Stomatitis medical therapy
Stomatitis medical therapy On the Web
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Preventive measures and avoidance of the inciting cause is enough for the treatment of most non-infectious causes of stomatitis. Pain medications may also be required to manage the pain caused by stomatitis. Antibiotic medical therapy is the mainstay of treatment for infectious stomatitis. The medical therapy varies among different causes and types of stomatitis.
The therapy for stomatitis is governed by following principles:
- Oral or IV hydration
- Pain control
- Application of a barrier cream or jelly
- Zilactin, a combination of lidocaine and hydroxypropyl cellulose, can be used to prevent the ulcers from further trauma and irritation.
Criteria for Hospitalization
The patient who develops the following conditions must be institutionalized
Trench mouth or acute necrotizing ulcerative gingivitis
- Nicotinic acid
- Local therapy
- For systemic involvement
- If debridement is delayed:
- For a detailed review of the medical therapy for Trench mouth, click here
- Preferred regimen for disease limited to oral cavity: Nystatin
- Preferred regimen for systemic candidiasis : Fluconazole 100mg PO for 7 to 14 days or clotrimazole 10 mg torches 5 times daily for 14 days
- Alternate regimen for systemic candidiasis : Clotrimazole 10 mg torches 5 times daily for 14 days
- For detailed review of the therapy for candidiasis, click here
- HSV shedding is increased in HIV-infected persons. Whereas antiretroviral therapy reduces the severity and frequency of symptomatic genital herpes, frequent subclinical shedding still occurs.
- Preferred regimen in case of immunocompromised individuals with HSV-1 stomatitis (1): IV acyclovir 
- For a detailed review of treatment of Herpes simplex infection click here
Noma or Gangrenous stomatitis
- In most cases, correction of denture fitness, avoidance of plaque development, and avoidance of continuous wearing of dentures helps correct the defect. Antiseptic and antifungal agents are not required in most cases, but pain medications are usually required.
- Treatment of underlying IBD is very effective in eradicating pyostomatitis vegetates lesions.
- Preferred regimen in the absence of IBD: Topical corticosteroids
- For the details about the medical therapy of IBD, click here
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