Table 4

Symptomatic relief for oral ulceration in children17 18

Patient groupMedicamentInstructions
Children should only be encouraged to use a mouthwash providing they are able to spit it out
Antimicrobial mouthwashes
Saltwater mouthwash: dissolve half a teaspoon of salt in glass of warm water
Saline mouthwash
Sodium chloride mouthwash
Hydrogen peroxide mouthwash 0.2%
Rinse at frequent intervals until the discomfort subsides
Children aged 12+ years
Antimicrobial mouthwash

For use in recurrent aphthous stomatitis
Chlorhexidine gluconate: mg/mL (0.2%), to be prescribed alcohol freeNot to be used for longer than a 2 week period as causes staining
Doxycycline dispersible tablets: 100 mg (48 tablets)
Tablet dissolved in water to make mouthwash
Dissolve in water, four times daily for 3 days
Topical local anaesthetics/anti-inflammatory agents
Lidocaine ointment, 5%Rub sparingly onto affected areas
Can be used before eating to provide pain relief
Mouthwash for children aged 12+ years
Oromucosal spray suitable for under 5 s
Benzydamine hydrochloride mouthwash (0.15%) 300 mL (7 days)
Benzydamine oromucosal spray (0.15%)
Spray onto lesion or rinse PRN
Can be used before eating to provide pain relief
Topical corticosteroids
Children aged 12+ years
For treatment of recurrent aphthous stomatitis/severe oral ulceration
Betamethasone soluble tablets: 500 micrograms (100 tablets)Dissolved in water four times daily
Hydrocortisone oromucosal tablets: 2.5 mg (20 tablets)One tablet dissolved next to tablet four times daily
Over the counter products such as Igloo and Gelclair are also available for symptomatic relief