Treatment of stomatitis in adults: types, drugs

What is stomatitis?

Stomatitis is an inflammation of the oral mucosa. According to statistics, about 20% of the population of our planet faces it. In adults and children, it can take the form of an independent disease or act as a symptom indicating pathologies of the body. In both cases, treatment is carried out comprehensively and under the supervision of a doctor.

What does the disease look like?

Stomatitis is not difficult to recognize. The initial stage of the disease is characterized by the appearance of mild swelling of the oral mucosa. It becomes redder, drier and shiny. A plaque may appear on its surface, and at the site of future lesions the patient feels an unpleasant itching or burning sensation.

As the disease develops, small ulcers and wounds appear on the mucous membrane - painful oval or round lesions. Their location may be the inside of the lips, cheeks, palate, tonsils, or mucous membrane under the tongue. Their appearance can be seen in the photo at the end of our article.

Causes

The pathology is caused by numerous infectious agents, as well as oral injuries and allergic reactions. The reason for its development may be a lack of certain vitamins and microelements.

The following types are distinguished:

• viral (herpetic - present in 80% of all cases, the rest are represented by measles, chickenpox, influenza, rubella, mononucleosis, adenovirus, enterovirus, papillomavirus viruses);
• fungal – candidiasis is detected in the vast majority of cases in infants; in older children it occurs due to immunodeficiency, diabetes, or taking antibiotics;
• bacterial - most often it is caused by various types of staphylococci and streptococci; in rare cases, stomatitis is caused by pathogens of tuberculosis, syphilis, diphtheria, gonorrhea;
• allergic – often the pathology develops as a reaction to various products, components of toothpaste, chewing gum;
• autoimmune – in the occurrence of aphthous lesions, one of the leading causes is considered to be the presence of autoimmune problems;
• traumatic - in children, the oral mucosa is less stable than in adults; it is easily damaged under the influence of chemical and physical agents, or mechanical trauma.

The factor that caused this pathology determines the treatment tactics and what drugs will be prescribed.

There are factors that contribute to the development of the disease.

These include:

• diseases of the gastrointestinal tract (duodenitis, gastritis, intestinal dysbiosis, colitis, enteritis);
• blood diseases;
• pathologies of the nervous and endocrine systems;
• helminthiases;
• prematurity;
• insufficient oral hygiene;
• weak local immunity;
• lack of microelements, vitamins (B vitamins, selenium, zinc).

All these numerous factors cause and contribute to the development of stomatitis. In this regard, there is a significant difference in the treatment of different types of disease.

Causes of stomatitis

The mechanism of stomatitis is not yet fully understood. But scientists are inclined to believe that the root cause of its development is the reaction of the human immune system to various irritants. At some point, the immune system ceases to recognize the potential threat of internal and external factors, which causes its atypical reaction, as a result of which “aggressive behavior” of lymphocytes is observed. The attack of lymphocytes against irritant molecules leads to lesions of the oral mucosa.

A variety of factors can provoke an atypical reaction of the immune system. The most likely of them are the following irritants:

• Pathogenic microorganisms that live in the mouth.
• Improper oral hygiene.
• Various damage to the mucous membrane, for example, burns from eating too hot food or mechanical injuries from seeds, nuts, crackers and other hard foods.
• General dehydration due to high fever, blood loss, vomiting, diarrhea, or thirst.
• Poor quality treatment of teeth and gums.
• An allergic reaction to dental structures in the mouth - braces, implants, crowns, bridges, etc.
• Long-term use of medications.
• A diet depleted of beneficial vitamins and elements.
• Smoking.
• Malignant formations of the oral cavity, respiratory organs or undergoing a course of chemotherapy.
• Hormonal imbalances in the body, for example in pregnant women or children during puberty.
• The presence of chronic diseases or allergies.
• Severe stress.

Interesting to know! Frequent stomatitis in adults can be caused by the use of toothpaste containing sodium lauryl sulfate, a substance added to oral care products to form a thick foam. According to recent studies, it dehydrates the oral mucosa and makes it vulnerable to various types of irritants. Patient observation data confirms the fact that avoiding the use of sodium lauryl sulfate paste can reduce the risk of developing stomatitis in adults by 81%.

The best anti-inflammatory drugs for stomatitis

Anti-inflammatory drugs are effective in the acute phase of stomatitis development. They reduce discomfort in the mouth and help swallow food. Balanced compositions remove swelling and redness. These drugs cannot cure, but they significantly make the patient’s life easier during the disease.

5 Hexoral Tabs

Hexoral Tabs combines an anesthetic with chlorhexidine, but uses benzocaine instead of lidocaine. The formula is supplemented with peppermint oil and menthol, which provide instant relief. The product has a strong analgesic effect and quickly eliminates inflammation. Chlorhexidine destroys bacteria, although it is not comparable to drugs specifically intended for this. Benzocaine begins to work within seconds but provides short-term pain relief.

