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Apthous ulcers also known
as canker sores cannot be healed quickly. They have to run their
course. Usually that is about two weeks. There are some products
that can alleviate some of the symptoms. If the problem persists
longer than two weeks contact us or your regular dentist
Patients with few lesions can be treated with topical pain meds or
anti-inflamatory ointments. Ointments include:
- Kenalog with
Orabase - An effective short acting mouth rinse for multiple
lesions is a viscous lidocaine rinse. Stronger than any of the OTC
topicals like Benzodent and Orabase. Gary Smith, DDS brought this
to my attention.
- Lidex plus Orabase
mixed together. It is a steroid and a topical. This is a formula
that Dr. David Hoffman, a periodontist. here in Omaha recomended
it.
- Lidex is a
fluocinonide ointment.
- Aphthasol is a new
topical product on the market by the Block Drug Co. Do not know
its efficacy personally. Feed back on this drug would be
appreciated so we can share results with readers. Company claims
amlexanox oral paste, 5%, the generic name, reduces healing time
by one or two days.
- Zilactin. Some
patients swear by it while others swear at it. Burns initially but
then provides relief.
For more difficult
cases: Dexamethasone elixor mouthwash combined with azathioprine
tablets. Caution this is a potent immunsuppresing drug. Experience
advised. Oral steroid therapy for 7 to 10 days. Prednisone 20 mg per
day. Adverse effects of steroids need to be explained to patients.
Some research indicates toothpaste as a culprit. You be the judge.
Eliminate tooth pastes with sodium laurel sulfate which is soap.
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Copyright 2006 Dr. Michael Starkey
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