Psychological and Social Impact of Recurrent Aphthous Ulcers among Young Adults

Authors

  • Swarnasmita Pathak Reader, Department of Oral Medicine and Radiology, Government Dental College, Dibrugarh, Assam, India
  • Bhuvan Jyoti Dental Surgeon and Consultant, Oral Medicine and Radiology, Ranchi Institute of Neuro-Psychiatry and Allied Sciences (RINPAS), Kanke, Ranchi, Jharkhand, India
  • Jayati Simlai Additional Professor, Head - Dept. of Psychiatry and Director, Ranchi Institute of Neuropsychiatry and Allied Sciences, Kanke, Ranchi, Jharkhand, India

DOI:

https://doi.org/10.48165/ajm.2026.9.01.36

Keywords:

Recurrent aphthous ulcers; young adults; psychological impact; social impact; oral health-related quality of life; stress.

Abstract

Background: Recurrent aphthous ulcers are painful sores that appear in the mouth and  can make it hard to eat, talk, be social, and feel good about yourself. Young adults are  affected by this condition due to multifactorial reasons. Hence, the current study was  undertaken to investigate the psychological and social effects of recurring aphthous ulcers  in young adults and to examine their correlation with clinical ulcer-related parameters.  Materials and Methods: A cross-sectional study was conducted involving 150 young  individuals with recurrent aphthous ulcers. Demographic information, ulcer type, ulcer  frequency, number of ulcers, pain score, episode duration, and functional impairments were  documented. Structured scores were used to measure the psychological and social effects.  Results: A moderate-to-high psychosocial impact was observed in 88 participants (58.7%).  There was no significant link between age, gender, and psychosocial impact. Frequent ulcer  episodes, many ulcers, elevated pain scores, prolonged duration, challenges in eating and  speaking, and avoidance of social interaction were substantially correlated with increased  psychosocial impact. Psychological and social evaluations increased considerably with  ulcer severity. Conclusion: Recurrent aphthous ulcers adversely impacted the psychological  and social well-being of young people, particularly when the ulcers were numerous, painful,  or severe.

References

Akintoye SO, Greenberg MS. Recurrent aphthous stomatitis. Dental Clinics of North America. 2014;58(2):281–297. doi:10.1016/j.cden.2013.12.002.

Scully C. Oral mucosal disease: Recurrent aphthous stomatitis. British Journal of Oral and Maxillofacial Surgery. 2008;46(3):198–206. doi:10.1016/j.bjoms.2007.07.201.

Patil S, Reddy SN, Maheshwari S, Khandelwal S, Shruthi D, Doni B. Prevalence of recurrent aphthous ulceration in the Indian population. Journal of Clinical and Experimental Dentistry. 2014;6(1):e36–e40. doi:10.4317/jced.51227.

Manoj MA, Jain A, Madtha SA, Cherian TM. Prevalence and risk factors of recurrent aphthous stomatitis among college students at Mangalore, India. PeerJ. 2023;11:e14998. doi:10.7717/peerj.14998.

Gavić L, Cigić L, Biocina-Lukenda D, Gruden V, Gruden Pokupec JS. The role of anxiety, depression, and psychological stress on the clinical status of recurrent aphthous stomatitis and oral lichen planus. Journal of Oral Pathology and Medicine. 2014;43(6):410–417. doi:10.1111/jop.12148.

Nadendla LK, Meduri V, Paramkusam G, Pachava KR. Relationship of salivary cortisol and anxiety in recurrent aphthous stomatitis. Indian Journal of Endocrinology and Metabolism. 2015;19(1):56–59. doi:10.4103/2230-8210.131768.

Zwiri AMA. Anxiety, depression and quality of life among patients with recurrent aphthous ulcers. Journal of Contemporary Dental Practice. 2015;16(2):112–117. doi:10.5005/jp-journals-10024-1646.

Al-Omiri MK, Karasneh J, Alhijawi MM, Zwiri AMA, Scully C, Lynch E. Recurrent aphthous stomatitis: A preliminary within-subject study of quality of life, oral health impacts and personality profiles. Journal of Oral Pathology and Medicine. 2015;44(4):278–283. doi:10.1111/jop.12232.

