Xylitol Toothpaste Instruction Sheet for Canker Sores

Canker Sores

Instructions for Patients©2022 SQUIGLE, Inc.

These instructions are provided as a guide to patients who have been diagnosed by a physician or dentist. These Instructions have been created after hundreds of hours of discussions with patients and physicians. They are not meant to be rigid and unchanging. Of course, we hope they work for you. But if they don't, please contact SQUIGLE, Inc. toll-free at 1-877-718-0718 (9 am to 5 pm EST).

This is crucial: Use Squigle® Toothpaste exclusively. Patented Squigle is free of SLS (sodium lauryl sulfate) and other irritating ingredients. The flavor is mild to prevent irritation of delicate tissues. Squigle® has 36% Xylitol to prevent plaque and cavities better than regular toothpaste.

If you feel you need to use mouthwash, use the following no more than once a day, during flareups:

• 3% hydrogen peroxide diluted with an equal volume of cold water
• or 0.12% chlorhexidine gluconate (a prescription antimicrobial rinse)

Floss at least once a day, before you brush. Use unwaxed floss. If your teeth are closely spaced, use Glide® floss. If your ulcers are too painful to use floss, use an oral irrigator.

No baking soda -- it only makes matters worse.

No chewing gum, especially no cinnamon, spearmint or peppermint. One exception (see below). Use only 100% xylitol candy or mints, but not cinnamon, spearmint or peppermint flavors.

A short course of oral cortisone or other steroids is OK.

A short course of antibiotic therapy is OK. Likewise for a short course of antifungal therapy or antiviral therapy.

Take a multivitamin + multimineral daily, after a meal. (Twinlabs Daily One® is OK). In addition, take 500 mg to 1000 mg vitamin C daily. Get sufficient rest each night.

Visit an allergist to get tested for food allergies and sensitivities. Then avoid any foods you are allergic to or sensitive to.

If you get any painful canker sores, they can be treated by applying:

• ORA5® mild cauterizing agent (McHenry Laboratories, Inc., Copperas Cove, TX)
• DEBACTEROL® strong cauterizing agent (Northern Research Laboratories, Inc., St. Paul, MN). This is a prescription drug.)

If you still persist in getting life-disrupting canker sores, and you do not use tobacco in any form, try chewing a nicotine gum such as Nicorette® (four 2 mg tablets per day -- this is equivalent to smoking one cigarette per day). [see: R. Bittoun, The Medical Journal of Australia, vol.154, page 471 (1991)]