Reviews warn of a burning sensation in the first moments; due to the abundance of mint, the product is very cooling. Then the tablets become sweetish, relieve pain in the mouth, and are pleasant to dissolve. The drug is not suitable for the treatment of stomatitis; it acts in combination with other drugs. Users recommend adding herbal rinses. Although the formula does not have a harmful effect on the body, bacteria get used to it. You need to take breaks.

4 Stomatidin

Stomatidin is the only solution of the group, it is very easy to use. It is enough to spray the product in your mouth; it is convenient to use the aerosol to spot treat areas. It helps relieve inflammation and remove unpleasant odor if the wound has festered. Many people note a slight tingling sensation after application and talk about a pleasant feeling of cleanliness. The liquid gets into all the cracks, gradually improving the situation. On the second day, changes are felt. The manufacturer advises treating stomatitis within 7 days. At this time, he recommends avoiding salty, spicy and fried foods.

Reviews note a sweet, not cloying taste, but warn that after use the feeling of eating changes. For example, salty food tastes unpleasantly bitter. It is recommended to take medications to support the immune system during treatment. The manufacturer warns that the solution should not be swallowed as it may cause severe stomach upset.

3 Xolical

Xolisal is ahead of other drugs in terms of duration of action. The basis is salicylate, which is quickly absorbed through the mucous membrane. It has an anti-inflammatory and antipyretic effect. It has slight analgesic properties, but is inferior to the leaders in the rating. The product inhibits the action of pathogenic flora. The gel base ensures easy application and retains the active substances on the mucous membrane for a long time. Relief occurs within a few minutes and lasts for 8 hours.

Reviews note a pleasant sweetish taste. The gel has no color and is used very economically. It is suitable for adults and older children. It has many indications for use. I am pleased that there are no allergic reactions or side effects. Cholisal combines well with other drugs and is not suitable only for patients with individual intolerance. In the first seconds, an unpleasant burning sensation is felt.

2 Kamistad gel

Kamistad gel relieves discomfort for a long time and relieves pain when the mucous membrane in the mouth is damaged. The active substance is supplemented with the most effective natural ingredients for stomatitis. Chamomile extract relieves inflammation and slightly regenerates the skin. The gel spreads easily over the lip. When used in accordance with the instructions, the product has no side effects. The mucous membrane immediately ceases to cause discomfort, and a little later the reaction to hot food goes away. The manufacturer does not indicate the time of use, which means that the product is valid for the entire period of treatment.

Reviews call the composition one of the best. The active ingredients are supplemented with ingredients that contribute to their effectiveness. Inflammation is one of the indications for use; Kamistad gel is also suitable for other symptoms of stomatitis. It is easy to use, just treat a dry, sore spot in the mouth. The manufacturer recommends three applications.

1 Lidocaine Asept

Lidocaine Asept is the best medicine for a superficial analgesic effect. The product blocks nerve impulses in tissues, relieving pain in seconds. It affects the cell membrane and is one of the most powerful. For this reason, it is used with caution by adults; gentler drugs have been invented for young patients. This option is supplemented with chlorhexidine, an antimicrobial component to combat pathogenic flora. An antiseptic kills bacteria, fungus, and yeast.

The product is very cold on the skin; reviews differ greatly in the comfort of the sensation. It is convenient to apply it to targeted areas, but it is better not to try the substance. It has a bitter taste, quite unpleasant. The main advantage that earned Lidocaine Asept first place in the rating is its local effect. The drug does not cover the entire mouth, as with dental anesthesia. It affects the application site.

Symptoms of the disease

Stomatitis can occur at any age. In the early stages, its course is accompanied by swelling, redness and dryness of the oral mucosa. The main sign of the disease is the presence of one or multiple ulcers and their appearance.

• Oval or round ulcer shape.
• Small sizes.
• Smooth edges.
• The presence of a thin grayish or white film in the central part of the ulcer.
• The ulcer is surrounded by a slightly reddish halo.
• The mucosal tissue around the lesion has a normal, healthy appearance.

The slight itching or burning sensation that the patient experienced at the beginning of the disease is replaced by pain. The ulcers hurt when eating, talking and smiling broadly. Any touch to them causes pain, which complicates hygiene measures and leads to bad breath.

On average, the disease lasts from 4 to 14 days. Its clinical picture depends on the individual characteristics of the organism, the form and type of the disease. During this period, in addition to the main signs of pathology, other symptoms of the disease may be observed.

• Increase in temperature - during the first days, until characteristic ulcers appear (in severe forms of stomatitis, the elevated temperature persists throughout the entire illness).
• General malaise and fatigue.
• Chills.
• Headache.
• Lack of appetite (especially in children).
• Enlarged lymph nodes (in rare cases).

Important to remember! Severe inflammation, toothache or high temperature for a long time indicate a severe form of stomatitis or the development of its complications. In this case, immediate medical attention is required, and if necessary, hospitalization of the patient is possible.

