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ORAL MEDICINE
ORIGINAL ARTICLE
ABSTRACT
The aim of this study was to assess the efficacy of 0.2% Chlorhexidine gluconate mouth wash and
vitamin B-complex on minor recurrent aphthous stomatitis with respect to reduction in duration of
ulcer, recurrence of ulcers and to increase the gap between ulcer free days during a specific period.
A single blind therapeutic trail was carried out on 96 minor recurrent aphthous stomatitis
patients which were divided into four groups. Group I was given 0.2% Chlorhexidine gluconate mouth
wash, Group II received vitamin B-complex, Group III was given both. (I+II), and Group IV received
placebo.
Results showed reduction in ulcer duration, recurrence of ulcers and ulcer free days were
increased.
The clinical results of this study were promising and suggested that further investigation should
be done with large study groups.
Key words: Recurrent aphthous stomatitis, chlorhexidine gluconate, vitamin B-complex
INTRODUCTION
Oral diseases especially ulcers of the oral mucosa
are most common in human beings. It carries no
mortality but a high morbidity: The first use of the
term aphthae in relation to mouth is credited to
Hippocrates as far back as 460-370 BC. The term
aphthae is a plural of aphtha. The word aphtha is
derived from the Greek word Thrush which means, a
small ulcer, especially the reddish or white spots in the
mouth that characterize aphthous stomatitis. By definition recurrent aphthous stomatitis is a chronic inflammatory disease of oral mucosa, characterized by
Correspondence to: Dr Nabikhan Athani, MDS, Professor and Head Dept Oral Medicine and Radiology, RKDF
Dental College & Research Centre, Bhopal-462001(M.P) India. E-mail: nabik23@rediffmail.com
2
Prof & Head Dept Oral Maxilo-facial Surgery, RKDF Dental College and Research Centre, Bhopal-462001(M.P)
India
3
Dean & Head Dept Oral Medicine and Radiology, Naribhai Patel Nootan Dental College, Visnagar-384315
(Gujarat) India
4
Prof & Head Dept Oral Medicine and Radiology, P M N M Dental College, Bagalkot-587101 Karnataka - India
1
Pakistan Oral & Dental Journal Vol 32, No. 2 (August 2012)
214
I
II
III
IV
Patients
treated
Number
5
6
5
8
Recurred patients
during follow up
Mean
+-SD
64.2
57.0
65.2
42.5
9.60
6.26
10.89
10.86
U
Value
Significant
I-II
I-III
I-IV
II-III
II-IV
III-IV
5.5
11.5
2
7
5
1.5
III< I< II< IV
NS
NS
P<.01
NS
NS
P<.01
215
Patients
treated
Number
I
II
III
IV
Recurred patients
during follow up
Number
%
24
24
24
24
NS
5
6
5
8
20.8
25.00
20.8
32.3
8
14
7
16
**F=1.96
4.8
5.2
4.2
6.0
0.84
0.75
0.84
0.92
P>0.05 NS
Patients
treated
Number
Recurred patients
during follow up
Mean
+-SD
U
Value
Significant
64.2
9.60
I-II
5.5
NS
II
57.0
6.26
I-III
11.5
NS
III
65.2
10.89
I-IV
P<.01
IV
42.5
10.86
II-III
NS
II-IV
NS
III-IV
1.5
P<.01
Pakistan Oral & Dental Journal Vol 32, No. 2 (August 2012)
REFERENCES
1
Hunter L. Chlorexidine gluconate mouthwash in the treatment of minor recurrent aphthous stomatitis. British Dental
Journal 1987, 162: 106-10, 1987.
Altenburg A, Zouboulis C. Current Concepts in the Treatment of Recurrent Aphthous Stomatitis. J Skin therapy 2008,
7:1-4.
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11
12
Eversole R, Shopper P. Effects of suspected foodstuff challenging agents in the etiology of recurrent aphthous stomatitis. 1982,55: 33-37.
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14
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16
217