Conservative therapy of ulcerative lesions of gums is carried out in several directions: destruction of infection, alleviation of the patient's condition and strengthening of his immunity. Treatment of ulcers on the gums resulting from such serious infections as syphilis, tuberculosis, HIV is carried out in a hospital under the supervision of specialists.
With gingivitis, mainly local preparations are prescribed. It should be noted that the effective effect of the drug will only after cleaning the dental deposits in the dentist. After this procedure, appropriate treatment will be prescribed.
Antibacterial effect has gel Metrogil Denta - complex (metronidazole + chlorhexidine) treatment for oral cavity, it has insufficiently high concentration (below the therapeutic) antibacterial component, however, in some cases it is enough. Effects on the proinflammatory mediators gel does not have, as well as local anesthesia.
A more effective antibacterial agent is Holisal-gel - a combination of choline salicylate (anti-inflammatory, antiseptic, analgesic action) and cetalkonium chloride (bactericidal and fungicidal). Acts instantly, inhibits the action of cyclooxygenase, a catalyst for the synthesis of inflammatory mediators. The gel can be applied to the gum for two to three times a day - before eating, to stop pain, and after eating - to kill germs and relieve inflammation. This drug is approved for use with a one-year-old age, possibly its use by pregnant and lactating women.
Gum treatment is performed twice a day after meals and hygiene procedures. First carefully brush your teeth with a soft brush, trying not to injure the sores, then you should rinse your mouth with Chlorhexidine and get wet gums with gauze or a cotton pad. The gel is applied with a clean finger not only on the front part of the gum, but also on the inside. After that, you can not drink about half an hour and eat for two or three hours. Saliva does not spit, but is swallowed, as usual.
With inflammation caused by viruses, antibacterial gels are absolutely useless. The doctor can prescribe Bonaflon Ointment (0.5%), which is effective when infected with herpes simplex virus. It blocks the processes of its development and growth. It is applied to the affected surface twice or thrice a day.
It is active against the herpes simplex virus, as well as adenovirus and influenza virus Tebrofen ointment. It is produced in concentrations of 0.25 and 0.5%. Depending on the severity of the process, the doctor will prescribe the required concentration and frequency of application (three to four times a day).
Herpetic stomatitis is usually accompanied by severe pain, as an anesthetic is recommended Anestezinovaya ointment (active ingredient - benzocaine). Surface anesthesia occurs a minute after application. It can be used both for adults and children from the age of two. May cause allergies, not intended for lactating mothers. In the place of application sensitivity may be impaired.
Analgesic properties have Benzydamine - mouthwash, which additionally has an additional anti-inflammatory effect.
According to the practice of dentists, most of the stomatitis, especially in children, is an allergic reaction. Children and adults who assume allergy prescribe antiallergic drugs, for example, Fenkarol (hifenadine hydrochloride) - blocking H1 receptors and, in addition, stimulating the enzymatic activity of diaminoxidase, which cleaves almost a third of endogenous histamine. It surpasses classical antihistamines by activity, and also by the duration of the action. Characterized by speed and does not cause severe sedation. Contraindicated with individual sensitivity and in the first trimester of pregnancy.
Take orally after eating: adults - three times or four times a day, the daily dose should not exceed 0.2 g.
Children's dosages: less than three years - no more than 15 mg / day in two or three doses; 3-6 years - 20 mg / day in two divided doses; 7-12 years - 30-45mg / day in two or three sessions; over 12 years old - 50-75 mg / day in two or three doses.
Ulcers treated with antiseptics, prescribe local anesthesia.
To remove bacterial plaque that slows healing of the ulcer, use furatsilin, hydrogen peroxide, carbamide peroxide. To accelerate the healing and activation of restoration of the gingival tissue, ointments with a keratoplastic effect (Solcoseryl, Metiluracil) are used.
An obligatory condition for effective treatment of fusospirochetosis is scrupulous treatment of the oral cavity, including the removal of dead tissue and deposits of nad- and subgingival calculus. In the course of treatment, the oral cavity is washed with antiseptic solutions of chlorhexidine, potassium permanganate, hydrogen peroxide and others, with particular attention paid to the edge of the gums and dentogingival pockets. In the clinic appoint daily applications of solutions of proteolytic enzymes, for example, Trypsin, cleavage of dead tissue and fibrinous clots, diluting viscous products of secretion and exudation, relieves inflammation. At home, the patient can treat the gum with Maraslavin (a multicomponent plant antiseptic), which, in addition, anesthetizes, accelerates healing, reduces allergy and inflammation. Also at home, rinsing with a warm antiseptic is recommended.
Broad-spectrum antibiotics are prescribed in severe or complicated cases (with ulcerative necrotic angina), when local procedures do not have a quick effect. Anaerobic bacteria that cause disease, spindle-shaped sticks and borrelias of Vincent, are destroyed with the help of antibacterials of a wide spectrum of action. They are sensitive to Clindamycin or Metronidazole.
