From the Guidelines
Treatment of betel nut-induced stomatitis involves stopping betel nut use immediately and rinsing the mouth with warm saltwater 4-6 times daily to reduce inflammation and clean the affected areas. This is essential for healing and preventing further irritation. For pain management, use topical anesthetics like benzocaine gel (Orajel) or lidocaine viscous solution applied directly to lesions 3-4 times daily before meals, as suggested by 1. Anti-inflammatory medications such as ibuprofen (400-600mg every 6-8 hours) can help reduce pain and swelling.
- Key considerations for treatment include:
- Maintaining good oral hygiene by gently brushing with a soft toothbrush and using alcohol-free mouthwash
- Avoiding spicy, acidic, or hot foods that may irritate the lesions
- Using antiseptic oral rinses, such as 0.2% chlorhexidine digluconate mouthwash, twice daily to prevent secondary infection, as recommended by 1
- Considering topical corticosteroids, such as betamethasone sodium phosphate or clobetasol propionate, for severe cases, as suggested by 1 and 1
- It is crucial to seek professional dental or medical evaluation if symptoms persist beyond two weeks despite treatment, or if white or red patches that don't heal are noticed, as these could indicate precancerous changes requiring biopsy, as implied by the potential risks associated with betel nut use 1.
From the Research
Treatment for Betel Nut-Induced Stomatitis (Oral Mucositis)
- The treatment for betel nut-induced stomatitis is not directly mentioned in the provided studies, however, some studies discuss the treatment of oral submucous fibrosis (OSF), a condition closely related to betel nut chewing 2.
- Intralesional Triamcinolone Acetonide Injection has emerged as a highly effective treatment option for OSF, and has become the cornerstone of managing this condition 2.
- However, it is crucial to closely monitor patients for any adverse effects resulting from the treatment, which may arise from high dosage or increased frequency 2.
- There is a lack of controlled trials on the treatment of betel nut-induced diseases, including stomatitis, although betel nut chewing and the associated diseases are common 3.
- The available treatments for betel nut-associated diseases are of limited value, and more research is needed to develop effective treatment options 3.
- Public health measures to quit betel use are recommended to control disabling conditions such as OSF and oral cancer 4.