The oral cavity consists of the lips, gums, tongue, salivary glands, and teeth. Stomatitis is an inflammation of the mucous membrane in the mouth that can affect the cheeks, gums, tongue, lips, and roof or floor of the mouth. Stomatitis can be caused by chemotherapy, radiotherapy, trauma, poor dental hygiene, smoking, dehydration, or burns. Symptoms include pain, sores or ulcers in the mouth, fever, irritability, blisters, swollen gums, drooling, difficulty swallowing, and foul breath. Treatment involves medical management with mouthwashes or analgesics, as well as maintaining good oral hygiene, a bland diet
2. Stomatitis
DEFINITION: Stomatitis is an inflammation of the mucous lining
of the mouth , which may involve the cheeks, gums ,tongue ,lips ,
and roof or floor of the mouth. The word“ stomatitis “ literally
means inflammation of the mouth
4. Sign & symptoms
1. Pain or discomfort in the mouth.
2. The presence of open sores or ulcers in the mouth.
3. Fever
4. Irritability and restlessness
5. Blisters in the mouth
6. Swollen gums , which may be irritated and bleed.
7. Drooling.
8. Dysphagia.
9. Foul-smelling breath.
5. Management of Stomatitis
1. Medical management :- bismuth salicylate , sucralfate,
antacids
• Water –Soluble lubricants from mouth and lips
• Topical analgesics, such as benzamine hydrochloride
• Topical anesthetics, such as lidocaine viscous
• Oral or parenteral analgesics, including opioids
if needed, for pain not controlled with above
2. Other management :-
• Antiseptic mouth wash
• Avoid excessive brushing
• Denture hygiene measures
6. Maintain integrity of the oral mucosa.
•Instruct the client to brush and floss his teeth and
massage his gums several times daily.
•Advise the client to use gauze or a sponge tooth Ette to
clean the oral mucosa when pain prevents the use of a
toothbrush.
7. • Recommend the use of water, saline, or a
dilute solution of hydrogen peroxide instead
of toothpaste or mouthwash.
8. Promote adequate food and fluid intake.
•Advise the client to eat a bland diet.
•Suggest that the client consume lukewarm, or cold
food and fluids, which may minimize discomfort and
result in increased intake.
9.
10. Prevention /Management
1. Good oral hygiene
2. Regular dental visit
3. Good health practices
4. Brush twice a day after meal and snack
5. Use soft brush or electric toothbrush
6. Use electric brush and floss daily
7. Stop smoking