 |
 | Home | Contact Us | FAQ | Search & Site Map | Link to Us |
 | Sign In | Join | Other 45 Sites in Network |
Medical Forum / General / Dentistry / June 2007apthous ulcers, canker sores
I recently had a 13 year old new patient present with significant crowding and multiple canker sores on the inside of the lips and cheeks. interestingly, these canker sores are more or less at the level of the occusion whether that has anything to do with anything. his mother had him to the pediatrician and was given the standard answer of maalox/benadryl or lidocaine as a paliative approach. his mother feels this has effected his sleeping and his eating and he quite frankly is short for 13. he is also a mouthbreather. I'm wondering if any of you wize kids know of any preventive approach or systemic drug that can help this patient. thanks charlie ruff The canker sores are recurrent ??  Signature/ Amatus / >I recently had a 13 year old new patient present with significant > crowding and multiple canker sores on the inside of the lips and [quoted text clipped - 12 lines] > > charlie ruff Or concurent? <G> First step would be finding a toothpaste without sodium lauryl sulfate. Some reports have that reducing frequency by 2/3. Has the physician done any checks of his immune system or allergies? D > The canker sores are recurrent ?? >Or concurent? <G> > >First step would be finding a toothpaste without sodium lauryl >sulfate. Some reports have that reducing frequency by 2/3. Interesting, haven't heard that before. >Has the physician done any checks of his immune system or allergies? > >D > >> The canker sores are recurrent ?? >> Or concurent? <G> >> [quoted text clipped - 8 lines] >> >>> The canker sores are recurrent ?? Here is a list of non SLS toothpastes, courtesy of Dr. Susan Zunt of the Indiana University School of Dentistry (posted on the Bulletin Board of Oral Pathology): Biotene Dry Mouth Toothpaste, Laclede, California, USA Orajel® Dry Mouth Moisturizing Toothpaste, Del Pharmaceuticals Oral-B Rembrandt Whitening Toothpaste For Canker Sore Sufferers Squigle Enamel Saver Toothpaste (available from multiple sites on internet) CloSYSII, Rowpar Pharmaceuticals, http://www.rowpar.com/consumers/index.html Polar White Whitening Toothpaste, Dentek Oral Care TheraBreath Toothpaste, http://www.therabreath.com/ Sensodyne (check tubes for SLS free types, including tartar control and anticavity cool gel) Tooth and Gum Paste (Dental Herb Company 800-747-4372) Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 Thank you kind sir. Rembrandt used to be on the list, but the last time I perused the toothpaste aisle in Wal-Mart (main shopping venue of my clientele), I could find no Rembrandt versions without SLS. Same for every other tube from every other brand that I picked up. I'll take this new list out with me and recheck things. For Newbie, the explanation had something to do with SLS being a type of detergent. This detergent can help break down the mucosal lining on certain individuals leading to more lesions. It's seemed to help a few patients over the years, but I don't get a lot of cases where it's a problem. D > Here is a list of non SLS toothpastes, courtesy of Dr. Susan Zunt of > the Indiana University School of Dentistry (posted on the Bulletin Board [quoted text clipped - 21 lines] > > Steve > Thank you kind sir. Rembrandt used to be on the list, but the > last time I perused the toothpaste aisle in Wal-Mart (main shopping [quoted text clipped - 11 lines] > > D Apparently it can be, though I don't recall the context in which non-SLS toothpastes were being discussed. I just saved the list on my desktop for handy reference. Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 Thanks for the info Big D ! ;-]] >Thank you kind sir. Rembrandt used to be on the list, but the >last time I perused the toothpaste aisle in Wal-Mart (main shopping [quoted text clipped - 37 lines] >> >> Steve >I recently had a 13 year old new patient present with significant >crowding and multiple canker sores on the inside of the lips and [quoted text clipped - 12 lines] > >charlie ruff Common apthous ulcers are cause by a sensitivity to "transitional *L*-form bacteria". Giant Recurrent Apthae are a different animal, as they cause scarring. Generally applying Negatan, i.e. Negatol 45% compound; (Sulfonic Acid ?) to the ulcer will palliate the pain. Paint it on with a swab, leave for about 15 - 30 seconds, then clean the ulcer with wet gauze. For the rinse, a cocktail of Kaopectate (Kaolin)/Tetracycline/Benadryl with or w/o viscous lidocaine can be used. (equal parts) Swish and swallow. Suppose that in a severe case you could try the low dose tetracycline that is used for acne, or the "PerioStat" thingy. Best wishes, For a one time outbreak you could treat the surface tissue with a laser, but you may not be able to do that every three weeks if the lesions are recurrent. Signature/ Amatus / > >>I recently had a 13 year old new patient present with significant [quoted text clipped - 33 lines] > > Best wishes, |
Reply to this Message |
 Sign In
 Join
 My Latest Posts My Monitored Threads My Blog My Photo Gallery My Profile My Homepage Start New Thread Enable EMail Alerts Rate this Thread
|
©2008 Advenet LLC Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.