FAQ
First of all, one that does not hurt the gums during use. At the same time, the quality of oral hygiene depends more on whether the teeth are brushed correctly than on the shape or type of toothbrush. As for electric brushes, for uninformed people they are the preferred option; although you can brush your teeth with a simple (manual) brush. In addition, a toothbrush alone is often not enough - flosses (special dental floss) should be used to clean between the teeth.
Rinses are additional hygiene products that effectively clean the entire oral cavity from harmful bacteria. All these funds can be divided into two large groups - therapeutic and prophylactic and hygienic.
The latter include rinses that eliminate unpleasant odors and promote fresh breath.
As for therapeutic and prophylactic, these include rinses that have anti-plaque / anti-inflammatory / anti-carious effects and help reduce the sensitivity of hard dental tissues. This is achieved due to the presence in the composition of various kinds of biologically active components. Therefore, the rinse must be selected for each individual on an individual basis, as well as toothpaste. And in view of the fact that the product is not washed off with water, it only consolidates the effect of the active components of the paste.
Such cleaning is completely safe for dental tissues and less injures the soft tissues of the oral cavity. The fact is that in dental clinics a special level of ultrasonic vibrations is selected, which affects the density of the stone, disrupts its structure and separates it from the enamel. In addition, in places where tissues are treated with an ultrasonic scaler (this is the name of the device for cleaning teeth), a special cavitation effect occurs (after all, oxygen molecules are released from water droplets, which enter the treatment zone and cool the tip of the instrument). The cell membranes of pathogenic microorganisms are torn by these molecules, causing the microbes to die.
It turns out that ultrasonic cleaning has a complex effect (provided that really high-quality equipment is used) both on the stone and on the microflora as a whole, cleaning it. And you can't say the same about mechanical cleaning. Moreover, ultrasonic cleaning is more pleasant for the patient and takes less time.
According to dentists, dental treatment should be carried out regardless of your position. Moreover, a pregnant woman is recommended to visit a dentist every one or two months, because, as you know, when carrying a baby, the teeth are significantly weakened, they suffer from a deficiency of phosphorus and calcium, and therefore the risk of caries or even tooth loss increases significantly. For the treatment of pregnant women, it is necessary to use harmless anesthesia. The most suitable course of treatment should be selected exclusively by a qualified dentist, who will also prescribe the required preparations that strengthen tooth enamel.
Treating wisdom teeth is quite difficult due to their anatomical structure. However, qualified specialists successfully treat them. Prosthetics of wisdom teeth is recommended when one (or several) neighboring teeth are missing or need to be removed (if you also remove a wisdom tooth, then there will simply be nothing to chew on). In addition, the removal of a wisdom tooth is undesirable if it is located on the jaw in right place, has its own antagonist tooth and takes part in the chewing process. You should also take into account the fact that poor-quality treatment can lead to the most serious complications.
Here, of course, much depends on the taste of the person. So, there are absolutely invisible systems attached to the inside of the teeth (known as lingual), and there are also transparent ones. But the most popular are still metal braces with colored metal / elastic ligatures. It's really trendy!
Let's start with the fact that it's just unattractive. If this is not enough for you, we give the following argument - the stone and plaque on the teeth often provoke bad breath. And that's not enough for you? In this case, we move on: if the tartar “grows”, this will inevitably lead to irritation and inflammation of the gums, that is, it will create favorable conditions for periodontitis (a disease in which periodontal pockets form, pus constantly flows out of them, and the teeth themselves become mobile). ). And this is a direct path to the loss of healthy teeth. Moreover, the number of harmful bacteria at the same time increases, due to which there is an increased cariousness of the teeth.
The service life of an accustomed implant will be tens of years. According to statistics, at least 90 percent of implants function perfectly 10 years after installation, while the service life is on average 40 years. Tellingly, this period will depend both on the design of the product and on how carefully the patient takes care of it. That is why it is imperative to use an irrigator during cleaning. In addition, it is necessary to visit the dentist at least once a year. All these measures will significantly reduce the risk of implant loss.
Removal of a tooth cyst can be performed by a therapeutic or surgical method. In the second case, we are talking about the extraction of a tooth with further cleaning of the gums. In addition, there are those modern methods that allow you to save the tooth. This is, first of all, cystectomy - a rather complicated operation, which consists in removing the cyst and the affected root tip. Another method is hemisection, in which the root and a fragment of the tooth above it are removed, after which it (part) is restored with a crown.
