%0 Journal Article
%T The Efficacy of Sucralfate and Chlorhexidine as an Oral Rinse in Patients with Recurrent Aphthous Stomatitis
%A G¨¹l Soylu £¿zler
%A £¿emsettin Okuyucu
%A Ertap Ako£¿lu
%J Advances in Medicine
%D 2014
%R 10.1155/2014/986203
%X Aim. In this study, we compared the efficacy of sucralfate suspension with chlorhexidine as an oral rinse in patients with recurrent aphthous stomatitis (RAS) in terms of pain relief and healing time. Materials and Methods. The subjects with a complaint of recurrent oral aphthous ulcers less than 1£¿cm in diameter on the first day of the occurrence of the ulcer and between 20 and 40 years were included in the study. Seventy patients completed the study. The patients were randomized into two groups as SCH group and CHX group. Changes in pain scores, healing time, and side effects of the treatments were evaluated. Results. The mean value of pain scores on the days after the treatment from the first day to the seventh day was significantly higher in CHX group than SCH group ( ). On the seventh day after the treatment, the ulcers were completely reepithelialized in 23 patients in SCH group and in 19 patients in CHX group. The difference was statistically significant ( ). In SCH group, the mean healing time of ulcers was days whereas it was days in CHX group. The difference was statistically significant ( ). No side effects were recorded in either of the groups. Conclusion. Topical sucralfate suspension is an easy, safe, inexpensive, and effective treatment option for RAS to obtain pain relief and shorten the healing time of oral ulcers. 1. Introduction Recurrent aphthous stomatitis (RAS) is a disease which presents as recurrent, round, shallow oral ulcerations surrounded by inflammation characterized by a break in the mucous membrane [1]. RAS is one of the most common diseases of the oral mucosa affecting 20% of the general population [2]. RAS is classified into 3 types according to the diameter of the lesion, namely, the minor, major, and herpetiform aphthous ulcerations. The most common form of RAS is minor aphthous ulcerations, and the minor form is, respectively, followed by major and herpetiform ulcerations [3]. The etiology of RAS still remains unknown. These ulcerations may be indicative of underlying systemic diseases ranging from vitamin deficiency to autoimmunity [4]. Pain is the obvious characteristic of the aphthous ulcerations causing difficulty in eating, swallowing, and speaking. To control the pain, a number of different treatment options exist including steroids, analgesics, topical anesthetics agents (lidocaine, polidocanol, benzocaine, and tetracaine), antiseptics and anti-inflammatory agents (chamomile extract solution, chlorhexidine, triclosan, and diclofenac 3% in hyaluronan), tetracycline suspension, sucralfate suspension, silver
%U http://www.hindawi.com/journals/amed/2014/986203/