Treatment of various types

After identifying the cause of the disease and identification, stomatitis in children is immediately treated. Self-medication is unacceptable; only a doctor can recommend medications and determine the duration of their course. General and local methods are used for treatment. For a sick child, in addition to treating the disease, dietary nutrition is important. Food should be pureed and not irritate the mucous membranes. The food your baby eats should be at room temperature. Before meals, regardless of the type, painkillers are used (Kalgel, Kamistad).

Treatment of viral stomatitis

For the treatment of viral stomatitis, primarily hermetic, antiviral drugs are used (Oxolinic ointment, Zovirax, Acyclovir, Valtarex, Tebrofen ointment). They lubricate the mucous membranes in the baby’s mouth up to four times a day.

In addition to antivirals, other medications are used:

• antiseptics (Miramistin, Vinilin, Sodium Tetraborate) - they are used to treat the oral mucosa, rinsing is carried out up to four times a day;
• complex drug Viferon - contains interferon, antiseptics, vitamins E and C, it is applied to the affected mucosa for ten days;
• immunomodulators (Sodium Nucleinate, Immunal, Amiksin) – strengthen general and local immunity, used for a course of up to two months;
• anti-inflammatory and antipyretic drugs (Nurofen, Paracetomol) are used to reduce fever and inflammation;
• antihistamines improve the general condition of the baby (Tavegil, Suprastin).

You can use herbal preparations (Stomatidin, Karotolin, Rotokan) that have anti-inflammatory and healing properties

Treatment of candidal stomatitis

Antifungal drugs play a leading role in treatment.

These include:

• Pimafucin;
• Fluconazole;
• Clotrimazole;
• Candide in solution.

The oral cavity is treated several times a day using a moistened cotton pad.

The following products are also used for home treatment:

• soda solution;
• boric acid solution;
• decoction of string;
• sage;
• daisies.

Rinses with these liquids are used. Then use a cotton swab to remove the fungal plaque.

Treatment of aphthous stomatitis

Along with diet, medications and external agents are used for treatment. The disease is severe, so treatment is prescribed only by a doctor.

The following medications are used:

• antihistamines (Suprastin, Citrine, Zodak) - they relieve allergic manifestations by blocking inflammatory mediators;
• antiviral drugs (Tamiflu, Arbidol, Remantadine) - help fight viruses that cause the formation of canker sores;
• vitamin complexes (Pikovit, Alphabet) to strengthen the immune system;
• gels for pain relief of ulcers (Instillagel, Kalgel, Kamistad) are used up to four times a day, they are lubricated with the oral mucosa in the affected areas;
• for rinsing, use herbal decoctions (peppermint, calendula, sage) - they are used every four hours;
• To accelerate the epithelization of ulcers, sea buckthorn oil is used, it is used up to three times a day;
• Aloe juice effectively heals aphthae in the oral cavity; to do this, take pieces of the leaf, cut in half and wipe the inside of the mucous membrane three times a day.

If treatment does not improve, the doctor prescribes antibiotics and glucocorticoid drugs.

Treatment of bacterial stomatitis

Medicines for this stomatitis are prescribed by a doctor. Antibiotics are used after studying the sensitivity of bacteria to various antibiotics, and the most effective one is selected. In addition to them, immunostimulants, antiseptics, and anti-inflammatory drugs are used.

These include:

• antiseptic solutions and sprays (Chlorhexidine, Tantum Verde, Hexaral) - the oral cavity is treated with these products after each meal, but no more than six times a day;
• Decoctions of herbs (cinquefoil, chamomile, St. John's wort) are also useful - you should rinse your mouth with them in between antiseptics;
• treatment of affected surfaces with hydrogen peroxide has a positive effect;
• Metrogyl Denta - gel is an antibiotic, used for treatment until the sensitivity of bacteria to antibiotics is determined;
• Lidochlor, Vinilin, Eucalyptus M are used for pain relief and restoration of the mucous membrane.

It is also advisable to use immunostimulating drugs to speed up recovery after suppression of the bacterial flora.

Treatment of traumatic stomatitis

Therapy for this lesion should begin immediately and be comprehensive.

The following drugs are used for treatment:

• antiseptics (hydrogen peroxide, Furacillin solution, calendula tincture) - they treat the affected areas;
• To prevent replenishment, anti-inflammatory antimicrobial drugs (Lugol, Hexalize, Miramistin, Cholisal) are used; surfaces can be treated up to six times a day;
• painkillers (Kamistad, Lidocaine Asept) - applied to the surface twice a day;
• drugs that promote healing (Rotocan, Chlorophyllipt) - they are lubricated with the affected mucous membrane up to three times a day.

When there is permanent mechanical injury, it must be eliminated. Chipped teeth are treated and orthodontic appliances are adjusted.

Can stomatitis go away on its own?

