![]() ![]() Some theorize that the oil has a soap-like effect and cleans the teeth and gums, that the oil reduces plaque buildup and makes it harder for bacteria to stick, and that it may have antioxidant or antibiotic properties. Management of Aphthous Ulcers.While there are various theories on how oil pulling works, the exact mechanism is still unclear. Silver Nitrate Stick Helps Manage Aphthous Ulcers. Īm Fam Physician. 2000 Jul 1 62(1):149-154. Silver nitrate cautery in aphthous stomatitis: a randomized controlled trial. The treatment is simple and cost-effective in patients with infrequent recurrences.” Br J Dermatol 2005īr J Dermatol. 2005 Sep 153(3):521-5. The effect is rapid and lasts for the duration of the lesion. We did not observe any side-effects in our study. Lesions can be numbed with topical lidocaine prior to chemical cautery, and patients should rinse with water for several minutes after the procedure.Ī RCT published in the British Journal of Dermatology found that “One application of silver nitrate can decrease the severity of pain in aphthous ulceration without significantly shortening or prolonging healing time. Although silver nitrate cautery may cause more tissue necrosis and longer healing time if it is left in place too long, I have not found this to be a problem.” You should warn them that the procedure may sting for a moment but, considering that they are already in pain, they don’t really notice much difference. ![]() Have patients swish out the silver nitrate and send them home. When the ulcer turns white, remove the stick. The procedure is simple: wet the tip of the stick and gently touch it to the ulcer. Obviously, one needs to be sure there is no other apparent etiology but, because the most common cause is not related to underlying disease, the silver nitrate stick works wonders, and patients walk out of the office pain free. In children and in women who may be pregnant, tetracycline should be avoided because of its tendency to discolor teeth.Īn AAFP letter to the editor in 2001 explained how to use silver nitrate sticks to treat aphthous ulcers. Triamcinolone 0.1% in Orabase (Kenalog in Orabase)Īpply to dried ulcer 2 to 4 times daily until healedĢ00 mg, one to two times daily for 3 to 8 weeks Warning: contraindicated in pregnancyĪpply to dried ulcer two to four times daily Treatment for oral aphthous ulcers can bed divided into:ġ capsule dissolved in 180 mL of water rinse with this suspension four times daily for 4 to 5 daysĥ mL “swish and spit” four times daily for 4 to 5 daysġ tablet dissolved in 180 mL of water rinse with this suspension twice daily for 4 to 5 days Common Treatments for Aphthous Ulcers, AAFP Antibiotic therapy in this case would prevent bacterial superimposition. I’ve also seen similar treatment used for significant oral ulcers caused by Herpes (HSV1 and HSV2). Tetracycline and minocycline are the best. Topical and systemic antibiotic treatments are empiric and are used because of a belief that some as-yet-undiscovered infectious agent is causing the aphthous ulcer. I’ve also worked with another attending who just gave a z-pack as the antibiotic. *Some people use magic mouthwash preparation. The patient will open it up and put in small amount of water and swish and swallow.
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