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KMID : 0377819960160111204
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Diagnosis and Treatment
1996 Volume.16 No. 11 p.1204 ~ p.1208
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EFFECT OF TOPICAL STEROID THERAPY ON RECURRENT APHTHOUS STOMATITIS
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Abstract
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Recurrent aphthous stomatitis is one of the most common diseases of ulcerative oral mucosal lesions and its cause- remains. elusive. The purpose of this study is to evaluate the therapeutic effect of topical steroids, for the treatment of recurrent aphthous stomatitis. We performed the study with 50 cases who had visited to our office for the treatment of recurrent aphthous stomatitis during the recent 5 years. We devided 50 cases into 5 groups. Group 1 is that triamcinolone of 0.1-0.2mg ´was injected into the submucosal lesions of ulcerations. Group 2 is that the gargling of 5ml with triamcinolone tablet of 2mg was used three times per day for seven days. Group 3 is that the gargling of 5ml with betamethasone tablet 0.5mg was used three times per day forseven days.
Group 4 is that tetracycline gargling was used six times per day for seven days. Group 5 is that normal saline gargling was used six times per day for seven days. The retrospective analysis of results were as follows :
Betamethasone gargling was effective in the treatment of minor aphthous stomatitis and the submucosal injection of triamcinolone was effective in the treatment of major aphthous stomatitis, but there was not more effective one among the different therapeutic methods for herpetiform stomatitis. In the evaluation of mean recurrence periods, the triamcinolone gargling and betamethasone gargling showed markedly increased asymptomatic periods.
As a result, some kinds of topical steroids can be used for the treatment of recurrent aphthous stomatitis but the proper selection of agents according to the type ´ of the disease was more effective for the treatment.
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