As a rule, mild forms of the disease caused by trauma to the mucous membrane, poor oral hygiene or an allergic reaction of the body can go away on their own. Severe stomatitis caused by infection requires qualified treatment. In both cases, it is better not to wait and not to self-medicate. Because the disease not only causes pain and discomfort, but can also lead to generalization of infection and serious complications.

Consequences and complications of the disease

Possible complications arise when the patient ignores treatment for stomatitis. As a result, mild and severe forms of the disease become chronic. The neglected process turns into an ulcerative-necrotic and then gangrenous form of the disease, as a result of which not only the mucous membrane is damaged, but also the soft tissues of the mouth and jaw bones.

Other serious consequences of untreated stomatitis include the following complications.

• Bleeding gums.
• Scarring of the oral mucosa, disruption of its elasticity and mobility.
• Attachment of a secondary infection.
• Tooth loss.
• Voice changes – hoarseness, hoarseness.

Important to remember! A small ulcer on the oral mucosa is a potential threat to the entire body. Infection from it can spread to other organs and systems, which will disrupt the functions of the heart, liver, kidneys, gastrointestinal tract and respiratory organs.

Treatment of ulcerative stomatitis

Ulcerative stomatitis very often occurs due to poor oral hygiene and bad habits (especially smoking). Often this type of stomatitis at its onset is confused with periodontitis and gingivitis, since it is characterized by inflammation of the gums, a grayish coating around the teeth and death of soft tissues. Often accompanied by fever and fever. One of the few forms of stomatitis, which often requires treatment by a doctor, and in the most advanced cases, surgical intervention.

Treatment methods

• Antibiotic therapy.
• Antibacterial treatment of affected areas.
• Surgical intervention (in severe cases, removal of areas of dead tissue and gum grafting).

Folk remedies

For treatment, you can use traditional medicine. The following juices, decoctions, oils and infusions have proven themselves well.

You can gently lubricate the affected areas of the mucous membrane with juices and oils. Solutions and decoctions of herbs are used for regular rinsing of the mouth.

Important! Before using traditional medicine, you should consult a doctor. Only a specialist can determine the advisability of their use without harm to health. The use of folk remedies does not cancel the main therapy, but only complements its effect.

The best remedies for healing mucous membranes with stomatitis

Recovery is one of the last phases of stomatitis treatment. Products that improve metabolism and promote rapid delivery of nutrients to the epithelium are considered effective. They are recommended to be taken for aphthous (ulcerative) form of stomatitis, when many painful blisters have formed and burst in the mouth.

5 Sea buckthorn oil from fruits and leaves

Sea buckthorn oil is not a medicine, but has powerful natural wound healing properties. It contains a huge amount of fats, including Omega 6 and 9. The bright orange color is maintained by carotene. The amount of vitamin C exceeds the content in lemons. Natural fats are considered the safest for wound healing. They can be used an unlimited number of times. Although it is impossible to treat stomatitis with sea buckthorn alone, it can significantly facilitate the recovery process.

This oil is produced in the Altai region, the shelf life is 2 years. Under the lid there is a plastic protection that protects the product from drying out. When used regularly, fat-soluble vitamins accumulate in the skin, helping medications treat the disease. The product is suitable for prevention, removes toxic components from the epidermis. The oil has a pleasant smell and neutral taste. But it gets very dirty.

4 Vinylin

Despite its rather low cost, Vinylin is considered effective for the rapid healing of ulcers. It does not have a pronounced taste and is suitable for older children. The enveloping texture covers damaged areas in the mouth, prolonging the effect of the product. Even if the formula is accidentally swallowed, it will not cause problems. The active substance is polyvinyl butyl ether, known for its strong antimicrobial effect. Vinyl is yellow in color and has a thick texture and is consumed slowly.

Reviews advise treating the oral cavity with the medicine up to 8 times a day; the medicine does not accumulate in the body. Although the expense is high, the cost does not bite. The first signs of healing of stomatitis appear the next day. You can immediately feel how the formula envelops the damaged areas and provides slight relief. It relieves inflammation a little. This version received the best reviews, but there is also a version with sea buckthorn oil, which is softer.

3 Stomatophyte

Stomatophyte has collected the best medicinal plants for the gradual gentle restoration of the skin. Chamomile, oak bark, sage and mint reduce bleeding. The product has a good antiseptic effect, it perfectly kills bacteria and fungus, and slightly removes inflammation. The manufacturer offers the drug in three forms: spray, solution and ointment. There are two types of mouthwashes for children. This version does not contain anesthesin, and it is the one that received the best customer reviews.

The product is not a medicine; it is based on natural ingredients. Their concentration is the largest among competitors. They soothe and remove harmful microbes. However, the composition contains a lot of alcohol (70% alcohol), the manufacturer says that it promotes the conductivity of the extracts. Swallowing the drug is prohibited; a burn to the esophagus is possible. It is most effective for short-term use; buyers recommend a course of up to 10 days.

