ICD-11 Codes
for DA01.10 - Oral aphthae or aphtha-like ulceration

Teodor Jurukovski January 1, 1970

Fact checked by: Teodor Jurukovski

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Understanding Oral Aphthae or Aphtha-like Ulceration (ICD-11 Code DA01.10)

Oral aphthae, also known as aphtha-like ulceration, is a common condition characterised by the development of painful sores within the mouth. This condition falls under the category of noninfectious erosive or ulcerative disorders of the oral mucosa. The ICD-11 code for this specific diagnosis is DA01.10. These ulcers are typically shallow and can vary in size, impacting the soft tissues of the oral cavity.

How Oral Aphthae Manifest

The presentation of oral aphthae or aphtha-like ulceration typically involves the appearance of one or more painful, clearly defined ulcers. These sores are often round or oval and shallow, with a white or yellowish centre and a distinct red border. They commonly form on the soft tissues inside the mouth, such as the inner lips, cheeks, the underside of the tongue, or the floor of the mouth. Minor aphthae are usually less than 1 cm and heal within 10-14 days, while major aphthae can be larger than 1 cm, deeper, and may persist for several weeks.

Factors Contributing to Aphthous Ulceration

The exact cause of oral aphthae or aphtha-like ulceration is not always clear, but several factors are known to contribute to their development. These can include minor trauma to the oral mucosa, such as accidental biting of the cheek, irritation from dental work, or burns from hot food or drinks. Other potential triggers include food intolerances or allergies, stress, hormonal fluctuations, and deficiencies in certain vitamins or minerals like iron, zinc, folic acid, or B vitamins. In some instances, recurrent aphthous stomatitis may be associated with underlying systemic conditions such as inflammatory bowel diseases or a compromised immune system.

Identifying and Managing Aphthous Ulcers

Diagnosis of oral aphthae or aphtha-like ulceration is generally made based on a clinical examination of the mouth and a review of the patient's history. Healthcare providers assess the appearance, location, and duration of the ulcers. Patients should seek professional medical advice if an ulcer persists for longer than three weeks, if the ulcers are significantly larger or more painful than usual, if they bleed frequently, or if they are accompanied by other concerning symptoms such as ulcers elsewhere on the body or joint pain. Early consultation is important, especially for persistent or atypical ulcerations.

Strategies for Managing Oral Aphthae

Management of oral aphthae or aphtha-like ulceration focuses on relieving discomfort, promoting healing, and preventing recurrence. Simple self-care measures include avoiding foods that may irritate the ulcers, such as spicy, salty, or acidic items, and using a soft-bristled toothbrush. Pharmacists can recommend over-the-counter treatments like antimicrobial mouthwashes, pain-relieving gels or sprays, and corticosteroid lozenges. For more severe or persistent cases, a healthcare professional may prescribe stronger topical or systemic steroids, or other pain management options. The ICD-11 code DA01.10 is used for documentation and billing purposes for this condition.

Alternative Names and Related Conditions

Oral aphthae or aphtha-like ulceration (ICD-11 code DA01.10) is known by several other terms in clinical practice and by patients. Common synonyms include aphthous stomatitis, aphthous ulcers, canker sores, and recurrent aphthous stomatitis. It is important to distinguish these from infectious conditions like cold sores. This condition is classified under DA01 Noninfectious erosive or ulcerative disorders of oral mucosa, which also includes related conditions such as oral mucositis (DA01.11) and drug-induced oral ulcer (DA01.14).