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Suggest treatment for swollen gums with inflammation

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Posted on Tue, 20 Jan 2015
Question: Hello! I have a canker sore/ulcer, my gums...on the right side of my mouth bottom and upper gums are inflammed, swollen and throbbing as is my right gland and right ear (dentist called it Aphthous Stomatitis (RAS) prescribed a steroid ointment (Triamcinolone Acetonide Dental Paste USP0.1%) and he also gave me an oral rinse (Peridex Chlorhexidine Gluconate 0.12%). I smeared a tiny amount on the ulcer as prescribed just once yesterday and shortly after started feeling side effects (I do not do well on steroids, especially Prednisone, as I suffer both the common and rare side effects). I am using the rinse but do not want to attempt to continue with the ointment. If you would be so kind as to suggest alternative over the counter medicines or better yet, all natural remedies (would Tea Tree Oil help?) to healing this issue, I would be SO GRATEFUL! I cannot thank you enough for your time and your help! Happy Holidays! XXXXXXX Franz
doctor
Answered by Dr. Mahesh Kumar T S (35 minutes later)
Brief Answer:
Amlexanox, lignocaine, choline salicylate

Detailed Answer:
Thanks for your query. I have gone through your query.
As far as the aphthous ulcer is concerned, the best treatment modality is topical steroids, since you are facing problem with topical steroids, if i am your treating doctor, I would have suggested you to take amlexanox paste/ointment. This is very effective in aphthous ulcer treatment.
You can also use topical anesthetic like lignocaine and topical analgesic like choline salicylate. Do saline gargling.
After application of these mesicines, the lesion should heal in 5-7days. If the lesion does not heal in this duration, then consult a oral physician and get it evaluated.
I hope my answer will help you, take care.
If you have any queries, you can reply me back.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Follow up: Dr. Mahesh Kumar T S (2 hours later)
Hello Dr. Kumar!

Thank you VERY MUCH for all of your help! I do have another question: can the medications

1. Amlexanox
2. lignocaine
3. choline salicylate
4. saline gargle

be purchased over the counter at Walgreens or CVS or do they need to be prescribed by my dentist?

As far as the saline gargle, is that something that I need to make myself and if so, can you provide me how much salt I should add to how much warm water?

I cannot thank you enough! It's so wonderful to be able to get help so quickly AND on a holiday! What a wonderful website!
doctor
Answered by Dr. Mahesh Kumar T S (1 hour later)
Brief Answer:
Amlexalox, lignocaine, saline

Detailed Answer:
Thanks for your feedback.
The amlexanox and lignocaine and choline salicylate are should be prescribed by a dentist. So consult a oral physician or a dentist and explain your problem and get it prescribed. Once you use the medicines please do inform about the response of the lesion to these medicines.
Regarding prwperation of the saline, take a glass of warm water, which can be less hotter than coffee or tea(temperature at which your mouth can bear the warm water without any damage to your mouth) and add a table spoon of salt and mix it and use to rinse.
Orelse it is available in the medical shop, you can get it readymade.
I hope my answer will help you. Take care.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Mahesh Kumar T S

Dentist, Oral and Maxillofacial Surgery

Practicing since :2007

Answered : 3351 Questions

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Suggest treatment for swollen gums with inflammation

Brief Answer: Amlexanox, lignocaine, choline salicylate Detailed Answer: Thanks for your query. I have gone through your query. As far as the aphthous ulcer is concerned, the best treatment modality is topical steroids, since you are facing problem with topical steroids, if i am your treating doctor, I would have suggested you to take amlexanox paste/ointment. This is very effective in aphthous ulcer treatment. You can also use topical anesthetic like lignocaine and topical analgesic like choline salicylate. Do saline gargling. After application of these mesicines, the lesion should heal in 5-7days. If the lesion does not heal in this duration, then consult a oral physician and get it evaluated. I hope my answer will help you, take care. If you have any queries, you can reply me back.