2 Solcoseryl

Solcoseryl is one of the most potent because it improves cellular nutrition of tissues. It heals wounds, ulcers, including scratches and abrasions. The active substance is hemodialysate, which triggers regeneration processes in the skin. It promotes collagen synthesis. The ointment has disinfecting properties. A small amount of ethyl alcohol is added. The latter acts as an antiseptic. Vasiline retains moisture and restores the outer layer.

Reviews say that damaged cells are gradually regenerated, metabolic processes return to the right direction. The ointment protects from the environment, the skin is not afraid of chemical and temperature effects. However, it is not an antiseptic. Before treating stomatitis, it must be disinfected and necrotic tissue removed. I am pleased that there are no contraindications other than individual intolerance.

1 Propolis Spray

Propolis Spray, as the name suggests, consists of a beekeeping product diluted with ethyl alcohol and glycerin. This amber-colored liquid with a pleasant smell is the best for natural restoration of the epidermis. Propolis is considered a unique substance, which contains oils, fatty acids, flavones, amino acids, and vitamins. It has a powerful disinfectant effect and improves epithelial regeneration. It helps other medications fight fungi if they were the cause of stomatitis. The only contraindication is intolerance to honey, pollen, or any waste product of bees.

Propolis works in the mouth in the last stages, when there is no longer a serious ulcerative process. Reviews call it the most vigorous, effective even after several years of use. At first, a burning sensation is felt on the mucous membrane, but it quickly passes. Propolis envelops damaged skin, removing harmful substances.

How many days does treatment last?

Correct, competent treatment of stomatitis significantly speeds up the healing process. Depending on the type of disease, it lasts for 3 to 7 days. If after 1 week of treatment the signs of the disease have not disappeared or worsening is observed, then the patient most likely has complications. The following factors may be the probable reasons for its development.

• The patient self-medicated or did not follow the doctor's instructions.
• Decreased immunity.
• The presence of chronic diseases of the body.
• Regular injury or infection of the oral mucosa.
• Undiagnosed allergy.
• Having bad habits - smoking, tearing, etc.
• Depression or frequent stress.
• Improper oral hygiene.
• Uncontrolled use of medications.
• The use of oral hygiene products containing sodium lauryl sulfate.

Returning to the question - can stomatitis go away on its own - it should be noted that a seemingly harmless disease can turn into serious problems for the patient. Therefore, you should remember three “don’ts” - don’t

engage in self-medication,
do not
put off visiting a specialist and
do not
ignore the recommendations of your doctor.

How to understand that stomatitis has passed?

Very simple! A complete cure is indicated by the absence of lesions in the oral mucosa. There are no small ulcers, wounds or plaque on the cheek, palate, lip, tongue or tonsil area. The mucous membrane looks healthy, is well moisturized, does not cause pain and does not create discomfort during eating, talking, smiling and performing hygiene procedures.

Treatment of allergic stomatitis

This type of stomatitis is caused by the body's immunological response to contact with an allergen. The role of the latter can be played by anything: food products, new oral hygiene products, dentures, animal hair and much more. At risk are patients who are predisposed to allergies or suffer from various autoimmune diseases. A distinctive feature of allergic stomatitis is the acute onset of the disease, accompanied by an increase in temperature, severe pain and putrid odor from the mouth, which does not disappear even after thorough brushing of the teeth.

Treatment methods

• Identifying the allergen and eliminating it (or minimizing contact).
• Antihistamine therapy.
• Relief of inflammation with corticosteroids.
• Taking analgesics to relieve pain.
• Local antiseptic drugs
• Diet.

Types of stomatitis in adults

The clinical picture of the disease indicates that stomatitis can be mild or severe, have an acute or chronic course. To facilitate the diagnosis and treatment process, experts have developed the following classification of the disease.

• Allergy is usually a chronic disease that occurs as a result of an allergic reaction of the body to an irritant. In addition to the characteristic ulcers, it may be accompanied by the appearance of white spots, blisters and small hemorrhages on the mucous membrane.
• Herpetic or herpes - the disease occurs due to the entry of the causative agent of the herpes virus into the human body. Stomatitis of this type is characterized by an acute course. Bubbles appear on the surface of the mucous membrane, which open to form erosions and crusts.
• Traumatic (bacterial) – a consequence of mechanical trauma to the oral mucosa and infection entering the wound. As a rule, the disease is mild, with symptoms characteristic of stomatitis.
• Catarrhal and catarrhal-hemorrhagic stomatitis is a mild form of stomatitis, the causes of which are poor oral hygiene, the development of candidiasis, decreased immunity or gastrointestinal pathologies. The disease is accompanied by a typical clinical picture for the disease.
• Candidal (fungal) stomatitis is an acute form of the disease, the so-called thrush, caused by the activity of bacteria of the genus Candida. It is most common in young children, the elderly, and patients who overuse antibiotics. Accompanied by the appearance of a white coating on the mucous membrane, a burning sensation and an unpleasant taste in the mouth.
• Ulcerative is a severe form of the disease that occurs independently or as a result of a complication of the catarrhal course of stomatitis. It occurs acutely, with increased body temperature and enlarged lymph nodes. The resulting ulcers are very painful and can unite and form extensive lesions of the mucous membrane.
• Aphthous stomatitis is a severe form of the disease, occurring acutely or chronically. Accompanied by the appearance of single or multiple gray-white ulcers. The ulcers are surrounded by a red halo and are very painful.

