Oral herpes is a common condition that shows up as blisters in the mouth or the area around it. They usually develop on the gums, roof of the mouth, outside of the lips, or the nostrils. Oral herpes is caused by the herpes simplex virus type I, or HSV-1.
Oral herpes occurs in two stages: primary infection and recurrence of infection. At some time during childhood, most people come down with the primary infection. The individual may or may not have symptoms. This primary infection takes about two weeks to clear up. After that, the virus remains in the body but is inactive.
After this primary infection, a recurrence can happen at any time. Many outbreaks occur without any obvious reason. However, the following factors may trigger a recurrence:
Oral herpes is caused by the HSV-1 virus. People in the following categories may be more at risk for oral herpes:
Someone with an active oral herpes infection may have the following symptoms:
Oral herpes is generally diagnosed with a history and physical exam. There are laboratory tests for this virus, but they are seldom needed.
Oral herpes can be passed from person to person. Someone with oral herpes should not share lipstick, utensils, or drinks with others. Touching and kissing can also spread the virus.
Oral herpes causes no serious long-term effects. The virus will stay in the person's body indefinitely.
Oral herpes can be spread from person to person much like a cold or flu. Sores also can be spread to other parts of the body such as fingers or eyes. Sometimes sores can also spread to the genitals.
In most cases, sores caused by oral herpes are self-limiting. They will usually crust over and go away in about two weeks. If they last longer, the healthcare professional should be consulted. Treatment for oral herpes includes the following:
Antiviral medications may cause nausea, vomiting, diarrhea, and allergic reactions.
The sores usually clear up and go away in about two weeks. If they last longer than this or if they come back often, the healthcare provider should be consulted.
Any new or worsening symptoms should be reported to the healthcare provider.
Author:Marvin Goldfogel, DDS
Date Written:
Editor:Ballenberg, Sally, BS
Edit Date:06/01/01
Reviewer:Daniel C. Pizzi, DMD
Date Reviewed:06/01/01