What is better Cholisal or Kamistad for teething

The compared medications that are actively used in dentistry are painkillers and anti-inflammatory gels. They are applied directly to the oral mucosa and are safe for use except in cases of allergies. Cholisal and Kamistad are interchangeable treatment options, despite the fact that their composition and some features of use differ. The easiest way would be to consider the pros and cons of using these gels for adults and children.

Comparison of the effectiveness of Kamistad and Kholisal

The effectiveness of Kamistad is quite similar to Cholisal - this means that the ability of the drug substance to provide the maximum possible effect is similar.
For example, if the therapeutic effect of Kamistad is more pronounced, then using Cholisal even in large doses will not achieve this effect.

Also, the speed of therapy - an indicator of the speed of therapeutic action - is approximately the same for Kamistad and Kholisal. And bioavailability, that is, the amount of a drug reaching its site of action in the body, is similar. The higher the bioavailability, the less it will be lost during absorption and use by the body.

Differences in indications and use

Both dental gels are used to relieve inflammation and reduce pain in damaged oral mucosa (stomatitis, periodontitis, gingivitis). Comistad - a German-made gel exhibits a better analgesic effect, Cholisal has a more pronounced antiseptic and anti-inflammatory effect (produced in Poland and Russia), is indicated for a wider range of problems with the oral mucosa, in which its competitor is not used, namely:

  • candidiasis (“thrush” of the mouth),
  • lichen planus (itchy dermatosis localized in the mouth),
  • Stevens-Johnson syndrome (not as a primary, but as an auxiliary remedy).

In children's forms, Cholisal and Kamistad are used for teething. “Adult” Kamistad is not recommended for these purposes due to the lidocaine content, but the line has a special form Kamistad Baby, which does not contain lidocaine, so it is better to use it. For a child, it is enough to squeeze out a little gel (about half a centimeter) onto a cotton swab or clean finger and rub lightly into the gums 2-3 times a day. “Children’s” Cholisal is used with the same frequency and in the same quantities, preferably before feeding and/or before bedtime.


Cholisal for children (15 g)

Comparison of safety of Kamistad and Kholisal

The safety of a drug includes many factors.

At the same time, Kamistad’s is higher than Kholisal’s. It is important where the drug is metabolized: drugs are excreted from the body either unchanged or in the form of products of their biochemical transformations. Metabolism occurs spontaneously, but most often involves major organs such as the liver, kidneys, lungs, skin, brain and others. When assessing metabolism in Kamistad, as well as in Cholisal, we look at which organ is the metabolizing organ and how critical the effect on it is.

The risk-benefit ratio is when the prescription of a drug is undesirable, but justified under certain conditions and circumstances, with the obligatory observance of caution in use. At the same time, Kamistad has fewer risks when used than Cholisal.

Also, when calculating safety, it is taken into account whether only allergic reactions occur or possible dysfunction of the main organs. In other matters, as well as the reversibility of the consequences of using Kamistad and Kholisal.

What effect can you achieve?

Dental gel for the treatment of stomatitis is a hydrophilic jelly-like substance that can hold its shape. This form of release is becoming more and more common, since the gel does not change the hydrobalance of the skin and mucous membranes, has rapid absorption and is evenly distributed over the entire area of ​​application. Dental practice already includes a large number of medications that are a gel substance.

Gels have a better effect compared to ointments and creams, since the composition does not contain a fatty base, which gives greater absorption into the surface. This property allows you to quickly eliminate the source of inflammation.

The gels are produced with an anesthetic effect, but they also contain anti-inflammatory components. For this reason, gels belong to the group of combined medications used for local treatment.

A gel that can relieve you of stomatitis, just like any other medicine, can be chosen correctly by your attending physician. The specialist will take into account the form of development of stomatitis, the degree of neglect and the area of ​​localization.

The composition of gels usually contains:

  • analgesic - a substance that acts on nerve endings and reduces the sensitivity of the mucous membrane;
  • antiseptic components;
  • antiviral and antimicrobial substances.

Comparison of addiction between Kamistad and Kholisal

Like safety, addiction also involves many factors that must be considered when evaluating a drug.

So, the totality of the values ​​of such parameters as “o syndrome” in Kamistad is quite similar to the similar values ​​in Kholisal. Withdrawal syndrome is a pathological condition that occurs after the cessation of intake of addictive or dependent substances into the body. And resistance is understood as initial immunity to a drug; in this it differs from addiction, when immunity to a drug develops over a certain period of time. The presence of resistance can only be stated if an attempt has been made to increase the dose of the drug to the maximum possible. At the same time, in Kamistad the meaning of the “syndrome” is quite small, however, the same as in Kholisal.