It is important to know! By analyzing the condition of the oral mucosa, the nature of the ulcers and the patient’s complaints, specialists accurately determine the type of stomatitis and make an accurate diagnosis. Thanks to this, treatment of the disease occurs quickly and without complications.

The best antifungal and antiviral agents for stomatitis

Most of the products from the first two groups contain a small amount of antiseptic. However, there are special drugs that most effectively fight fungi and viruses. They fully influence the pathogenesis of stomatitis and help avoid many unpleasant phenomena of the disease.

5 Augmentin

Augmentin contains two substances, so it is the best for destroying most bacteria. The antibiotic amoxicillin and penicillin act together on the enzymes of pathogenic flora, destroying it. Aggressive substances are not suitable for people with hypersensitivity to them; there are no other contraindications. The manufacturer recommends taking the product at the same time. Buyers agree, advising to drink it before meals, otherwise a gag reflex is possible.

The standard course is 7 days; Augmentin is not suitable for prevention. When used correctly there are no side effects. The shelf life is 2 years. However, if you open the package, it is reduced to 30 days. Stomatitis goes away faster, the rest has to be thrown away as unnecessary. The cost exceeds many competitors. Buyers criticize the size of the tablets: they are difficult to swallow even for an adult.

4 Miramistin

Miramistin destroys the membranes of pathogenic microorganisms, quickly dealing with the fungus. It is indicated against most known pathogens, stomatitis is one of the options for use. The ointment reduces bacterial resistance to other antibacterial agents, speeding up treatment. The manufacturer warns of a possible itching sensation after application, but it quickly passes. Of the contraindications, only individual intolerance is indicated, which is expressed by a rash.

Buyers in reviews recommend the product in the initial stages of the disease, then there is a chance to prevent its development. The ointment triggers the body's defense processes at the site of application, killing the fungus. It stops inflammation and accelerates the formation of scabs. The formula is suitable for use by adults and children if prescribed by a doctor. Many people use ointment as additional support. Fungi have virtually no addiction to the active substance.

3 Mykozon

Mycozone is one of the most effective remedies against most types of fungus. It suppresses activity in the cells of pathogenic organisms, leaving them no chance of survival. After research, scientists found that the most confirmed action of the formula is yeast and dermatomycetes. The composition kills staphylococci and streptococci. However, long-term use leads to addiction of the fungus, so the manufacturer indicated a short course of treatment. The drug can accumulate in the epidermis, signaling excess by itching and irritation.

The product has a white color and a neutral pharmaceutical smell. It is quickly absorbed almost completely, leaving a light coating on the lip. Reviews note an immediate effect: the itching stops for a while. After a few days, the discomfort completely goes away. The manufacturer recommends treating stomatitis until it is completely gone to avoid re-infection.

2 Hexalize

Hexalize has a local effect, working in several directions. The main function is to repair damaged skin, but the powerful formula has antiviral and anti-inflammatory properties. It blocks bacteria and kills viruses. The results last a long time. The formula relieves pain slightly. Even with regular use, it practically does not penetrate the body. Active substances block the work of viruses and help the skin rehabilitate.

The composition is based on lysozyme, which has proven antimicrobial effectiveness. One package of medicine lasts for 5 days; the course for advanced cases of stomatitis is expensive. The results are visible in the first days, discomfort disappears. Regenerating properties appear on days 4-5. The instructions talk about many indications for use, the formula is considered quite safe. It is allowed for children over 6 years old.

1 Nystatin ointment

Nystatin ointment is one of the most beloved by customers, due to its affordable price and noticeable effect. It affects fungal membranes, killing them from the inside. An undoubted advantage is the low resistance of pathogenic flora to the formula. Studies of the ointment have shown that it does not have a harmful effect on the human body. The best results were obtained for Candida fungi. Nystatin ointment is not absorbed into the blood after accidental ingestion. It goes well with antibacterial agents.

The drug is not suitable for regular use; the course lasts up to 10 days. The visible effect appears on the third day; by the end of treatment, the wounds are significantly healed. The ointment slightly relieves pain and discomfort. The most effective strategy, according to user reviews, is a combination of several tools. If you use the drug on time, there will be nothing left of mouth ulcers.

Which doctor should I contact for stomatitis?

If you notice the first signs of damage to the oral mucosa, you should immediately consult a dentist. After differential diagnosis of the disease and an accurate diagnosis, it is possible to observe it with a general practitioner or other specialized specialist, for example, an allergist.

Do not ignore preventive visits to the dentist.