As for the therapeutic treatment, it consists in cleaning the cyst through the root canal. It is also a difficult option, especially not always effective. Which method to choose? This will be decided by the doctor together with the patient.
In the first case, professional systems based on carbamide peroxide or hydrogen peroxide are used to change the color of teeth. Obviously, it is better to give preference to professional bleaching.
Stomatitis is the name given to lesions of the oral cavity (its mucous membrane), which often manifests itself in the form of spots or sores. Why such a disease can develop in a child, what is stomatitis and how should parents react to its appearance?
Symptoms and signs
It is possible to identify stomatitis in a child by a characteristic clinical picture.
In infants (children under 1 year old)
- A whitish coating on the oral mucosa is typical of fungal stomatitis.
- On the reddened mucous membrane of the mouth, small bubbles are visible, which are located in groups - a sign of a herpetic lesion.
- An increase in body temperature, weakness, swollen lymph nodes, and other manifestations of intoxication are also characteristic of acute herpes stomatitis.
- The child cries and refuses to eat.
For children older than one year
At this age, symptoms of stomatitis may include:
- Ulcerative painful lesions of the oral cavity (its mucous membrane) in the form of round whitish-gray aphthae.
- Bubble rashes on the oral mucosa.
- Slight fever, slight weakness.
- Enlarged lymph nodes and their soreness.
- appearance of gingivitis.
- Bad breath.
Causes
The disease can be caused by very different reasons - from viruses and "dirty hands" to severe immunodeficiencies. Read about what the famous pediatrician E. Komarovsky thinks about stomatitis in another article.
In infants
Fungi are the most common cause of stomatitis in infants. During the appearance of teeth, stomatitis may develop under the influence of bacterial flora, because the child pulls various objects into his mouth and injures the oral mucosa.
An infant older than 6 months can become infected by the mother or other adults with the herpes virus, causing him to develop acute stomatitis with blisters.
For children older than one year
The appearance of stomatitis in older children contributes to a violation of the rules of oral hygiene. The occurrence of stomatitis is associated with mucosal injury, finger licking, allergens entering the child's body, the use of toothpastes with sodium lauryl sulfate, untreated caries, mouth breathing, acidic foods and other provoking factors. Also, often the defeat of the oral mucosa in a child is caused by viruses.
Types and forms
Stomatitis in children different types, some of which are more common (for example, aphthous and candidal), while others are less common.
aphthous
hand-foot-mouth syndrome
This type of stomatitis is manifested not only by the appearance of painful whitish sores in the mouth and fever, but also by the appearance of a rash on the feet and palms in the form of grayish blisters that hurt. The same bubbles can appear on the skin of the buttocks and in the genital area.
The disease is contagious and most often diagnosed in children under 10 years of age. It is caused by enteroviruses, which are transmitted through particles of mucus, feces and saliva from a sick person. Infection is possible through common dishes, a towel, hand contact, a pond.
The incubation period lasts about one week. The child becomes contagious a few days before the first manifestations of this syndrome and releases viruses up to 2 months from the onset of the disease.
The child's body temperature suddenly rises (it can reach 39-40 degrees), chills and weakness appear. Further, in the oral cavity (on the lips, cheeks, tongue), ulcerative lesions appear, which have uneven edges and a whitish tint. They are very painful and cause great discomfort to the child. At the same time, parents may notice a rash on the feet and palms, nausea, abdominal pain, diarrhea, vomiting, and sore throat in the child.
Usually such a disease lasts 7-10 days and ends with a complete recovery. In rare cases, complications affecting the heart and nervous system. Repeatedly this syndrome is ill in very rare cases. Antiviral agents are not used in the treatment, but only eliminate unpleasant symptoms. With fever, the child is given an antipyretic, sores in the mouth are lubricated with an anesthetic gel. Bubbles on the skin of the feet and hands do not need to be treated with anything.
It is important that the child drinks enough during this form of stomatitis. Avoid eating acidic foods as they can make your mouth pain worse. The child can be given cold milk or ice cream.
About stomatitis in the tongue of a child, read another article.
Allergic and contact
Such forms of stomatitis are caused by exposure chemical substances and allergens.
