Mucosal Ulceration and Inflammation (Simple Gingivitis)

Mucosal ulceration and inflammation (simple gingivitis)

Temporary pain and swelling relief can be attained with saline mouthwash.

Use antiseptic mouthwash if more severe and pain limits oral hygiene to treat or prevent secondary infection.

The primary cause for mucosal ulceration or inflammation (aphthous ulcers, oral lichen planus, herpes simplex infection, oral cancer) needs to be evaluated and treated.

Drug details

Simple saline mouthwash ½ tsp salt dissolved in glass warm water

Always spit out after use.

Use until lesions resolve or less pain allows oral hygiene

Chlorhexidine 0.12-0.2% (do not use within 30 mins of toothpaste). Rinse mouth with 10 ml diluted with 10 ml water for 1 minute twice daily.

Always spit out after use.

Use until lesions resolve or less pain allows oral hygiene

Hydrogen peroxide 6% (spit out after use). Rinse mouth with 15ml diluted in ½ glass warm water for 2-3 mins twice to three times daily 

Always spit out after use.

Use until lesions resolve or less pain allows oral hygiene

Last reviewed: 22 January 2019

Next review: 30 January 2022

Author(s): Antimicrobial Management Team

Approved By: TAM subgroup of ADTC

Reviewer Name(s): Area Antimicrobial Pharmacist

Document Id: AMT107