According to the indications can be prescribed drugs to maintain cardiac activity, antihistamines,
Patients after Vincent's gingivostomatitis undergo regular medical examination for a year after the cure.
Ulcerative necrotic gingivitis, which developed in the pathologies of the hematopoietic system, scurvy, poisoning with mercury, is treated with systemic therapy.
In the treatment of ulcerative lesions of the gums of any etiology, the patient must be prescribed vitamins: ascorbic acid, thiamin, pyridoxine and other by the choice of a doctor, helping to strengthen the body's defenses.
In the treatment of inflammation of the oral cavity, physiotherapy is widely used. Effective is considered the influence of ultraviolet rays or currents of d'Arsonval on aphthae. Medicinal electrophoresis is used for anesthetizing and relieving inflammation.
With inflammation of the gums, including purulent, electromagnetic fields of ultrahigh and superhigh frequency can be used. Magnetic waves of centimeter range are used.
Ulcerative gingivitis is treated with laser, magnetic and ultrasound therapy.
Physiotherapeutic procedures allow you to achieve a therapeutic effect faster. When they are used, the medication is minimized, thereby reducing the likelihood of side effects. Usually, physiotherapy is well tolerated by patients of any age. Although there are a number of contraindications to the use of these methods of treatment, in particular, neoplasms and blood diseases, metal prostheses in the zone of action. Pregnant women are prohibited from microwave and laser therapy. Do not prescribe physiotherapy during acute illnesses and patients with decompensated chronic pathologies.
If the defect is single and is not accompanied by systemic symptoms and its origin (traumatic, allergic, consequences of infections, chronic diseases) seems obvious, you can try to get rid of the sore home remedies. But it should be borne in mind that gum tissues have good restorative abilities and, if the fast positive result of the applied efforts is not noticeable, do not pull with the reference to the dentist. Perhaps pathology requires a completely different treatment.
Ulcers that occur when the gums injure the sharp edges of the untreated tooth, poor-quality crown and other similar causes, first of all, require their elimination (refurbishment or treatment of the tooth, elimination of an incorrect bite, defect of the prosthesis).
It is necessary several times a day to rinse the mouth with infusions of medicinal herbs (marigold, sage, chamomile), and in the morning it is desirable to rinse with disinfectant solution, for example, soda or furatsilina. And then during the day after each meal rinse the mouth with infusion of some herbs and grease ulcers with a cotton swab with sea buckthorn oil. You can apply Maraslavin, which is imposed on aftochki and inflamed gums in the form of lotions. Without a prescription, Metrogyl-dent gel, which has a moderate antimicrobial effect, can be bought at any pharmacy, you can use Metiluracil Ointment to speed up healing. To reduce inflammation and disinfection, it is possible to treat the oral cavity with Ingaliptum or Lugol's solution in the form of a spray.
Viral stomatitis can be tried with antiviral ointments, without forgetting to rinse your mouth with antiseptics (infusions of herbs, potassium permanganate solution). Pharmacy preparations should be used according to the instructions to them.
Antiseptic rinse solution can be prepared as follows: dissolve four or five tablets of furacilin in boiling water (0.4-0.5 l), then add a teaspoon of sea salt, stir well when the water temperature drops to 37 ℃, add a teaspoon to the solution soda. Rinse with room temperature or a little warm during the day.
As a disinfectant solution, it is also possible to use manganese. It must be well filtered so that no undissolved grains can enter that can cause a burn of the mucous membrane.
Alternative treatment of ulcerative gingivitis involves the use of both pharmaceuticals and cooked houses. Prescriptions for alternative medicine can be included in medical treatment regimens for treating the oral cavity at home. Only preliminary it is necessary to consult with the attending physician, as not always alternative means are combined with medicinal.
For the treatment of aphthous stomatitis, the following can be used: a crushed tablet of nystatin to grind with the contents of the ampule of vitamin B12 for injection. With this mixture, spread the aphthae and the inflamed part of the gum. The author claims that the beneficial effect of such treatment comes almost immediately and recommends the use of this remedy for the treatment of sores on children's gums.
For rinses, you can use the tincture of calendula. Dilute in the proportion: for ½ cup of water - 25 drops of tincture. Hydrogen peroxide for rinsing is taken in the amount of a teaspoon per ½ cup of water.
Afts can simply be lubricated with honey if there is no allergy to this product. Honey can be used several times a day, it can also be used to treat young children.
You can lubricate the gums with honey, mixed with mashed almond nuts. The remedy is effective even with herpetic stomatitis.
Aphthous stomatitis can be cured quite simply, regularly rinsing the mouth with hot water. For mouthwashes, freshly squeezed carrot juice is used, diluted with water, decoctions of oak bark or walnut leaves.
It is possible to get rid of the sore on the gum with the help of herbal treatment. For example, rinse your mouth with infusion after eating at least twice a day:
- from the root of the cotton napkin - brew 20g of grass ¼ liter of boiling water, after two hours strain;
- from the grass of elecampane - will brew 50g of grass ½ liter of boiling water, strain in half an hour;
- from the herb of thyme - brew a tablespoon of vegetable raw materials ¼ liter of boiling water, strain in half an hour.