Swelling of the tongue or lips may suggest that the cause of stomatitis may be an allergy. Also, the allergic nature of the lesion can be judged by all cases of stomatitis, if we analyze the circumstances under which they began. You need to look for a connection with food, visiting a dentist, using hygiene products.
Most often, such stomatitis is caused by flavors, preservatives and flavoring components of toothpastes, metal prostheses and fillings, sucking tablets and lozenges, sprays for the throat and mouth.
What disease can be a sign?
Although rare, stomatitis can be one of the symptoms of such serious pathologies as oral cancer, HIV, leukemia, celiac disease, diabetes, Crohn's disease, Stevens-Jones syndrome, heavy metal intoxication, Kawasaki disease and other pathologies. To exclude these diseases, with stomatitis it is important to show the child to the doctor.
When should you see a doctor?
A child with stomatitis must be examined by a doctor if:
- Simultaneously with the defeat of the mouth, the child developed blisters on the trunk, legs or skin of the hands.
- The body temperature of the child has risen and the state of health has deteriorated.
- The child also inflamed other mucous membranes, for example, the genitals and eyes.
- In addition to stomatitis, the child has headaches, a rash, itching, breathing problems and other adverse symptoms.
- The ulcer on the oral mucosa is very large - more than one centimeter in diameter.
- In the child's mouth, there are more than 7-10 mucosal lesions.
- Until the old sores are completely healed, new ones appear in the child.
- Stomatitis worries the child very often, appearing every month.
- The ulcer formed in the mouth does not heal for more than three weeks.
What to do if relapses are frequent?
If stomatitis appears in a child very often, you should:
- Visit the dentist and cure all teeth.
- Pay attention to oral hygiene - brush your teeth at least twice a day, rinse your mouth after meals, take your time brushing your teeth and use brushes with soft bristles.
- Stop using antiseptics, which treat the oral cavity.
- Avoid using toothpastes with sodium lauryl sulfate.
- Limit food that can injure the mucous membrane or cause irritation on it, for example, citrus fruits, crackers, spicy dishes, chips.
- Eliminate all foods that the child is allergic to.
- Take vitamin and mineral supplements regularly.
There are many diseases that are considered to be children's, because they most often manifest themselves in children in early age, except that, with rare exceptions, an adult can get sick with them. One of these diseases is stomatitis.
Stomatitis is an inflammation of the oral cavity, its soft tissues and mucous membranes. It is believed that this disease is not serious and not dangerous for the child, but still, it is worth taking a closer look at it. Even in an adult, pain in the oral cavity causes terrible discomfort, because it becomes unbearable to chew. If the child is still very small, he cannot say where and what hurts him. He just cries, becomes lethargic, refuses food. In the meantime, he and the child may even have enlarged lymph nodes. And only very attentive parents, and even then probably not immediately, are able to notice in the baby's mouth, sores, erosion or raids.
Types and causes of stomatitis in a child
In pediatric practice, several types of stomatitis are known: candidal (fungal), viral (herpetic), bacterial, traumatic, allergic and aphthous. The symptoms depend on the type of disease.
Candidiasis (fungal) stomatitis Causes the fungus Candida. When they fall ill, foci of whitish-gray islets appear in the child's mouth. They are mainly localized on the inside of the sponges, gums, cheeks, and also the palate. If you wrap your finger with gauze and run over such a plaque, you can remove the top layer, which looks like a diaper. An inflamed sore will remain under it.
Pathogen viral stomatitis usually is a virus. The symptoms of this type are quite pronounced: bubbles with liquid appear in the mouth, a high temperature rises, the child becomes lethargic, capricious.
Bacterial stomatitis, as a rule, is a complication of such diseases as:,, etc. It is characterized by an increase in temperature to moderate limits and the presence of purulent sores on the mucous membrane in the mouth.
Traumatic stomatitis may occur as a result of injury to the soft tissues of the child's mouth. In everyday life, he can bite a sponge, get hurt by some object or. When infected, purulent ulcerations occur at the injured site.
Allergic stomatitis It is caused by the ingestion of antigens into the body, which the body perceives as foreign substances and occurs in the form of a strong, reddening, rash. Allergens can be: pollen of flowering plants, wool, bird feathers, dust, as well as medicines and food. Most often, allergies are caused by honey, strawberries, oranges, chocolate, but it happens that the reaction occurs to other products.