Preparation for use

The jelly-like consistency of stomatitis gels is the most popular among dentists for the following reasons:

  • active components are substances with prolonged activity;
  • comfort in use;
  • the composition of the gels has an aqueous structure, which allows the inclusion of substances with incompatible chemical properties into the preparation;
  • the gel is able to linger on tooth enamel, which is especially valuable for preventive measures of carious tooth decay;
  • the gel is equally effective both in the case of electrophoresis and when applying applications.

Gel-like preparations for stomatitis have virtually no disadvantages. Gels for stomatitis, as a rule, are best used in the case of an initial, non-advanced form of the disease.

https://www.youtube.com/watch?v=OgU248w4JjQ

The preparation process for applying the gel is as follows. Before using the gel, treatment of the mucous membrane is necessary. To do this, you can use a cotton swab soaked in sea buckthorn oil or rosehip oil. Sea buckthorn oil for stomatitis allows you to disinfect and soften the mucous membrane.

Then the mouth must be rinsed. To do this, use decoctions of nettle, chamomile or calendula. To eliminate discomfort and pain, it is recommended to include antiseptic solutions in the treatment.

You need to know the rules for applying the gel. Many people apply the drug only to the ulcers, but for maximum effect the mucous membrane must be completely treated. After application, do not eat or drink for an hour. Only by following these simple rules is it possible to obtain a therapeutic effect.

Comparison of side effects of Kamistad and Cholisal

Side effects or adverse events are any adverse medical event that occurs in a subject after administration of a drug.

Kamistad's rate of adverse events is almost the same as that of Cholisal. They both have few side effects. This implies that the frequency of their occurrence is low, that is, the indicator of how many cases of an undesirable effect of treatment are possible and registered is low. The undesirable effect on the body, the strength of influence and the toxic effect of Kamistad are similar to Cholisal: how quickly the body recovers after taking it and whether it recovers at all.

Based on their composition, the following groups of gels can be distinguished:

  1. Teething gels with an analgesic effect - the basis of this group of products is an anesthetic (usually lidocaine hydrochloride), they act superficially, providing a quick effect. Most often, lidocaine-based drugs include anti-inflammatory, antiseptic or homeopathic components, providing a combined effect of the gel.
  2. Gels for teething on a homeopathic basis - include extracts of various plants, which provide an analgesic and anti-inflammatory effect.
  3. Gels based on anti-inflammatory or antiseptic agents.

Any teething gel is a local remedy that cannot provide long-term pain relief. It is recommended to use such drugs no more than six times a day.

Comparison of ease of use of Kamistad and Cholisal

This includes dose selection taking into account various conditions and frequency of doses. At the same time, it is important not to forget about the release form of the drug; it is also important to take it into account when making an assessment.

The ease of use of Kamistad is approximately the same as Cholisal. However, they are not convenient enough to use.

The drug ratings were compiled by experienced pharmacists who studied international research. The report is generated automatically.

Last update date: 2020-12-04 13:45:20

Top 7 best gels to ease teething

Name Price Description Compound Rating
The Best Cooling and Pain Relieving Gels for Teething
1. Kalgel From 243 rubles Combined gel to facilitate teething, which has anti-inflammatory and local anesthetic effects. Cetylpyrimidinium chloride, lidocaine hydrochloride, excipients. 9.8
2. Dentinox From 205 rubles A combined drug that eliminates pain and prevents the development of inflammatory processes in the oral mucosa. Polidocanol, lidocaine, tincture of chamomile flowers and excipients. 10.0
3. Kamistad From 183 rubles Chamomile tincture acts as an anti-inflammatory, wound-healing and antiseptic component, and lidocaine relieves pain. Lidocaine, tincture of chamomile flowers, auxiliary components. 9.6
4. Dentol baby From 143 rubles Provides rapid pain relief Benzocaine and excipients 9.4
A good gel based on drugs with an anti-inflammatory effect
5. Holisal From 304 rubles Helps eliminate the local inflammatory process and reduce tissue swelling, thereby relieving pain. Cetanconium chloride, choline salicylate and auxiliary components. 9.7
The best homeopathic gels to ease teething
6. Baby doctor From 207 rubles A product based on natural ingredients, it almost instantly eliminates inflammation and soothes the oral mucosa. Extracts of calendula, echinacea, chamomile, plantain, marshmallow root, excipients. 9.9
7. Pansoral first teeth From 225 rubles Has a softening and calming effect. Extracts of saffron, chamomile, marshmallow root, excipients. 9.5

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Review of popular pain-relieving dental gels for children

Anesthetic gels for teeth for children can be divided into 2 large groups: with lidocaine (or any other anesthetic in the composition) and without an anesthetic component.

