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Contact Stomatitis Treatment & Management

  • Author: Antonella Tosti, MD; Chief Editor: Dirk M Elston, MD  more...
Updated: Oct 07, 2015

Medical Care

Removal of the causative agent is essential in contact stomatitis.

Systemic steroids are rarely required for contact stomatitis. Intraoral topical steroids are prescribed in severe cases of contact stomatitis.

Sucking on ice cubes provides temporary relief from contact stomatitis.



Consult with a dermatologist for evaluation of underlying skin disorders and for patch testing.

Consult with dentists for evaluation of dental restorations and teeth occlusion.



Advise patients with contact stomatitis to avoid spicy foods. Instruct contact stomatitis patients to avoid soft drinks, candies, and chewing gums in case of allergy to flavoring agents. Recommend that contact stomatitis patients avoid the causative food in cases of contact urticaria.

Contributor Information and Disclosures

Antonella Tosti, MD Professor of Dermatology, Department of Dermatology and Cutaneous Surgery, University of Miami, Leonard M Miller School of Medicine

Antonella Tosti, MD is a member of the following medical societies: American Academy of Dermatology, International Society of Dermatology, European Academy of Dermatology and Venereology, Women's Dermatologic Society, Canadian Dermatology Association

Disclosure: Serve(d) as a speaker or a member of a speakers bureau for: PharmaDerm<br/>Received income in an amount equal to or greater than $250 from: Valeant; Pharmaderm.


Bianca Maria Piraccini, MD, PhD Director of Outpatient Consultation for Hair and Nail Disorders, Researcher, Department of Dermatology, University of Bologna, Italy

Bianca Maria Piraccini, MD, PhD is a member of the following medical societies: American Academy of Dermatology, European Academy of Dermatology and Venereology, Council for Nail Disorders

Disclosure: Nothing to disclose.

Massimiliano Pazzaglia, MD, PhD Fellow, Department of Dermatology, University of Bologna, Italy

Disclosure: Nothing to disclose.

Specialty Editor Board

Michael J Wells, MD, FAAD Associate Professor, Department of Dermatology, Texas Tech University Health Sciences Center, Paul L Foster School of Medicine

Michael J Wells, MD, FAAD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Medical Association, Texas Medical Association

Disclosure: Nothing to disclose.

Drore Eisen, MD, DDS Consulting Staff, Department of Dermatology, Dermatology Research Associates of Cincinnati

Drore Eisen, MD, DDS is a member of the following medical societies: American Academy of Dermatology, American Academy of Oral Medicine, American Dental Association

Disclosure: Nothing to disclose.

Chief Editor

Dirk M Elston, MD Professor and Chairman, Department of Dermatology and Dermatologic Surgery, Medical University of South Carolina College of Medicine

Dirk M Elston, MD is a member of the following medical societies: American Academy of Dermatology

Disclosure: Nothing to disclose.

Additional Contributors

Craig A Elmets, MD Professor and Chair, Department of Dermatology, Director, Chemoprevention Program Director, Comprehensive Cancer Center, UAB Skin Diseases Research Center, University of Alabama at Birmingham School of Medicine

Craig A Elmets, MD is a member of the following medical societies: American Academy of Dermatology, American Association of Immunologists, American College of Physicians, American Federation for Medical Research, Society for Investigative Dermatology

Disclosure: Serve(d) as a director, officer, partner, employee, advisor, consultant or trustee for: University of Alabama at Birmingham; University of Alabama Health Services Foundation<br/>Serve(d) as a speaker or a member of a speakers bureau for: Ferndale Laboratories<br/>Received research grant from: NIH, Veterans Administration, California Grape Assn<br/>Received consulting fee from Astellas for review panel membership; Received salary from Massachusetts Medical Society for employment; Received salary from UpToDate for employment. for: Astellas.

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Irritant contact stomatitis of the tongue.
Close-up view of irritant contact stomatitis of the tongue.
Acute allergic stomatitis involving the oral mucosa and the lip due to benzocaine.
Allergic contact dermatitis involving the lips and the perioral area due to propolis.
Allergic contact reaction due to nickel in a dental brace.
Allergic contact stomatitis on the gingiva in a patient with a positive patch test result to nickel, palladium, and mercury.
Leukoplakialike lesion in a patient who is allergic to mercury.
Lichen planus–like lesion adjacent to a dental restoration.
Contact urticaria of the lip due to food allergy.
Contact urticaria of the tongue in a patient with latex allergy.
Close-up view of contact urticaria of the tongue in a patient with latex allergy.
Positive patch test result to mercury.
Positive prick test result to latex.
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