Aphthous stomatitis, probably the more complex of all of the above, because it is associated with malfunctions in the gastrointestinal tract, or serious allergic reaction. This pathology occurs in older children, often taking a chronic form and “shooting” during colds and viral diseases. With aphthous stomatitis in the baby's mouth, painful aphthae occur, surrounded by an even burgundy rim, the temperature rises.
Treatment of stomatitis in children
Many parents think: “When should I see a doctor and should I do it at all with stomatitis?”. The answer is clear - you need to see a doctor. It is necessary to properly examine the child and understand what type of stomatitis struck his body, what are its causes, because it also depends on what treatment will be carried out. With aphthous stomatitis, an extended examination of the intestines, stomach, immune system(fecal analysis, ultrasound), and for the treatment of bacterial - it happens that you can not do without antibiotic therapy.
Therapy of stomatitis includes local and general treatment aimed at combating the causative agent of the disease and reducing the severity of its manifestations.
For local treatment, the doctor prescribes the treatment of the mucous membrane with antiseptic and antibacterial agents. Gels, sprays, ointments, sea buckthorn oil, absorbable tablets with antibacterial action are used.
A good effect is given by regular rinsing with disinfectants and decoctions of herbs. Apply electrophoresis, laser therapy.
If necessary, general therapy is additionally carried out. Depending on the causes of the disease and its symptoms, antipyretic, desensitizing, antiviral agents may be prescribed, in severe cases -. Immunostimulating drugs are prescribed to increase immunity.
As a general strengthening therapy, it is prescribed. It is especially important that vitamins C and P enter the child's body, which contribute to the healing of the mucosa.
During the treatment period, nutrition plays an important role. It is necessary to exclude coarse food from the diet(to prevent injury to healing ulcers). In order not to irritate the mucous membrane, you can not give the baby sour and spicy foods. Also food should not be too hot. The basis of nutrition during this period is mashed soups, mucous porridges, kissels.
With allergic stomatitis, foods that cause allergies are excluded from the child's menu.
Video treatment and prevention of stomatitis in a child
Prevention of stomatitis in a child
Your child will be less susceptible to infections if you teach him to regularly wash his hands after walking, using the toilet, before eating.
Keep toys, nipples, baby bottles clean. At breastfeeding Before feeding, the mother should thoroughly wash her breasts.
When buying new toys, you need to pay attention to their composition. Do not buy toys that may contain allergenic dyes, with sharp edges.
Remember that any disease, including stomatitis, is much easier to prevent than to treat. Be attentive to the health of your children, do not self-medicate in order to detect and neutralize an insidious disease in time, which can be disguised as a simple and harmless illness.
Attention! The use of any medicines and dietary supplements, as well as the use of any medical methods, is possible only with the permission of a doctor.
Inflammatory diseases of the mucous membranes of the oral cavity of a child are most often manifested in the form white plaque, painful ulcers and erosions. This condition brings a lot of discomfort to the sick baby and a lot of trouble to his parents.
Stomatitis should be taken very seriously. At first glance, an ordinary childhood illness may actually occur due to the presence of other, more serious health problems.
Aphthous stomatitis
The most common form of the disease in young children. This is a lesion of the mucous membranes of the oral cavity with the formation of whitish-yellow rashes in the form of ulcers (aphtha).
In a severe form of the disease, a purulent complication may develop, which will require the appointment of antibiotics for oral administration to the child.
The incubation period is 2-10 days. The disease is contagious primarily to other children. Transmitted by airborne droplets and contact. An adult can become infected, but only if they use common dishes and have wounds or microcracks in their mouth.
The body temperature of the child rises on the first day of illness and lasts up to 3 days. If we talk about how long the external manifestations of the disease last, then they usually disappear after 7-14 days, then a complete recovery occurs.
Fungal stomatitis
In the photo, candidal stomatitis in a newborn
Most often appears in children of the first year of life, but occurs at an older age. Its other names are "" and candidiasis. The disease begins to develop with a decrease in immunity and contact with the mucous membranes of the oral cavity of fungi of the genus Candida.
Common causes include poor hygiene, unwashed hands, and use of non-sterile nipples and bottles. Antibiotics may be another contributing factor.
