性阿弗他口炎（RAS）是一种常见的疼痛性溃疡性疾病，可能具有诊断挑战性。事实上，类似的口腔溃疡可能继发于多种明确的病理情况。因此，本研究旨在更新关于 RAS 的现有知识。
本文呈现了一篇叙述性综述，旨在阐明 RAS 的广泛鉴别诊断及其治疗。
作为缓解疼痛的急救措施，强烈推荐局部应用皮质类固醇、抗生素和镇痛药，而对于影响患者生活质量的多发性疼痛性溃疡，应采用 RAS 的全身治疗。此外，药用植物的天然抗炎物质，以精油和提取物的形式，是 RAS 管理中很有前途的药物。
