dental disorders
Stomatitis
Treatment of Stomatitis
Cause treated Oral hygiene Topical agents and rinses Chemical or physical cautery Specific disorders are treated, and any causative substances or medications are avoided. Mouth rinses that containethanolcan cause or worsen stomatitis and should not be used. Meticulous oral hygiene (using a soft toothbrush and salt-water rinses) may help prevent secondary infection. A soft diet that does not include acidic or salty foods is followed. Numerous topical treatments, alone or in combination, are used to ease symptoms. These treatments include Anesthetics Protective coatings Corticosteroids Physical measures (eg, cautery) To reduce discomfort that may interfere with eating and drinking, the following may be effective: Lidocainerinse Sucralfateplus aluminum-magnesium antacid rinse A 2-minute rinse is done with 15 mL 2% viscouslidocaineevery 3 hours as needed; patient expectorates when done (no rinsing with water and no swallowing unless the pharynx is involved). A soothing coating may be prepared withsucralfate(1-g pill dissolved in 15 mL water) plus 30 mL of aluminum-magnesium liquid antacid; the patient should rinse with or without swallowing. Many institutions and pharmacies have their own variation of this formulation (magic mouthwash), which sometimes also contains an antihistamine. If the physician is certain the inflammation is not caused by an infectious organism, the patient can Rinse and expectorate after meals withdexamethasoneelixir 0.5 mg/5 mL (1 tsp) Apply a paste of 0.1%triamcinolonein an oral emollient Wipe amlexanox over the ulcerated area with the tip of a finger Chemical or physical cautery can ease the pain of localized lesions.Silver nitratesticks are not as effective as low-power (2- to 3-watt), defocused, pulsed-mode carbon dioxide laser treatments, after which pain relief is immediate and lesions tend not to recur locally. 