Ointment for periodontal disease: gel to the gums with periodontitis

Any topical treatment of periodontal disease relates to basic therapies. Purpose of dosage forms for local use allows you to enter the drug directly into the nidus, reducing the risk of side effects and almost completely prevents the entry of drugs into the systemic circulation.
The main difference from medicinal ointments creams and gels is the concentration of the active substance. In ointments it is much higher, which makes this dosage form is more effective in severe forms of the disease. The medications used in ointments can be prescribed in tablet form. However, their pharmacological effect will be lower, and undesirable systemic effects above.
The basis of dosage forms, ointments are animal or vegetable fats that are not absorbed in the skin area, which caused. This is due to some disadvantages of the use of ointments, which will be discussed in the appropriate section. An alternative is to use the gel from periodontal disease, is water-based and penetrating as well into the skin and mucous membranes.

The ointment or gel

The application of the ointment, and gel, has its positive and negative sides. The right to life are both dosage forms. The choice depends on the shape and severity of the disease, patient characteristics and the presence of his heightened sensitivity to certain components of the drug. The advantages and disadvantages ointments compared to gel given in the following table:

Advantages Disadvantages
The high concentration of medicinal

substance.

Low penetration of the drugs based on fat.
High efficiency in severe forms of the disease. Low adhesion to mucous membranes (medicine is not fixed in the mouth, patients swallow it).
The treated areas are clearly visible due to white color of most ointments. Requires additional fixtures.
Vaseline is included in the composition of ointments, has lubricating and moisturizing properties. Stain clothes in contact with it. The gel is devoid of this shortcoming.

Use of medicines on the basis of vaseline and other oily substances requires the imposition of additional fixtures. For fixation of the ointment on the oral mucosa can be used dipanaskan film or a gauze swab soaked in the composition and sandwiched between lip and gum. Of course, at this time, the patient should not eat.

Principles on the use of ointments


For the treatment of periodontal disease drugs in the form of ointments can be the only method of treatment. Typically, these drugs have complex effects, providing several pharmacological effects. Therapy of complicated and advanced forms of the disease should be supplemented by systemic means. In combination with ointments patients prescribed drugs such as:

  1. Antibiotics;
  2. Nonsteroidal anti-inflammatory drugs;
  3. Drugs that accelerate regeneration;
  4. Multivitamins;
  5. Correctors of metabolism;
  6. Immunomodulators or Immunostimulants.

In conjunction with treatment with ointments and systemic medications patients are advised to use medicated toothpastes («Forest», «Auromere», «Analika»). Vegetable matter contained in them complement the planned treatment and increase its effectiveness.

Local treatment includes rinsing the mouth with decoction tanning (oak bark) and anti-inflammatory herbal preparations. This procedure should not be carried out simultaneously with the application of the ointment. The optimal option is rinsing your mouth with vegetable broth, half an hour pause and then applying the medicine.

Pharmacological groups used ointments and their representatives

In the treatment of periodontal disease apply ointment belonging to several pharmacological sections. The table presents data on the groups of drugs, as well as about the most popular representatives of these groups:

Pharmacological group The drug
Antiplatelet agents: Heparin ointment
Anti-inflammatory: Holisal
Antimicrobial: Levomikol
Regenerating: Solcoseryl
Painkillers: Kamistad
Homeopathy: Traumeel «S»
Venotonic: Troxevasin
Antibiotics and antiseptics: Bushel, metronidazol

The use of certain drugs depends on the severity of the patient’s condition. In severe forms of the disease is mandatory used antibiotics, antiplatelet agents, anti-microbial and pain relievers. In the initial stages of periodontal disease are often used homeopathic, anti-inflammatory, regenerative drugs. Classification groups used in the table indicates only the main effect of the ointment. Meanwhile, almost all of them can achieve a comprehensive effect.

Holisal

Non-steroidal anti-inflammatory agent. Allows to reduce the intensity of inflammation, relieve swelling. A slight local anesthetic effect. The composition of the drug include substances such as:

  • Choline salicylate – 81.1 mg per 1 gram of ointment;
  • Catalonia chloride – 0.1 mg per 1 gram of ointment.

Apply 2-3 times per day before meals and before bedtime. To fix the drug should be used with the swab, otherwise the necessary action to fail. The cost varies from 313 to 419 rubles.

Heparin ointment

Anticoagulant, also providing a local anesthetic effect. In the preparation includes:

  • Heparin – 10 thousand units per 100 grams;
  • Benzocaine – 4 grams per 100 grams;
  • Benzylsuccinic – 0.08 gram per 100 grams basis.

