Aim: This study aims to determine the prevalence of recurrent aphthous stomatitis (RAS) among dental students.
Materials and methods: Dental students were asked to complete a questionnaire to investigate different aspects of RAS including prevalence, frequency of recurrence, and management modalities.
Results: Of the 382 study participants (230 women, 152 men; 21–28 years old), 83 had a history of RAS (45 women, 38 men). A positive family history of RAS was more common in participants with RAS (48.2%) than in those without RAS (9.0%). Stress was reported as the most common trigger for an attack (53%), and the most commonly affected sites were the labial and the buccal mucosa. Reported treatment modalities included topical anesthetic, honey, and/or warm salt water rinsing; however, most participants reported no benefit from treatment apart from a temporary relief.
Conclusion: RAS is common among dental students in Kingdom of Saudi Arabia. Despite ongoing research, the etiology of RAS is still unknown, and only symptomatic treatment is available.
Clinical significance: RAS is a common painful oral ulcerative condition affecting young adults. RAS interferes with eating and speaking, affecting the quality of life.
Davatchi F, Tehrani-Banihashemi A, et al. The prevalence of oral aphthosis in a normal population in Iran: a WHO-ILAR COPCORD study. Arch Iran Med 2008 Mar;11(2):207–209.
Oh SH, Han EC, et al. Comparison of the clinical features of recurrent aphthous stomatitis and Behçet's disease. Clin Exp Dermatol 2009;34(6):e208–e212. DOI: 10.1111/j.1365-2230.2009.03384.x.
Chattopadhyay A, Chatterjee S. Risk indicators for recurrent aphthous ulcers among adults in the US. Community Dent Oral Epidemiol 2007;35:152–159. DOI: 10.1111/j.1600-0528.2007.00329.x.
McCullough MJ, Abdel-Hafeth S, et al. Recurrent aphthous stomatitis revisited; clinical features, associations, and new association with infant feeding practices? J Oral Pathol Med 2007;36:615–620. DOI: 10.1111/j.1600-0714.2007.00589.x.
Pentenero M, Broccoletti R, et al. The prevalence of oral mucosal lesions in adults from the Turin area. Oral Dis 2008;14:356–366. DOI: 10.1111/j.1601-0825.2007.01391.x.
Rogers 3rd RS. Recurrent aphthous stomatitis: clinical characteristics and associated systemic disorders. Semin Cutan Med Surg 1997;16:278–283. DOI: 10.1016/S1085-5629(97)80017-X.
Jurge S, Kuffer R, et al. Mucosal disease series. Number VI. Recurrent aphthous stomatitis. Oral Dis 2006;12:1–21. DOI: 10.1111/j.1601-0825.2005.01143.x.
Viguier M, Fouere S, et al. Herpetiform ulceration: 5 cases. Ann Dermatol Venereol 2000;127:707–710.
Koybasi S, Parlak AH, et al. Recurrent aphthous stomatitis: investigation of possible etiologic factors. Am J Otolaryngol 2006;27:229–232. DOI: 10.1016/j.amjoto.2005.09.022.
Porter SR, Scully C, et al. Recurrent Aphthous Stomatitis. Crit Rev Oral Biol Med 1998;9:306–321. DOI: 10.1177/10454411980090030401.
Maheswaran T, Yamunadevi A, et al. Prevalence and family history of recurrent aphthous stomatitis among the students of a dental institution in south India. J Indian Acad Dent Spec Res 2014;1:53–55. DOI: 10.4103/2229-3019.148250.
Porter SR, Hegarty A, et al. Recurrent aphthous stomatitis. Clin Dermatol 2000;18:569–578. DOI: 10.1016/S0738-081X(00)00147-4.
Scully C, Gorsky M, et al. The diagnosis and management of recurrent aphthous stomatitis: a consensus approach. J Am Dent Assoc 2003;134:200–207. DOI: 10.14219/jada.archive.2003.0134.
Donatsky O. Epidemiologic study on recurrent aphthous ulcerations among 512 Danish dental students. Community Dent Oral Epidemiol 1973;1:37–40. DOI: 10.1111/j.1600-0528.1973.tb01060.x.
Byahatti SM. Incidence of Recurrent Apthous ulcers in a group of student population in Libya: A Questionnaire Study. Arch Cran Oro Fac Sc 2013;1:26–30.
Natah SS, Konttinen YT, et al. Recurrent aphthous ulcers today: a review of the growing knowledge. Int J Oral Maxillofac Surg 2004;33:221–234. DOI: 10.1006/ijom.2002.0446.
Sharma M, Gupta R, et al. Correlation of psychological stress with recurrent aphthous stomatitis among dental students in an educational institution. Int J Appl Dent Sci 2017;3(4):455–458.
Schneider LC, Schneider AE. Diagnosis of oral ulcers. Mt Sinai J Med 1998;65(5–6):383–387.
Wolfgang AP. The health professions stress inventory. Psychol Rep 1988;62:220–222. DOI: 10.2466/pr0.19126.96.36.199.
Tangade PS, Mathur A, et al. Assessment of stress level among dental school students: An indian outlook. Dent Res J (Isfahan) 2011;8(2):95–101.
Gurleyen EK, Ogut-Erisen M, et al. Quality of life in patients with recurrent aphtous stomatitis treated with a mucoadhesive patch containing citrus essential oil. Patient Prefer Adherence 2016;27: 967–973. DOI: 10.2147/PPA.S106530.
Heath JR, Macfarlane TV, et al. Perceived sources of stress in dentalstudents. Dent Update 1999 Apr;26(3):94–98, 100. DOI: 10.12968/denu.19188.8.131.52.
Maheswaran T, Yamunadevi A, et al. Prevalence and family history of recurrent aphthous stomatitis among the students of a dental institution in south India. J Indian Acad Dent Spec Res 2014;1:53–55.
Safadi RA. Prevalence of recurrent aphthous ulceration in Jordanian dental patients. BMC Oral Health 2009;9:31. DOI: 10.1186/1472- 6831-9-31.