How does oral disease manifest itself?
The fungal form of the disease is different from the others. It manifests itself in the form of curdled white grains on the tongue, causing damage to the tongue, as well as the inner surface of the cheeks and gums. After some time, it can spread to the surface of the lips. If treatment is not started immediately, then the grains merge, forming a loose film that easily separates from the mucosa and covers fairly large areas. The areas under it turn red and inflamed.
In addition, the child has moodiness, irritability, poor sleep. He loses his appetite, salivation increases, with a severe form of the disease, fever and weakness are possible.
Features of therapy
You can quickly cure a mild form using a weak soda solution. They irrigate the child's oral cavity. You can also treat the affected areas with a mixture of borax in glycerin. Solution helps a lot Candide- a remedy based on clotrimazole, approved for topical use in babies.
If local treatment is not effective enough, the patient is prescribed drugs of general action: Nizoral, Diflucan.
The incubation period can last up to 8 days. The disease is contagious and can be transmitted through the use of shared utensils by both children and adults.
With "thrush" in children, an increase in temperature is possible, but more often the disease proceeds without it. Fever occurs only with a severe form of the disease, in which case it can last up to 3-5 days.
How long does fungal stomatitis last?
With appropriate treatment, the disappearance of symptoms occurs after 7-10 days. But the use of local drugs after this must be continued for another 5-7 days, since relapses are characteristic of candidiasis.
Traumatic stomatitis
The name of this type of disease speaks for itself. It occurs due to any injury to the oral mucosa in a child 1-2 years old. Damage can be either mechanical or chemical or physical. Usually occurs during the knowledge of the world "through the mouth."
This may be a burn during a hot meal or some kind of injury with hard objects, such as a sharp edge of a tooth or a toy.
What is the disease?
The mucous membranes swell, redden and become inflamed, later ulcers appear in these places. There are painful sensations when opening the mouth, chewing food. In the case of an acid burn, a film appears at the site of the lesion. With the advanced form of the disease, fever, weakness, lethargy can be observed.
Medical therapy
Treatment should begin with the elimination of the cause of the disease. Then an antiseptic treatment of painful areas is prescribed with a solution of furacilin, peroxide, decoction of chamomile or calendula.
With a complex form of the disease, anti-inflammatory and antimicrobial drugs are prescribed: Holisal, Rotokan, Miramistin, Lugol and others.
Traumatic stomatitis is not contagious. During it, a child's temperature may rise, but usually this occurs only in the absence of timely treatment. Recovery with a mild form takes about 7 days, with complex injuries, it can take up to 10-14 days or more.
Herpetic stomatitis
The disease of a child is possible with the initial entry of the virus (HSV-1) into his body. Usually, the disease manifests itself in a severe form at the time of a decrease in its protective functions and a weakening of immunity. And once having got into the body of a child, the herpes virus can from time to time manifest itself in the form of acute periods.
Clinic of the disease depending on the severity
It manifests itself in the form of painful sores and small vesicles in the mouth and on the lips of the child. There are severe, moderate and mild forms of the disease.
At severe form the patient's temperature rises sharply up to 40 degrees and there is extensive inflammation of the mucous membranes of the oral cavity. There are numerous rashes that can spread to the area around the lips, the wings of the nose and even the eyelids. The general state of health worsens, there are signs of acute intoxication of the body, severe headaches and muscle pain, nausea, turning into vomiting. The child has inflamed lymph nodes in the neck.
Middle form characterized by an increase in temperature to 37.5-39 degrees. There is weakness, chills, headache, inflammation of the lymph nodes. The gums and other soft tissues of the oral cavity become inflamed and swollen, rashes appear in the form of bubbles on the lips, tongue, cheeks.
At mild form a small amount of vesicular rash appears on the lips, the child becomes lethargic, his temperature may rise slightly.
What to do with a viral pathology?
A mandatory medical examination is required. He will be able to determine the form of the disease and prescribe appropriate treatment, in severe cases, hospitalization may be necessary.
Treatment is carried out comprehensively and pursues several goals at once:
For topical application, the patient is prescribed Acyclovir, Zovirax,. It is recommended as an immunomodulatory agent.
Speaking about whether herpetic stomatitis is contagious, it should be indicated that this species is especially contagious and is transmitted by airborne droplets and contact. The incubation period for primary infection lasts 3-5 days, with a chronic form it may not appear for several years.