It is enough to visit a specialist 1 – 2 times a year, which will allow you to promptly identify any dental problem at an early stage of development. This means that its elimination will be quick, easy and without complications.

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How to treat stomatitis during pregnancy

During pregnancy, a weakened immune system coupled with hormonal changes can lead to the formation of ulcers or white plaque in the mouth. This fate awaits almost every second expectant mother.

Major stomatitis can be cured during pregnancy only under the supervision of a specialist. Rinsing your mouth with folk remedies with an antiseptic and anti-inflammatory effect will help cure a fungal infection. Regular chamomile gives a good result (it is enough to infuse one spoonful of the herb in a glass of boiling water).

Do not thoughtlessly use rinsing for healing. It is also important to establish the root cause of the disease and, if possible, eliminate it.

How to distinguish stomatitis from other diseases?

The main sign of stomatitis is the presence of characteristic ulcers, the tissue around which looks healthy. The disease is rarely accompanied by systemic symptoms and, as a rule, recurs from time to time. For a competent specialist, it is not difficult to distinguish stomatitis from other ailments.

For a sore throat

When you have a sore throat, your body temperature always rises. In this case, it is not the ulcers themselves that hurt, but the throat area. Upon visual examination, the tonsils appear swollen, inflamed and red.

For herpes

The problem is that herpetic stomatitis is one of the manifestations of herpes. A viral disease is accompanied by the formation of characteristic blisters that burst and dry out. In the presence of other types of stomatitis, the nature of the ulcers is completely different.

For cancer

Ulcers due to cancer of the oral mucosa do not go away on their own even after treatment. Over time, they increase in size and may bleed and become painful.

From thrush

Candidal stomatitis is thrush caused by the activity of bacteria of the genus Candida. In all other cases, the nature of the disease will be different and can be easily distinguished from thrush by the presence of characteristic ulcers.

For syphilis

When infected with syphilis, a red spot appears on the surface of the mucous membrane. Gradually it thickens, takes the form of a dense nodule and ulcerates - a typical hard chancre is formed, which is completely different from ulcers with stomatitis.

Symptoms of stomatitis

There are both common and distinctive symptoms of various types of stomatitis (which allows a preliminary diagnosis to be made during the initial examination).

• Viral or herpes . In mild cases, the only symptom is aphthae (small ulcers) that heal quickly. With moderate severity, there is pronounced intoxication (fever, weakness, nausea, increased salivation, enlarged lymph nodes. Fans are single or grouped. In severe form, the body reacts with an increase in temperature, locally - swelling of the mucous membranes, itching, burning, slight tingling, then the appearance of a large the number of aphthous elements.
• Aphthous . At the initial stage, the patient feels weakness, general malaise, and loss of appetite. Possible increase in temperature. The mucous membranes of the mouth are hyperemic, swollen, unpleasant sensations when brushing teeth or chewing. The pain is severe and disproportionate to the size of the lesions. Aphthous ulcers appear 1-2 days after the onset of the disease, most often small ulcers occur (size from 2 to 8 mm), less often large (about 1 cm) and herpetiform ulcers occur (small ulcers measuring 1-3 mm merge into larger ones ). The ulcers are round or oval, well circumscribed, have a red halo, the edges are red, slightly raised.
• Traumatic . The first symptoms are inflammation of the oral mucosa, redness, swelling, then erosion develops and an ulcer appears; if left untreated, there is a risk of complications (purulent infection, candidiasis). If the traumatic factor is weak, but acts constantly (for example, a poorly fitted denture or braces), papillomatous growths may occur.
• Enterovirus vesicular (EVS) . The symptoms resemble ARVI, influenza, but they are most easily confused with chickenpox, because rashes appear not only on the mucous membranes of the mouth, but also on the arms, legs, and throughout the body (in severe forms). The initial stage is weakness, aching bones, muscle pain, fever (up to 39 degrees), increased salivation. Then small bubbles filled with white liquid appear. After they burst, ulcers form, which take a long time to heal.
• Bacterial . Accompanied by redness and swelling of the mucous membranes, unpleasant sensations (burning and pain) are constantly present, but they intensify when eating and brushing teeth, the temperature may rise, and the lymph nodes may enlarge. There is hypersalivation (increased salivation), rapid formation of plaque, and bad breath.
• Candidiasis . It is accompanied by pain at rest and when eating, severe itching and burning, and dry mouth. Spots may appear on the mucous membranes, and an unpleasant odor may appear from the mouth. There is also a change in taste, bleeding gums, swollen lymph nodes and an increase in temperature.
• Ulcerative-necrotic. Accompanied by low-grade fever, pain in muscles and joints, bleeding gums, putrid odor from the mouth. Ulcers have uneven edges, with a large amount of necrotic masses at the bottom. In advanced cases, exposure of the roots of the teeth, necrosis of muscle tissue, transfer to the bones and development of osteomyelitis, Vincent-Simanovsky-Plaut angina (when the ulcers move to the pharynx area) are possible.
• Allergic . Accompanied by elevated body temperature, migraines, and lethargy. May be painful to chew. Dryness and burning in the mouth are often observed, while the saliva becomes thick and viscous, the mucous membranes swell and turn red. In the next stage, bubbles filled with cloudy liquid appear. Opened blisters turn into painful ulcers.