Decoction of marigolds (marigolds) is also used for rinses, for which a tablespoon of dried flowers are brewed ¼ liter of boiling water and boiled on low heat for another ten minutes, filter and rinse the mouth.
You can take a medicine from a freshly cut yarrow. The entire aerial part of the plant is used. Grind it and squeeze out the juice, mix it with honey to taste. The course of treatment - three weeks, daily dose - three teaspoons.
However, do not forget that treatment with alternative means can help only in cases where ulcerative lesions of the gums are caused by completely harmless causes. If the sores appear regularly, this may indicate the presence of serious general pathologies. In this case it is necessary to be carefully examined.
Homeopathic treatment, based on the activation of the body's own defenses, is safe (almost without side effects) and very effective, excellently copes with the formation of ulcers on the gums, even caused by systemic chronic pathologies. Self-medication in this case is unacceptable, consultation of a doctor of appropriate qualification is needed, since effective treatment is possible only with the correct appointment of an individual homeopathic preparation. Very good at homeopathic treatment of children.
In the treatment of ulcerative gingivitis, both constitutional remedies and those prescribed for symptomatology are used. Often, Nux vomica, Lycopodium, Sulfur, Lachesis, Tuya, Mercurius solubilis, Mercurius solubilis (mercury solubilis mercury) and other drugs are used. . For example, Mercurius solubilis and Hepar Sulfur may be prescribed in the case of purulent ulcers, however, other properties of the drug are taken into account when prescribing. Its effect is influenced by homeopathic breeding. So, high dilutions of Hepar Sulfur stop the formation of pus and act resorptively, and low - can contribute to suppuration. The same drug can be used for problems with teething wisdom. When allergic ulcers are prescribed Apis (Apis - bee venom), usually in medium dilutions.
Vincent's Gingivostomatitis can be successfully cured by Belladonna, Phytolacca (American Phytolacca), Capsicum (Capsicum - vegetable pepper).
With aphthous stomatitis, the doctor can recommend Mercurius solubilis (Mercurius solubilis - mercury), Borax (Borax), Calendula officinalis (Calendula), Nitricum acidum (Acidum nitricum - nitric acid).
Individually prescribed medication can bring a quick enough relief from pain, inflammation and other discomfort, and also help to eliminate the underlying disease. But, it should be noted that in spite of small doses and the absence of side effects, homeopathic preparations should not be taken alone. Wrongly appointed, they can cause a number of painful symptoms.
Pharmacy homeopathic preparations can be prescribed by the dentist, as a component of a therapeutic regimen or a mono drug. The drug for the treatment of inflammation in the oral cavity is Nux vomica-Homaccord. It consists of four independent homeopathic remedies, each of them in several dilutions. The action of its components determines the overall therapeutic effect of the drug:
Nux vomica (Nux vomica or nausea, vomiting) cures inflammatory processes throughout the entire esophageal tract from the oral cavity (gingivitis and stomatitis) to the colon and rectum of microbial and neurological etiology, and also due to excessive consumption of alcoholic beverages and tobacco products
Bryonia (Brionia or white perestupen) - has analgesic abilities, has an effect on the mucous membranes.
Licopodium (Lycopodium or mace-shaped buzzard) is an anti-inflammatory and analgesic effect, including on the oral mucosa.
Colocynthis (Colocynthis) - antispasmodic, removes inflammation and intoxication.
Sensitization reactions to the ingredients of the preparation are possible. Drops are taken a quarter of an hour before meals or an hour later, spreading them in half a glass of water and drinking three times during the day at regular intervals, without immediately swallowing and holding some time in the mouth. Dosage: children 0-1 year - a day for nine drops, 2-6 years - 15 drops, patients over 6 years - 30 drops. You can dilute in a teaspoon a single dose of the drug: children 0-1 year - three drops, 2-6 years - 5 drops, patients older than 6 years - 10 drops and take sublingually three times a day.
For the purification of the body, the removal of intoxication and inflammation are taken in conjunction with complex homeopathic preparations Renel (in addition, enhances the analgesic effect) or Lymphomyosot (improves the outflow of lymph, enhances the immune stimulating effect).
Basically ulcerative lesions of the gum are treated with conservative methods, however, with complications such as fibrotic hypertrophic gingivitis, such treatment is often ineffective. Then they resort to surgery. Expanded interdental papillae of the gums are removed with liquid nitrogen (cryodestruction). The method of diathermocoagulation is also used - cauterization of hypertrophied tissue with the help of alternating current of high frequency.
Practically there is excision of hypertrophied interdental papilla with the help of a surgical scalpel (gingivectomy).
If erosive leukoplakia is diagnosed, excision of the foci is also recommended, followed by a histology of samples of the removed tissues for the purpose of earlier detection of the malignant process.
Malignant neoplasms, manifested as an ulcer on the gum, are subject to surgical treatment.