How long does the temperature last?
High temperature in acute form can last up to 7 days, with an average - up to 3 days. External manifestation the disease disappears in 1-2 weeks, it is impossible to completely destroy the virus in the body.
All types of stomatitis most often affect children younger age. They manifest themselves in different ways, but require an indispensable examination by a doctor and appropriate treatment.
Refusal of the child to eat, causeless whims, fever and the appearance of painful sores in the oral cavity - all these symptoms accompany such an unpleasant disease as stomatitis.
To quickly help the baby, it is important to correctly diagnose the type of pathology and start therapy as soon as possible.
Features of the treatment of stomatitis in children depend on the type of disease and the causes that caused it. Most often, susceptibility to a certain type of pathology is determined by the age of the child and looks like this:
- from newborn to three years of age babies often suffer from;
- 1-3 years- there is a tendency to herpetic stomatitis;
- 7-15 years old- often occurs.
As for bacterial, viral and traumatic stomatitis, it occurs at any age.
Regardless of the type of pathology, one common cause of the development of the disease can be identified - insufficient hygiene, slight injury to the delicate children's mucosa and insufficiently active immune system.
Small children do not have saliva required amount enzymes that provide an antiseptic effect, therefore the unprotected mucosa is open to the negative effects of pathogenic microbes and bacteria.
Herpetic stomatitis
The development of this type of disorder is associated with the penetration of the herpes virus into the body, which remains forever in the body, provoking relapses of the disease. At the age of one to three years, babies still do not have enough of their own antibodies to fight the virus, so the disease manifests itself in the form of obvious symptoms of intoxication, which are accompanied by:
If the disease proceeds in a mild or moderate form, it is possible to carry out outpatient treatment, doing local procedures at home.
How to help a child?
Several basic medicines are used to treat the disease.
Miramistin is an excellent antiseptic, to which most microorganisms are susceptible, including the herpes virus. In addition to antiseptic, it has a regenerating effect. It can be used to treat both older children and babies up to a year.
For small children, the treatment is carried out using a cotton swab dipped in a solution or soaked gauze, which is wound around a finger. The frequency of treatments is 3-4 times a day.
For older children, the release form in the form of a solution in a spray bottle is especially convenient. In this form, the drug is used for injections (one procedure involves 3 injections). If the agent is used for rinsing, the procedure is carried out with the frequency described above, using 15 ml of Miramistin.
The active substance of Viferon is interferons, vitamins E, C, which provide an immunostimulating and antiviral effect. The drug can be used starting from the first months of life.
Among the available forms of release are gels and suppositories (effective in treating babies). The correct dosage is determined by the attending physician.
When using the gel, the affected mucosa is pre-dried with a gauze swab, after which the agent is carefully applied. The duration of the course is about a week.
Often, with viral stomatitis, an antiviral oxolin ointment is prescribed, but its disadvantage is the release form in the form of an ointment, which is poorly fixed on the mucous membrane, not providing the proper result. You can use this remedy only for the treatment of sores around the lips or on the lips.
Aphthous stomatitis
To date, doctors cannot accurately determine the cause of this type of disease. Possible provoking factors include:
The clinical picture of aphthous stomatitis is characterized by the following symptoms:
Proper therapy is prescribed after a comprehensive examination with the participation of a gastroenterologist, an allergist and a dentist. Particular attention is paid to local treatment.
Treatment approach
What to do if a child is diagnosed with this disease?
Vinylin - a remedy that is also called Shostakovsky's balm, is an effective antiseptic, antimicrobial and regenerating drug. Due to the presence in the composition of polyvinox, the mucous membrane of the oral cavity is disinfected, re-infection of damaged areas is excluded, tissue regeneration is accelerated, and pain is eliminated.
The balm is preliminarily applied to a gauze napkin, which is applied to the affected areas. Processing is carried out after eating, eating and drinking is possible no earlier than 40 minutes later. Three treatments are required per day.
According to the instructions, the drug is contraindicated in children under 14 years of age, but doctors often prescribe it to young patients, if they can comply with one important condition - do not swallow the drug.
Also, it is important to constantly evaluate changes in the child's condition, since the appearance of even minor rashes is a reason to cancel Vinilin.
