Evidence map›Paper›PMID 21812866›Full record

SynthesisOral diseases2011

Urban legends: recurrent aphthous stomatitis.

L Baccaglini, R V Lalla, A J Bruce, J C Sartori-Valinotti, M C Latortue, M Carrozzo, R S Rogers

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Oral diseases, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 6 pooled it
8.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 6 syntheses or guidelines pooled it, 161 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Interventions for the management of oral ulcers in Behçet's disease.The Cochrane database of systematic reviews · 2014
    Pooled it
  6. Systemic interventions for recurrent aphthous stomatitis (mouth ulcers).The Cochrane database of systematic reviews · 2012
    Pooled it
  7. Trial
  8. Trial
  9. Trial
  10. Clinical efficacy ofPakistan journal of medical sciences · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Evaluation of 5% Amlexenox Oral Paste and Rebamipide Tablets in Treatment of Recurrent Apthous Stomatitis and Comparison with Dologel CT.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2022
    Article
  18. Review
  19. Article
  20. A Systematic Review and Meta-Analysis of Acupuncture Treatment for Oral Ulcer.Evidence-based complementary and alternative medicine : eCAM · 2022
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

L BaccagliniDepartment of Community Dentistry and Behavioral Science, College of Dentistry, University of Florida, Gainesville, FL 32610-3628, USA. lbaccaglini@dental.ufl.edu
R V Lalla
A J Bruce
J C Sartori-Valinotti
M C Latortue
M Carrozzo
R S Rogers
Mayo Clinic · USNewcastle University · GBUniversity of Florida · US

Funding

COX-2 Inhibition in Radiation-induced Oral MucositisK23DE016946 · NIDCR · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI LALLA, RAJESH V. · 2005 to 2009
$692k
Molecular Epidemiology of Recurrent Aphthous Stomatitis: Role of GhrelinR21DE018714 · NIDCR · UNIVERSITY OF FLORIDA · PI BACCAGLINI, LORENA · 2008 to 2009
$363k
NIDCR NIH HHS K23 DE016946NIDCR NIH HHS K23DE016946NIDCR NIH HHS R21 DE018714NIDCR NIH HHS R21DE018714
6 · The paper itself

Abstract

Recurrent aphthous stomatitis (RAS) is the most common idiopathic intraoral ulcerative disease in the USA. Aphthae typically occur in apparently healthy individuals, although an association with certain systemic diseases has been reported. Despite the unclear etiopathogenesis, new drug trials are continuously conducted in an attempt to reduce pain and dysfunction. We investigated four controversial topics: (1) Is complex aphthosis a mild form of Behçet's disease (BD)? (2) Is periodic fever, aphthous stomatitis, pharyngitis, and adenitis (PFAPA) syndrome a distinct medical entity? (3) Is RAS associated with other systemic diseases [e.g., celiac disease (CD) and B12 deficiency]? (4) Are there any new RAS treatments? Results from extensive literature searches, including a systematic review of RAS trials, suggested the following: (1) Complex aphthosis is not a mild form of BD in North America or Western Europe; (2) Diagnostic criteria for PFAPA have low specificity and the characteristics of the oral ulcers warrant further studies; (3) Oral ulcers may be associated with CD; however, these ulcers may not be RAS; RAS is rarely associated with B12 deficiency; nevertheless, B12 treatment may be beneficial, via mechanisms that warrant further study; (4) Thirty-three controlled trials published in the past 6 years reported some effectiveness, although potential for bias was high.

Indexed as

Stomatitis, AphthousBehcet SyndromeCeliac DiseaseEvidence-Based DentistryFamilial Mediterranean FeverHumansPharyngitisSialadenitisSyndromeVitamin B 12 Deficiency

Identifiers

PMID21812866
PMCPMC3192917
OpenAlexW1815003240

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.