Treatments for Cheilitis
Latest treatments for Cheilitis:
The following are some of the latest treatments for Cheilitis:
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Oral Lesions:
Treatment
(In a Page: Signs and Symptoms)
-
Orabase® compounded with high-potency topical steroids (e.g., clobetasol) may offer symptomatic relief and increase speed of healing
-
“Magic mouthwash” may be used to swish and spit as necessary for relief (these may contain lidocaine, diphenhydramine, antacids, and even liquid tetracycline)
-
Aphthous stomatitis: Intralesional triamcinalone injections
are painful but very helpful
–Lesions spontaneously resolve within 2 weeks
- Recurrent herpes stomatitis: Episodic treatment with 1–7 day courses of oral antivirals (e.g., acyclovir) can shorten the duration of the episode and speed healing
–These are efficacious only if started within 24 hours of the onset of the prodrome (often tingling or pain at the site of eruption occurs hours before onset)
–Chronic suppressive therapy with oral antivirals may be indicated if recurrences are frequent
- Bullous diseases: Corticosteroids (topical or oral), cyclosporine, and even thalidomide
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Stomatitis:
Treatment
(In a Page: Signs and Symptoms)
Aphthous stomatitis: Symptomatic treatment only; lesions
spontaneously resolve within 2 weeks
–Strict oral hygiene (e.g., antiseptic mouthwash)
–Topical anesthetics may relieve pain
–Judicious use of topical and oral steroids in severe
disease
–Oral thalidomide reportedly helpful in severe disease (e.g., AIDS patients) Infectious stomatitis: Target specific organism with
appropriate antimicrobial treatment
–Topical antiseptic/anesthetic
–Coating agents (e.g., milk of magnesia, aluminum
hydroxide) may be helpful
-
Gangrenous stomatitis
–High-dose IV penicillin
–Correct underlying malnutrition or debility
–Surgery may be necessary
-
Chronic granulomatous disease: Early recognition and aggressive management of infections
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Stomatitis:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
Symptomatic care
–Rinsing with a 1:1 solution of dipheniramine with
antacid provides temporary relief
–Acetaminophen may be used liberally
-
Occlusive topical solutions may aid in healing
- Topical anesthetics such as benzocaine or viscous lidocaine should be used sparingly if at all in children
–Damage to the mucous membranes may result
–Accidental swallowing can lead to aspiration
secondary to the impairment of the gag reflex
-
For severe or recurrent aphthous ulcers, systemic steroids or colchicine are sometimes used
-
-
-
Herpetic lesions are treated with oral acyclovir
-
Trench mouth is treated with penicillin
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Stomatitis and other oral infections:
Treatment
(Professional Guide to Diseases (Eighth Edition))
For acute herpetic stomatitis, treatment is conservative. For local symptoms, supportive measures include warm salt-water mouth rinses (antiseptic mouthwashes are contraindicated because they are irritating) and a topical anesthetic to relieve mouth ulcer pain. Topical antihistamines, antacids, or corticosteroids may also be recommended. Supplementary treatment includes a bland or liquid diet and, in severe cases, I.V. fluids and bed rest.
For aphthous stomatitis, primary treatment is application of a topical anesthetic. Effective long-term treatment requires alleviation or prevention of precipitating factors.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Mouth lesions:
Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))
Instruct the patient to avoid irritants, such as highly seasoned foods, citrus fruits, foods that contain salt or vinegar, alcohol, and tobacco. For mouth care, warn against using lemon-glycerin swabs because these can dry and irritate the lesions.
As appropriate, teach the patient proper oral hygiene. If toothbrushing is contraindicated, instruct him to use a mouth rinse, such as normal saline solution or half-strength hydrogen peroxide, and to avoid commercial mouthwashes that contain alcohol. Stress the importance of frequently changing to a new toothbrush. If the patient uses an inhaled steroid, instruct him to rinse his mouth after each use. Also, tell him to report mouth lesions that don’t heal within 2 weeks.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Stomatitis and other oral infections:
Treatment
(Handbook of Diseases)
For acute herpetic stomatitis, treatment is conservative. For local symptoms, management includes warm-water mouth rinses (antiseptic mouthwashes are contraindicated because they’re irritating) and a topical anesthetic to relieve mouth ulcer pain.
CLINICAL TIP: A course of acyclovir (200 to 800 mg, five times daily for 7 to 14 days) may shorten the course and reduce postherpetic pain.
Supplementary treatment includes bland or liquid diet and, in severe cases, I.V. fluids to maintain hydration, and bed rest. After the gums are less tender, a dentist should scale and polish the teeth and emphasize good oral hygiene.
For aphthous stomatitis, primary treatment is application of a topical anesthetic. Effective long-term treatment requires alleviation or prevention of precipitating factors.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Mouth lesions:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Instruct the patient to avoid irritants, such as highly seasoned foods, citrus fruits, alcohol, tobacco, and foods that contain salt or vinegar. For mouth care, warn against using lemon-glycerin swabs because these can dry and irritate the lesions.
As appropriate, teach the patient proper oral hygiene. If toothbrushing is contraindicated, instruct him to use a mouth rinse, such as normal saline solution or half-strength hydrogen peroxide, and to avoid commercial mouthwashes that contain alcohol. Stress the importance of frequently changing to a new toothbrush. If the patient uses an inhaled steroid, instruct him to rinse his mouth after each use. Also tell him to report any mouth lesions that don’t heal within 2 weeks.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Mouth lesions:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ If the patient's mouth ulcers are painful, provide a topical anesthetic such as lidocaine.
▪ Encourage or provide regular oral hygiene.
Patient teaching
▪ Tell the patient which irritants he should avoid.
▪ Teach proper mouth care and oral hygiene.
▪ Review any prescribed medications.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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