Lidocaine, if it gets on the mucous membrane of the tongue, can affect breastfeeding, complicating the sucking reflex in the baby.

Gels are also divided into herbal, or homeopathic, and conventional preparations. The average duration of the analgesic effect of drugs ranges from 3 to 5 hours. Toothache gel for children with a long-lasting effect lasts for 5 hours; it is enough to apply 2-3 times a day, but most likely it will contain an anesthetic.

Herbal preparations are less prolonged and are indicated for application 3-4 times a day, but do not have the disadvantages of anesthetic medications. An overview of popular tools is presented in the table.

NameHow to usePrice
Cholisal, does not contain anestheticRub into the gums two to three times a day 15 minutes before (or after) meals, and also before bed. Can be used from 12 months 280 rubles
Pansoral, does not contain anestheticSqueeze out a pea size of 3-5 mm, apply to the affected area 3-4 times a day, maximum daily dose 12-20 mm, last use - before bed, can be used from 4 months330 rubles
Kalgel, contains lidocaineApply to the inflamed area with massaging movements no more than 6 times a day, the interval between procedures is at least 20 minutes, you can start from the age of 5 months475 rubles
Kamistad Baby, lidocaineLubricate the gums with massaging movements no more than 3 times a day, can be used from 3 months330 rubles
Dentinox, contains lidocaineRub 1 drop of gel into the irritated area of ​​the gum 2-3 times a day, you can start using it from 4 months307 rubles
Stomagel, contains lidocaineApply Stomagel to the inflamed area of ​​the gum, repeat no more than 4 times a day, you can start using it from 3 years of age414 rubles
Dentol Baby, contains benzocaineApply 3-4 times a day after meals or half an hour before meals, use no longer than 7 days, approved for use from 4 months at a concentration of 7.5%330 rubles

Cholisal for teething babies can be used from 12 months; use up to a year requires great caution.

Composition, formAction
Transparent gel of homogeneous mass with the smell of anise oil
Main components:
  • choline salicylate;
  • cetalkonium chloride.

Auxiliary:

  • hyaetellosis;
  • methyl parahydroxybenzoate;
  • propyl parahydroxybenzoate;
  • glycerol;
  • anise seed oil;
  • ethanol 96%;
  • water.
  • Choline salicylate has analgesic, anti-inflammatory and antipyretic effects, and also has antimicrobial and antifungal effects.
  • Cetalkonium chloride is an antiseptic that acts on bacteria, fungi and viruses.
  • The gel base allows the effect to occur very quickly: it begins within 2-3 minutes and lasts from 2 to 8 hours. When applied to the mucous membrane, it is well absorbed.

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Cholisal does not contain sugars. No cases of overdose have been identified, but if burning or redness occurs in the area of ​​application, you should consult a doctor. When using this medication, the effect of other anti-inflammatory, antipyretic and analgesic drugs is enhanced.

Pansoral

Gel Pansoral is a dental anti-inflammatory non-narcotic analgesic-anesthetic for external use. It also has the following effects:

  • anti-aggregation (reducing edema);
  • antiseptic (antimicrobial).

The gel-like base allows you to quickly penetrate the mucous membrane and begin to act 1-2 minutes after application, relieving swelling, tension and pain in the oral cavity. The gel contains:

  • choline salicylate is an analgesic and antipyretic, reduces inflammation and the pain caused by it;
  • Cetalkonium chloride – an antiseptic with disinfectant effects, active against bacteria, fungi and viruses;
  • ethanol;
  • inert carrier.

Pansoral gel contains alcohol, so it is not used in infants, preferring the children's version Pansoral First Teeth.

First teeth

Gel Pansoral First Teeth is used from 4 months and is safe for use by infants because it contains only herbal ingredients. The French company Pierre Fabre guarantees the environmental friendliness and safety of these components, indicating that the plants grow in fields untreated with herbicides and pesticides and are collected by hand. Main components of the gel:

  • Extract of cultivated Roman chamomile: the composition contains a natural substance monoterpene-antimene, which has strong antiviral, antifungal, antiseptic and wound-healing properties. This substance successfully cleanses and stimulates mucosal protection, and also optimizes local blood supply, relieving swelling.
  • Marshmallow root extract: the main active compound is mucous galacturorumnans. They reduce inflammation and soften the surface, improving regeneration.
  • Extract from the stigmas of flowering saffron sativum: terpene aldehydes, carotenoids, vitamins riboflavin and thiamine have a calming and analgesic effect and promote healing of the oral mucosa.

Auxiliary:

  • Irish carrageen moss is a natural antioxidant that protects mucous membranes;
  • preservatives with antiseptic functions: methyl -4-hydroxybenzoate, sodium propylparaben, sodium benzoate;
  • carbomer;
  • glycerol.

