Canker sores are small ulcers in the mouth caused by an assortment of viruses. A susceptibility to canker sores tends to run in families. No successful conventional treatment is available.
A highly preliminary study suggests that a chemically altered form of the herb licorice known as
deglycyrrhizinated licorice
(DGL) may be useful for speeding the resolution of canker sores.
1
However, because this study lacked a control group, its results are not reliable. (See
Why Does This Database Rely on Double-blind Studies?
) Besides the absence of proof of its efficacy, DGL must be sucked to coat the canker sores, and some people find its taste objectionable.
A product containing vitamins and minerals as well as the herbs paprika,
rosemary
,
peppermint
, milfoil,
hawthorn
, and
pumpkin seed
has been used in Scandinavia for many years as a treatment for various mouth-related conditions. A small 6-month study reported that use of this product could reduce frequency of canker sores.
2
However, two subsequent studies failed to find any meaningful benefit.
3-4
One small double-blind study found benefits with an extract of the bark of the red mangrove tree,
Rhizophora mangle
.
5
A study performed in Iraq reported benefits through use of a mouthwash containing 5% lactic acid.
7
Other herbs and supplements sometimes recommended for canker sores but lacking supporting evidence include
caraway
,
oak bark
,
witch hazel
,
acidophilus
,
calendula
,
slippery elm
, and
vitamin B
1
.
One study failed to find that alpha-linolenic acid from perilla oil reduced incidence of canker sores.
6
Das SK, Das V, Gulati AK, et al. Deglycyrrhizinated liquorice in aphthous ulcers.
J Assoc Physicians India
. 1989;37:647.
Pedersen A, Hougen HP, Klausen B et al. LongoVital in the prevention of recurrent aphthous ulceration.
J Oral Pathol Med
. 1990;19:371-5.
Brateli J, Hakeberg M, Jontell M et al. The effect of LongoVital on recurrent aphthous stomatitis in a controlled clinical trial.
Oral Health Prev Dent
. 2005;3:3-8.
Kolseth I, Herlofson B, Pedersen A et al. Norwegian LongoVital and recurrent aphthous ulceration: a randomized, double-blind, placebo-controlled study. Oral Dis. 2005;11:374-8.
de Armas E, Sarracent Y, Marrero E et al. Efficacy of Rhizophora mangle aqueous bark extract (RMABE) in the treatment of aphthous ulcers: a pilot study. Curr Med Res Opin. 2005;21:1711-5.
Hamazaki K, Itomura M, Hamazaki T et al. Effects of cooking plant oils on recurrent aphthous stomatitis: a randomized, placebo-controlled, double-blind trial. Nutrition. 2006 Feb 9 [Epub ahead of print]
Sharquie KE, Al-Tammimy SM, Al-Mashhadani S, et al. Lactic acid 5 percent mouthwash is an effective mode of therapy in treatment of recurrent aphthous ulcerations.
Dermatol Online J.
2006;12:2.
Last reviewed October 2007 by EBSCO CAM Review Board
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