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What Are These Annoying Mouth Sores?

Those painful little sores inside your mouth have a name: aphthous ulcers. Let's talk about what they are and how to deal with them.

Reviewed by Areeba Aslam, General Dentist at DentaSmart|Last reviewed: March 15, 2026

Quick Answer

Ever get those small, painful sores inside your mouth that make eating a total nightmare? They're called aphthous ulcers, but you probably know them as canker sores. They're super common, and most people get them at some point. Unlike cold sores, which are caused by a virus and pop up on your lips, ...

What You Need to Know

Ever get those small, painful sores inside your mouth that make eating a total nightmare? They're called aphthous ulcers, but you probably know them as canker sores. They're super common, and most people get them at some point. Unlike cold sores, which are caused by a virus and pop up on your lips, canker sores are not contagious and only show up on the soft tissues inside your mouth. Think inside your cheeks, under your tongue, or on your gums. They usually look like a small, round, white or yellowish dot with a red border. And boy, can they hurt! Sometimes, you might even feel a little tingling or burning a day or two before one appears. The good news is that most canker sores are harmless and go away on their own in a week or two. But when you have one, it can make talking, eating, and even drinking feel like a chore. So, what exactly are these pesky things? Are they a sign of something more serious? And what can you do to get rid of them faster? We'll get into all of that.

So, what causes these annoying mouth sores? The honest answer is that doctors aren't 100% sure. It's likely a mix of things, and what triggers a canker sore for one person might not for another. One of the most common culprits is a minor injury to your mouth. Maybe you accidentally bit your cheek, brushed your teeth too hard, or even had some dental work done. Certain foods can also be a trigger for some people. Think spicy or acidic foods like citrus fruits, or even things like chocolate, coffee, and nuts. Sometimes, it can be a sign that you're low on certain vitamins, like B-12, zinc, or iron. Hormonal changes, especially for women during their period, can also bring on a canker sore. And let's not forget about stress! Feeling run down or stressed out can definitely do a number on your body, and that includes your mouth. In some cases, canker sores can be linked to an underlying health condition, like celiac disease, Crohn's disease, or an autoimmune disorder. Even some medications can cause them as a side effect. It's a bit of a mystery, but paying attention to when you get them might help you figure out your personal triggers.

Most of the time, canker sores are just a temporary pain in the... well, mouth. But there are times when you should probably see a dentist or doctor. If you have a canker sore that's unusually large, lasts for more than two weeks, or is so painful that you can't eat or drink, it's a good idea to get it checked out. You should also see a doctor if you get canker sores frequently, or if they come with a fever. Your dentist can help rule out any other issues and might prescribe a special mouth rinse or ointment to help with the pain and speed up healing. In the meantime, there are a few things you can do at home to make yourself more comfortable. Try to avoid spicy, acidic, or crunchy foods that can irritate the sore. Rinsing your mouth with warm salt water can also help. And of course, try to keep up with your regular brushing and flossing, but be gentle around the sore. To prevent them in the future, try to eat a healthy diet, manage your stress levels, and be careful not to injure your mouth. If you have braces or other dental appliances, your dentist can give you wax to cover any sharp edges.

Possible Causes

Minor Mouth Injury

low urgency

Accidentally biting your cheek, brushing too hard, or dental work.

Food Sensitivities

low urgency

Spicy or acidic foods, chocolate, coffee, nuts, or eggs.

Nutritional Deficiencies

medium urgency

Lacking in vitamin B-12, zinc, folate, or iron.

Hormonal Changes

low urgency

Often linked to the menstrual cycle in women.

Stress

low urgency

Emotional stress can trigger canker sores in some people.

Underlying Health Conditions

high urgency

Such as celiac disease, Crohn's disease, or autoimmune disorders.

What You Can Do at Home

1

Avoid spicy, acidic, and crunchy foods.

2

Rinse your mouth with warm salt water.

3

Use a soft-bristled toothbrush and be gentle around the sore.

4

Try over-the-counter canker sore medication.

5

Manage your stress levels with relaxation techniques.

6

Eat a balanced diet to avoid nutritional deficiencies.

When to See a Dentist Urgently

This information is for education only and does not replace professional dental care. See a dentist as soon as possible if:

  • The sore is unusually large.
  • The sore lasts for two weeks or longer.
  • You have extreme pain that you can't manage.
  • You have difficulty eating or drinking.
  • You get canker sores frequently.
  • You have a high fever along with the canker sore.

Key Takeaways

Aphthous ulcers, or canker sores, are common and not contagious.

The exact cause is unknown, but triggers can include injury, food, stress, and hormonal changes.

Most canker sores heal on their own, but you should see a dentist if they are large, persistent, or very painful.

Good oral hygiene and avoiding triggers can help prevent canker sores.

Frequently Asked Questions

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