Dentistry : Topical Therapy for
Pain and Infections
There are an ever-increasing number of agents that can be used to help
patients with oral and perioral pain problems such as neuropathies, neuromas
and neuralgias. Vehicle-carrier agents and bases have been developed
that can penetrate the mucosa and cutaneous tissues and transport the
active medication to the treatment site. Dentists have been using topical
agents with increasing frequency as part of the therapeutic protocol
for orofacial painful neuropathy.
Several topical intraoral medications are used in the treatment of oral
ulcerations and infections, including antifungals; nonsteroidal anti-inflammatory
drugs (NSAIDs); and corticosteroids. Because of their rapid onset and
low side-effect profile, topical medications offer a distinct advantage
over systemic administration for orofacial disorders. Medicated lollipops,
lozenges, and adhering powders are ideal for keeping an antibiotic or
antifungal in contact with an infected area in the mouth.