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How does Oracort work? What will it do for me?
Triamcinolone belongs to the class of medications called
corticosteroids. Triamcinolone dental
paste is used to treat inflamed mouth sores and mouth sores
caused by injury.It is applieddirectly to the affected areas of the
mouth. It acts by decreasing inflammation and protecting the
damaged area from further injury.
Your doctor may have suggested this medication for conditions
other than those listed in
these drug information articles.As well, some forms of this
medication may not be used for all
of the conditions discussed here. If you have not discussed this
with your doctor or are not surewhy you are taking this medication,
speak to your doctor. Do not stop taking this medication
without consulting your doctor.
Do not give this medication to anyone else, even if they have
the same symptoms as you do.It can be harmful for people to take
this medication if their doctor has not prescribed it.
How should I use Oracort?
Apply this medication 2 or 3 times daily, preferably after
meals. At least one application should
be at bedtime so that the medication can be in contact with the
lesion overnight.
To apply, press a small dab (about 6 mm) to the lesion until a
smooth, slippery, thin filmdevelops. You may need to apply a larger
amount to cover larger lesions. Do not rub it in. For
best results, apply enough dental paste to just coat the lesion
with a thin film. If your symptoms
do not improve within 7 days, call your doctor.
Many things can affect the dose of medication that a person
needs, such as body weight, othermedical conditions, and other
medications. If your doctor has recommended a dose different
from the ones listed here,do not change the way that you are
taking the medication withoutconsulting your doctor.
It is important to apply this medication exactly as prescribed
by your doctor. If you miss a dose,apply it as soon as possible and
continue with your regular schedule. If it is almost time for
your
next dose, skip the missed dose and continue with your regular
dosing schedule. Do not apply a
double dose to make up for a missed one. If you are not sure
what to do after missing a dose,contact your doctor or pharmacist
for advice.
Store this medication at room temperature, protect it from light
and moisture, and keep it out ofthe reach of children.
Do not dispose of medications in wastewater (e.g. down the sink
or in the toilet) or in householdgarbage. Ask your pharmacist how
to dispose of medications that are no longer needed or have
expired.
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What form(s) does Oracort come in?
Each gram of dental paste contains triamcinolone acetonide 1 mg
(0.1%) in a protective
emollient vehicle.Nonmedicinal ingredients:gelatin, pectin, and
sodium carboxymethylcellulose
in a polyethylene and mineral oil gel base.
Who should NOT take Oracort?
Do not use this medication if you:
are allergic to triamcinolone dental paste or any ingredients of
this medication
have fungal, viral, or bacterial infections of the mouth or
throat
Medications used to control pain and anxiety
One of the most commonly reported dental complications involves
various levels of pain. Due to
this fact, pain management is an important goal for all dentists
and patients.
Analgesics
Non-narcotic analgesics are the most commonly used drugs for
relief oftoothacheor pain
following dental treatment as well asfever.The commonly-used
medications used are:
ibuprofen (Advil, Nuprin,Motrin), acetaminophen (Tylenol), and
aspirin (for example,Bayer);
corticosteroids such as Orabase-HCA, Oracort, and Oralone are
anti-inflammatory medications
that are used to relieve discomfort and redness of the
mouth;
and for severe pain conditions, narcotic analgesics such as
codeine or hydrocodone (Vicodin)
may be given. Codeine formulations usually include acetaminophen
for increased efficacy, forexample,VicoprofenandTylenol #3.
Note:Ibuprofen occasionally causes xerostomia (dry mouth)that
may increase oral plaque and
dental caries(cavities).
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Anesthetics
Topical anesthetics come in ointments, sprays or liquids.
Topical anesthetics are used to preventpain on the surface level of
the lining of the mouth. They also can be used to reduce pain
from
superficial sores in the mouth or to numb an area before an
injectable local anesthetic is given.
Commonly used topical anestheticsinclude Anbesol and Orajel.
Local anestheticsare injected into the deeper tissues of the
mouth and work by inhibiting the
impulses from pain-sensing nerves and hence are used to reduce
pain especially in procedures
involving drilling, and cutting of the tissue. Common local
anesthetics are 2% lidocainehydrochloride and 2% mepivacaine
(Carbocaine).
General anestheticsare inhaled and include anti-anxiety agents,
such as nitrous oxide, that help
to ensure relaxation during dental visits and often may be used
along with local anesthetics.
Note:Anesthetics are used for temporary pain relief, and should
not be used for long durationsof time.
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Antibiotics
Antibiotics such as penicillin and amoxicillin (Amoxil)are used
for a variety of infections that
may result after dental procedures. Erythromycin
(Benzamycin,Emgel,Ery,Ilotycin,Staticin)is
usually prescribed when patients have allergies to penicillin or
amoxicillin (Amoxil).
Clindamycin (Cleocin HCL)often is used in the treatment of
serious infections caused bysusceptible anaerobic bacteria and
hence are effective for dental abscesses in bone and soft
tissue
that doesn't respond adequately to penicillin or
erythromycin.
Chlorhexidine (marketed as Peridex,PerioChip,and PerioGard
amongst others) is an antibioticused to control plaque
andgingivitisin the mouth, or in periodontal pockets (the space
between
your gum and tooth). Chlorhexidine comes as a chip, which is
used as an adjunct to scaling and
root planing procedures for reducing the depth of pockets around
the teeth in patients with adultperiodontitis or as a rinse, which
provides antimicrobial activity between dental visits.
Tetracyclines, such as doxycycline (marketed asAtridox)is used
to help treat periodontal
disease.
Another use of antibiotics in dentistry is for preventing
bacteria that are always present on the
surface of tissues around teeth from spreading into the blood.
This is especially important inpatients with some types of
defective or artificial heart valves since blood-born bacteria have
a
tendency to settle on the valves and cause serious infections.
The antibiotics may be given orally,
intramuscularly, or even intravenously. They usually are begun
immediately before the dentalsurgery and are continued for no more
than a few doses, for example, less than a day or so.
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Note: Chlorhexidine may cause staining of the tooth, tooth
filling, anddenturesor other mouth
appliances. Tetracycline use during tooth development phases
(from the last half ofpregnancy
through eight years of age) may cause permanent discoloration
(yellow, gray, brown) of teeth.
Antifungals
Antifungals are used for the treatment of candidiasis in the
oral cavity. Certain antifungal such as
nystatin (Mycostatin)is used to treat Candida albicansinfection
in the mouth, includingthrush,
and denture stomatitis. Nystatin (Mycostatin) comes in
lozenges/troches and oral suspension.When taking the oral
suspension, patients are instructed to take one half of the dose in
each side
of mouth, retaining the suspension as long as possible by
swishing it around, before swallowing.
Other dental medications
Fluorides
Fluoride which is available in most over-the-counter
toothpastes, is used to prevent tooth decay.Prescription strength
fluoride (Acidul)is also available if prescribed by a
physician.
Antiseptics
Antiseptics are available as over-the-counter mouth rinses that
are used to reduce plaque and
gingivitis and kill germs that causebad breath.
Benzodiazepines
Benzodiazepines such as diazepam (Valium)is used for the
management of anxiety disorders or
for the short-term relief of the symptoms of anxiety. It works
by relaxing the patient duringdental procedures such
astemporomandibular joint disorders.
Saliva substitutes
Saliva substitutes such as Moi-Stir, Mouth Kote, Optimoist,
Saliva Substitute, Salivar, Salix, and
Xero-Lube are used for treating dry mouth, an occasional
complication of autoimmune diseasesor occasionally unassociated
with other diseases. They usually come as sprays and are used
as
needed.
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