Bednar's aphthae is an infantile oral ulcerative disease characterized by ulcers localized to the hard palate that typically occur within the first week of life. The ulcers are caused by trauma from improper feeding positions and methods, such as bottle feeding with formula that is too hot or using bottles with narrow nipple holes. The ulcers usually cause feeding intolerance and irritability in infants until resolving spontaneously with corrected feeding techniques.

1. BEDNAR’S APHTHAE
DR RANDY CHANCE BMSC BDS

2. DEFINITION
 An infantile oral ulcerative disease
 Has nearly disappeared from recent pediatric literature
 First described in 1850, by the Austrian physician Alois
Bednar
 Occurs during the first week of life
 Localized to the hard palate
 They are common and regress spontaneously

4. Etiology
 Trauma related to feeding posture and feeding method of babies
 Horizontal feeding vs semi-seated feeding
 Bottle feeding vs breast feeding
 Bottle-fed with formula milk that was relatively high in temperature
 Narrow nipple hole
 Long feeding times
 Higher incidence of Bednar’s aphthae in vaginal delivery than cesarean
section

8. Presentation
Two ulcers, one on either side
of the median raphe of the palate
Feeding intolerance
Longer feeding times
Irritability

9. Differential diagnosis
 Herpetic stomatitis
 Hand foot mouth disease
 Recurrent aphthous stomatitis
 Epstein’s pearl

11. Treatment
 Correct feeding posture and method
 Will regress spontaneously
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