Iodinol is produced in the form of an aqueous solution, the active ingredients of which are iodine at a concentration of 0.1%, potassium iodide 0.9% and polyvinyl alcohol. When mixed with water, the drug acquires a dark blue color.
By the nature of the impact, it is a strong antiseptic, providing a high anti-inflammatory effect.
To treat the child's oral cavity, a tablespoon of iodinol is dissolved in a glass of water and a rinse solution is used for a week 3-4 times a day.
The main active ingredients are choline salicylate and cetalkonium chloride. Along with anti-inflammatory, it has an anesthetic effect. It is not recommended to use in the treatment of children under one year old.
The tool is available in the form of a gel, which is especially effective in the treatment of inflammation of the mucosa.
The drug is applied to the affected areas 2-3 times a day, squeezing out a strip of the drug 0.5 cm long, and gently distribute it over the mucous membrane with light rubbing movements.
Activation of the fungus Candida
The cause of the development of fungal stomatitis is the yeast-like fungus Candida, which is normally present in a small amount in the oral cavity of all people and is activated under favorable conditions (decreased immunity, maintaining an acidic environment). Typical symptoms include:
The goal of local treatment is to form an alkaline environment in the oral cavity that prevents the reproduction of the fungus.
Therapy options
How to help a child?
Sodium tetraborate reduces the vital activity of fungi, reducing their ability to attach to the mucosa. Glycerol present in the composition reduces the manifestations of inflammation.
To treat the oral cavity, apply to a gauze wrapped around index finger, after which they gently wipe the entire mucous membrane, including the tissues of the gums, cheeks, tongue and palate. During the procedure, plaque removal should not be accompanied by tissue injury. The procedure is repeated twice a day for a week.
If the baby sucks on a pacifier, before going to bed it is also wiped with a medicine for stomatitis. When the signs of stomatitis are completely gone, treatments are carried out for another couple of days.
Nystatin is an antifungal medicine. Caution is given to young children due to the large number of contraindications.
For babies, the drug is used in the form of an aqueous solution, pouring a tablet, crushed into powder, into a glass of slightly warm boiled water. The bandage wound around the finger is moistened with the solution and the child's mouth is wiped after eating (the procedure is carried out at least 4 times a day).
Older children can take Nystatin tablets by sucking them behind the cheek. The daily dose chosen by the doctor is divided into 3 doses, the course of treatment is 14 days.
Fluconazole is indicated for use in the treatment of children older than 5 years. It is especially effective if other methods of local therapy are not effective or the disease proceeds in a chronic form.
The maximum daily dose is 3 mg per kg of the child's weight. The duration of therapy depends on the condition of the child and is determined by the attending physician.
A fungal infection is effectively eliminated by rinsing, for which a couple of teaspoons of soda are dissolved in a glass of water.
The number of procedures per day is at least 4. In the treatment of young children, the mucous membrane is treated with a gauze swab moistened with a solution.
Don't put dirty hands in your mouth
Bacterial stomatitis is called the disease of dirty hands. Particularly susceptible to pathology are young children who actively learn about the world around them, tasting everything.
The cause of inflammation is the penetration of bacteria into wounds on the mucous membrane (cracks, scratches).
Bacterial stomatitis
At the beginning of the development of the inflammatory process in a child, the temperature rises and the following symptoms are observed:
- the formation of a gray-yellow plaque on the mucous membrane;
- the formation of pus-filled or bloody contents of the vesicles;
- the appearance of bad breath;
- the formation of layers on the lips in the form of dry yellowish crusts.
Local treatment should begin in the first days of the disease. At the same time, it is imperative to rinse your mouth every two hours and immediately after eating, clearing the mucous from bacteria.
If the disease is diagnosed in a newborn baby, rinsing is replaced by irrigation, which is carried out by laying the baby on its side. Antibiotics and local antiseptics are used for the main therapy.
Antibiotic Augmentin
It is a semi-synthetic antibiotic of the penicillin group and is used as a last resort in case of a severe course of the process. The main active ingredients of Augmentin are clavulanate and amoxicillin. Among the available forms of release are tablets, powder for injection or suspensions, syrup.
Antibiotics for stomatitis in a child are often prescribed in the form of a suspension. The dose is determined by the attending physician, who is guided by the condition of the small patient and his age.