Recommendations during treatment

Treatment of stomatitis should be carried out comprehensively - local therapy, taking medications appropriate to the type of disease, and strengthening the immune system. During the treatment period, you must adhere to the following recommendations.

• Compliance with the diet - you need to exclude from the diet spicy, salty, sour, too sweet, smoked, hot, cold and any dishes that are traumatic to the mucous membranes.
• Maintaining oral hygiene . To maintain it, it is necessary to use antiseptic agents that you regularly rinse your mouth with.
• Taking vitamin-mineral complexes that strengthen the body's protective functions.

If the doctor has diagnosed the presence of candidal stomatitis, then you should not drink milk or consume fermented milk products, which activate the activity of pathogenic fungi.

Any medications should be used only as prescribed by a doctor. Especially antibiotics.

It is important to know! It is not recommended to cauterize emerging ulcers with pure alcohol solutions. The only thing that is allowed is treating the lesions with a weak solution of iodine or potassium permanganate.

Treatment of stomatitis in children

Treatment of childhood and adult stomatitis follows the same methods. At the same time, some drugs used for adults are replaced with those that are better suited for the child’s body. First of all, we are talking about antibiotics, antiseptics and drugs to enhance immunity. Children are often prescribed more gentle methods, which include the use of herbs and natural tinctures for rinsing. At an early age, dentists recommend preventing stomatitis using traditional medicine.

Prevention

To avoid the occurrence of stomatitis and its relapses, you should adhere to the following recommendations.

• Maintain oral hygiene.
• Avoid using products containing sodium lauryl sulfate.
• Protect the oral mucosa from injury.
• To treat teeth and gums, contact experienced, qualified specialists.
• Balance your diet with healthy foods.
• Strengthen immunity.
• Be attentive to your physical health and psycho-emotional state - if necessary, seek help from specialized specialists.

And do not forget that herpes stomatitis can be transmitted from person to person - follow the rules of hygiene.

Treatment of aphthous stomatitis

A distinctive feature of this type of stomatitis is the appearance of so-called aphthae on the oral mucosa. These are small round ulcers with redness at the edges, the touch of which causes unpleasant painful sensations. Often occurs as a result of the activity of microorganisms (in particular, staphylococcus). Treating aphthous stomatitis at home is only recommended if it is not caused by a more severe illness. Often aphthous stomatitis occurs with problems with the immune system, liver and gastrointestinal tract.

Treatment methods

• Allergy therapy.
• Antiseptic therapy (treatment of aphthae with anti-inflammatory solutions, gels and ointments).
• Dental treatment and sanitation of the oral cavity (after dental treatment, stomatitis occurs less frequently than in the presence of carious lesions).
• Immunotherapy.
• Diet.

Photo of stomatitis

Clinical researches

Repeated clinical studies have proven that the two-component mouth rinse ASEPTA ACTIVE more effectively combats the causes of inflammation and bleeding compared to single-component rinses - it reduces inflammation by 41% and reduces bleeding gums by 43%.

Sources:

1. The role of anti-inflammatory rinse in the treatment of periodontal diseases (L.Yu. Orekhova, A.A. Leontyev, S.B. Ulitovsky) L.Yu. OREKHOVA, Doctor of Medical Sciences, Prof., Head of Department; A.A. LEONTIEV, dentist; S.B. ULITOVSKY, Doctor of Medical Sciences, Prof. Department of Therapeutic Dentistry of St. Petersburg State Medical University named after. acad. I. P. Pavlova
2. The use of adhesive balm "Asepta®" in the treatment of inflammatory periodontal diseases L.Yu. OREKHOVA*, Dr. med. Sciences, Professor, Head of Department V.V. CHPP**, Dr. med. Sciences, Professor, Head of Department S.B. ULITOVSKY*, Dr. med. Sciences, Professor A.A. LEONTIEV*, dentist A.A. DOMORAD**, O.M. YAKOVLEV** SPbSMU named after. acad. I.P. Pavlova, St. Petersburg - *Department of Therapeutic Dentistry, **Department of Microbiology
3. https://cyberleninka.ru/article/v/puti-sovershenstvovaniya-pervichnoy-profilaktiki-zabolevaniy-parodonta Acute herpetic stomatitis in children, Baranaeva E.A. Merkulova E.P. magazine "Medicine and Healthcare"
4. https://cyberleninka.ru/article/v/osobennosti-protivoretsidivnogo-lecheniya-allergicheskogo-stomatita Acute stomatitis in children, Drobotko L.N., Strakhova S.Yu.