The findings suggest that individuals with a family history of RAS are more likely to experience recurrent episodes, highlighting the importance of genetic counseling and awareness in at-risk populations. Psychological stress has been identified as a significant contributor to the occurrence of RAS. Nutritional deficiencies, particularly in vitamins such as B12, folate, and iron, have also been linked to the development of aphthous ulcers. Moreover, the role of local trauma and mechanical irritation in the development of aphthous ulcers cannot be overlooked. Accidental bites, rough dental appliances, and abrasive foods can initiate ulcer formation, particularly in individuals with a predisposition to RAS. This highlights the need for patient education regarding oral hygiene practices and the avoidance of known irritants. Additionally, the potential impact of systemic diseases, such as celiac disease and HIV, on the occurrence of RAS necessitates a thorough clinical evaluation to rule out underlying health issues that may contribute to the condition.