What are the authors' recommendations for mouth wash to treat oral ulcers?

From the Guidelines

For authors ulcer mouth wash, I recommend using a sodium bicarbonate containing mouthwash, rinsing the mouth four to six times a day to prevent stomatitis, as suggested by expert opinion in the management of oral and gastrointestinal mucosal injury 1.

Key Points

• The use of a bland non-alcoholic, sodium bicarbonate containing mouthwash is recommended to prevent stomatitis in all cancer groups and across all targeted therapy modalities.
• The frequency of the mouthwash can be increased up to each hour if necessary to treat stomatitis.
• Other treatments such as chewing gum, candy, salivary substitutes or sialogogues, and analgesics may be considered to treat oral dryness and pain from stomatitis.

Treatment Options

• Sodium bicarbonate containing mouthwash: rinse the mouth four to six times a day to prevent stomatitis.
• Chewing gum, candy, salivary substitutes or sialogogues: consider using these to treat oral dryness.
• Analgesics: consider using anesthetic mouthwashes, coating agents, or systemic analgesics to treat pain from stomatitis.

Important Considerations

• Maintain good oral hygiene to prevent secondary infection and promote healing.
• Avoid spicy, acidic, or rough foods during healing to minimize discomfort and prevent further irritation.
• Consider using other treatments such as topical corticosteroids or antiseptic oral rinses if necessary, as suggested by other studies 1.

From the Research

Authors and Ulcer Mouth Wash

• There is no direct information available on authors and ulcer mouth wash in the provided studies.
• However, the studies discuss various treatments for recurrent aphthous stomatitis, including topical medications and systemic therapy 2, 3, 4, 5, 6.
• Some of the topical medications mentioned include antiseptics, anti-inflammatory drugs, antibiotics, and corticosteroids 4.
• The use of mouth wash is not specifically mentioned as a treatment for recurrent aphthous stomatitis in the provided studies.
• The management of oral aphthous ulcers is challenging, and treatment options vary depending on the severity and frequency of the ulcers 3, 5.

Treatment Options

• Topical corticosteroids are considered the first line of treatment for oral aphthous ulcers 3.
• Systemic medications, such as corticosteroids or thalidomide, may be necessary for patients with constant and aggressive outbreaks 4.
• The treatment of recurrent aphthous stomatitis should be based on identification and control of possible predisposing factors, with the exclusion of possible underlying systemic causes 4.

Study Findings

• A study comparing low-level laser therapy and topical triamcinolone acetonide 0.1% found that both treatments reduced pain and ulcer size, and improved healing 2.
• Another study reviewed the existing treatments for recurrent aphthous stomatitis and discussed the use of topical and systemic medications 4.
• A review of the management of oral aphthous ulcers discussed the importance of reducing pain, promoting healing, and preventing recurrence 5.