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Management of mucosal ulceration and inflammation
Patients presenting with acute oral conditions should be referred to a dental specialist.
Please follow this link to obtain information on the emergency dental service. In exceptional circumstances patients may be unable to access dental services in a timely manner; in which case, the guidance below is designed for the management of acute oral conditions pending review by a dental specialist. |
Simple gingivitis
Temporary pain and swelling relief can be attained with saline mouthwash.
Use antiseptic mouthwash if more severe & 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.
| SELF-CARE: NHS England has published guidance for various common conditions for which over the counter (OTC) items should not be routinely prescribed in primary care. These conditions include acute sore throats and mouth ulcers. Many of these products are cheap to buy and are readily available OTC along with advice from pharmacies. Some self-care medicines are available from shops and supermarkets. |
Simple saline mouthwash
- Half a teaspoon salt dissolved in a glass of warm water
Chlorhexidine 0.12-0.2%
- Rinse mouth for 1 minute every 12 hours with 5ml diluted with 5-10ml water (do not use within 30 minutes of toothpaste)
Hydrogen peroxide 6%
- Rinse mouth for 2 minute every 8 hours with 15ml diluted in half a glass of warm water
- Always spit out after use. Use until lesions resolve or less pain allows oral hygiene.
