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Dr. Michelle Jorgensen - Total Care Dental
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Cold Sore or Canker Sore?

Cold sores and canker sores are common issues that can develop in and around the mouth, but they are caused by different factors and have distinct symptoms. Understanding the difference between these two types of sores can help you identify them and seek appropriate treatment.

What are cold sores?

What Are Cold Sores?

Cold sores, also known as fever blisters, are small, fluid-filled blisters that typically appear on or around the lips, nose, or chin. They are primarily caused by the herpes simplex virus type 1 (HSV-1), though some cases may involve herpes simplex virus type 2 (HSV-2), making them highly contagious. Cold sores often begin with a tingling or itching sensation before developing into painful blisters.

The virus can be transmitted through direct contact with someone who has an active cold sore or indirectly via contaminated items like towels, razors, or utensils. Cold sores tend to recur and may be triggered by factors like stress, sun exposure, or a weakened immune system.

What are canker sores?

What Are Canker Sores?

Canker sores, or aphthous ulcers, are small, shallow ulcers that develop inside the mouth, including the gums, cheeks, tongue, and lips. Unlike cold sores, canker sores are not caused by a virus and are not contagious. These sores are typically white or yellow with a red border and can be quite painful, making it difficult to eat or drink.

Anyone can develop canker sores, but they are particularly prevalent among teens and people in their 20s. Women and individuals assigned female at birth are more likely to get canker sores, which may be linked to hormonal changes.

The exact cause of canker sores is not fully understood, but triggers can include stress, mouth injury, nutritional deficiencies, and certain foods like citrus fruits or spicy dishes.

Causes and Triggers

Canker sores, also known as aphthous ulcers, are small, shallow ulcers that occur in the lining of the mouth. Unlike cold sores, which are caused by the herpes simplex virus, the exact cause of canker sores remains a bit of a mystery. However, several factors are known to trigger an outbreak. Stress and anxiety are common culprits, as they can weaken the immune system and make the mouth more susceptible to sores. Hormonal changes, such as those experienced during menstruation or menopause, can also play a role.

Trauma to the mouth, like accidentally biting your tongue or cheek, can lead to the development of canker sores. Food sensitivities, particularly to acidic or spicy foods, are another trigger. Nutritional deficiencies, such as a lack of vitamin B12 or iron, can also contribute to the formation of these painful ulcers. Infections, including oral herpes, and certain medical conditions like celiac disease or inflammatory bowel disease, can increase the likelihood of developing canker sores.

While canker sores are not caused by the herpes simplex virus, people with weakened immune systems may find themselves more prone to these bothersome ulcers.

Symptoms

Canker sores can be quite painful and often make eating and talking uncomfortable. The symptoms can vary depending on the type and severity of the sore. Typically, a canker sore appears as a small, shallow ulcer with a white or yellowish center and a red border. You might experience a tingling or burning sensation before the sore actually appears, which can be an early warning sign.

Minor canker sores are the most common type and are usually small and shallow, healing on their own within a week or two. Major canker sores, on the other hand, are larger and more painful, often taking longer to heal and sometimes leaving scars. Herpetiform ulcers are a less common type of canker sore that can be very painful and appear in clusters of tiny sores.

In addition to the sore itself, you might notice swollen lymph nodes in your neck or even develop a fever in some cases. These symptoms can make daily activities like eating, drinking, and talking quite challenging.

Key Differences Between Cold Sores and Canker Sores

  • Cold Sores: Caused by the herpes simplex virus, highly contagious, usually appear outside the mouth (lips, nose, chin).

  • Canker Sores: Non-viral, not contagious, develop inside the mouth (tongue, gums, cheeks). Complex canker sores are larger and more painful than simple canker sores, often affecting individuals with weakened immune systems and can take up to six weeks to heal, unlike minor canker sores that typically heal within a week.

prevention tips for cold sores

Prevention Tips

While neither type of sore can be entirely prevented, there are steps you can take to reduce the frequency and severity of outbreaks.

Cold Sore Prevention

  • Avoid close contact with anyone who has an active cold sore.

  • Wash hands regularly, especially after touching your face.

  • Manage stress, which is a common trigger.

  • Use lip balm with sunscreen to protect against sun-triggered outbreaks.

  • Take antiviral medications if recommended by your doctor.

Canker Sore Prevention

  • Practice good oral hygiene, brushing and flossing regularly to reduce the risk of oral infections and prevent canker sores.

  • Avoid foods that may trigger sores, such as acidic, spicy, or salty items.