Rivera C, Muñoz-Pastén M, Núñez-Muñoz E, Hernández-Olivos R. Recurrent aphthous stomatitis affects quality of life: A case-control study. Clinical Cosmetic and Investigational Dentistry. 2022;14:217–223. doi:10.2147/CCIDE.S369481.

Gallo Cde B, Mimura MAM, Sugaya NN. Psychological stress and recurrent aphthous stomatitis. Clinics. 2009;64(7):645–648. doi:10.1590/S1807-59322009000700007.

McCartan BE, Lamey PJ, Wallace AM. Salivary cortisol and anxiety in recurrent aphthous stomatitis. Journal of Oral Pathology and Medicine. 1996;25(7):357–359. doi:10.1111/j.1600-0714.1996.tb00278.x.

Dhopte A, Naidu G, Singh-Makkad R, Nagi R, Bagde H, Jain S. Psychometric analysis of stress, anxiety and depression in patients with recurrent aphthous stomatitis: A cross-sectional study. Journal of Clinical and Experimental Dentistry. 2018;10(11):e1109–e1114. doi:10.4317/jced.55012.

Polat C, Duzer S, Ayyildiz H, Sezgin O, Uzun H. Association between anxiety, depression, and salivary cortisol levels in patients with recurrent aphthous stomatitis. Nigerian Journal of Clinical Practice. 2018;21(12):1531–1537. doi:10.4103/njcp.njcp_33_18.

Hapa A, Aksoy B, Polat M, Aslan U, Atakan N. Does recurrent aphthous stomatitis affect quality of life? Journal of Dermatological Treatment. 2011;22(4):215–220. doi:10.3109/09546631003675450.

Sherman JJ, Barach R, Whitcomb KK, Haley J, Martin MD. Pain and pain-related interference associated with recurrent aphthous ulcers. Journal of Orofacial Pain. 2007;21(2):99–106.

Huling LB, Baccaglini L, Choquette L, Feinn RS, Lalla RV. Effect of stressful life events on the onset and duration of recurrent aphthous stomatitis. Journal of Oral Pathology and Medicine. 2012;41(2):149–152. doi:10.1111/j.1600-0714.2011.01102.x.

Wiriyakijja P, Porter S, Fedele S, Hodgson T, McMillan R, Shephard M, et al. Validation of HADS and PSS-10 in patients with recurrent aphthous stomatitis. Journal of Oral Pathology and Medicine. 2020;49(3):260–270. doi:10.1111/jop.12991.

Ajmal M, Ibrahim L, Mohammed N, Al-Qarni H. Prevalence and psychological stress in recurrent aphthous stomatitis among female dental students. Clujul Medical. 2018;91(2):216–221. doi:10.15386/cjmed-840.

Mumcu G, Hayran O, Ozalp DO, Inanc N, Yavuz S, Ergun T, et al. Assessment of oral health-related quality of life in Behçet’s disease and recurrent aphthous stomatitis. Journal of Oral Pathology and Medicine. 2007;36(3):147–152. doi:10.1111/j.1600-0714.2007.00516.x.

Kürklü-Gürleyen E, Öğüt-Erişen M, Çakır O, Uysal Ö, Ak G. Quality of life in patients with recurrent aphthous stomatitis treated with a mucosal adhesive patch. Patient Preference and Adherence. 2016;10:967–973. doi:10.2147/PPA.S102133.

Yang C, Liu L, Shi H, Zhang Y. Psychological problems and quality of life of patients with oral mucosal diseases. BMC Oral Health. 2018;18(1):226. doi:10.1186/s12903-018-0696-y.

Downloads

Published

2026-05-29

How to Cite

Psychological and Social Impact of Recurrent Aphthous Ulcers among Young Adults . (2026). Academia Journal of Medicine, 9(1), 174-178. https://doi.org/10.48165/ajm.2026.9.01.36