Assessment of Management of Aphthous Stomatitis Treated in a University Setting: A Retrospective Study

Author(s):

Dhanvanth M, Uma Maheswari TN* and Deepika Rajendran

Background: Recurrent Aphthous stomatitis is immunologically mediated associated with acute multiple ulcerations of oral mucosa. Though evidence based management of Aphthous stomatitis recommends the usage of immunomodulators in refractory cases Aphthous stomatitis, use of topical antiseptics and anaesthetics is preferred by most of the clinicians as it promotes healing.
Aim & Objectives: The aim of the study was to assess the various therapeutics used in management of Aphthous stomatitis treated in an university setting and the objective was to assess the therapeutic response following treatment of Aphthous stomatitis.
Materials & Methods: A total of 40 cases were collected from the case documentation database of Saveetha Dental College from September 2019 to April 2020. Frequency distribution was used to analyze the prevalence of topical therapeutics such as antiseptic, anesthetic, steroids and systemic vitamin B complex used in various clinical types of Aphthous stomatitis. Pearson chi square association analysis used to analyze the association of therapeutics used in management of Aphthous stomatitis with therapeutic response following 1 week after treatment using SPSS version 26.
Results: The most common prevalent therapeutic used in management of minor and major and herpetiformaphthous ulcer was topical antiseptic with higher prevalence of complete healing (57.5%). The topical anaesthetic has an equal prevalence of complete healing and 50% remission responses (44.4%). The topical steroid has higher prevalence of complete healing response (83.3%). The systemic vitamin B complex was mostly prescribed along with topical therapeutics as supportive medication and have highest prevalence of complete healing response (100%). The association between different types of therapeutics and healing response in various types of Aphthous stomatitis revealed no statistical significant association with p-value=0.206 (>0.05).
Conclusion: Within the limits, the medications used commonly to treat recurrent aphthous minor, major and herpetiformaphthous ulcer was topical antiseptic and therapeutic response was complete healing in maximum number of cases.