Therapeutic Drugs in Oral Medicine

Question 1

What is used to treat inconvenient lesions with discomfort

Answer 1

Non-steroid topical therapy

Question 2

What is used to treat immunologically driven lesions

Answer 2

Steroid topical therapy

Question 3

What falls under Non-Steroid Topical treatment of Oral Mucosal Lesions

Answer 3

Chlorhexidne mouthwash

Benzdamine mouthwash/spray

over the counter remedies, Igloo, Listerine, bonjela

Question 4

What falls under Steroid based topical treatment of Oral Mucosal Lesions

Answer 4

Hydrocortisone mucoadhesive pellet

Betamethasone mouthwash

Beclomethasone Metered Dose Inhaler (MDI/Puffer) -

CFC-free preparations, e.g. ‘Clenil Modulite’

Question 5

What is betamethasone mouthwash and the instructions

Answer 5

Unlicensed medicine

use Betnesol tabs 0.5mg

1mg in 10mls of water, 2mins rinsing 2x a day, refrain from eating/drinking 30mins after use, do not swallow and not rinse after

Question 6

What are the instructions for Beclomethasone MDI

Answer 6

Dental Prescribing 50mcg/puff device

-Position device correctly, exit vent directly over ulcer area
-2 puffs
-2-4 times daily
-Don’t rinse after use!

Question 7

What are the risks with prolonged systemic steroid use

Answer 7

3 months continuous or Gaps of 2 weeks or less between ‘pulses’ of prednisolone

Adrenal suppression

Cushingoid features

Osteoporosis risk

Peptic ulcer risk

Mood/sleep alteration and mania/depression risk