The gel can be applied frequently as it contains no alcohols or sugars. But you need to make sure that the product does not get into your eyes, and you also cannot apply it to the teething ring that the child is gnawing on. It should not be used if you are allergic to salicylates or if you are under 3 months of age.

The Israeli teething remedy First Teeth has gained great popularity due to its safety and multi-component herbal composition. It contains extracts:

  • calendula;
  • echinacea;
  • plantain;
  • daisies.

The gel is not limited in the number of applications per day, since no negative reactions have been observed. It forms a thin protective film on the surface of the wound, under which inflammation, pain and tissue regeneration improve.

Colgate for children for gums is a children's toothpaste from the Elmex professional line. The paste can be used from 6 months and is suitable for use during teething.

It contains an expensive and better type of fluoride - amino fluoride at a concentration of 500 ppm. Aminofluoride strengthens the low-mineralized enamel of children's teeth and has a high anti-caries effect. During the procedure, active fluoride ions are released, which also have an antimicrobial effect and stimulate the healing of surrounding tissues. The paste has no dyes or preservatives.

Kalgel

Kalgel is a dental gel for pain relief during dentalgia and teething. The main components include:

  • lidocaine hydrochloride;
  • cetylpyridinium chloride.

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In additional:

  • sorbitol solution;
  • xylitol;
  • ethanol;
  • glycerol;
  • hyaetellosis;
  • macrogol;
  • sodium saccharinate;
  • levomenthol;
  • herbal chamomile flavor;
  • caramel;
  • sodium citrate;
  • water.

Lidocaine in the medication has an anesthetic effect, and cetylpyridinium is an antiseptic. Both components are absorbed from the mucosal surface and excreted by the kidneys after metabolism in the liver.

The anesthetic lidocaine, in addition to its main effect, can cause slight numbness in the tongue area, which will make breastfeeding difficult. The drug is suitable for quick pain relief. It can be used in children from 3 months: 7.5 mm of gel is applied to the surface of the inflamed gum, after 20 minutes it can be repeated.

Kamistad

Kamistad is also an antiseptic and anesthetic. This gel has the following composition:

  • main ingredients: lidocaine hydrochloride, chamomile flower extract (estrangement contains ethanol and trometamol);
  • auxiliary: benzalkonium chloride, cinnamon oil, sodium saccharinate, trometamol, formic acid, ethanol and water.

The gel is applied to the affected area and quickly relieves pain. Chamomile flowers have an anti-inflammatory, regenerating and antiseptic effect on the mucous membrane, and auxiliary components help to consolidate the effect. But the gel cannot be used in children under 12 years of age.

There is a children's version of Kamistad Baby Gel. It has identical active main components, but differs in auxiliary components, which allows it to be used in children older than 3 months.

Kalgel and Kamistad have a similar composition and effect. When using Kamistad in children, it is necessary to choose a product labeled “Baby”, since the gel itself is approved only from 12 years of age. Both gels have similar properties and effects, however, Kamistad cannot be used when a child is teething.

Kamistad contains more plant components, while Kalgel has a more pronounced antiseptic effect due to the active substance. In Kamistad, this effect is replaced by chamomile extract. The analgesic effect of both drugs is equivalent according to patient reviews.

Dentinox gel can be used to relieve teething pain in children under one year of age. The drug contains lidocaine and antiseptics, as well as herbal substances:

  • lidocaine hydrochloride;
  • chamomile flower extract;
  • lauromacrogol.

Due to herbal components, the gel relieves inflammation and helps the wound heal faster, and lidocaine provides quick pain relief. Dentinox is safe to use and does not cause adverse reactions, except for possible allergies to components. It is applied to the affected surface 2-3 times a day, you need to rub the drug into the surface. Do not allow the medication to get into your eyes.

Stomagel for children

Stomagel for children is used after three years. This is due to its active ingredients, which are not used at a younger age.

BasicAuxiliary
  • Methyluracil
  • Lidocaine hydrochloride
  • Heavy fraction of pine essential oil
  • Lecithin
  • Silbiol
  • Alpha tocopherol
  • Methyl parahydroxybenzoate
  • Undecylenic acid monoethanolamide
  • Trolamine
  • Ethanol
  • Carbomer
  • Purified water

conclusions

In conclusion, it is worth recalling that any listed drug must be prescribed by a doctor who monitors your health. Any independent intervention in the infectious process developing in the oral cavity can lead to disastrous consequences. Therefore, if you experience discomfort or pain in your mouth, you should contact your dentist for a qualified examination and proper treatment. You can combine therapy with home applications and rinses for stomatitis only after consultation with your doctor.

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