3 Therapeutic Drugs in Oral Medicine Flashcards
What 2 types of drugs does SCDEP drugs in dentistry guidance cover for prescribing in mucosal disease
- Non-steroid topical therapy
- steroid topical therapy
What lesions are non-steroid topical therapy drugs prescribed for
inconvenient lesions with discomfort
what lesions are steroid topical therapy drugs prescribed for
disabling immunologically driven lesions
What non-steroid topical treatment is there for oral mucosal lesions
- Chlorhexidine mouthwash
- Benzdamine mouthwash or spray (for pain relief)
- OTC remedies e.g. bonjela
- anything else the patient finds helpful e.g. alovera
What steroid based topical treatment is there for oral mucosal lesions
- Hydrocortisone mucoadhesive pellet
- Betamethasone mouthwash
- Beclomethasone Metered Dose Inhaler
nb these are all prescribe only
How do you use hydrocortisone mucoadhesive tablets
allow tablet to dissolve over the ulcer
What could you prescribe betamethasone mouthwash for in oral med
aphthus ulcers and lichen planus??
what instructions would you give when using betamethasone mouthwash for an unlicenced use
- 10mls with 2tsp water
- 2 mins rinsing
- 2x daily
- don’t eat or drink for 30 mins after
- DO NOT SWALLOW (or systemic effects)
- don’t rinse after use
Instructions for beclomethasone metered dose inhaler for unlicenced use?
(puff device) - nb MUST be a pressurised device, not breath activated
- position device correctly (exit vent directly over ulcer area)
- 2 puffs
- 2-4x daily
- don’t rinse after use
What different types of systemic treatment can you give + examples
only a specialist
- Disease modulators e.g. colchincine
- Steroids e.g. prednisolone
- Immune suppressants e.g. hydroxychloroquine (mainly for lichen planus)
- Immunotherapy e.g. adalimumab
What are the risks of systemic steroids if prolonged course? (4)
- adrenal suppression
- osteoporosis risk
- peptic ulcer risk
- mood/sleep alteration and mania/ depression risk
