Treatment of stomatitis needs to be aggressive since progression to systemic disease is not uncommon. Supportive treatment should be instigated immediately though care must be taken not to further traumatise the mouth. The application of topical antiseptics can be used in mild cases while surgical debridement under general anaesthetic may be indicated in severe cases. Secretions, necrotic tissue and debris should be removed by flushing with dilute povidone-iodine or chlorhexidene. Choice of antibiotics is dependent on sensitivity. Length of treatment may be from three weeks in mild cases to several months in more severe ones. If possible, the mouth should be cleaned twice daily during this time. Inadequate length of treatment is a common cause of therapeutic failure. | Treatment of stomatitis needs to be aggressive since progression to systemic disease is not uncommon. Supportive treatment should be instigated immediately though care must be taken not to further traumatise the mouth. The application of topical antiseptics can be used in mild cases while surgical debridement under general anaesthetic may be indicated in severe cases. Secretions, necrotic tissue and debris should be removed by flushing with dilute povidone-iodine or chlorhexidene. Choice of antibiotics is dependent on sensitivity. Length of treatment may be from three weeks in mild cases to several months in more severe ones. If possible, the mouth should be cleaned twice daily during this time. Inadequate length of treatment is a common cause of therapeutic failure. |