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J Dent Res Dent Clin Dent Prospects. 2016;10(2): 87-91.
doi: 10.15171/joddd.2016.014
PMID: 27429724
PMCID: PMC4946004
  Abstract View: 851
  PDF Download: 814

Original Research

A comparison of the effect of triamcinolone ointment and mouthwash with or without zinc on the healing process of aphthous stomatitis lesions

Masoumeh Mehdipour 1, Ali Taghavi Zenooz 2, Azin Sohrabi 3, Narges Gholizadeh 4, Ayla Bahramian 5*, Zahra Jamali 5

1 Associate Professor, Department of Oral Medicine, Faculty of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Associate Professor, Department of Oral Medicine, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
3 Assistant Professor, Department of Pediatric Dentistry, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
4 Assistant Professor, Department of Oral Medicine, Faculty of Dentistry, Tehran University of Medical Sciences,, Tehran, Iran
5 Assistant Professor, department of Oral Medicine, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
*Corresponding Author: Email: aila.bahramian@gmail.com

Abstract

Background. Recurrent aphthous stomatitis (RAS) is one of the most common ulcerative diseases of the oral mucosa. Definitive etiology of RAS has not been conclusively established. There is no certain treatment for aphthous stomatitis but some drugs such as steroids are commonly used for the treatment of RAS. Regarding the effect of zinc on the healing process of epithelial layer and cell division, in this research the effect of triamcinolone (with orabase) in combination with a zinc-containing mouthwash and triamcinolone alone on the healing process of RAS lesions was assessed.Methods. The present study consisted of 20 patients diagnosed with RAS. The patients were instructed to rinse the mouth-wash or placebo three times a day and triamcinolone ointment twice a day for two weeks. The largest dimension of the ulcer was measured by a digital caliper and the severity of pain was assessed by visual analogue scale (VAS). Number, size, duration, ulcer-free period and pain of the lesions were evaluated twice a week for twomonths. Data were analyzed by SPSS 16 using Mann-Whitney U test and t-test.Results. A decrease was seen in the mean pain severity score (P = 0.631) and the size of the lesions but it was not statistically significant (P = 0.739). Also the difference between the number of lesions (P = 0.739), duration and ulcer-free period (P = 0.873) were not statistically significant.Conclusion. Zinc mouthwash seems to be as effective on wound healing process as typical treatment modalities for RAS.
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Submitted: 26 Jun 2016
Accepted: 26 Jun 2016
ePublished: 26 Jun 2016
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