  • Use certain ointments and mouth rinses to help prevent canker sores.

  • Manage stress with techniques like yoga, meditation, or deep breathing exercises.

  • Address nutritional deficiencies by incorporating vitamin B12, iron, or folic acid into your diet, or by taking supplements.

Treatment Options for Cold Sores and Canker Sores

If you’re suffering from a cold sore or canker sore, Total Care Dental offers effective treatment options to help speed up healing and reduce discomfort.

LightWalker: Hard and Soft-Tissue Dental Lasers

Lightwalker Laser Treatment

At Total Care Dental, we offer state-of-the-art Lightwalker Laser treatment for both cold sores and canker sores. The Lightwalker Laser works by targeting the sore directly, reducing inflammation and promoting faster healing.

For cold sores, the laser can inactivate the herpes simplex virus at the site of the outbreak, often preventing the sore from fully developing. For canker sores, it helps alleviate pain and promotes rapid recovery.

Schedule your appointment today for laser treatment and get relief fast! Click here to schedule your consultation.

Remineralizing mouthwash to help with canker sores

Natural Remedies with Living Well with Dr. Michelle Products

In addition to laser treatment, you can boost your healing process with natural products designed to soothe sore areas and strengthen your immune system.

  • Remineralizing Mouthwash: Formulated by Living Well with Dr. Michelle, this mouthwash contains marshmallow root, which helps soothe irritated areas and can speed up healing. It’s an excellent option for those suffering from canker sores or cold sores. Click here to purchase Remineralizing Mouthwash.

  • Vitamin D/K: Strengthen your immune system with this powerful supplement, also from Living Well with Dr. Michelle. Vitamin D and K help your body recover faster by boosting your immune response and promoting overall healing. Click here to purchase Vitamin D/K.


Other Natural Remedies for Cold Sores and Canker Sores

While there is no cure for cold sores, certain natural remedies can help alleviate symptoms and promote faster healing:

  • Ice: Applying an ice pack or cold compress can reduce pain and swelling.

  • Aloe Vera: This natural plant gel has soothing properties that help reduce pain and promote healing when applied to cold sores.

  • Tea Tree Oil: Known for its antiviral properties, tea tree oil can be diluted and applied to cold sores to speed up the healing process.

For canker sores, try these natural remedies:

  • Saltwater Rinse: Gargling with a warm saltwater solution can reduce inflammation and promote healing.

  • Honey: Apply a small amount of raw honey to canker sores to benefit from its antibacterial and anti-inflammatory properties.

  • Aloe Vera Gel: Just like with cold sores, aloe vera can soothe the pain caused by canker sores and help them heal faster.


Dr. Michelle Jorgesen performing an exam

When to See a Doctor

Most canker sores will heal on their own within a week or two without the need for medical intervention. However, there are certain situations where you should consider seeing a doctor. If you have large or particularly painful canker sores that do not heal within a couple of weeks, it’s a good idea to seek medical advice. Similarly, if you experience fever blisters or cold sores that are severe or persistent, it’s worth getting checked out.

Difficulty eating or drinking due to pain or discomfort is another sign that you might need professional help. Swollen lymph nodes in the neck, fever, or other signs of infection are also red flags. If you have recurring canker sores that are severe or persistent, a doctor can help identify any underlying issues and recommend appropriate treatments.

Conclusion

Both cold sores and canker sores can cause discomfort, but understanding the difference between the two and exploring effective treatments can help you manage outbreaks more efficiently. Whether it’s using the Lightwalker Laser at Total Care Dental or supplementing your healing with Living Well with Dr. Michelle products, you have options to feel better faster.

Schedule your consultation for laser treatment today, or explore our natural product offerings to enhance your healing process.

Dr. Michelle Jorgensen - Total Care Dental

Dr. Michelle Jorgensen is an author, speaker, teacher, biologic/holistic dentist, and health and wellness, provider. 

Dr. Michelle Jorgensen is also a Board Certified Traditional Naturopath and has received certifications as a Therapeutic Nutritional Counselor, and a Certified Nutritional Autoimmune Specialist. She completed a Holistic Dental Mini-Residency and is pursuing ongoing training from experts around the world in health-related fields.

Dr. Jorgensen also teaches and coaches groups of dental professionals across the country through her Living Well Professionals training. They learn how to integrate dentistry with other health disciplines to provide an integrated, whole body approach to care.

Cold Sore or Canker Sore?

Dr. Michelle Jorgensen Facebook Twitter LinkedIn Email Cold sores and canker sores are common issues that can develop in and around the mouth, but they

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