Recurrent Aphthous Stomatitis

Abstract This case highlights the complex relations Recurrent aphthous stomatitis (RAS; aphthae; canker sores) is a common condition characterized by the recurrent appearance of painful ulcers in the oral cavity. These ulcers often affect the mucosal surfaces, and their exact etiology remains incompletely understood. but there is genetic predisposition, with strong associations with interleukin genotypes, and sometimes a family history.In this case report, we describe a 45-year-old male patient with a history of diabetes, hypertension, high levels of workplace stress, and low oral hygiene who presented with recurrent aphthous ulcers in the mouth posterior to the wisdom teeth,with referred otalgia on the same side of the lesion . The clinical management involved addressing the patient’s systemic conditions, improving oral hygiene, and using symptomatic treatments for the ulcers. Management remains unsatisfactory, as topical corticosteroids and most other treatments only reduce the severity of the ulceration, but do not stop recurrence. Must be differentiated from other causes of recurrent ulceration, particularly Behçet disease – a systemic disorder. Diagnosis is on clinical grounip between systemic health, stress, and oral hygiene in the development and recurrence of aphthous ulcers.