General discomfort, uneasiness, or ill feeling (malaise)
Sores on the inside of the cheeks or gums
Very sore mouth with no desire to eat
Signs and tests
An examination of the mouth shows small ulcers. These ulcers are similar to mouth ulcers caused by other conditions. Your health care provider may consider other conditions if there are signs of a cough, fever, or muscle aches.
Normally, no special tests are needed to diagnose gingivostomatitis. However, the doctor may take a small piece of tissue from the sore to check for a viral or bacterial infection. This is called a culture. A biopsy may occasionally be done to rule out other types of mouth ulcers.
The goal is to reduce symptoms. Practice good oral hygiene. Even if there is bleeding and it is painful, thorough but gentle brushing of the gums is important to reduce the chances of another infection from normal mouth bacteria.
Antibiotics may be needed. The dentist may need to clean infected tissue (a process called debridement).
Medicated mouth rinses may be recommended to reduce pain. Salt water (one-half teaspoon of salt in 1 cup of water) or over-the-counter mouthwashes like hydrogen peroxide or Xylocaine may be soothing.
Eat a well-balanced and nutritious diet. Soft, bland (non-spicy) foods may reduce discomfort during eating.
Gingivostomatitis infections range from mild and slightly uncomfortable to severe and painful. The sores generally get better in 2 or 3 weeks with or without treatment. Treatment may reduce discomfort and speed healing.
Gingivostomatitis may disguise other, more serious mouth ulcers.
Calling your health care provider
Call your health care provider if:
You have mouth sores and fever or other signs of illness
Mouth sores get worse or do not respond to treatment within 3 weeks
Schiffer JT, Corey L. Herpes simplex virus. In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2009:chap 136.
Modlin JF. Coxsackieviruses, echoviruses, newer enteroviruses, and parechoviruses. In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2009:chap 172.
Christian JM. Odontogenic infections. In: Cummings CW, Flint PW, Haughey BH, et al, eds. Otolaryngology: Head & Neck Surgery. 5th ed. Philadelphia, Pa: Mosby Elsevier;2010:chap 12.
Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine; and Seth Schwartz, MD, MPH, Otolaryngologist, Virginia Mason Medical Center, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.