الفهرس | Only 14 pages are availabe for public view |
Abstract Recurrent aphthous ulceration is a chronic inflammatory disorder characterized by recurrent ulcers affecting the oral mucosa. RAU remains a clinical problem for many patients and a major challenge for clinicians. Efforts in prevention and/or treatment have to date resulted in minimal success at the best. The present study was carried out on forty minor and major RAU patients in order to assess the effectiveness of 5% amlexonox adhesive tablets and low level diode laser in minor and major RAU management. In order to study the effectiveness of amlexonox and LLDL in the management of RAU, ten minor RAU patients and ten major RAU patients were given 5% amlexonox adhesive tablets. The drug was applied three times per day for four days. Also, ten minor RAU and ten major RAU patients were given LLDL in one session in continous mode for 5 to 10 seconds. All participating patients were free from any systemic condition. History taking and clinical examination including noting the size, duration, pain severity and recurrence rate of the RAU lesions was carried out at the time of initial visit, after two days, then after another two days in all groups in order to assess the effect of 5% amlexonox adhesive tablets and low level diode laser on these parameters. All patients were followed up weekly after the trial period for six months to assess recurrence rate. The results of the present study showed that amlexonox achieves highest significant induction in the ulcer size in cases of major RAU and in cases of minor RAU but not high as with major RAU patients. Amlexonox and LLDL can lead to complete disappearance of red halo at the end of the trial period whatever in cases of minor or major RAU. The current results regarding amlexonox demonstrated that it achieves highest significant reduction in the pain score in cases of minor and major RAU. In addition, amlexonox achieves highest significant reduction in the recurrence rate in cases of minor and major RAU. In the present study, LLDL exposure resulted in significant reduction in the ulcer size in minor RAU patients. The our results regarding the ulcer size in minor RAU patients whatever treated with amlexonox or LLDL showed complete healing at the end of the trial period. In the present study, LLDL and amlexonox showed the highest significant reduction in the pain score at the end of the trial period in minor RAU patients [complete pain relief). LLDL achieves low significant reduction in the recurrence rate in minor and major RAU patients. |