Ulcerous Stomatitis, common to childhood, is indicated by ulceration commencing on or near the gums, more frequently in the lower than in the upper jaw, and usually on one side only, and spreading over the entire mouth. The gum first becomes thickened and congested, and of a deep purple color, and bleeds readily ; ulceration speedily occurs, and exposes the necks of the teeth, and extends to the mucous membrane of the mouth generally, the ulcerated surface being covered with a dirty white or yellow exudation, leaving exposed numerous bright red points on a yellowish ground. The edges of the ulcers are sharp and ragged, and the ulcer, at first superficial, becomes gradually deeper. Ulcers of the mouth are often due to syphilis and dyspepsia, and are aggravated by the irritation resulting from the irregular edges of fractured and decayed teeth. When neglected, such ulcers may assume the appearance of epithelioma, especially when induration of the glands beneath the jaw is present.

Treatment

Remove all apparent causes of irritation by correcting the bad condition of health. Change diet and residence, if at fault, observe cleanliness, administer stimulants and tonics, as liquor ferri nitratis with tincture of calumba, etc. Local applications of nitrate of silver, gr. j to iij to the ounce of water, or diluted muriatic acid, alternating with a lotion of equal parts of borax and honey, or chloride of lime, Treatment 340 honey ; also, pyrozone three per cent. europhen combined with lanolin, phenosalyl, glycozone, etc. Chlorate of potash internally, in doses of or iij, and also as a lotion, is efficacious; also, a strong solution of borax, in obstinate cases, gr. xv to the ounce of water; also, a solution of sulphate of copper; painting the ulcers with tincture of iron and glycerole is also beneficial.