How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Mark Bornfeld, DDS Your Own Question

Mark Bornfeld, DDS
Mark Bornfeld, DDS, Dentist
Category: Dental
Satisfied Customers: 5811
Experience:  Clinical instructor, NYU College of Dentistry; 37 years private practice experience in general dentistry, member Academy of General Dentistry, ADA
2883465
Type Your Dental Question Here...
Mark Bornfeld, DDS is online now
A new question is answered every 9 seconds

Entire mouth covered in canker sores

Resolved Question:

Three times in the last year my entire mouth has been completely overcome with canker sores, my entire mouth, checks, top, bottom, lips, and even my tongue. I have gone to seven different doctors and each had a different idea. Some of the reasons I was told was mono, hand foot and mouth disease, allergies, herpes, stress... I did my own research as well and decided to become gluten free and still had an outbreak after. I've tried supplements, changing my toothpaste to fluoride and sodium laurel sulfate free toothpaste, I eat very healthy, I don't feel more stressed, I don't know what else to do. During my last outbreak my family took me to the ER where I was given IV fluid because it was too painful for me to even drink water, I lost 17lbs in 10 days. This is seriously the worst thing that has ever happened to me. Any ideas? Please help!


 


I wanted to add a few things. I had blood work done and pretty much everything was normal except I had low DHEA. I have a very extensive family history of Hashimotos disease and RA, could this be some sort of autoimmune condition perhaps?

Submitted: 9 months ago.
Category: Dental
Expert:  replied 9 months ago.
Hello-- I'm Mark Bornfeld, DDS. Welcome, and thank you for putting your trust in me!

The issue which really needs to be resolved is whether your repeated episodes of oral ulceration truly represents recurrent aphthous stomatitis (i.e., canker sores), or whether this is really some other type of ulcerative mucous membrane condition. In fact, your narrative implies that your doctors haven't settled on a diagnosis of aphthous stomatitis at all, because neither mononucleosis, hand foot and mouth disease, herpes simplex, or allergies have anything to do with canker sores. It is my observation that medical doctors too quickly dismiss any oral ulcerative disorder as "canker sores", which is unfortunate, because accurate diagnosis is key in selecting an effective therapeutic strategy.

In fact, your history of autoimmune disorders may provide some clue to the nature of your condition, because patients with one of these conditions tend to have a significantly higher incidence of others. Many of these (for example, psoriasis, Crohn's disease, lupus, mucous membrane pemphigoid, pemphigus, and others) are known to manifest in the mouth and on other mucous membranes as multiple, recurrent ulcerations.

There are more specific tests for these conditions, but in order to implement a more rational diagnostic protocol, the clinician needs to know which tests to take. For oral conditions, your best bet would be to consult with a clinical oral pathologist, because this type of specialist is best trained and most experienced in the subtleties of diagnosis of soft tissue lesions. Your primary care general dentist would be able to recommend someone locally, or you may consult the online directory of the American Academy of Oral & Maxillofacial Pathology for contact information for an oral pathologist near you.

Hope this helps...
Mark Bornfeld, DDS, Dentist
Category: Dental
Satisfied Customers: 5811
Experience: Clinical instructor, NYU College of Dentistry; 37 years private practice experience in general dentistry, member Academy of General Dentistry, ADA
Mark Bornfeld, DDS and other Dental Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Mark Bornfeld, DDS

    Dentist

    Satisfied Customers:

    5437
    Clinical instructor, NYU College of Dentistry; 37 years private practice experience in general dentistry, member Academy of General Dentistry, ADA
< Last | Next >
  • http://ww2.justanswer.com/uploads/GE/gemini132/2012-6-7_14143_MarkPic.64x64.jpg Mark Bornfeld, DDS's Avatar

    Mark Bornfeld, DDS

    Dentist

    Satisfied Customers:

    5437
    Clinical instructor, NYU College of Dentistry; 37 years private practice experience in general dentistry, member Academy of General Dentistry, ADA
  • http://ww2.justanswer.com/uploads/drbehere/2010-04-11_192833_IMG_055575.jpg Dr. Behere's Avatar

    Dr. Behere

    Dentist

    Satisfied Customers:

    1850
    Masters degree, years of experience with all kinds of dental problems.
  • http://ww2.justanswer.com/uploads/knecht522/2008-12-17_154020_alex22.jpg Dr. Alex's Avatar

    Dr. Alex

    Dentist

    Satisfied Customers:

    1607
    I am a General Dentist and founder of the American School of Dental Assisting
  • http://ww2.justanswer.com/uploads/doclagoa/2008-10-01_163313_geosmall.jpg Dr. George McKee's Avatar

    Dr. George McKee

    Dentist

    Satisfied Customers:

    1392
    Licensed dentist with 30 years clinical experience in general practice and cosmetic reconstruction.
  • http://ww2.justanswer.com/uploads/slodentistry/2009-05-25_004702_h.jpg Dr. Girish's Avatar

    Dr. Girish

    Dentist

    Satisfied Customers:

    788
    19 years of clinical experience in all phases of Dentistry.
  • http://ww2.justanswer.com/uploads/jwcdds/2009-05-09_190942_portrait.gif Julian Chen's Avatar

    Julian Chen

    Dentist

    Satisfied Customers:

    558
    Practicing General Dentist since 2002
  • http://ww2.justanswer.com/uploads/drwilldds/2009-10-29_201512_justanswer.jpg Dr. Winterholler's Avatar

    Dr. Winterholler

    Dentist

    Satisfied Customers:

    266
    4 years Private Practice, Heavy emphasis on Cosmetic Dentistry and Implants, Top 10% of Dental Class