Table 2.
Diagnostic criteria | Case (% Yes) |
Control (% Yes) |
---|---|---|
SECTION 1 – Self-reported diagnosis and study exclusions.b | ||
Q1. Have you ever had canker sores in your life, including when you were a child? | 100 | 2c,d |
Q2. [If Q1=Yes] Did you have at least 2 distinct episodes of canker sores in the past 6 months? | 100e | Skip |
Q3. Are you interested in this study because you have recurring sores around your lips (OUTSIDE your mouth)? | 0e | 0e |
SECTION 2 – Major criteria: Have you ever had canker sores or other sores that… | ||
M1. Were painful | 100e | 14 |
M2. Were recurrent (they would come and go, at least 2 episodes in life) | 100e | 12 |
M3. Occurred inside your mouth (never outside the lips) | 100e | 18 |
M4. Were “sores” or ulcers (e.g., they did not contain a liquid and then ruptured) | 100e | 8f |
M5. Occurred for no reason (idiopathic, mostly unable to establish a specific cause except for factors traditionally believed to be associated with canker sores- e.g., you may wake up with a canker sore and your sores are not always secondary to orthodontic treatment, pizza burn and aspirin burns, etc.) | 100e | 8 |
SECTION 3 – [If M1-M5 =Yes] Minor criteria: Which of the following statements is true regarding your sores? | ||
N1. You were told by a doctor/dentist that you had canker sores after looking inside your mouth | 51 | Skip |
N2. They began before age 25 | 100 | Skip |
N3. They do NOT always occur on firm tissues like the anterior part of the roof of your mouth or very close to your teeth* | 98 | Skip |
N4. They mostly occur in areas like the lower lip and/or inside the cheek | 96g | Skip |
N5. They do NOT always occur in the exact same spot (they can occur in the same AREA)* | 100 | Skip |
N6. They sometimes occur in areas that you could NOT have bitten into (e.g., in the fold between your lips and teeth or cheek and teeth, back of your mouth, below tongue) | 98 | Skip |
N7. Is at least one of the following 3 statements true about your sores? | 100 | Skip |
N7.1. They are never or rarely triggered by accidental biting | 83g | Skip |
N7.2. If triggered by biting the pain remains sustained after the biting episode | 68a | Skip |
N7.3. You think that your canker sores are very different from simple cheek/lip or tongue biting | 96g | Skip |
N8. If sores are less than half an inch (or < 1 cm) they usually last less than 2 weeks | 98 | Skip |
N9. They are not usually associated with other general conditions (e.g., fever, sores or blisters of the skin or other areas) | 96 | Skip |
N10. You have had 5 or more canker sore episodes in life | 100 | Skip |
N11. You usually have less than 5 sores per episode | 100 | Skip |
N12. You are certain that you ever had canker sores (e.g., got info from others, books, internet, photos) | 100 | Skip |
If a participant answers “No” but satisfies all other criteria, classify as “tentative case” and confirm case status by oral exam (must have clinical RAS) or exclude if clinical confirmation is not possible
One participant with undetermined final diagnosis (i.e., a RASDX positive participant with clinical erythema but no frank ulceration) is not listed. This individual answered “Yes” to all the criteria except N1
This section contained a preliminary assessment of RAS status and RAS-specific study exclusions related to the original case-control study
Only the control with a clinical mucocele answered “Yes”
4 answered “Unknown”
Required for entry into the study
2 answered “Unknown”
1 answered “Unknown”