• Stomatitis is an inflammation of the mucous lining of
the mouth , which may involve the cheeks, gums
,tongue ,lips , and roof or floor of the mouth. The
word“ stomatitis “ literally means inflammation of the
• Stomatitis is an inflammation of the lining of any
of the soft-tissue structures of the mouth. It is
usually a painful condition ,associated with
redness, swelling ,and occasional bleeding from
the affected area. The inflammation may be
caused by conditions in the mouth itself , such as
poor hygiene , from burns from hot food or
drinks, or by conditions that affect the entire body
, such as medications , allergic reactions , or
• Pain or discomfort in the mouth.
• Ulcers in the mouth.
• Fever ,sometimes as high as 101– 104°F .
• Irritability and restlessness .
• Blisters in the mouth .
• Swollen gums , which may be irritated and bleed.
• Foul-smelling breath.
• Malnutrition (improper dietary intake) or
malabsorption (poor absorption of nutrients into
the body) can lead to nutritional deficiency states,
several of which can lead to stomatitis. For
example, deficiencies of iron, vitamin B2
(riboflavin), vitamin B3 (niacin), vitamin B6
(pyridoxine), vitamin B9 (folic acid) or vitamin
B12 (cobalamine) may all manifest as stomatitis.
• Aphthous stomatitis is a small ulcers to appear in
the mouth, usually inside the lips, on the cheeks,
or on the tongue.
• Inflammation of the corners (angles) of the lips is
termed angular stomatitis. In children a frequent
cause is repeated lip-licking, and in adults it may
be a sign of underlying iron deficiency anemia, or
vitamin B deficiencies.
• this is a common condition present in denture
wearers. It appears as reddened but painless
mucosa beneath the denture.
Allergic contact stomatitis
• Allergic contact stomatitis reaction that occurs in
susceptible atopic individuals
when allergens penetrate the skin or mucosa.
• Migratory stomatitis (or geographic stomatitis) is
an atypical presentation of a condition which
normally presents on the tongue, termed
• Antiviral drugs:e.g acyclovir to treat viral
• Analgesics:e.g,actaminophen for reduce pain.
• Apply a topical anesthetic such
as lidocaine or xylocaine to the ulcer (not
recommended for children under 6).
Nurse should teach the patient following
• Using an antiseptics and non-alcoholic mouth
• Use a soft tooth brush.
• Maintain proper nutrition and hydration status.
• Should do daily dental care.
• Avoid hot foods as well as salty, spicy, and citrus-
• Gargle with cool water or suck on ice pops if you
have a mouth burn.
• Should advise the patient to take soft diet.
• Vitamin supplementation should be given.
• Apply glycerin on the ulcer.
• Advise the patient to avoid the contact of mouth
• Avoid the use of irritants.
• Nurse should instruct to complete restriction of
alcohol,smoking and tobacco.
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