The use of Amoxicillin in the treatment of babies under 2 months is not allowed.
Produced in the form of a gel, the agent is well fixed on the mucosa, providing maximum impact on the affected areas. The components are an antibiotic and an antiseptic, due to which it has a double effect. The drug is not prescribed to children under 6 years of age.
To treat inflamed areas, the gel is applied directly to the sores using a cotton swab or a clean finger.
How to rinse your mouth to relieve inflammation?
With bacterial stomatitis, sprays for rinsing the mouth are widely used.
The main active ingredient is benzydamine hydrochloride, which effectively eliminates inflammation in the oral cavity. As a result of local irrigation, pain sensations are reduced, the severity of the inflammatory process is removed, and tissue swelling is reduced. The spray is recommended for use by children of different ages in the following dosages:
- under 6 years old- 1 dose per 4 kg of body weight (no more than 4 doses). Irrigation frequency - every three hours;
- 6-12 years old- 4 doses are used once;
- over 12 years old- 4-8 doses of the product are injected every 3 hours.
If the drug is used in the form of tablets, the number of suckings per day should be at least 3.
For rinsing, a solution is used, using a tablespoon of the product for one procedure.
Chlorophyllipt
It is a wound healing and bactericidal agent with an active ingredient in the form of a mixture of chlorophylls extracted from eucalyptus branches and leaves.
The spray is most convenient to use, which is used twice a day, achieving relief after just one day.
Also, you can treat the oral cavity with an oily solution of the agent, applying it to a cotton swab, or use Chlorophyllipt for rinsing.
Lugol spray
It is an iodine-containing agent, which contains glycerol and potassium iodide. Indicated for use in children over 5 years of age. Frequency of use per day - 4-6 times.
Traumatic stomatitis
It becomes the result of thermal or chemical burns of the oral cavity, its damage by scratching and sharp objects (including teeth), biting the tongue. Often traumatic stomatitis accompanies teething.
At the initial stage, it manifests itself in the form of slight swelling of the injured area and its redness, soreness. After a couple of days, if left untreated, inflammation develops with general malaise, fever. Therapy involves local treatment with antiseptics and wound healing agents.
How to treat the oral cavity?
In this case, the following medicines are used.
Solcoseryl gel - the main active ingredient is a deproteinized calf blood extract. Also, the composition contains healing components, anesthetics.
The drug is used immediately after a meal, after disinfecting the affected area. The gel is applied to the site of inflammation with a thin layer and left for 15 minutes. The procedure is carried out at least 3 times a day.
The duration of treatment and the frequency of use can be adjusted by the attending physician depending on the condition of the child.
Chlorhexidine belongs to antiseptics, therefore it is indicated for traumatic stomatitis to prevent the development of infection in the resulting wound. it is prescribed only by the attending physician, it should be used especially carefully for the treatment of children under 7 years of age.
Sea buckthorn oil - high efficiency of the remedy is observed in the treatment of young children. You can achieve the most positive result by mixing sea buckthorn oil with encapsulated vitamins B12 and A.
Such vitamin complexes are used for applications, applying the agent to a cotton swab and applying it for 5 minutes to the affected area.
Eating and drinking is allowed one hour after the end of the procedure.
The main rule is do no harm!
There are remedies that should never be used for children's stomatitis.
Here it is worth highlighting drugs such as brilliant green and fukortsin, as well as honey.
Many parents mistakenly consider honey to be a completely safe natural antiseptic. Its use in the treatment of young children is not recommended due to the risk of developing a severe allergic reaction.
In addition, honey creates a favorable environment for the reproduction of staphylococcus, therefore, it can increase the manifestations of stomatitis.
With this pathology, the oral mucosa is severely irritated, as a result of which the use of alcohol tinctures in the form of fucorcin or brilliant green can lead to its burns and desiccation, which will only aggravate the situation.
Another disadvantage of fucorcin is the presence in its composition of phenol, which is dangerous for babies, which can cause poisoning and the development of allergies.
Effective treatment of stomatitis in children is possible only with the correct diagnosis and timely response to the situation. It is important to carry out therapy in a complex manner, without neglecting the procedures and recommendations of the doctor. Then the child will quickly recover, become active and cheerful again without negative consequences for the body.
Dr. Komarovsky will tell you popularly about stomatitis in children:
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