Applied for 3-7 days. You need to put 0.5 – 1 g 3-5 square centimeters of the surface. The cost of the drug is 35-75 rubles depending on the region and cheat the pharmacy.

Levomekol

The combination of antibiotic with the antimicrobial substance. In the composition of ointment contains:

  • Chloramphenicol – 0.75 gram per 100 grams of the drug;
  • Methyluracil – 4 grams per 100 grams of the drug.

Has antimicrobial and anti-inflammatory effect. Is applied by means of gauze. The introduction in periodontal pockets and cavities with a syringe. For this purpose, the substance is heated. At the time of this writing, the cost of the drug is equal to 100-150 rubles.

Solcoseryl

An ointment for the gums «solcoseryl» is a combination of 4 active substances belonging to the group regenerates and reparants. Has a local anesthetic, wound healing, anti-inflammatory action. Improves the supply of tissues with oxygen and nutrients, promotes growth of granulation tissue, accelerates the processes of healing and recovery. The pharmacological effect is achieved due to the presence in the product of the following substances:

  • The dialysate of calves blood – 2.1 mg per 1 gram of the substance;
  • Polidocanol 600 – 10 mg per 1 gram of the substance;
  • Methyl parahydroxybenzoate – 1.8 mg per 1 gram of the substance;
  • Parahydroxybenzoate – 0.2 mg per 1 gram of the substance.

Solcoseryl is applied 3-5 times daily, after eating, not rubbing the affected area. After application is necessary to slightly moisten the drug with water. The cost of the medication is 320-340 rubles.

Kamistad


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Local anesthetic and anti-inflammatory agent for dental applications. Apply 3 times a day on inflamed areas. When applying it is necessary to RUB the medication into the gums. The effect is achieved by such substances as:

  • Lidocaine hydrochloride monohydrate – 20 mg per 1 g of composition;
  • Extract of chamomile – 185 mg per 1G of the composition.

The drug is contraindicated if you are allergic to local anesthetics. The cost is equal 210-300 rubles.

Traumeel «S»

Traumeel «S» refers to a group of homeopathic remedies available in the form of white or yellowish ointment with a characteristic odor. The preparation for the treatment of gums in uncomplicated periodontal disease includes many substances of plant origin, which provide anti-inflammatory and regenerative effect. High probability of occurrence of allergic reactions, often local. The cost of the drug in pharmacies is 450-600 rubles.

Metrogyl

Refers to a group of antimicrobials effective for bacterial lesions lesions of periodontal disease. Available in the form of ointments for topical application. Usually administered 2 times a day, after a preliminary cleaning of the gums by rinsing and drying them with a cotton or gauze swab. The course of treatment is 2-3 weeks.
The active substance is metronidazole at a concentration of 10 mg per 1 gram of ointment. The cost of the drug is 160-200 rubles.

Troxevasin

Refers to a group angioprotectors. Has a decongestant and venotonic effects. Improves local blood supply with periodontitis. The main active ingredient of the ointment is:

  • Troxerutin 20 mg 1 gr. drug

Troksevazin and its analogs are applied 2-3 times a day after meals. It is better to apply using additional fixation gauze pad. The cost of the drug is 230-300 rubles.

Possible side effects

A low degree of suction dental ointments to systemic blood flow provides practically complete absence of systemic side effects. However, local adverse effects sometimes occur.

Allergic reactions. On the oral mucosa local allergic reactions manifest themselves in the form of rashes, increase of swelling, caused by the primary disease, itching. Such symptoms occurs when sensitization resulting from contact with used product.
Irritating. Incorrect use of some of the dental creams can irritate. At the same time on the mucous membranes occurs redness, swelling, patients note increased pain, burning sensation or itching.
Amplification of symptoms due to the low effectiveness of the drug. Similar phenomena often arise from the use of antibacterial ointments. The fact that such funds are assigned empirically without determining the sensitivity of microflora. In case of unsuccessful selection of the active substance pathogenic microflora continues to grow, despite the use of ointment. The symptoms of the disease in this increase.
Effects related to the improper use of the drug. Despite detailed explanations, not all patients use the dental compositions correctly. In the application of local dental drugs are very often allowed such mistakes as:

  • Too frequent or infrequent application;
  • Applying too much product;
  • Ingestion of the ointment;
  • The use of doses exceeding the recommended.

All of this can lead to a lack of effect of treatment or development of systemic effects due to absorption of excess of the drug with the mucous membranes of the mouth and stomach (if swallowed).

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